Evidence map›Paper›PMID 34806918›Full record

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

Reproducibility of cerebrovascular reactivity measurements: A systematic review of neuroimaging techniques

Moss Y Zhao, Amanda Woodward, Audrey P Fan, Kevin T Chen, Yannan Yu, David Y Chen, Michael E Moseley, Greg Zaharchuk

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis 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 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. 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
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Variable Cerebral Blood Flow Responsiveness to Acute Hypoxic Hypoxia.bioRxiv : the preprint server for biology · 2024
    Article
  10. Article
  11. Article
  12. Astrocyte KDM4A mediates chemokines and drives neutrophil infiltration to aggravate cerebral ischemia and reperfusion injury.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Revascularization improves vascular hemodynamics - a study assessing cerebrovascular reserve and transit time in Moyamoya patients using MRI.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Article
  18. Article
  19. Article
  20. 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

8 authors at 3 institutions in 2 countries.

Moss Y ZhaoDepartment of Radiology, Stanford University, Stanford, CA, USA.ORCID 0000-0002-0210-7739
Amanda WoodwardLane Medical Library, Stanford University, Stanford, CA, USA.ORCID 0000-0002-8815-1369
Audrey P FanDepartment of Biomedical Engineering, University of California Davis, Davis, CA, USA.
Kevin T ChenDepartment of Radiology, Stanford University, Stanford, CA, USA.ORCID 0000-0001-8556-5307
Yannan YuDepartment of Radiology, Stanford University, Stanford, CA, USA.
David Y ChenDepartment of Medical Imaging, Taipei Medical University - Shuan-Ho Hospital, New Taipei City.
Michael E MoseleyDepartment of Radiology, Stanford University, Stanford, CA, USA.
Greg ZaharchukDepartment of Radiology, Stanford University, Stanford, CA, USA.
Stanford University · USTaipei Medical University-Shuang Ho Hospital · TWUniversity of California, Davis · US

Funding

Cerebrovascular Reserve Imaging with Simultaneous PET/MRI Using Arterial Spin Labeling and Deep LearningR01EB025220 · NIBIB · STANFORD UNIVERSITY · PI ZAHARCHUK, GREGORY GEORGE · 2018 to 2021
$2.8M
Quantitative PET/MRI of brain oxygenation in cerebrovascular diseaseR00NS102884 · NINDS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI FAN, AUDREY PEIWEN · 2020 to 2022
$682k
Generalizable Deep Learning Networks for Dual-tracer Amyloid/Tau PET/MRI Imaging of Alzheimer's DiseaseK99AG068310 · NIA · STANFORD UNIVERSITY · PI CHEN, KEVIN TZE-HSIANG · 2021 to 2021
$101k
NIA NIH HHS K99 AG068310NIBIB NIH HHS R01 EB025220NINDS NIH HHS R00 NS102884
6 · The paper itself

Abstract

Cerebrovascular reactivity (CVR), the capacity of the brain to increase cerebral blood flow (CBF) to meet changes in physiological demand, is an important biomarker to evaluate brain health. Typically, this brain "stress test" is performed by using a medical imaging modality to measure the CBF change between two states: at baseline and after vasodilation. However, since there are many imaging modalities and many ways to augment CBF, a wide range of CVR values have been reported. An understanding of CVR reproducibility is critical to determine the most reliable methods to measure CVR as a clinical biomarker. This review focuses on CVR reproducibility studies using neuroimaging techniques in 32 articles comprising 427 total subjects. The literature search was performed in PubMed, Embase, and Scopus. The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We identified 5 factors of the experimental subjects (such as sex, blood characteristics, and smoking) and 9 factors of the measuring technique (such as the imaging modality, the type of the vasodilator, and the quantification method) that have strong effects on CVR reproducibility. Based on this review, we recommend several best practices to improve the reproducibility of CVR quantification in neuroimaging studies.

Indexed as

BrainCerebrovascular CirculationHumansMagnetic Resonance ImagingNeuroimagingReproducibility of ResultsVasodilationbrain stress testCerebrovascular reactivitycerebrovascular reserverepeatabilityreproducibilitysystematic review

Identifiers

PMID34806918
PMCPMC9254040
OpenAlexW3215610256

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.