Evidence map›Paper›PMID 34155289›Full record

ArticleScientific reports2021

Multiscale modelling of cerebrovascular injury reveals the role of vascular anatomy and parenchymal shear stresses.

Siamak Farajzadeh Khosroshahi, Xianzhen Yin, Cornelius K Donat, Aisling McGarry, Maria Yanez Lopez, Nicoleta Baxan, David J Sharp, Magdalena Sastre, Mazdak Ghajari

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 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
1.6field-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

7 citing papers in PubMed, 19 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

9 authors at 4 institutions in 2 countries.

Siamak Farajzadeh KhosroshahiDyson School of Design Engineering, Imperial College London, London, UK. s.f.khosroshahi@imperial.ac.uk.ORCID 0000-0003-4476-2579
Xianzhen YinShanghai Institute of Materia Medica, Shanghai, China.
Cornelius K DonatDepartment of Brain Sciences, Imperial College London, London, UK.
Aisling McGarryDepartment of Brain Sciences, Imperial College London, London, UK.
Maria Yanez LopezDepartment of Brain Sciences, Imperial College London, London, UK.
Nicoleta BaxanBiological Imaging Centre, Imperial College London, London, UK.
David J SharpDepartment of Brain Sciences, Imperial College London, London, UK.
Magdalena SastreDepartment of Brain Sciences, Imperial College London, London, UK.
Mazdak GhajariDyson School of Design Engineering, Imperial College London, London, UK.
Imperial College London · GBDyson (United Kingdom) · GBNIHR Imperial Biomedical Research Centre · GBShanghai Institute of Materia Medica · CN

Funding

Wellcome TrustWellcome Trust 212430/Z/18/Z
6 · The paper itself

Abstract

Neurovascular injury is often observed in traumatic brain injury (TBI). However, the relationship between mechanical forces and vascular injury is still unclear. A key question is whether the complex anatomy of vasculature plays a role in increasing forces in cerebral vessels and producing damage. We developed a high-fidelity multiscale finite element model of the rat brain featuring a detailed definition of the angioarchitecture. Controlled cortical impacts were performed experimentally and in-silico. The model was able to predict the pattern of blood-brain barrier damage. We found strong correlation between the area of fibrinogen extravasation and the brain area where axial strain in vessels exceeds 0.14. Our results showed that adjacent vessels can sustain profoundly different axial stresses depending on their alignment with the principal direction of stress in parenchyma, with a better alignment leading to larger stresses in vessels. We also found a strong correlation between axial stress in vessels and the shearing component of the stress wave in parenchyma. Our multiscale computational approach explains the unrecognised role of the vascular anatomy and shear stresses in producing distinct distribution of large forces in vasculature. This new understanding can contribute to improving TBI diagnosis and prevention.

Indexed as

Disease Models, AnimalModels, BiologicalStress, MechanicalAnimalsBiomarkersBrainBrain Injuries, TraumaticCerebral AngiographyDisease SusceptibilityRatsBiomarkers

Identifiers

PMID34155289
PMCPMC8217506
OpenAlexW3174936917

What OpenQuestion holds

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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.