Evidence map›Paper›PMID 35249129›Full record

ArticleNeuroradiology2022

Converging evidence of impaired brain function in systemic lupus erythematosus: changes in perfusion dynamics and intrinsic functional connectivity.

Efrosini Papadaki, Nicholas J Simos, Eleftherios Kavroulakis, George Bertsias, Despina Antypa, Antonis Fanouriakis, Thomas Maris, Prodromos Sidiropoulos, Dimitrios T Boumpas

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In one paragraph

Article in Neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. [Classification of systemic lupus erythematosus resting-state functional magnetic resonance imaging data based on the end-to-end model].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2026
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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

9 authors at 2 institutions in 1 country.

Efrosini PapadakiDepartment of Radiology, School of Medicine, University of Crete, University Hospital of Heraklion, 71003, Heraklion, Crete, Greece. fpapada@otenet.gr.ORCID http://orcid.org/0000-0002-3428-8298
Nicholas J SimosComputational Bio-Medicine Laboratory, Institute of Computer Science, Foundation for Research and Technology - Hellas, Heraklion, Greece.
Eleftherios KavroulakisDepartment of Radiology, School of Medicine, University of Crete, University Hospital of Heraklion, 71003, Heraklion, Crete, Greece.
George BertsiasDepartment of Rheumatology, Clinical Immunology and Allergy, School of Medicine, University of Crete, University Hospital of Heraklion, Heraklion, Crete, Greece.
Despina AntypaDepartment of Psychiatry, School of Medicine, University of Crete, University Hospital of Heraklion, Heraklion, Crete, Greece.
Antonis FanouriakisDepartment of Rheumatology, Clinical Immunology and Allergy, School of Medicine, University of Crete, University Hospital of Heraklion, Heraklion, Crete, Greece.
Thomas MarisDepartment of Radiology, School of Medicine, University of Crete, University Hospital of Heraklion, 71003, Heraklion, Crete, Greece.
Prodromos SidiropoulosDepartment of Rheumatology, Clinical Immunology and Allergy, School of Medicine, University of Crete, University Hospital of Heraklion, Heraklion, Crete, Greece.
Dimitrios T BoumpasDepartment of Rheumatology, Clinical Immunology and Allergy, School of Medicine, University of Crete, University Hospital of Heraklion, Heraklion, Crete, Greece.
University of Crete · GRTechnical University of Crete · GR

Funding

Hellenic Foundation for Research and Innovation 1220
6 · The paper itself

Abstract

purposeΤhe study examined changes in hemodynamics and functional connectivity in patients with systemic lupus erythematosus (SLE) with or without neuropsychiatric manifestations.

methodsParticipants were 44 patients with neuropsychiatric SLE (NPSLE), 20 SLE patients without such manifestations (non-NPSLE), and 35 healthy controls. Resting-state functional MRI (rs-fMRI) was used to obtain whole-brain maps of (a) perfusion dynamics derived through time shift analysis (TSA), (b) regional functional connectivity (intrinsic connectivity contrast (ICC) coefficients), and (c) hemodynamic-connectivity coupling. Group differences were assessed through independent samples t-tests, and correlations of rs-fMRI indices with clinical variables and neuropsychological test scores were, also, computed.

resultsCompared to HC, NPSLE patients demonstrated intrinsic hypoconnectivity of anterior Default Mode Network (DMN) and hyperconnectivity of posterior DMN components. These changes were paralleled by elevated hemodynamic lag. In NPSLE, cognitive performance was positively related to higher intrinsic connectivity in these regions, and to higher connectivity-hemodynamic coupling in posterior DMN components. Uncoupling between hemodynamics and connectivity in the posterior DMN was associated with worse task performance. Non-NPSLE patients displayed hyperconnectivity in posterior DMN and sensorimotor regions paralleled by relatively increased hemodynamic lag.

conclusionAdaptation of regional brain function to hemodynamic changes in NPSLE may involve locally decreased or locally increased intrinsic connectivity (which can be beneficial for cognitive function). This process may also involve elevated coupling of hemodynamics with functional connectivity (beneficial for cognitive performance) or uncoupling, which may be detrimental for the cognitive skills of NPSLE patients.

Indexed as

Lupus Erythematosus, SystemicLupus Vasculitis, Central Nervous SystemBrainHumansMagnetic Resonance ImagingPerfusionCerebral perfusionIntrinsic connectivity coefficientNeuropsychiatric lupusResting-state fMRITime shift analysisVisuomotor capacity

Identifiers

PMID35249129
OpenAlexW4220986379

What OpenQuestion holds

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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.