Evidence map›Paper›PMID 33956201›Full record

ArticleJournal of neurology2021

Association of intracranial vessel wall enhancement and cerebral hemorrhage in moyamoya disease: a high-resolution magnetic resonance imaging study.

Mingming Lu, Hongtao Zhang, Dongqing Liu, Xu Liu, Lichen Zhang, Peng Peng, Fei Yuan, Shitong Liu, Fugeng Sheng, Yuan Liu and 6 more

Abstract read
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In one paragraph

Article in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Pooled it
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  5. Journal of the American Heart Association · 2025
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  12. Multi-stage deep learning architecture for carotid artery segmentation and stenosis evaluation: comparative study with digital subtraction angiography.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
    Article
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

16 authors.

Mingming Lu *Department of Radiology, Pingjin Hospital, Characteristic Medical Center of Chinese People's Armed Police Force, Tianjin, China.
Hongtao Zhang *Department of Radiology, The Fifth Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.
Dongqing LiuDepartment of Radiology, The Fifth Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.
Xu LiuDepartment of Radiology, The Fifth Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.
Lichen ZhangDepartment of Radiology, The Fifth Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.
Peng PengDepartment of Radiology, Pingjin Hospital, Characteristic Medical Center of Chinese People's Armed Police Force, Tianjin, China.
Fei YuanDepartment of Radiology, Pingjin Hospital, Characteristic Medical Center of Chinese People's Armed Police Force, Tianjin, China.
Shitong LiuDepartment of Radiology, The Fifth Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.
Fugeng ShengDepartment of Radiology, The Fifth Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.
Yuan LiuDepartment of Radiology, The Fifth Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.
Yao HeState Key Laboratory of Kidney Disease, Beijing Key Laboratory of Aging and Geriatrics, Institute of Geriatrics, The Second Medical Center, Chinese PLA General Hospital, Beijing, China.
Xihai ZhaoDepartment of Biomedical Engineering, Center for Biomedical Imaging Research, Tsinghua University School of Medicine, Beijing, China.
Qian ZhangDepartment of Neurosurgery, Chinese PLA General Hospital, Beijing, 100853, China.
Heguan FuDepartment of Neurosurgery, Chinese PLA General Hospital, Beijing, 100853, China.
Cong Han *Department of Neurosurgery, Chinese PLA General Hospital, Beijing, 100853, China. hc82225@x126.com.
Jianming Cai *Department of Radiology, The Fifth Medical Center, Chinese PLA General Hospital, Beijing, 100853, China. beili12345@sina.cn.

Funding

Beijing Natural Science Foundation 7212100National Natural Science Foundation of China 82001774Shenyang Science and Technology Bureau (CN) Z161100000516194
6 · The paper itself

Abstract

background and purposeThis study aimed to investigate the enhancement characteristics of vessel wall in patients with moyamoya disease (MMD) using 3D high-resolution magnetic resonance (MR) imaging and their relationship with initial and recurrent intracranial hemorrhage.

methodsConsecutive patients with MMD were retrospectively analyzed and classified as intracranial hemorrhagic and non-hemorrhagic groups according to the CT or MR images. The clinical features and vessel wall characteristics were compared between the two groups. Logistic regression was performed to relate the vessel wall characteristics to the initial hemorrhage in MMD patients. Patients in hemorrhagic group were followed up after surgery to evaluate the relationship between vessel wall characteristics and recurrent hemorrhage.

resultsA total of 507 MMD patients including 79 hemorrhagic and 428 non-hemorrhagic MMD patients were recruited in the study. We found that hemorrhagic group had more patients with vessel wall enhancements (40.5% vs. 25.7%, p = 0.009) and more eccentric enhanced lesions (17.7% vs. 6.5%, p = 0.001) compared to those in non-hemorrhage group and vessel wall enhancements were independently associated with ipsilateral initial hemorrhage after adjusted for clinical factors (OR = 1.99, CI 1.20-3.28, p = 0.007). Furthermore, three recurrent intracranial hemorrhagic episodes in the present study were all observed in MMD patients with vessel wall enhancement during the long-term follow-up after surgery.

conclusionsWall enhancement of intracranial vessels was significantly associated with intracranial hemorrhage in MMD patients. Our findings suggest that vessel wall enhancement may serve as a marker of intracranial hemorrhage.

Indexed as

Moyamoya DiseaseCerebral HemorrhageHumansIntracranial HemorrhagesMagnetic Resonance ImagingRetrospective StudiesHemorrhageMagnetic resonance imagingMoyamoya diseaseRisk factorsVessel wall imaging

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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.