Evidence map›Paper›PMID 34149442›Full record

ArticleFrontiers in physiology2021

A Comparison of CVR Magnitude and Delay Assessed at 1.5 and 3T in Patients With Cerebral Small Vessel Disease.

Michael S Stringer, Gordon W Blair, Yulu Shi, Iona Hamilton, David A Dickie, Fergus N Doubal, Ian M Marshall, Michael J Thrippleton, Joanna M Wardlaw

Open access · goldAbstract read
In one paragraph

Article in Frontiers in physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Cerebrovascular reactivity delay measured by blood oxygen level dependent magnetic resonance imaging and gas challenges: A systematic review.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. The many layers of BOLD. The effect of hypercapnic and hyperoxic stimuli on macro- and micro-vascular compartments quantified byJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Article
  7. Article
  8. Advanced MRI in cerebral small vessel disease.International journal of stroke : official journal of the International Stroke Society · 2023
    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

9 authors at 4 institutions in 2 countries.

Michael S StringerCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Gordon W BlairCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Yulu ShiCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Iona HamiltonCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
David A DickieCollege of Medical, Veterinary, and Life Sciences, University of Glasgow, Glasgow, United Kingdom.
Fergus N DoubalCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Ian M MarshallCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Michael J ThrippletonCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
Joanna M WardlawCentre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, United Kingdom.
UK Dementia Research Institute · GBUniversity of Edinburgh · GBCapital Medical University · CNUniversity of Glasgow · GB

Funding

Medical Research Council MR/N003403/1Wellcome Trust
6 · The paper itself

Abstract

backgroundCerebrovascular reactivity (CVR) measures blood flow change in response to a vasoactive stimulus. Impairment is associated with several neurological conditions and can be measured using blood oxygen level-dependent (BOLD) magnetic resonance imaging (MRI). Field strength affects the BOLD signal, but the effect on CVR is unquantified in patient populations.

methodsWe recruited patients with minor ischemic stroke and assessed CVR magnitude and delay time at 3 and 1.5 Tesla using BOLD MRI during a hypercapnic challenge. We assessed subcortical gray (GM) and white matter (WM) differences using Wilcoxon signed rank tests and scatterplots. Additionally, we explored associations with demographic factors, WM hyperintensity burden, and small vessel disease score.

resultsEighteen of twenty patients provided usable data. At 3T vs. 1.5T: mean CVR magnitude showed less variance (WM 3T: 0.062 ± 0.018%/mmHg, range 0.035, 0.093; 1.5T: 0.057 ± 0.024%/mmHg, range 0.016, 0.094) but was not systematically higher (Wilcoxon signal rank tests, WM:

conclusionMean CVR magnitude at 3T was similar to 1.5T but showed less variance. GM/WM delay differences may be affected by low signal-to-noise ratio among other factors. Although 3T may reduce variance in CVR magnitude, CVR is readily assessable at 1.5T and reveals comparable associations and trends with disease severity.

Indexed as

BOLD signalcerebrovascular reactivitymagnetic resonance imagingsmall vessel diseasestroke

Identifiers

PMID34149442
PMCPMC8207286
OpenAlexW3172915651

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.