Evidence map›Paper›PMID 36324725›Full record

ArticleCerebral circulation - cognition and behavior2021

Imaging neurovascular, endothelial and structural integrity in preparation to treat small vessel diseases. The INVESTIGATE-SVDs study protocol. Part of the SVDs@Target project.

Gordon W Blair, Michael S Stringer, Michael J Thrippleton, Francesca M Chappell, Kirsten Shuler, Iona Hamilton, Daniela Jaime Garcia, Fergus N Doubal, Anna Kopczak, Marco Duering and 10 more

Open access · goldAbstract read
In one paragraph

Article in Cerebral circulation - cognition and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.7field-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

14 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Blood-brain barrier breakdown in brain ischemia: Insights from MRI perfusion imaging.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  6. Editorial.Cerebral circulation - cognition and behavior · 2024
    Article
  7. Review
  8. Blood-brain barrier leakage hotspots collocating with brain lesions due to sporadic and monogenic small vessel disease.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Article
  9. Article
  10. Advanced MRI in cerebral small vessel disease.International journal of stroke : official journal of the International Stroke Society · 2023
    Review
  11. Article
  12. Observational
  13. Article
  14. 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

20 authors at 5 institutions in 3 countries.

Gordon W BlairBrain Research Imaging Centre, Centre for Clinical Brain Sciences, UK Dementia Institute Centre at the University of Edinburgh, Edinburgh, UK.
Michael S StringerBrain Research Imaging Centre, Centre for Clinical Brain Sciences, UK Dementia Institute Centre at the University of Edinburgh, Edinburgh, UK.
Michael J ThrippletonBrain Research Imaging Centre, Centre for Clinical Brain Sciences, UK Dementia Institute Centre at the University of Edinburgh, Edinburgh, UK.
Francesca M ChappellBrain Research Imaging Centre, Centre for Clinical Brain Sciences, UK Dementia Institute Centre at the University of Edinburgh, Edinburgh, UK.
Kirsten ShulerBrain Research Imaging Centre, Centre for Clinical Brain Sciences, UK Dementia Institute Centre at the University of Edinburgh, Edinburgh, UK.
Iona HamiltonBrain Research Imaging Centre, Centre for Clinical Brain Sciences, UK Dementia Institute Centre at the University of Edinburgh, Edinburgh, UK.
Daniela Jaime GarciaBrain Research Imaging Centre, Centre for Clinical Brain Sciences, UK Dementia Institute Centre at the University of Edinburgh, Edinburgh, UK.
Fergus N DoubalBrain Research Imaging Centre, Centre for Clinical Brain Sciences, UK Dementia Institute Centre at the University of Edinburgh, Edinburgh, UK.
Anna KopczakInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.
Marco DueringInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.
Michael IngrischInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.
Danielle KerkhofsDepartment of neurology, CARIM School for Cardiovascular Diseases, Maastricht University Medical Center, Maastricht, the Netherlands.
Julie StaalsDepartment of neurology, CARIM School for Cardiovascular Diseases, Maastricht University Medical Center, Maastricht, the Netherlands.
Hilde van den BrinkDepartment of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, the Netherlands.
Tine ArtsDepartment of Radiology, Centre for Image Sciences, University Medical Center Utrecht, Utrecht, the Netherlands.
Walter H BackesDepartment of Radiology & Nuclear Medicine, Maastricht University Medical Center, Schools for Mental Health & Neuroscience and Cardiovascular Disease, Maastricht, the Netherlands.
Robert van OostenbruggeDepartment of neurology, CARIM School for Cardiovascular Diseases, Maastricht University Medical Center, Maastricht, the Netherlands.
Geert Jan BiesselsDepartment of Neurology and Neurosurgery, UMC Utrecht Brain Center, University Medical Center Utrecht, Utrecht, the Netherlands.
Martin DichgansInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.
Joanna M WardlawBrain Research Imaging Centre, Centre for Clinical Brain Sciences, UK Dementia Institute Centre at the University of Edinburgh, Edinburgh, UK.
UK Dementia Research Institute · GBLudwig-Maximilians-Universität München · DEMaastricht University · NLUniversity of Edinburgh · GBUniversity Medical Center Utrecht · NL

Funding

Chief Scientist Office ETM/326
6 · The paper itself

Abstract

Background: Sporadic cerebral small vessel disease (SVD) and cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) share clinical and neuroimaging features and possibly vascular dysfunction(s). However few studies have included both conditions, assessed more than one vascular dysfunction simultaneously, or included more than one centre. The INVESTIGATE-SVDs study will assess several cerebrovascular dysfunctions with MRI in participants with sporadic SVD or CADASIL at three European centres. Methods: We will recruit participants with sporadic SVDs (ischaemic stroke or vascular cognitive impairment) and CADASIL in Edinburgh, Maastricht and Munich. We will perform detailed clinical and neuropsychological phenotyping of the participants, and neuroimaging including structural MRI, cerebrovascular reactivity MRI (CVR: using carbon dioxide challenge), phase contrast MRI (arterial, venous and CSF flow and pulsatility), dynamic contrast-enhanced MRI (blood brain barrier (BBB) leakage) and multishell diffusion imaging. Participants will measure their blood pressure (BP) and its variability over seven days using a telemetric device. Discussion: INVESTIGATE-SVDs will assess the relationships of BBB integrity, CVR, pulsatility and CSF flow in sporadic SVD and CADASIL using a multisite, multimodal MRI protocol. We aim to establish associations between these measures of vascular function, risk factors particularly BP and its variability, and brain parenchymal lesions in these two SVD phenotypes. Additionally we will test feasibility of complex multisite MRI, provide reliable intermediary outcome measures and sample size estimates for future trials.

Indexed as

BBB, blood brain barrierBlood-brain barrier permeabilityBOLD, blood oxygen level dependentBP, blood pressureBPv, blood pressure variabilityCADASILCADASIL, cerebral autosomal dominant arteriopathy with leukoencephalopathy and subcortical infarctsCBF, cerebral blood flowCERAD+, consortium to establish a disease registry for Alzheimer's disease plus batteryCerebral small vessel diseaseCerebrovascular reactivityCO2, carbon dioxideCSF, cerebrospinal fluidCVR, cerebrovascular reactivityDCE, dynamic contrast enhancedEtCO2, end-tidal carbon dioxideGM, grey matterMMSE, mini-mental state examinationMoCA, Montreal cognitive examMRINIHSS, national institute for health stroke scalePI, pulsatility indexPVS, perivascular spaceRSSI, recent small subcortical infarctSVDs, small vessel diseasesWMH, white matter hyperintensityWM, white matter

Identifiers

PMID36324725
PMCPMC9616332
OpenAlexW3175432924

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.