Evidence map›Paper›PMID 37469274›Full record

ArticleBrain and behavior2023

Tmax volume can predict clinical type in patients with acute ischemic stroke.

Fumihisa Kishi, Ichiro Nakagawa, Seigo Kimura, Daiji Ogawa, Ryokichi Yagi, Keiichi Yamada, Hirokatsu Taniguchi

Abstract read
In one paragraph

Article in Brain and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Quantitative imaging outperforms No-reflow in predicting functional outcomes in a translational stroke model.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
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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.

Fumihisa KishiDepartment of Neurosurgery, Yagi Neurosurgical Hospital, Higashinariku, Osaka, Japan.ORCID 0000-0001-7073-8439
Ichiro NakagawaDepartment of Neurosurgery, Nara Medical University, Kashihara, Nara, Japan.ORCID 0000-0002-1340-3293
Seigo KimuraDepartment of Neurosurgery, Yagi Neurosurgical Hospital, Higashinariku, Osaka, Japan.
Daiji OgawaDepartment of Neurosurgery, Yagi Neurosurgical Hospital, Higashinariku, Osaka, Japan.
Ryokichi YagiDepartment of Neurosurgery, Osaka Medical and Pharmaceutical University, Takatsuki, Osaka, Japan.
Keiichi YamadaDepartment of Neurosurgery, Yagi Neurosurgical Hospital, Higashinariku, Osaka, Japan.
Hirokatsu TaniguchiDepartment of Neurosurgery, Yagi Neurosurgical Hospital, Higashinariku, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEndovascular therapy (EVT) is performed for acute ischemic stroke (AIS) with large vessel occlusion (LVO), however, the treatment strategies and clinical outcomes differ between cardiac embolism (CE) and intracranial arteriosclerosis-derived LVO (ICAS-LVO). We analyzed whether the time-to-max (Tmax) volume derived from perfusion imaging predicted clinical classification in AIS patients before EVT.

methodsConsecutive AIS patients with anterior circulation LVO evaluated by automated imaging software were retrospectively identified. Patients were classified into a CE group and an ICAS-LVO group, and parameters were compared between groups.

resultsThirty-nine patients were included and Tmax volume and Tmax > 6 s volume/Tmax > 4 s volume were significantly greater in the CE group than in the ICAS-LVO group (Tmax > 4 s volume: 261 mL vs. 149 mL, p = .01, Tmax > 6 s volume: 143 mL vs. 59 mL, p = .001, Tmax > 6 s volume/Tmax > 4 s volume: 0.59 vs. 0.40, p < .001). Multiple logistic regression analysis indicated an association between clinical classification and high Tmax > 6 s volume/Tmax > 4 s volume (p = .04).

conclusionThe Tmax volume derived from perfusion imaging predicts the clinical classification of AIS patients before EVT.

Indexed as

Brain IschemiaEndovascular ProceduresIschemic StrokeStrokeHumansRetrospective StudiesThrombectomyTreatment Outcomeacute ischemic strokeatherosclerosisCT perfusionmechanical thrombectomy

Identifiers

PMID37469274
PMCPMC10454272

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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.