Evidence map›Paper›PMID 33486353›Full record

ArticleAtherosclerosis2021

Acute ischemic stroke versus transient ischemic attack: Differential plaque morphological features in symptomatic intracranial atherosclerotic lesions.

Jiayu Xiao, Matthew M Padrick, Tao Jiang, Shuang Xia, Fang Wu, Yu Guo, Nestor R Gonzalez, Shujuan Li, Konrad H Schlick, Oana M Dumitrascu and 7 more

Open access · greenAbstract read
In one paragraph

Article in Atherosclerosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  7. A radiomic model based on 7T intracranial vessel wall imaging for identification of culprit middle cerebral artery plaque associated with subcortical infarctions.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. The incomplete circle of Willis is associated with vulnerable intracranial plaque features and acute ischemic stroke.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
    Article
  12. Article
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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

17 authors at 5 institutions in 2 countries.

Jiayu XiaoBiomedical Imaging Research Institute, Cedars-Sinai Medical Center, 8700 Beverly Blvd., PACT 400, Los Angeles, CA, USA.
Matthew M PadrickDepartment of Neurology, Cedars-Sinai Medical Center, 127 S. San Vicente Blvd., 6th Floor, Los Angeles, CA, USA.
Tao JiangDepartment of Radiology, Beijing Chaoyang Hospital, No. 8 Gongti Nanlu, Chaoyang District, Beijing, China.
Shuang XiaDepartment of Radiology, Tianjin First Central Hospital, No. 24 Fukang Rd, Nankai Qu, Tianjin District, China.
Fang WuDepartment of Radiology, Xuanwu Hospital, No. 45 Changchun St, Xicheng District, Beijing, China.
Yu GuoDepartment of Radiology, Tianjin First Central Hospital, No. 24 Fukang Rd, Nankai Qu, Tianjin District, China.
Nestor R GonzalezDepartment of Neurosurgery, Cedars-Sinai Medical Center, 127 S. San Vicente Blvd., #A6600, Los Angeles, CA, USA.
Shujuan LiDepartment of Neurology, Beijing Chaoyang Hospital, No. 8 Gongti Nanlu, Chaoyang District, Beijing, China.
Konrad H SchlickDepartment of Neurology, Cedars-Sinai Medical Center, 127 S. San Vicente Blvd., 6th Floor, Los Angeles, CA, USA.
Oana M DumitrascuDepartment of Neurology, Cedars-Sinai Medical Center, 127 S. San Vicente Blvd., 6th Floor, Los Angeles, CA, USA.
Marcel M MayaDepartment of Imaging, Cedars-Sinai Medical Center, 8700 Beverly Blvd Taper M-335, Los Angeles, CA, USA.
Marcio A DinizBiostatistics and Bioinformatics Research Center, Cedars-Sinai Medical Center, 8700 Beverly Blvd., PACT 900, Los Angeles, CA, USA.
Shlee S SongDepartment of Neurology, Cedars-Sinai Medical Center, 127 S. San Vicente Blvd., 6th Floor, Los Angeles, CA, USA.
Patrick D LydenDepartment of Neurology, Cedars-Sinai Medical Center, 127 S. San Vicente Blvd., 6th Floor, Los Angeles, CA, USA.
Debiao LiBiomedical Imaging Research Institute, Cedars-Sinai Medical Center, 8700 Beverly Blvd., PACT 400, Los Angeles, CA, USA.
Qi YangDepartment of Radiology, Beijing Chaoyang Hospital, No. 8 Gongti Nanlu, Chaoyang District, Beijing, China. Electronic address: yangyangqiqi@gmail.com.
Zhaoyang FanBiomedical Imaging Research Institute, Cedars-Sinai Medical Center, 8700 Beverly Blvd., PACT 400, Los Angeles, CA, USA; Department of Radiology, University of Southern California, Los Angeles, CA, USA; Department of Radiation Oncology, University of Southern California, Los Angeles, CA, USA. Electronic address: Zhaoyang.Fan@med.usc.edu.
Cedars-Sinai Medical Center · USBeijing Chaoyang Emergency Medical Center · CNTianjin First Center Hospital · CNBeijing Xuanwu Traditional Chinese Medicine Hospital · CNUniversity of Southern California · US

Funding

Longitudinal and quantitative MR plaque imaging for prediction of response to medical management in symptomatic intracranial atherosclerosisR01HL147355 · NHLBI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI FAN, ZHAOYANG · 2019 to 2023
$2.1M
NHLBI NIH HHS R01 HL147355
6 · The paper itself

Abstract

BACKGROUND AND

aimsIntracranial atherosclerotic disease (ICAD) is a major etiologic cause for acute ischemic stroke (AIS) and transient ischemic attack (TIA). The study was designed to investigate if differential morphological features exist in symptomatic atherosclerotic lesions between AIS and TIA patients.

methodsThe culprit plaques from 45 AIS patients and 42 TIA patients were analyzed for the degree of stenosis, vessel wall irregularity, normalized wall index (NWI), remodeling index, plaque-wall contrast ratio (CR), high signal intensity on T1-weighted images, plaque enhancement ratio and enhancement grade. These plaque features along with clinical characteristics were compared between AIS and TIA groups as well as between their stenosis degree-matched subgroups.

resultsOverall, grade 2 enhancement (OR 3.85, 95%CI 1.42-10.46, p = 0.006) and hyperlipidemia (OR 3.04, 95%CI 1.13-8.22, p = 0.025) were independent indicators for AIS, whereas high NWI (OR 1.47, 95%CI 0.76-2.86, p = 0.004) was associated with TIA. In the comparison between the subgroups with moderate (30%-69%) stenosis, high plaque-wall CR (OR 5.38, 95%CI 1.39-20.75, p = 0.008) was associated with AIS, whereas high NWI (OR 2.50, 95%CI 0.61-10.00, p = 0.006) was associated with TIA.

conclusionsOur study reveals differential morphological features in symptomatic ICAD lesions between AIS and TIA patients. Probing these features with MR vessel wall imaging may provide insights into the prognosis of patients with ICAD.

Indexed as

AtherosclerosisBrain IschemiaIntracranial ArteriosclerosisIschemic Attack, TransientIschemic StrokePlaque, AtheroscleroticStrokeHumansIntracranial atherosclerosisIschemic strokeMRITransient ischemic attack

Identifiers

PMID33486353
PMCPMC7880900
OpenAlexW3120444141

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.