Evidence map›Paper›PMID 34145764›Full record

ArticleCNS neuroscience & therapeutics2021

Assessing early erythrolysis and the relationship to perihematomal iron overload and white matter survival in human intracerebral hemorrhage.

Nemanja Novakovic, Zachary M Wilseck, Thomas L Chenevert, Guohua Xi, Richard F Keep, Aditya S Pandey, Neeraj Chaudhary

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01829386 (Non-Heme Iron Load Quantification in the Brain on MRI in Patients With Hemorrhagic Stroke), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 16% 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.

NCT01829386 completednot on this map

Non-Heme Iron Load Quantification in the Brain on MRI in Patients With Hemorrhagic Stroke

TypeobservationalSponsorUniversity of MichiganRan2013 to 2022Enrolled34ConditionsStrokeArmsMRI scans with non heme iron levels
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Review
  3. Transcranial histotripsy parameter study in primary and metastatic murine brain tumor models.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. The Fate of Erythrocytes after Cerebral Hemorrhage.Translational stroke research · 2022
    Review
  8. The Role of Iron in Hemorrhagic Stroke.Stroke (Hoboken, N.J.) · 2022
    Article
  9. Review
  10. Article
  11. Review
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 at 1 institution in 1 country.

Nemanja NovakovicDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-1681-7715
Zachary M WilseckDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-5854-5041
Thomas L ChenevertDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Guohua XiDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.
Richard F KeepDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.
Aditya S PandeyDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.
Neeraj ChaudharyDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0003-0630-2547
University of Michigan · US

Funding

Novel Cilia Trafficking MechanismsR01DK084725 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARGOLIS, BENJAMIN L · 2009 to 2010
$702k
Phenomenon of Ultra-Early Erythrolysis in Intracranial Hemorrhage in Humans on MRIR21NS104663 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHAUDHARY, NEERAJ, PANDEY, ADITYA S · 2018 to 2019
$429k
Brain Iron Quantification Based on MRI in Intracerebral HemorrhageR21NS099684 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHAUDHARY, NEERAJ · 2017 to 2018
$426k
NIDDK NIH HHS R01 DK084725NINDS NIH HHS R21 NS099684NINDS NIH HHS R21 NS104663
6 · The paper itself

Abstract

aimsIron released from lysed red blood cells within the hematoma plays a role in intracerebral hemorrhage (ICH)-related neurotoxicity. This study utilizes magnetic resonance imaging (MRI) to examine the time course, extent of erythrolysis, and its correlation with perihematomal iron accumulation and white matter loss.

methodsThe feasibility of assessing proportional erythrolysis using T2* MRI was examined using pig blood phantoms with specified degrees of erythrolysis. Fifteen prospectively enrolled ICH patients had MRIs (3-Tesla) at days 1-3, 14, and 30 (termed early, subacute, and late periods, respectively). Measurement was performed on T2*, 1/T2*, and fractional anisotropy (FA) maps.

resultsPig blood phantoms showed a linear relationship between 1/T2* signal and percent erythrolysis. MRI on patients showed an increase in erythrolysis within the hematoma between the early and subacute phases after ICH, almost completing by day 14. Although perihematomal iron overload (IO) correlated with the erythrolysis extent and hematoma volume at days 14 and 30, perihematomal white matter (WM) loss significantly correlated with both, only at day 14.

conclusionMRI may reliably assess the portion of the hematoma that lyses over time after ICH. Perihematomal IO and WM loss correlate with both the erythrolysis extent and hematoma volume in the early and subacute periods following ICH.

Indexed as

AdultAgedAged, 80 and overAnimalsCerebral HemorrhageErythrocytesFemaleHumansIron OverloadMagnetic Resonance ImagingMaleMiddle AgedPhantoms, ImagingSwineWhite MatterYoung Adulterythrolysishematomaintracerebral hemorrhageiron overloadmagnetic resonance imagingwhite matter loss

Identifiers

PMID34145764
PMCPMC8446214
OpenAlexW3169313649

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Registered trials

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.