Evidence map›Paper›PMID 34105230›Full record

ArticleGeriatrics & gerontology international2021

Association of regional white matter hyperintensity volumes with cognitive dysfunction and vascular risk factors in patients with amnestic mild cognitive impairment.

Kentaro Hirao, Fumio Yamashita, Shu Sakurai, Akito Tsugawa, Rieko Haime, Raita Fukasawa, Tomohiko Sato, Hidekazu Kanetaka, Takahiko Umahara, Hirofumi Sakurai and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Geriatrics & gerontology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Kentaro HiraoDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.ORCID https://orcid.org/0000-0002-8091-6304
Fumio YamashitaDepartment of Ultrahigh Field MRI, Institute for Biomedical Sciences, Iwate Medical University, Iwate, Japan.
Shu SakuraiDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
Akito TsugawaDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
Rieko HaimeDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
Raita FukasawaDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
Tomohiko SatoDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
Hidekazu KanetakaDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
Takahiko UmaharaDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
Hirofumi SakuraiDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
Haruo HanyuDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.ORCID https://orcid.org/0000-0003-4411-335X
Soichiro ShimizuDepartment of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.ORCID https://orcid.org/0000-0003-1324-1973
Tokyo Medical University · JPIwate Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWhite matter hyperintensities (WMH) obtained by magnetic resonance imaging (MRI) have been reported to promote neurodegeneration and cognitive decline in patients with mild cognitive impairment (MCI). However, little is known about the association between regional WMH (rWMH) and cognitive dysfunction in MCI. We hence investigated the associations between rWMH volumes and cognitive dysfunction in MCI.

methodsThirty-eight subjects with amnestic MCI were analysed. The volumes of periventricular hyperintensities (PVH) and deep WMH (DWMH) were measured on a T2-FLAIR MRI using a 3D-slicer, and regional PVH and DWMH (rPVH and rDWMH) volumes were calculated. The associations of rPVH and rDWMH volumes with cognition and blood levels of various molecules were investigated. Furthermore, rPVH and rDWMH volumes were compared between MCI with vascular risk factors, such as hypertension, diabetes mellitus (DM), and dyslipidemia, and those without these risk factors.

resultsrPVH volume (bilateral cornu frontale, pars parietalis, and cornu occipitale) positively correlated with Trail Making Test-A/B scores and CysC level, whereas rDWMH volume did not correlate with any of the items. rPVH volumes (right cornu frontale, bilateral pars parietalis and cornu occipitale, and right pars temporalis) and rDWMH volumes (left frontal and parietal lobes) were significantly larger in MCI patients with DM than in those without.

conclusionsPVH volumes (bilateral areas of cornu frontale, pars parietalis, and cornu occipitale) were closely associated with attention and executive dysfunction. Serum CysC level and DM were associated with WMH volume, suggesting that CysC level and DM might be important markers for determining treatment strategies for white matter abnormalities in MCI. Geriatr Gerontol Int 2021; 21: 644-650.

Indexed as

Cognitive DysfunctionLeukoaraiosisWhite MatterHumansMagnetic Resonance ImagingNeuropsychological TestsRisk Factorscystatin Cdeep white matter hyperintensitiesmild cognitive impairmentperiventricular hyperintensitiesregional white matter hyperintensities

Identifiers

PMID34105230
PMCPMC8453570
OpenAlexW3170286189

What OpenQuestion holds

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LicenceCC BY
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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.