Evidence map›Paper›PMID 34083263›Full record

ArticleAJNR. American journal of neuroradiology2021

MTT Heterogeneity in Perfusion CT Imaging as a Predictor of Outcome after Aneurysmal SAH.

B B Hofmann, I Fischer, A Engel, K Jannusch, D M Donaldson, C Karadag, J H van Lieshout, K Beseoglu, S Muhammad, B Turowski and 3 more

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Observational
  2. Haemorrhage, hypercoagulability and ischaemia: Evolution of brain injury after aneurysmal subarachnoid haemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
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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

13 authors at 2 institutions in 1 country.

B B HofmannFrom the Department of Neurosurgery (B.B.H., I.F., A.E., D.M.D., C.K., J.H.v.L., K.B., S.M., D.H., M.A.K.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany bjoern.hofmann@med.uni-duesseldorf.de.ORCID 0000-0003-1868-4319
I FischerFrom the Department of Neurosurgery (B.B.H., I.F., A.E., D.M.D., C.K., J.H.v.L., K.B., S.M., D.H., M.A.K.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0001-6347-6346
A EngelFrom the Department of Neurosurgery (B.B.H., I.F., A.E., D.M.D., C.K., J.H.v.L., K.B., S.M., D.H., M.A.K.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0001-6328-2066
K JannuschDepartment of Diagnostic and Interventional Radiology (K.J., B.T., C.R.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0001-7285-3430
D M DonaldsonFrom the Department of Neurosurgery (B.B.H., I.F., A.E., D.M.D., C.K., J.H.v.L., K.B., S.M., D.H., M.A.K.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0001-5818-5835
C KaradagMedical Faculty (C.K.), University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0001-6138-2100
J H van LieshoutFrom the Department of Neurosurgery (B.B.H., I.F., A.E., D.M.D., C.K., J.H.v.L., K.B., S.M., D.H., M.A.K.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0001-9870-2040
K BeseogluFrom the Department of Neurosurgery (B.B.H., I.F., A.E., D.M.D., C.K., J.H.v.L., K.B., S.M., D.H., M.A.K.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0001-5671-6831
S MuhammadFrom the Department of Neurosurgery (B.B.H., I.F., A.E., D.M.D., C.K., J.H.v.L., K.B., S.M., D.H., M.A.K.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-6734-7979
B TurowskiDepartment of Diagnostic and Interventional Radiology (K.J., B.T., C.R.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-7191-725X
D HänggiFrom the Department of Neurosurgery (B.B.H., I.F., A.E., D.M.D., C.K., J.H.v.L., K.B., S.M., D.H., M.A.K.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-6314-1594
M A KampFrom the Department of Neurosurgery (B.B.H., I.F., A.E., D.M.D., C.K., J.H.v.L., K.B., S.M., D.H., M.A.K.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-1252-2944
C RubbertDepartment of Diagnostic and Interventional Radiology (K.J., B.T., C.R.), Medical Faculty, University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0002-9461-1173
Heinrich Heine University Düsseldorf · DEDüsseldorf University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeImpairment of tissue oxygenation caused by inhomogeneous microscopic blood flow distribution, the so-called capillary transit time heterogeneity, is thought to contribute to delayed cerebral ischemia after aneurysmal SAH but has so far not been systematically evaluated in patients. We hypothesized that heterogeneity of the MTT, derived from CTP parameters, would give insight into the clinical course of patients with aneurysmal SAH and may identify patients at risk of poor outcome. MATERIALS AND

methodsWe retrospectively analyzed the heterogeneity of the MTT using the coefficient of variation in CTP scans from 132 patients. A multivariable logistic regression model was used to model the dichotomized mRS outcome. Linear regression was used to eliminate variables with high linear dependence.

resultsOn average, each patient underwent 5.3 CTP scans during his or her stay. Patients with high coefficient of variation for MTT presented more often with higher modified Fisher (

conclusionsHeterogeneity of MTT in CTP after aneurysmal SAH correlates with the patients' outcomes. Because the findings are in line with the pathophysiologic concept of the capillary transit time heterogeneity, future studies should seek to verify the coefficient of variation for MTT as a potential imaging biomarker for outcome.

Indexed as

Brain IschemiaSubarachnoid HemorrhageFemaleHumansMalePerfusionRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID34083263
PMCPMC8367610
OpenAlexW3164047481

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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.