Evidence map›Paper›PMID 35848388›Full record

ArticleJournal of neuroimaging : official journal of the American Society of Neuroimaging2022

Carotid plaque surface echogenicity predicts cerebrovascular events: An Echographic Multicentric Swiss Study.

Roman F Sztajzel, Stefan T Engelter, Leo H Bonati, Marie-Luise Mono, Agnieska Slezak, Rebekka Kurmann, Krassen Nedeltchev, Henrik Gensicke, Christopher Traenka, Ralf W Baumgartner and 10 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of neuroimaging : official journal of the American Society of Neuroimaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
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  5. Carotid plaque surface echogenicity predicts cerebrovascular events: An Echographic Multicentric Swiss Study.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2022
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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

20 authors.

Roman F SztajzelDepartment of Neurology and Stroke Center, University Hospital Geneva and Medical School.ORCID 0000-0002-3269-3329
Stefan T EngelterUniversity of Basel.
Leo H BonatiUniversity of Basel.
Marie-Luise MonoUniversity of Berne.
Agnieska SlezakUniversity of Berne.
Rebekka KurmannUniversity of Berne.
Krassen NedeltchevUniversity of Berne.
Henrik GensickeUniversity of Basel.
Christopher TraenkaUniversity of Basel.
Ralf W BaumgartnerUniversity of Zürich.
Christophe BonvinDepartment of Neurology and Stroke Center, University Hospital Geneva and Medical School.
Lorenz HirtUniversity of Lausanne.
Friedrich MedlinUniversity of Lausanne.
Annika BurowUniversity of Lausanne.
Georg KägiDepartment of Neurology, Cantonal Hospital and Stroke Center, St. Gallen.
Monika KapauerDepartment of Neurology, Cantonal Hospital and Stroke Center, St. Gallen.
Jochen VehoffDepartment of Neurology, Cantonal Hospital and Stroke Center, St. Gallen.
Karl O LovbladUniversity Hospital Geneva and Medical School and Department of Neuroradiology.
Francois CurtinFelix Platter Hospital, Basel, Department of Clinical Pharmacology, University Hospital Geneva.
Philippe A LyrerUniversity of Basel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeTo determine the prognostic value for ischemic stroke or transitory ischemic attack (TIA) of plaque surface echogenicity alone or combined to degree of stenosis in a Swiss multicenter cohort

methodsPatients with ≥60% asymptomatic or ≥50% symptomatic carotid stenosis were included. Grey-scale based colour mapping was obtained of the whole plaque and of its surface defined as the regions between the lumen and respectively 0-0.5, 0-1, 0-1.5, and 0-2 mm of the outer border of the plaque. Red, yellow and green colour represented low, intermediate or high echogenicity. Proportion of red color on surface (PRCS) reflecting low echogenictiy was considered alone or combined to degree of stenosis (Risk index, RI).

resultsWe included 205 asymptomatic and 54 symptomatic patients. During follow-up (median/mean 24/27.7 months) 27 patients experienced stroke or TIA. In the asymptomatic group, RI ≥0.25 and PRCS ≥79% predicted stroke or TIA with a hazard ratio (HR) of respectively 8.7 p = 0.0001 and 10.2 p < 0.0001. In the symptomatic group RI ≥0.25 and PRCS ≥81% predicted stroke or TIA occurrence with a HR of respectively 6.1 p = 0.006 and 8.9 p = 0.001. The best surface parameter was located at 0-0.5mm. Among variables including age, sex, degree of stenosis, stenosis progression, RI, PRCS, grey median scale values and clinical baseline status, only PRCS independently prognosticated stroke (p = 0.005).

conclusionIn this pilot study including patients with at least moderate degree of carotid stenosis, PRCS (0-0.5mm) alone or combined to degree of stenosis strongly predicted occurrence of subsequent cerebrovascular events.

Indexed as

Carotid StenosisIschemic Attack, TransientPlaque, AtheroscleroticStrokeConstriction, PathologicHumansPilot ProjectsRisk FactorsSwitzerlandUltrasonographycarotid plaque echogenicitycarotid plaque surfacedegree of stenosisduplex ultrasoundstroke

Identifiers

PMID35848388
PMCPMC9796934

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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.