Evidence map›Paper›PMID 33633194›Full record

ArticleScientific reports2021

Dispersion as a waste-clearance mechanism in flow through penetrating perivascular spaces in the brain.

Daniel E Troyetsky, Jeffrey Tithof, John H Thomas, Douglas H Kelley

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Interface focus · 2025
    Article
  5. Enlarged perivascular spaces in the basal ganglia are associated with arteries not veins.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  6. A brain-wide solute transport model of the glymphatic system.Journal of the Royal Society, Interface · 2024
    Article
  7. Review
  8. Article
  9. Image-guided subject-specific modeling of glymphatic transport and amyloid deposition.Computer methods in applied mechanics and engineering · 2023
    Article
  10. Article
  11. Article
  12. Cerebrospinal Fluid Flow.Annual review of fluid mechanics · 2023
    Article
  13. Review
  14. Sensitivity analysis on a network model of glymphatic flow.Journal of the Royal Society, Interface · 2022
    Article
  15. Article
  16. Article
  17. Fluid transport in the brain.Physiological reviews · 2022
    Review
  18. The glymphatic hypothesis: the theory and the evidence.Fluids and barriers of the CNS · 2022
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Daniel E TroyetskyDepartment of Mechanical Engineering, University of Rochester, Rochester, 14627, NY, USA.
Jeffrey TithofDepartment of Mechanical Engineering, University of Rochester, Rochester, 14627, NY, USA.
John H ThomasDepartment of Mechanical Engineering, University of Rochester, Rochester, 14627, NY, USA.
Douglas H KelleyDepartment of Mechanical Engineering, University of Rochester, Rochester, 14627, NY, USA. d.h.kelley@rochester.edu.
University of Rochester · USUniversity of Minnesota · US

Funding

Age and AD related bottlenecks in glymphatic-lymphatic waste transportRF1AG057575 · NIA · UNIVERSITY OF ROCHESTER · PI NEDERGAARD, MAIKEN · 2017 to 2017
$3.2M
NIA NIH HHS RF1 AG057575
6 · The paper itself

Abstract

Accumulation of metabolic wastes in the brain is correlated with several neurodegenerative disorders, including Alzheimer's disease. Waste transport and clearance occur via dispersion, the combined effect of diffusion and advection by flow of fluid. We examine the relative contributions of diffusion and advection in the perivascular spaces (PVSs) that surround penetrating cortical blood vessels and are filled with cerebrospinal fluid (CSF). To do so, we adapt prior analytic predictions of dispersion to the context of PVSs. We also perform advection-diffusion simulations in PVS-like geometries with parameters relevant to transport of amyloid-[Formula: see text] (associated with Alzheimer's) in a variety of flows, motivated by in vivo measurements. Specifically, we examine solute transport in steady and unsteady Poiseuille flows in an open (not porous) concentric circular annulus. We find that a purely oscillatory flow enhances dispersion only weakly and does not produce significant transport, whereas a steady flow component, even if slow, clears waste more effectively.

Indexed as

Alzheimer DiseaseBrainDiffusionGlymphatic SystemHumans

Identifiers

PMID33633194
PMCPMC7907360
OpenAlexW3129376812

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.