Evidence map›Paper›PMID 37901133›Full record

ArticleCase reports in neurology

Utilizing Reduced Labeled Proton Clearance to Identify Preclinical Alzheimer Disease with 3D ASL MRI.

Charles R Joseph, Alec Kreilach, Victoria Ashley Reyna, Thomas Ashton Kepler, Brittany Viola Taylor, Jubin Kang, Dallas McCorkle, Nicholas L Rider

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
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

8 authors at 2 institutions in 1 country.

Charles R JosephDepartment of Neurology, Liberty University College of Osteopathic Medicine (LUCOM) Lynchburg, VA, USA.
Alec KreilachLUCOM medical student, Lynchburg, VA, USA.
Victoria Ashley ReynaLUCOM medical student, Lynchburg, VA, USA.
Thomas Ashton KeplerLUCOM medical student, Lynchburg, VA, USA.
Brittany Viola TaylorLUCOM medical student, Lynchburg, VA, USA.
Jubin KangLUCOM medical student, Lynchburg, VA, USA.
Dallas McCorkleLUCOM medical student, Lynchburg, VA, USA.
Nicholas L RiderDepartment of Bioinformatics and Immunology, LUCOM, Lynchburg, VA, USA.
University of Lynchburg · USLiberty University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Addressing the seminal pathophysiology in Alzheimer disease (AD) is the next logical focus for effective intervention, given the initial disappointing and more recent possibly encouraging results of monoclonal antibody trials. Endothelial cell dysfunction-induced blood-brain barrier leak with associated prolonged capillary mean transit time (cMTT) and glymphatic outflow dysfunction is the most proximal events in the degeneration cascade. Sensitive and reproducible markers are required to both identify early disease and assess future treatment trial outcomes. Two participants, with mild cognitive impairment (MCI) and one with AD, were evaluated clinically prior to MRI in this small case series report. From seven 3D turbo gradient and spin echo (TGSE) pulsed arterial spin echo (PASL) MRI sequences six homologous region of interest in bitemporal, bifrontal, and biparietal lobes for each sequence were examined and plotted against time. By choosing late perfusion times during cMTT phase of perfusion linear analysis of signal decay could be utilized. A reference axial FLAIR sequence was also obtained. Slope of the linear analysis correlated to the rate of labeled proton clearance with reduced clearance occurring in AD participants compared to normal participants in our previous study. Whether similar differences in clearance rate extend to either MCI or early AD was investigated. Participants were categorized by clinical phenotype before MRI and compared to previously published phenotype cohorts:

Indexed as

Arterial spin labeling MRIBlood-brain barrier leakCapillary mean transit timeGlymphatic clearancePreclinical Alzheimer disease

Identifiers

PMID37901133
PMCPMC10603764
OpenAlexW4387544606

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.