Evidence map›Paper›PMID 34498785›Full record

SynthesisHuman brain mapping2021

Gray matter asymmetry in asymptomatic carotid stenosis.

Lei Gao, Yaqiong Xiao, Haibo Xu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Human brain mapping, 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
1.6field-weighted citation impact, top 15% 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
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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

3 authors at 2 institutions in 1 country.

Lei GaoDepartment of Radiology, Zhongnan Hospital of Wuhan University, Wuhan City, Hubei Province, China.ORCID 0000-0002-0081-0172
Yaqiong XiaoCenter for Language and Brain, Shenzhen Institute of Neuroscience, Shenzhen, China.ORCID 0000-0001-8719-5418
Haibo XuDepartment of Radiology, Zhongnan Hospital of Wuhan University, Wuhan City, Hubei Province, China.ORCID 0000-0002-8451-8979
Wuhan University · CNShenzhen Institute of Neuroscience · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Even clinically "asymptomatic" carotid stenosis is associated with multidomain cognitive impairment, gray matter (GM) atrophy, and silent lesion. However, the links between them remain unclear. Using structural MRI data, we examined GM asymmetry index (AI) and white matter hyperintensity (WMH) in 24 patients with severe asymptomatic carotid stenosis (SACS), 24 comorbidity-matched controls, and independent samples of 84 elderly controls and 22 young adults. As compared to controls, SACS patients showed worse verbal memories, higher WMH burden, and right-lateralized GM in posterior middle temporal and mouth-somatomotor regions. These clusters extended to pars triangularis, lateral temporal, and cerebellar regions, when compared with young adults. Further, a full-path of WMH burden (X), GM volume (atrophy, M1), AI (asymmetry, M2), and neuropsychological variables (Y) through a serial mediation model was analyzed. This analysis identified that left-dominated GM atrophy and right-lateralized asymmetry in the posterior middle temporal cortex mediated the relationship between WMH burden and recall memory in SACS patients. These results suggest that the unbalanced hemispheric atrophy in the posterior middle temporal cortex is crucial to mediating relationship between WMH burden and verbal recall memories, which may underlie accelerated aging and cognitive deterioration in patients with SACS and other vascular cognitive impairment.

Indexed as

AdultAgedCarotid StenosisCerebral CortexCognitive DysfunctionFemaleGray MatterHumansMagnetic Resonance ImagingMaleMental RecallMiddle AgedRetrospective StudiesVerbal LearningWhite MatterYoung Adultcortical organizationgradientsmeta-analysisrecallvascular cognitive impairmentverbal memory

Identifiers

PMID34498785
PMCPMC8559457
OpenAlexW3196319062

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.