Evidence map›Paper›PMID 32912558›Full record

Observational studyJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2020

Mechanisms of early Recurrence in Intracranial Atherosclerotic Disease (MyRIAD): Rationale and design.

David S Liebeskind, Shyam Prabhakaran, Nizam Azhar, Edward Feldmann, Iszet Campo-Bustillo, Rajbeer Sangha, Sebastian Koch, Tatjana Rundek, Lauren Ostergren, Marc I Chimowitz and 2 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05907629 (Comparison of Anti-coagulation and Anti-Platelet Therapies for Intracranial Vascular Atherostenosis- Magnetic Resonance Imaging), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 15% of its field
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.

NCT05907629 recruitingnot on this mapstarted 2024, after this paper: background citation

Comparison of Anti-coagulation and Anti-Platelet Therapies for Intracranial Vascular Atherostenosis- Magnetic Resonance Imaging

TypeobservationalSponsorYale UniversityRan2024 to 2029Enrolled300ConditionsStroke, Intracranial Atherosclerotic Stenosis (ICAS)ArmsMRI
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Review
  3. Stroke risk prediction in symptomatic anterior circulation ICAD: Analysis of regional QMRA flow from the MYRIAD study.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Lipid Levels and Short-Term Risk of Recurrent Brain Infarcts in Symptomatic Intracranial Stenosis.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022
    Article
  10. Risk Factors Control and Early Recurrent Cerebral Infarction in Patients with Symptomatic Intracranial Atherosclerotic Disease.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021
    Observational
  11. Infarct Recurrence in Intracranial Atherosclerosis: Results from the MyRIAD Study.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021
    Observational
  12. Article
  13. Review
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 7 institutions in 1 country.

David S LiebeskindUniversity of California at Los Angeles, Los Angeles, CA, USA. Electronic address: dliebeskind@mednet.ucla.edu.
Shyam PrabhakaranThe University of Chicago, Chicago, IL, USA. Electronic address: shyam1@neurology.bsd.uchicago.edu.
Nizam AzharEmory University, Atlanta, GA, USA. Electronic address: anizam@sph.emory.edu.
Edward FeldmannThe University of Massachusetts Medical School-Baystate, Springfield, MA, USA. Electronic address: edward.feldmann@baystatehealth.org.
Iszet Campo-BustilloMiller School of Medicine, University of Miami, Miami, FL, USA. Electronic address: icampo@med.miami.edu.
Rajbeer SanghaUniversity of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: rssangha@uab.edu.
Sebastian KochMiller School of Medicine, University of Miami, Miami, FL, USA. Electronic address: icampo@med.miami.edu.
Tatjana RundekMiller School of Medicine, University of Miami, Miami, FL, USA. Electronic address: trundek@med.miami.edu.
Lauren OstergrenVasSol, Inc. River Forest, IL, USA.
Marc I ChimowitzMedical University of South Carolina, Charleston, SC, USA. Electronic address: mchimow@musc.edu.
Jose G RomanoMiller School of Medicine, University of Miami, Miami, FL, USA. Electronic address: jromano@med.miami.edu.
MyRIAD Investigators
University of Miami · USBaystate Medical Center · USEmory Healthcare · USMedical University of South Carolina · USUniversity of Alabama at Birmingham Hospital · USUniversity of California, Los Angeles · USUniversity of Chicago · US

Funding

Mechanisms of Early Recurrence in Intracranial Atherosclerotic DiseaseR01NS084288 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI LIEBESKIND, DAVID SIGMUND, PRABHAKARAN, SHYAM · 2014 to 2018
$3.0M
NINDS NIH HHS R01 NS084288
6 · The paper itself

Abstract

rationaleIntracranial atherosclerotic disease (ICAD) is the most common cause of ischemic stroke with the highest rate of recurrence, despite aggressive medical management. Diverse mechanisms may be responsible for ICAD-related cerebral ischemia, with potential therapeutic implications. Here we present the rationale, design and methods of the Mechanisms of Early Recurrence in Intracranial Atherosclerotic Disease (MyRIAD) study. The aim of MyRIAD is to determine the mechanisms of stroke in ICAD through physiologic imaging biomarkers that evaluate impaired antegrade flow, poor distal perfusion, abnormal vasoreactivity, artery to artery embolism, and their interaction. METHODS AND

designThis is a prospective observational study of patients with recently symptomatic (<21 days) ICAD with 50-99% stenosis treated medically and monitored for up to 1 year. An estimated 110 participants are recruited at 10 sites to identify the association between the presence of each mechanism of ischemia and recurrent stroke. The primary outcome is ischemic stroke in the territory of the symptomatic artery. Secondary outcomes include new cerebral infarction on MRI at 6-8 weeks and recurrent TIA in the territory of the symptomatic artery. DISCUSSION: MyRIAD is positioned to define the role of specific mechanisms of recurrent ischemia in patients with symptomatic ICAD. This knowledge will allow the development and implementation of effective and specific treatments for this condition.

Indexed as

Cerebrovascular CirculationMagnetic Resonance AngiographyResearch DesignUltrasonography, Doppler, TranscranialAdultBrain InfarctionFemaleHumansIntracranial ArteriosclerosisIschemic Attack, TransientMaleMiddle AgedPredictive Value of TestsProspective StudiesRecurrenceRisk FactorsBiomarkersIntracranial arterial diseaseResearch designStroke

Identifiers

PMID32912558
PMCPMC7490766
OpenAlexW3040932941

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.