Evidence map›Paper›PMID 33146934›Full record

ArticleJournal of neuroimaging : official journal of the American Society of Neuroimaging2021

Perfusion-MRI is a Poor Indicator of Hemodynamic Compromise in Vertebrobasilar Disease in the VERiTAS Study.

Alfred P See, Christopher J Stapleton, Xinjian Du, Fady T Charbel, Sepideh Amin-Hanjani, VERiTAS Study Group

Open access · greenAbstract read
In one paragraph

Article in Journal of neuroimaging : official journal of the American Society of Neuroimaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
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

6 authors at 2 institutions in 1 country.

Alfred P SeeDepartment of Neurosurgery, University of Illinois at Chicago, Neuropsychiatric Institute, Chicago, IL.ORCID 0000-0003-3634-4692
Christopher J StapletonDepartment of Neurosurgery, Massachusetts General Hospital, Boston, MA.
Xinjian DuDepartment of Neurosurgery, University of Illinois at Chicago, Neuropsychiatric Institute, Chicago, IL.
Fady T CharbelDepartment of Neurosurgery, University of Illinois at Chicago, Neuropsychiatric Institute, Chicago, IL.
Sepideh Amin-HanjaniDepartment of Neurosurgery, University of Illinois at Chicago, Neuropsychiatric Institute, Chicago, IL.ORCID 0000-0002-1289-4596
VERiTAS Study GroupDepartment of Neurosurgery, University of Illinois at Chicago, Neuropsychiatric Institute, Chicago, IL.
University of Illinois Chicago · USMassachusetts General Hospital · US

Funding

Vertebrobasilar Flow Evaluation and Risk of Transient Ischemic Attack and StrokeR01NS059745 · NINDS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI AMIN-HANJANI, SEPIDEH · 2008 to 2012
$2.1M
NINDS NIH HHS R01 NS059745
6 · The paper itself

Abstract

background and purposeDynamic susceptibility perfusion MR imaging (DSC MRP) has been used to assess changes in cerebral perfusion attributable to vascular stenosis or occlusion that may predict stroke risk. However, DSC MRP is not validated for identifying hemodynamic compromise in the posterior circulation. We investigated the clinical utility of DSC MRP in vertebrobasilar (VB) atherosclerotic disease in the observational VERiTAS study.

methodsVERiTAS enrolled patients with symptomatic ≥50% VB stenosis/occlusion. Posterior circulation hemodynamic status was designated as low or normal based on large vessel flow measured using quantitative magnetic resonance angiography (QMRA) and was predictive of future stroke risk. In this study, DSC MRP conducted concurrently with QMRA was used to evaluate posterior circulation perfusion. The primary outcome was the mean transit time (MTT) and relative cerebral blood volume (rCBV) in the posterior circulation normalized to the anterior circulation, compared between patients with low and normal blood flow as determined on QMRA.

resultsTwenty-six subjects had 47 DSC MRP studies for review. There was no statistically or clinically significant difference in the rCBV ratio (1.02 vs. .96 P = .89), or MTT ratio (1.04 vs. 1.04 P = .96) relative to normal or low VB territory flow.

conclusionsIn this study, we did not find that DSC MRP adequately distinguished between patients with low or normal flow status based on large-vessel flow measurements.

Indexed as

HemodynamicsMagnetic Resonance ImagingPerfusion ImagingAgedCerebrovascular CirculationHumansMaleMiddle AgedProspective StudiesVertebrobasilar InsufficiencyAtherosclerosisflow measurementmagnetic resonance angiographyperfusion imagingvertebrobasilar disease

Identifiers

PMID33146934
PMCPMC7854987
OpenAlexW3096703925

What OpenQuestion holds

Textmetadata
LicenceTDM
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.