Evidence map›Paper›PMID 32883666›Full record

ArticleAJNR. American journal of neuroradiology2020

Tumefactive Primary Central Nervous System Vasculitis: Imaging Findings of a Rare and Underrecognized Neuroinflammatory Disease.

S Suthiphosuwan, A Bharatha, C C-T Hsu, A W Lin, J A Maloney, D G Munoz, C A Palmer, A G Osborn

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
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  3. Tumor-mimicking primary CNS vasculitis: illustrative case.Journal of neurosurgery. Case lessons · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

S SuthiphosuwanFrom the Department of Medical Imaging (S.S., A.B., CC-T.H., A.W.L.) suradech.suthiphosuwan@unityhealth.to.ORCID 0000-0002-8171-0164
A BharathaFrom the Department of Medical Imaging (S.S., A.B., CC-T.H., A.W.L.).ORCID 0000-0002-7923-7865
C C-T HsuFrom the Department of Medical Imaging (S.S., A.B., CC-T.H., A.W.L.).ORCID 0000-0003-0803-593X
A W LinFrom the Department of Medical Imaging (S.S., A.B., CC-T.H., A.W.L.).ORCID 0000-0002-2505-7340
J A MaloneyDepartment of Radiology (J.A.M.), University of Colorado, Denver, Colorado.ORCID 0000-0003-1117-7533
D G MunozLaboratory Medicine and Pathobiology (D.G.M.), University of Toronto, Toronto, Canada.ORCID 0000-0003-0957-6244
C A PalmerDepartment of Pathology (C.A.P.).ORCID 0000-0001-6088-9161
A G OsbornRadiology and Imaging Sciences (A.G.O.), University of Utah, Salt Lake City, Utah.ORCID 0000-0002-5221-8306

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary central nervous system vasculitis (PCNSV) is a poorly understood neuroinflammatory disease of the CNS affecting the intracranial vasculature. Although PCNSV classically manifests as a multifocal beaded narrowing of the intracranial vessels, some patients may not have angiographic abnormalities. A rare subset of patients with PCNSV present with masslike brain lesions mimicking a neoplasm. In this article, we retrospectively review 10 biopsy-confirmed cases of tumefactive PCNSV (t-PCNSV). All cases of t-PCNSV in our series that underwent CTA or MRA were found to have normal large and medium-sized vessels. T-PCNSV had a variable MR imaging appearance with most cases showing cortical/subcortical enhancing masslike lesion (70%), often with microhemorrhages (80%). Diffusion restriction was absent in all lesions. In summary, normal vascular imaging does not exclude the diagnosis of t-PCNSV. Advanced imaging techniques including MR perfusion and MR spectroscopy failed to demonstrate specific findings for t-PCNSV but assisted in excluding neoplasm in the differential diagnosis. Biopsy remains mandatory for definitive diagnosis.

Indexed as

AdolescentAdultAgedBrain NeoplasmsDiagnosis, DifferentialFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingRetrospective StudiesVasculitis, Central Nervous SystemYoung Adult

Identifiers

PMID32883666
PMCPMC7658850

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.