Evidence map›Paper›PMID 37218590›Full record

Observational studyJournal of the American Heart Association2023

Identification of White Matter Hyperintensities in Routine Emergency Department Visits Using Portable Bedside Magnetic Resonance Imaging.

Adam de Havenon, Nethra R Parasuram, Anna L Crawford, Mercy H Mazurek, Isha R Chavva, Vineetha Yadlapalli, Juan E Iglesias, Matthew S Rosen, Guido J Falcone, Seyedmehdi Payabvash and 7 more

Erratum issuedOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Portable Bedside Low-Field MRI for Assessment of Ventricular Size.AJNR. American journal of neuroradiology · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Brain imaging with portable low-field MRI.Nature reviews bioengineering · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

Adam de HavenonDepartment of Neurology Yale University School of Medicine New Haven CT USA.ORCID 0000-0001-8178-8597
Nethra R ParasuramDepartment of Neurology Yale University School of Medicine New Haven CT USA.
Anna L CrawfordDepartment of Neurology Yale University School of Medicine New Haven CT USA.
Mercy H MazurekDepartment of Neurology Yale University School of Medicine New Haven CT USA.ORCID 0000-0002-4655-4266
Isha R ChavvaDepartment of Neurology Yale University School of Medicine New Haven CT USA.
Vineetha YadlapalliDepartment of Neurology Yale University School of Medicine New Haven CT USA.ORCID 0000-0002-6241-7130
Juan E IglesiasDepartment of Neurology, Division of Neurocritical Care Massachusetts General Hospital Boston MA USA.
Matthew S RosenDepartment of Neurology, Division of Neurocritical Care Massachusetts General Hospital Boston MA USA.ORCID 0000-0002-7194-002X
Guido J FalconeDepartment of Neurology Yale University School of Medicine New Haven CT USA.ORCID 0000-0002-6407-0302
Seyedmehdi PayabvashCenter for Brain and Mind Health Yale University School of Medicine New Haven CT USA.ORCID 0000-0003-4628-0370
Gordon SzeDepartment of Radiology Yale University School of Medicine New Haven CO USA.
Richa SharmaDepartment of Neurology Yale University School of Medicine New Haven CT USA.ORCID 0000-0003-0798-2353
Steven J SchiffDepartment of Neurosurgery Yale University School of Medicine New Haven CO USA.ORCID 0000-0003-2623-3614
Basmah SafdarDepartment of Emergency Medicine Yale University School of Medicine New Haven CO USA.ORCID 0000-0002-9640-7133
Charles WiraDepartment of Emergency Medicine Yale University School of Medicine New Haven CO USA.ORCID 0000-0002-1041-4165
William T KimberlyDepartment of Neurology, Division of Neurocritical Care Massachusetts General Hospital Boston MA USA.ORCID 0000-0002-2519-8530
Kevin N ShethDepartment of Neurology Yale University School of Medicine New Haven CT USA.ORCID 0000-0003-2003-5473
Yale University · USMassachusetts General Hospital · USHarvard University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Anticoagulation in ICH Survivors for Prevention and Recovery (ASPIRE)U01NS106513 · NINDS · YALE UNIVERSITY · PI Hooman Kamel, Kevin Navin Sheth · 2019 to 2026
$20.6M
Predictive Personalized Public Health (P3H): A Novel Paradigm to Treat Infectious DiseaseR01AI145057 · NIAID · YALE UNIVERSITY · PI SCHIFF, STEVEN J · 2018 to 2022
$8.1M
Neurocognitive outcomes and changes in brain and CSF volume after treatment of post-infectious hydrocephalus in Ugandan infants by shunting or ETV/CPC: a randomized prospective trialR01HD085853 · NICHD · YALE UNIVERSITY · PI KULKARNI, ABHAYA V, SCHIFF, STEVEN JOHN · 2015 to 2025
$4.7M
Social networks and risk of delayed arrival to the hospital during strokeR01MD016178 · NIMHD · BRIGHAM AND WOMEN'S HOSPITAL · PI Amar Dhand, Kevin Navin Sheth · 2022 to 2026
$3.7M
Portable, Low Field Brain Magnetic Resonance Imaging (MRI) for Acute StrokeR01EB031114 · NIBIB · YALE UNIVERSITY · PI William Taylor Kimberly, Matthew Scot Rosen · 2022 to 2026
$3.5M
The Recovery in Stroke Using PAP (RISE UP) StudyR01NR018335 · NINR · YALE UNIVERSITY · PI REDEKER, NANCY S, SHETH, KEVIN NAVIN · 2019 to 2023
$3.4M
Southern New England Partnership In Stroke Research, Innovation and Treatment (SPIRIT)U24NS107215 · NINDS · YALE UNIVERSITY · PI MARK Jay ALBERTS, Karen L Furie · 2018 to 2026
$3.0M
Metabolomic predictors of stroke in REGARDSR01NS099209 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI KIMBERLY, WILLIAM TAYLOR · 2017 to 2021
$2.4M
Blood Pressure Variability and Ischemic Stroke Outcome (BP-VISO)R01NS130189 · NINDS · YALE UNIVERSITY · PI Adam H. de Havenon · 2023 to 2026
$2.0M
Yale Clinical Site: Investigations For Improved Neurological Treatments at Yale (INFINITY)U24NS107136 · NINDS · YALE UNIVERSITY · PI SHETH, KEVIN NAVIN, SPUDICH, SERENA S · 2018 to 2022
$1.7M
Treatment Targets for Inflamed Intracranial Atherosclerosis on Vessel Wall MRIK23NS105924 · NINDS · YALE UNIVERSITY · PI DE HAVENON, ADAM H. · 2019 to 2023
$988k
NCATS NIH HHS UL1 TR001863NIAID NIH HHS R01 AI145057NIBIB NIH HHS R01 EB031114NICHD NIH HHS R01 HD085853NIMHD NIH HHS R01 MD016178NINDS NIH HHS K23 NS105924NINDS NIH HHS K23 NS107624NINDS NIH HHS R01 NS099209NINDS NIH HHS R01 NS130189NINDS NIH HHS R03 NS112859NINDS NIH HHS U01 NS106513NINDS NIH HHS U24 NS107136NINDS NIH HHS U24 NS107215NINR NIH HHS R01 NR018335
6 · The paper itself

Abstract

Background White matter hyperintensity (WMH) on magnetic resonance imaging (MRI) of the brain is associated with vascular cognitive impairment, cardiovascular disease, and stroke. We hypothesized that portable magnetic resonance imaging (pMRI) could successfully identify WMHs and facilitate doing so in an unconventional setting. Methods and Results In a retrospective cohort of patients with both a conventional 1.5 Tesla MRI and pMRI, we report Cohen's kappa (κ) to measure agreement for detection of moderate to severe WMH (Fazekas ≥2). In a subsequent prospective observational study, we enrolled adult patients with a vascular risk factor being evaluated in the emergency department for a nonstroke complaint and measured WMH using pMRI. In the retrospective cohort, we included 33 patients, identifying 16 (49.5%) with WMH on conventional MRI. Between 2 raters evaluating pMRI, the interrater agreement on WMH was strong (κ=0.81), and between 1 rater for conventional MRI and the 2 raters for pMRI, intermodality agreement was moderate (κ=0.66, 0.60). In the prospective cohort we enrolled 91 individuals (mean age, 62.6 years; 53.9% men; 73.6% with hypertension), of which 58.2% had WMHs on pMRI. Among 37 Black and Hispanic individuals, the Area Deprivation Index was higher (versus White, 51.8±12.9 versus 37.9±11.9;

Indexed as

White MatterAdultBrainFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedProspective StudiesRetrospective Studiesmagnetic resonance imagingneuroimagingvascular neurologywhite matter hyperintensities

Identifiers

PMID37218590
PMCPMC10381997
OpenAlexW4377564018

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.