Evidence map›Paper›PMID 34559021›Full record

Observational studyJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2022

Perfusion profile evaluated by severity-weighted multiple Tmax strata predicts early neurological deterioration in minor stroke with large vessel occlusion.

Dong-Seok Gwak, WooChan Choi, Jung-A Kwon, Dong-Hyun Shim, Yong-Won Kim, Yang-Ha Hwang

Abstract readObservational Study
In one paragraph

Observational study in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2022. 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
–field-weighted citation impact
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.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Quantitative imaging outperforms No-reflow in predicting functional outcomes in a translational stroke model.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  6. Article
  7. Article
  8. Article
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

6 authors.

Dong-Seok GwakDepartment of Neurology, 65396Kyungpook National University Hospital, Kyungpook National University Hospital, Daegu, Republic of Korea.ORCID 0000-0001-7850-0804
WooChan ChoiDepartment of Neurology, 65396Kyungpook National University Hospital, Kyungpook National University Hospital, Daegu, Republic of Korea.
Jung-A KwonDepartment of Neurology, 65396Kyungpook National University Hospital, Kyungpook National University Hospital, Daegu, Republic of Korea.
Dong-Hyun ShimDepartment of Neurology, 65396Kyungpook National University Hospital, Kyungpook National University Hospital, Daegu, Republic of Korea.
Yong-Won KimDepartment of Neurology, 65396Kyungpook National University Hospital, Kyungpook National University Hospital, Daegu, Republic of Korea.
Yang-Ha HwangDepartment of Neurology, 65396Kyungpook National University Hospital, Kyungpook National University Hospital, Daegu, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Minor stroke due to large vessel occlusion (LVO) is associated with poor outcomes. Hypoperfused tissue fate may be more accurately predicted by severity-weighted multiple perfusion strata than by a single perfusion threshold. We investigated whether poor perfusion profile evaluated by multiple Tmax strata is associated with early neurological deterioration (END) in patients with minor stroke with LVO. Ninety-four patients with a baseline National Institute of Health Stroke Scale score ≤5 and anterior circulation LVO admitted within 24 hours of onset were included. Tmax strata proportions (Tmax 2-4 s, 4-6 s, 6-8 s, 8-10 s, and >10 s) against the entire hypoperfusion volume (Tmax >2 s) were measured. The perfusion profile was defined as the shift of the distribution of the Tmax strata proportions towards worse hypoperfusion severity compared with that of the entire cohort using the Wilcoxon-Mann-Whitney generalised odds ratio (OR); its performance to predict END was tested. The area under the curve of perfusion profile was 0.785 (95% confidence interval [CI]: 0.691-0.878,

Indexed as

BrainCerebrovascular CirculationDiffusion Magnetic Resonance ImagingStrokeAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesCerebral infarctionclinical deteriorationmagnetic resonance imagingperfusion imagingstroke

Identifiers

PMID34559021
PMCPMC9122513

What OpenQuestion holds

Textmetadata
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.