Evidence map›Paper›PMID 37491840›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Lower cerebral blood flow predicts cognitive decline in patients with vascular cognitive impairment.

Maud van Dinther, Astrid M Hooghiemstra, Esther E Bron, Adriaan Versteeg, Anna E Leeuwis, Tugba Kalay, Justine E Moonen, Sanne Kuipers, Walter H Backes, Jacobus F A Jansen and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

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  11. The enigma of vascular dementia: current state and emerging perspectives.Journal of neural transmission (Vienna, Austria : 1996) · 2026
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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

15 authors at 6 institutions in 1 country.

Maud van DintherDepartment of Neurology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID 0000-0001-7349-4783
Astrid M HooghiemstraAlzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Esther E BronDepartment of Radiology & Nuclear Medicine, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands.
Adriaan VersteegDepartment of Radiology & Nuclear Medicine, Erasmus MC-University Medical Center Rotterdam, Rotterdam, The Netherlands.
Anna E LeeuwisAlzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Tugba KalayDepartment of Neurology, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands.
Justine E MoonenAlzheimer Center Amsterdam, Department of Neurology, Amsterdam Neuroscience, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Sanne KuipersDepartment of Neurology, University Medical Center Utrecht, Utrecht, The Netherlands.
Walter H BackesDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
Jacobus F A JansenDepartment of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
Mathias J P van OschC.J. Gorter MRI Center, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Geert-Jan BiesselsDepartment of Neurology, University Medical Center Utrecht, Utrecht, The Netherlands.
Julie StaalsDepartment of Neurology, Maastricht University Medical Center, Maastricht, The Netherlands.
Robert J van OostenbruggeDepartment of Neurology, Maastricht University Medical Center, Maastricht, The Netherlands.
Heart-Brain Connection consortium
Maastricht University · NLAmsterdam Neuroscience · NLErasmus MC · NLUniversity Medical Center Utrecht · NLLeiden University Medical Center · NLSt. Antonius Ziekenhuis · NL

Funding

Dutch Heart Foundation 2018-28Dutch Heart Foundation CVON 2012-06European Union's Horizon 2020 research and innovation programme 'CRUCIAL' 848109
6 · The paper itself

Abstract

introductionChronic cerebral hypoperfusion is one of the assumed pathophysiological mechanisms underlying vascular cognitive impairment (VCI). We investigated the association between baseline cerebral blood flow (CBF) and cognitive decline after 2 years in patients with VCI and reference participants.

methodsOne hundred eighty-one participants (mean age 66.3 ± 7.4 years, 43.6% women) underwent arterial spin labeling (ASL) magnetic resonance imaging (MRI) and neuropsychological assessment at baseline and at 2-year follow-up. We determined the association between baseline global and lobar CBF and cognitive decline with multivariable regression analysis.

resultsLower global CBF at baseline was associated with more global cognitive decline in VCI and reference participants. This association was most profound in the domain of attention/psychomotor speed. Lower temporal and frontal CBF at baseline were associated with more cognitive decline in memory. DISCUSSION: Our study supports the role of hypoperfusion in the pathophysiological and clinical progression of VCI. HIGHLIGHTS: Impaired cerebral blood flow (CBF) at baseline is associated with faster cognitive decline in VCI and normal aging. Our results suggest that low CBF precedes and contributes to the development of vascular cognitive impairment. CBF determined by ASL might be used as a biomarker to monitor disease progression or treatment responses in VCI.

Indexed as

Cognitive DysfunctionMagnetic Resonance ImagingAgedAgingCerebrovascular CirculationFemaleHumansMaleMiddle AgedNeuropsychological TestsSpin LabelsSpin Labelsarterial spin labelingcerebral blood flowcerebral perfusioncognitive functionvascular cognitive impairment

Identifiers

PMID37491840
PMCPMC10917014
OpenAlexW4385263707

What OpenQuestion holds

Textmetadata
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.