Evidence map›Paper›PMID 33762423›Full record

ArticleNeurology2021

Baseline Blood-Brain Barrier Leakage and Longitudinal Microstructural Tissue Damage in the Periphery of White Matter Hyperintensities.

Danielle Kerkhofs, Sau May Wong, Eleana Zhang, Julie Staals, Jacobus F A Jansen, Robert J van Oostenbrugge, Walter H Backes

Abstract read
In one paragraph

Article in Neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

46 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  6. Microglial reactivity predicts hippocampal, but not global, atrophy in cerebral small vessel disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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

7 authors.

Danielle KerkhofsFrom the Departments of Neurology (D.K., E.Z., J.S., R.J.v.O.) and Radiology and Nuclear Medicine (S.M.W., J.F.A.J., W.H.B.), Maastricht University Medical Center, the Netherlands. danielle.kerkhofs@mumc.nl.
Sau May WongFrom the Departments of Neurology (D.K., E.Z., J.S., R.J.v.O.) and Radiology and Nuclear Medicine (S.M.W., J.F.A.J., W.H.B.), Maastricht University Medical Center, the Netherlands.
Eleana ZhangFrom the Departments of Neurology (D.K., E.Z., J.S., R.J.v.O.) and Radiology and Nuclear Medicine (S.M.W., J.F.A.J., W.H.B.), Maastricht University Medical Center, the Netherlands.
Julie StaalsFrom the Departments of Neurology (D.K., E.Z., J.S., R.J.v.O.) and Radiology and Nuclear Medicine (S.M.W., J.F.A.J., W.H.B.), Maastricht University Medical Center, the Netherlands.
Jacobus F A JansenFrom the Departments of Neurology (D.K., E.Z., J.S., R.J.v.O.) and Radiology and Nuclear Medicine (S.M.W., J.F.A.J., W.H.B.), Maastricht University Medical Center, the Netherlands.ORCID 0000-0002-5271-8060
Robert J van OostenbruggeFrom the Departments of Neurology (D.K., E.Z., J.S., R.J.v.O.) and Radiology and Nuclear Medicine (S.M.W., J.F.A.J., W.H.B.), Maastricht University Medical Center, the Netherlands.
Walter H BackesFrom the Departments of Neurology (D.K., E.Z., J.S., R.J.v.O.) and Radiology and Nuclear Medicine (S.M.W., J.F.A.J., W.H.B.), Maastricht University Medical Center, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the 2-year change in parenchymal diffusivity, a quantitative marker of microstructural tissue condition, and the relationship with baseline blood-brain barrier (BBB) permeability, in tissue at risk, i.e., the perilesional zone surrounding white matter hyperintensities (WMH) in patients with cerebral small vessel disease (cSVD).

methodsPatients with sporadic cSVD (lacunar stroke or mild vascular cognitive impairment) underwent 3T MRI at baseline, including dynamic contrast-enhanced MRI to quantify BBB permeability (i.e., leakage volume and rate) and intravoxel incoherent motion imaging (IVIM), a diffusion technique that provides parenchymal diffusivity

resultsWe analyzed 43 patients (age 68 ± 12 years, 58% male). In the perilesional zones, ∆

conclusionBBB leakage at baseline is related to the 2-year change in parenchymal diffusivity in the perilesional zone of WMH. These results support the hypothesis that BBB impairment might play an early role in subsequent microstructural white matter degeneration as part of the pathophysiology of cSVD.

Indexed as

AgedAged, 80 and overBlood-Brain BarrierCerebral Small Vessel DiseasesCognitive DysfunctionDiffusion Magnetic Resonance ImagingFemaleGray MatterHumansLeukoaraiosisMaleMiddle AgedWhite Matter

Identifiers

PMID33762423
PMCPMC8166427

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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.