Evidence map›Paper›PMID 33095770›Full record

Observational studyPloS one2020

White matter tract microstructure and cognitive performance after transient ischemic attack.

Sana Tariq, Adrian Tsang, Meng Wang, Noaah Reaume, Helen Carlson, Tolulope T Sajobi, Richard Stewart Longman, Eric E Smith, Richard Frayne, Christopher D d'Esterre and 2 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 19% 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.

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

11 citing papers in PubMed, 14 citations in OpenAlex.

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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 4 institutions in 1 country.

Sana TariqSeaman Family MR Center, Foothills Medical Centre, Calgary, AB, Canada.ORCID 0000-0001-7437-5794
Adrian TsangSeaman Family MR Center, Foothills Medical Centre, Calgary, AB, Canada.
Meng WangDepartment of Community Health Sciences & O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.
Noaah ReaumeSeaman Family MR Center, Foothills Medical Centre, Calgary, AB, Canada.ORCID 0000-0002-5002-2895
Helen CarlsonCalgary Pediatric Stroke Program, Alberta Children's Hospital Research Institute, Calgary, AB, Canada.
Tolulope T SajobiSeaman Family MR Center, Foothills Medical Centre, Calgary, AB, Canada.
Richard Stewart LongmanHotchkiss Brain Institute, University of Calgary, Room 1A10 Health Research Innovation Center, Calgary, AB, Canada.
Eric E SmithSeaman Family MR Center, Foothills Medical Centre, Calgary, AB, Canada.
Richard FrayneSeaman Family MR Center, Foothills Medical Centre, Calgary, AB, Canada.
Christopher D d'EsterreDepartment of Clinical Neurosciences, Calgary Stroke Program, Foothills Medical Centre, Calgary, AB, Canada.
Shelagh B CouttsSeaman Family MR Center, Foothills Medical Centre, Calgary, AB, Canada.
Philip A BarberSeaman Family MR Center, Foothills Medical Centre, Calgary, AB, Canada.
University of Calgary · CAFoothills Medical Centre · CAAlberta Children's Hospital · CAAlberta Health Services · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePatients with transient ischemic attack (TIA) show evidence of cognitive impairment but the reason is not clear. Measurement of microstructural changes in white matter (WM) using diffusion tensor imaging (DTI) may be a useful outcome measure. We report WM changes using DTI and the relationship with neuropsychological performance in a cohort of transient ischemic attack (TIA) and non-TIA subjects.

methodsNinety-five TIA subjects and 51 non-TIA subjects were assessed using DTI and neuropsychological batteries. Fractional anisotropy (FA) and mean diffusivity (MD) maps were generated and measurements were collected from WM tracts. Adjusted mixed effects regression modelled the relationship between groups and DTI metrics.

resultsTransient ischemic attack subjects had a mean age of 67.9 ± 9.4 years, and non-TIA subjects had a mean age 64.9 ± 9.9 years. The TIA group exhibited higher MD values in the fornix (0.36 units, P < 0.001) and lower FA in the superior longitudinal fasciculus (SLF) (-0.29 units, P = 0.001), genu (-0.22 units, P = 0.016), and uncinate fasciculus (UF) (-0.26 units, P = 0.004). Compared to non-TIA subjects, subjects with TIA scored lower on the Addenbrooke's Cognitive Assessment-Revised (median score 95 vs 91, P = 0.01) but showed no differences in scores on the Montreal Cognitive Assessment (median 27 vs 26) or the Mini-Mental State Examination (median 30). TIA subjects had lower scores in memory (median 44 vs 52, P < 0.01) and processing speed (median 45 vs 62, P < 0.01) but not executive function, when compared to non-TIA subjects. Lower FA and higher MD in the fornix, SLF, and UF were associated with poorer performance on tests of visual memory and executive function but not verbal memory. Lower FA in the UF and fornix were related to higher timed scores on the TMT-B (P < 0.01), and higher SLF MD was related to higher scores on TMT-B (P < 0.01), confirming worse executive performance in the TIA group.

conclusionsDTI scans may be useful for detecting microstructural disease in TIA subjects before cognitive symptoms develop. DTI parameters, white matter hyperintensities, and vascular risk factors underly some of the altered neuropsychological measures in TIA subjects.

Indexed as

CognitionAgedAlbertaCase-Control StudiesCognitive DysfunctionDiffusion Tensor ImagingFemaleHumansIschemic Attack, TransientMaleMiddle AgedNeuropsychological TestsProspective StudiesWhite Matter

Identifiers

PMID33095770
PMCPMC7584182
OpenAlexW3094061741

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.