Evidence map›Paper›PMID 35153972›Full record

ArticleFrontiers in neurology2021

Early Brain Volume Changes After Stroke: Subgroup Analysis From the AXIS-2 Trial.

Ning Bu, Leonid Churilov, Mohamed Salah Khlif, Robin Lemmens, Anke Wouters, Jochen B Fiebach, Angel Chamorro, E Bernd Ringelstein, Bo Norrving, Rico Laage and 4 more

Open access · goldAbstract read
In one paragraph

Article 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Brain Volume Loss After Stereotactic Laser Interstitial Thermal Therapy in Patients With Temporal Lobe Epilepsy.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    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

14 authors at 7 institutions in 6 countries.

Ning BuDepartment of Neurology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Leonid ChurilovDepartment of Medicine and Neurology, Melbourne Brain Centre, University of Melbourne, Melbourne, VIC, Australia.
Mohamed Salah KhlifDementia Theme, The Florey Institute for Neuroscience and Mental Health, Parkville, VIC, Australia.
Robin LemmensDepartment of Neurosciences, Experimental Neurology, KU Leuven - University of Leuven, Leuven, Belgium.
Anke WoutersDepartment of Neurosciences, Experimental Neurology, KU Leuven - University of Leuven, Leuven, Belgium.
Jochen B FiebachCenter for Stroke Research, Charité University Medicine Berlin, Berlin, Germany.
Angel ChamorroDepartment of Neurology, University of Barcelona, Barcelona, Spain.
E Bernd RingelsteinDepartment of Neurology, Wilhelms University of Muenster, Münster, Germany.
Bo NorrvingSection of Neurology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Rico LaageDepartment of Clinical Research, Guided Development GmbH, Heidelberg, Germany.
Martin GrondDepartment of Neurology, Kreisklinikum Siegen, University of Marburg Germany, Marburg, Germany.
Guido WilmsDepartment of Radiology, University Hospitals of Leuven, Leuven, Belgium.
Amy BrodtmannDementia Theme, The Florey Institute for Neuroscience and Mental Health, Parkville, VIC, Australia.
Vincent ThijsStroke Division, The Florey Institute of Neuroscience and Mental Health, Parkville, VIC, Australia.
Florey Institute of Neuroscience and Mental Health · AUKU Leuven · BECharité - Universitätsmedizin Berlin · DELund University · SEUniversitat de Barcelona · ESUniversity of Melbourne · AUUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe evolution of total brain volume early after stroke is not well understood. We investigated the associations between age and imaging features and brain volume change in the first month after stroke.

methodsWe retrospectively studied patients with acute ischemic stroke enrolled in the AXIS-2 trial. Total brain volume change from hyperacute MRI data to the first month after stroke was assessed using unified segmentation in SPM12. We hypothesized that age, ischemic brain lesion size, and white matter (WM) changes were associated with larger brain volume change. Enlarged perivascular spaces (EPVSs) and white matter hyperintensities (WMHs) were rated visually and the presence of lacunes was assessed.

resultsWe enrolled 173 patients with a mean age of 67 ± 11 years, 44% were women. There was a median 6 ml decrease in volume (25th percentile -1 ml to 75th percentile 21 ml) over time, equivalent to a median 0.5% (interquartile range [IQR], -0.07%-1.4%), decrease in brain volume. Age was associated with larger brain volume loss (per 10 years of age, 5 ml 95%

conclusionsTotal brain volume changes in a heterogenous fashion after stroke. Volume loss occurs over 1 month after stroke and is associated with age and deep WM disease. We did not find evidence that more severe strokes lead to increased early tissue loss.

Indexed as

atrophybrain volume changesclinical trialedemahemorrhagic transformationischemic stroke

Identifiers

PMID35153972
PMCPMC8832974
OpenAlexW4213373703

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Registered trials

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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.