Evidence map›Paper›PMID 35968283›Full record

ArticleFrontiers in neurology2022

Net water uptake, a neuroimaging marker of early brain edema, as a predictor of symptomatic intracranial hemorrhage after acute ischemic stroke.

Tianqi Xu, Jianhong Yang, Qing Han, Yuefei Wu, Xiang Gao, Yao Xu, Yi Huang, Aiju Wang, Mark W Parsons, Longting Lin

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 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
1.7field-weighted citation impact, top 16% 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, 15 citations in OpenAlex.

  1. Pooled it
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  3. Observational
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  10. Defining Large Core Infarction: Comparing the Accuracy of Non-Contrast CT ASPECTS Versus CT Perfusion Core Volume.Journal of neuroimaging : official journal of the American Society of Neuroimaging
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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

10 authors at 2 institutions in 2 countries.

Tianqi XuDepartment of Neurology, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, China.
Jianhong YangDepartment of Neurology, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, China.
Qing HanDepartment of Neurology, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, China.
Yuefei WuDepartment of Neurology, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, China.
Xiang GaoDepartment of Neurosurgery, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, China.
Yao XuDepartment of Neurology, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, China.
Yi HuangDepartment of Neurosurgery, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, China.
Aiju WangDepartment of Neurology, Ningbo Fourth Hospital, Ningbo, China.
Mark W ParsonsSydney Brain Center, University of New South Wales, Sydney, NSW, Australia.
Longting LinDepartment of Neurology, Ningbo First Hospital, Ningbo Hospital of Zhejiang University, Ningbo, China.
Ningbo First Hospital · CNLiverpool Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We hypothesized that quantitative net water uptake (NWU), a novel neuroimaging marker of early brain edema, can predict symptomatic intracranial hemorrhage (sICH) after acute ischemic stroke (AIS). Methods: We enrolled patients with AIS who completed admission multimodal computed tomography (CT) within 24 h after stroke onset. NWU within the ischemic core and penumbra was calculated based on admission CT, namely NWU-core and NWU-penumbra. sICH was defined as the presence of ICH in the infarct area within 7 days after stroke onset, accompanied by clinical deterioration. The predictive value of NWU-core and NWU-penumbra on sICH was evaluated by logistic regression analyses and the receiver operating characteristic (ROC) curve. A pure neuroimaging prediction model was built considering imaging markers, which has the potential to be automatically quantified with an artificial algorithm on image workstation. Results: 154 patients were included, of which 93 underwent mechanical thrombectomy (MT). The median time from symptom onset to admission CT was 262 min (interquartile range, 198-368). In patients with MT, NWU-penumbra (OR =1.442; 95% CI = 1.177-1.766; Conclusions: NWU-penumbra may have better predictive performance than NWU-core on sICH after MT. A pure imaging model showed potential value to automatically screen patients with sICH risk by image recognition, which may optimize treatment strategy.

Indexed as

acute ischemic stroke (AIS)brain edemamechanical thrombectomy (MT)multimodal CTnet water uptakesymptomatic intracranial hemorrhage (sICH)

Identifiers

PMID35968283
PMCPMC9363701
OpenAlexW4288033403

What OpenQuestion holds

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LicenceCC BY
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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.