Evidence map›Paper›PMID 33214179›Full record

ArticleAJNR. American journal of neuroradiology2021

Plaque Composition as a Predictor of Plaque Ulceration in Carotid Artery Atherosclerosis: The Plaque At RISK Study.

K Dilba, D H K van Dam-Nolen, A C van Dijk, M Kassem, A F W van der Steen, P J Koudstaal, P J Nederkoorn, J Hendrikse, M E Kooi, J J Wentzel and 1 more

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 17 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

11 authors at 7 institutions in 3 countries.

K DilbaFrom the Departments of Radiology and Nuclear Medicine (K.D., D.H.K.v.D.-N., A.C.v.D., A.v.d.L.).ORCID 0000-0002-7349-0894
D H K van Dam-NolenFrom the Departments of Radiology and Nuclear Medicine (K.D., D.H.K.v.D.-N., A.C.v.D., A.v.d.L.).ORCID 0000-0002-4527-3876
A C van DijkFrom the Departments of Radiology and Nuclear Medicine (K.D., D.H.K.v.D.-N., A.C.v.D., A.v.d.L.).ORCID 0000-0002-1301-9793
M KassemDepartment of Radiology and Nuclear Medicine (M.K., M.E.K.), CARIM School for Cardiovascular Diseases, Maastricht University Medical Center+, Maastricht, the Netherlands.ORCID 0000-0001-8392-2323
A F W van der SteenCardiology (K.D., A.F.W.v.d.S., J.J.W.).ORCID 0000-0002-8045-7363
P J KoudstaalNeurology (A.C.v.D., P.J.K.), Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands.ORCID 0000-0003-4998-9609
P J NederkoornDepartment of Neurology (P.J.N.), University Medical Center Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-7386-4545
J HendrikseDepartment of Radiology (J.H.), University Medical Center Utrecht, Utrecht, the Netherlands.ORCID 0000-0001-6384-6140
M E KooiDepartment of Radiology and Nuclear Medicine (M.K., M.E.K.), CARIM School for Cardiovascular Diseases, Maastricht University Medical Center+, Maastricht, the Netherlands.ORCID 0000-0001-7562-5724
J J WentzelCardiology (K.D., A.F.W.v.d.S., J.J.W.).ORCID 0000-0001-9893-3404
A van der LugtFrom the Departments of Radiology and Nuclear Medicine (K.D., D.H.K.v.D.-N., A.C.v.D., A.v.d.L.) a.vanderlugt@erasmusmc.nl.ORCID 0000-0002-6159-2228
J.P. Morgan · GBErasmus MC · NLMaastricht University Medical Centre · NLAmsterdam University Medical Centers · NLDeutsche Schmerzgesellschaft · DEDSM (Netherlands) · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePlaque ulceration is a marker of previous plaque rupture. We studied the association between atherosclerotic plaque composition at baseline and plaque ulceration at baseline and follow-up. MATERIALS AND

methodsWe included symptomatic patients with a carotid stenosis of <70% who underwent MDCTA and MR imaging at baseline (

resultsAt baseline, the prevalence of plaque ulceration was 27% (49/180). Increased wall volume (OR  = 12.1; 95% CI, 3.5-42.0), higher relative lipid-rich necrotic core (OR = 1.7; 95% CI, 1.3-2.2), higher relative intraplaque hemorrhage volume (OR = 1.7; 95% CI, 1.3-2.2), and a thin-or-ruptured fibrous cap (OR = 3.4; 95% CI, 1.7-6.7) were associated with the presence of ulcerations at baseline. In 8% (6/73) of the patients, a new ulcer developed. Plaques with a new ulceration at follow-up had at baseline a larger wall volume (1.04 cm

conclusionsLarge atherosclerotic plaques and plaques with intraplaque hemorrhage and lipid-rich necrotic cores were associated with plaque ulcerations at baseline and follow-up.

Indexed as

AgedCarotid Artery DiseasesFemaleHumansLipidsMagnetic Resonance ImagingMaleMiddle AgedNecrosisPlaque, AtheroscleroticUlcerLipids

Identifiers

PMID33214179
PMCPMC7814800
OpenAlexW3101494103

What OpenQuestion holds

Textmetadata
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.