Evidence map›Paper›PMID 37385680›Full record

ArticleAJNR. American journal of neuroradiology2023

Perifocal Edema in Patients with Meningioma is Associated with Impaired Whole-Brain Connectivity as Detected by Resting-State fMRI.

V M Stoecklein, S Wunderlich, B Papazov, N Thon, M Schmutzer, R Schinner, H Zimmermann, T Liebig, J Ricke, H Liu and 3 more

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2023. 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
2.3field-weighted citation impact, top 12% 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, 13 citations in OpenAlex.

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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

13 authors at 5 institutions in 3 countries.

V M StoeckleinFrom the Department of Neurosurgery (V.M.S., N.T., M.S., J.-C.T., C.S.) veit.stoecklein@med.uni-muenchen.de.ORCID 0000-0001-6206-0621
S WunderlichDepartment of Radiology (S.W., B.P., R.S., J.R., S.S.).
B PapazovDepartment of Radiology (S.W., B.P., R.S., J.R., S.S.).
N ThonFrom the Department of Neurosurgery (V.M.S., N.T., M.S., J.-C.T., C.S.).ORCID 0000-0003-0011-5281
M SchmutzerFrom the Department of Neurosurgery (V.M.S., N.T., M.S., J.-C.T., C.S.).ORCID 0000-0003-1387-0630
R SchinnerDepartment of Radiology (S.W., B.P., R.S., J.R., S.S.).
H ZimmermannDepartment of Neuroradiology (H.Z., T.L.), Ludwig-Maximilians-University Munich, Munich, Germany.ORCID 0000-0002-1476-3477
T LiebigDepartment of Neuroradiology (H.Z., T.L.), Ludwig-Maximilians-University Munich, Munich, Germany.ORCID 0000-0001-5640-7780
J RickeDepartment of Radiology (S.W., B.P., R.S., J.R., S.S.).
H LiuDepartment of Radiology (H.L.), Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital/Haard Medical School, Boston, Massachusetts.ORCID 0000-0002-7233-1509
J-C TonnFrom the Department of Neurosurgery (V.M.S., N.T., M.S., J.-C.T., C.S.).ORCID 0009-0004-1756-423X
C SchichorFrom the Department of Neurosurgery (V.M.S., N.T., M.S., J.-C.T., C.S.).ORCID 0000-0001-6684-3578
S StoeckleinDepartment of Radiology (S.W., B.P., R.S., J.R., S.S.).ORCID 0000-0003-0325-4674
S.P.E.C.I.E.S. · USWest Cancer Center · USLudwig-Maximilians-Universität München · DEMedical University of South Carolina · USNorwegian Womens Public Health Association · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeMeningiomas are intracranial tumors that usually carry a benign prognosis. Some meningiomas cause perifocal edema. Resting-state fMRI can be used to assess whole-brain functional connectivity, which can serve as a marker for disease severity. Here, we investigated whether the presence of perifocal edema in preoperative patients with meningiomas leads to impaired functional connectivity and if these changes are associated with cognitive function. MATERIALS AND

methodsPatients with suspected meningiomas were prospectively included, and resting-state fMRI scans were obtained. Impairment of functional connectivity was quantified on a whole-brain level using our recently published resting-state fMRI-based marker, called the dysconnectivity index. Using uni- and multivariate regression models, we investigated the association of the dysconnectivity index with edema and tumor volume as well as cognitive test scores.

resultsTwenty-nine patients were included. In a multivariate regression analysis, there was a highly significant association of dysconnectivity index values and edema volume in the total sample and in a subsample of 14 patients with edema, when accounting for potential confounders like age and temporal SNR. There was no statistically significant association with tumor volume. Better neurocognitive performance was strongly associated with lower dysconnectivity index values.

conclusionsResting-state fMRI showed a significant association between impaired functional connectivity and perifocal edema, but not tumor volume, in patients with meningiomas. We demonstrated that better neurocognitive function was associated with less impairment of functional connectivity. This result shows that our resting-state fMRI marker indicates a detrimental influence of peritumoral brain edema on global functional connectivity in patients with meningiomas.

Indexed as

Brain EdemaMeningeal NeoplasmsMeningiomaBrainEdemaHumansMagnetic Resonance Imaging

Identifiers

PMID37385680
PMCPMC10337612
OpenAlexW4382537050

What OpenQuestion holds

Textmetadata
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.