Evidence map›Paper›PMID 33634379›Full record

ArticleTranslational stroke research2022

White Matter Free Water is a Composite Marker of Cerebral Small Vessel Degeneration.

Peiyu Huang, Ruiting Zhang, Yeerfan Jiaerken, Shuyue Wang, Hui Hong, Wenke Yu, Chunfeng Lian, Kaicheng Li, Qingze Zeng, Xiao Luo and 4 more

Abstract read
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In one paragraph

Article in Translational stroke research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 33 citations in OpenAlex.

  1. The role of glymphatic dysfunction in cerebral small vessel disease and vascular cognitive impairment, and therapeutic implications.International journal of stroke : official journal of the International Stroke Society · 2026
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  14. Free-water diffusion MRI detects structural alterations surrounding white matter hyperintensities in the early stage of cerebral small vessel disease.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2022
    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

14 authors at 2 institutions in 2 countries.

Peiyu Huang *Department of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China. huangpy@zju.edu.cn.
Ruiting Zhang *Department of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
Yeerfan JiaerkenDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
Shuyue WangDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
Hui HongDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
Wenke YuDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
Chunfeng LianDepartment of Radiology and BRIC, University of North Carolina, Chapel Hill, NC, 27599, USA.
Kaicheng LiDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
Qingze ZengDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
Xiao LuoDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
Xinfeng YuDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
Xiao WuDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
Xiaopei XuDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China.
Minming ZhangDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310000, China. zhangminming@zju.edu.cn.ORCID 0000-0003-0145-7558
Second Affiliated Hospital of Zhejiang University · CNUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate the association between white matter free water (FW) and common imaging markers of cerebral small vessel diseases (CSVD) in two groups of subjects with different clinical status. One hundred and forty-four community subjects (mean age 60.5) and 84 CSVD subjects (mean age 61.2) were retrospectively included in the present study. All subjects received multi-modal magnetic resonance imaging and clinical assessments. The association between white matter FW and common CSVD imaging markers, including white matter hyperintensities (WMH), dilated perivascular space (PVS), lacunes, and microbleeds, were assessed using simple and multiple regression analysis. The association between FW and cognitive scores were also investigated. White matter FW was positively associated with WMH volume (β = 0.270, p = 0.001), PVS volume (β = 0.290, p < 0.001), number of microbleeds (β = 0.148, p = 0.043), and age (β = 0.170, p = 0.036) in the community cohort. In the CSVD cohort, FW was positively associated with WMH volume (β = 0.648, p < 0.001), PVS score (β = 0.224, p < 0.001), number of lacunes (β = 0.140, p = 0.046), and sex (β = 0.125, p = 0.036). The associations between FW and cognitive scores were stronger than conventional CSVD markers in both datasets. White matter FW is a potential composite marker that can sensitively detect cerebral small vessel degeneration and also reflect cognitive impairments.

Indexed as

Cerebral Small Vessel DiseasesNeurodegenerative DiseasesWhite MatterBiomarkersCerebral HemorrhageHumansMagnetic Resonance ImagingMiddle AgedRetrospective StudiesWaterBiomarkersWaterCerebral small vessel diseaseDiffusion tensor imagingFree waterWhite matter

Identifiers

PMID33634379
OpenAlexW3129319918

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.