Evidence map›Paper›PMID 34630278›Full record

ReviewFrontiers in neurology2021

Imaging Acute Stroke: From One-Size-Fit-All to Biomarkers.

Jianfei Lu, Qiyong Mei, Xianhua Hou, Anatol Manaenko, Lili Zhou, David S Liebeskind, John H Zhang, Yao Li, Qin Hu

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Delayed treatment of severe stroke: room for thrombectomy?European heart journal supplements : journal of the European Society of Cardiology · 2025
    Article
  5. Article
  6. Role of Microglia in Stroke.Advances in neurobiology · 2024
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. 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

9 authors at 8 institutions in 2 countries.

Jianfei LuCentral Laboratory, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Qiyong MeiDepartment of Neurosurgery, Changzheng Hospital, Navy Medical University, Shanghai, China.
Xianhua HouDepartment of Neurology, Southwest Hospital, Army Medical University, Chongqing, China.
Anatol ManaenkoNational Health Commission Key Laboratory of Diagnosis and Treatment on Brain Functional Diseases, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Lili ZhouDepartment of Neurology, Chinese People's Liberation Army General Hospital, Beijing, China.
David S LiebeskindNeurovascular Imaging Research Core and University of California Los Angeles Stroke Center, University of California, Los Angeles, Los Angeles, CA, United States.
John H ZhangDepartment of Anesthesiology, Loma Linda University School of Medicine, Loma Linda, CA, United States.
Yao LiSchool of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Qin HuCentral Laboratory, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Shanghai Jiao Tong University · CNChinese People's Liberation Army · CNChongqing Medical University · CNLoma Linda University · USRenji Hospital · CNShanghai Changzheng Hospital · CNSouthwest Hospital · CNUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In acute stroke management, time window has been rigidly used as a guide for decades and the reperfusion treatment is only available in the first few limited hours. Recently, imaging-based selection of patients has successfully expanded the treatment window out to 16 and even 24 h in the DEFUSE 3 and DAWN trials, respectively. Recent guidelines recommend the use of imaging techniques to guide therapeutic decision-making and expanded eligibility in acute ischemic stroke. A tissue window is proposed to replace the time window and serve as the surrogate marker for potentially salvageable tissue. This article reviews the evolution of time window, addresses the advantage of a tissue window in precision medicine for ischemic stroke, and discusses both the established and emerging techniques of neuroimaging and their roles in defining a tissue window. We also emphasize the metabolic imaging and molecular imaging of brain pathophysiology, and highlight its potential in patient selection and treatment response prediction in ischemic stroke.

Indexed as

ischemic strokemetabolic imagingmolecular imagingreperfusion therapytissue window

Identifiers

PMID34630278
PMCPMC8497192
OpenAlexW3204182336

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.