Evidence map›Paper›PMID 36871361›Full record

ArticleClinical imaging2023

Cerebral oxygen extraction fraction declines with ventricular enlargement in patients with normal pressure hydrocephalus.

Hangwei Zhuang, Junghun Cho, Gloria Chia-Yi Chiang, Ilhami Kovanlikaya, Linda Anne Heier, Jonathan P Dyke, Yi Wang

Open access · greenAbstract read
In one paragraph

Article in Clinical imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

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

  1. Pooled it
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  7. Sensitivity assessment of QSM+qBOLD (or QQ) in detecting elevated oxygen extraction fraction (OEF) in physiological change.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025
    Article
  8. Review
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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

7 authors at 1 institution in 1 country.

Hangwei ZhuangDepartment of Biomedical Engineering, Cornell University, Ithaca, NY, USA; Department of Radiology, Weill Medical College of Cornell University, New York, NY, USA.
Junghun ChoDepartment of Radiology, Weill Medical College of Cornell University, New York, NY, USA.
Gloria Chia-Yi ChiangDepartment of Radiology, Weill Medical College of Cornell University, New York, NY, USA.
Ilhami KovanlikayaDepartment of Radiology, Weill Medical College of Cornell University, New York, NY, USA.
Linda Anne HeierDepartment of Radiology, Weill Medical College of Cornell University, New York, NY, USA.
Jonathan P DykeDepartment of Radiology, Weill Medical College of Cornell University, New York, NY, USA.
Yi WangDepartment of Biomedical Engineering, Cornell University, Ithaca, NY, USA; Department of Radiology, Weill Medical College of Cornell University, New York, NY, USA. Electronic address: yiwang@med.cornell.edu.
Cornell University · US

Funding

The effects of iron on oxidative stress and Alzheimer's biomarkers in amyloid-positive and negative elderly normalR01AG068398 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHIANG, GLORIA CHIA-YI · 2020 to 2024
$2.8M
Development and validation of MRI mapping of brain oxygen metabolism for clinical useK99NS123229 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI CHO, JUNGHUN · 2021 to 2022
$183k
NIA NIH HHS R01 AG068398NINDS NIH HHS K99 NS123229
6 · The paper itself

Abstract

objectiveNormal pressure hydrocephalus (NPH) is a neurodegenerative disease that is potentially reversible by shunt surgery in approximately 60% of patients. Imaging may provide a means to investigate brain tissue viability and oxygen metabolism in NPH patients.

methodsOxygen extraction fraction (OEF) mapping was generated from 3D multi-echo gradient echo MRI (mGRE) data using QQ-CCTV algorithm and cerebral blood flow (CBF) using 3D arterial spin labeling (ASL) MRI data, thereby calculating the cerebral metabolic rate of oxygen (CMRO

resultsOEF showed significant negative correlations with normalized brain ventricular volumes in the whole brain (p = 0.004, q = 0.01), cortical gray matter (p = 0.004, q = 0.01), caudate (p = 0.02, q = 0.04), and pallidum (p = 0.03, q = 0.04), but no significant correlation with CSF stroke volume (q > 0.05). There was no significant finding with CBF or CMRO

conclusionIn NPH patients, low OEF in several regions was significantly correlated with large ventricular volumes, indicating decreased tissue oxygen metabolism with increased NPH severity. OEF mapping may provide a functional understanding of neurodegeneration in NPH and may improve monitoring of disease course and treatment outcomes.

Indexed as

Hydrocephalus, Normal PressureNeurodegenerative DiseasesBrainCerebrovascular CirculationGray MatterHumansMagnetic Resonance ImagingOxygenOxygenCerebral blood flowDementiaMRINormal pressure hydrocephalusOxygen extraction fractionQuantitative susceptibility mapping

Identifiers

PMID36871361
PMCPMC10081162
OpenAlexW4319659711

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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.