Evidence map›Paper›PMID 38221583›Full record

ArticleEuropean radiology2024

Choroid plexus enlargement in mild cognitive impairment on MRI: a large cohort study.

Yoshihito Umemura, Keita Watanabe, Sera Kasai, Satoru Ide, Yuka Ishimoto, Miho Sasaki, Haruka Nagaya, Soichiro Tatsuo, Tatsuya Mikami, Yoshinori Tamada and 2 more

Abstract read
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Article in European radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  15. The spectrum of Alzheimer's disease.medRxiv : the preprint server for health sciences · 2025
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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

12 authors.

Yoshihito UmemuraDepartment of Radiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Keita WatanabeDepartment of Radiology, Kyoto Prefectural University of Medicine, 465 Kajiimachi, Jokyo-ku, Kyoto-shi, Kyoto-fu, Kyoto, Japan. kw0928@koto.kpu-m.ac.jp.ORCID http://orcid.org/0000-0001-9592-8802
Sera KasaiDepartment of Radiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Satoru IdeDepartment of Radiology, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
Yuka IshimotoDepartment of Radiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Miho SasakiDepartment of Radiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Haruka NagayaDepartment of Radiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Soichiro TatsuoDepartment of Radiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Tatsuya MikamiInnovation Center for Health Promotion, Hirosaki University, Hirosaki, Japan.
Yoshinori TamadaInnovation Center for Health Promotion, Hirosaki University, Hirosaki, Japan.
Masahiko TomiyamaDepartment of Neurology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Shingo KakedaDepartment of Radiology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.

Funding

AMED JP16dk0207025
6 · The paper itself

Abstract

objectivesPrevious studies have shown possible choroid plexus (CP) dysfunction in Alzheimer's disease (AD) and highlighted CP enlargement on magnetic resonance imaging (MRI) as a predictive factor of AD. However, few studies have assessed the relationship between CP volume (CPV) and mild cognitive impairment (MCI). In this large elderly population study, we investigated the changes in CPV in patients with MCI using MRI above 65 years.

methodsThis cross-sectional study included 2144 participants (median age, 69 years; 60.9% females) who underwent 3T MRI; they were grouped as 218 MCI participants and 1904 cognitively healthy controls. The total intracranial volume (ICV), total brain volume (TBV), CPV, hippocampal volume (HV), and lateral ventricle volume (LVV) were calculated.

resultsCPV/ICV was a significant independent predictor of MCI (p < 0.01) after adjusting for potential confounders (age, sex, hypertension, hyperlipidemia, diabetes, and education level). The CPV/ICV ratio was also a significant independent predictor of MCI after adjusting for the TBV/ICV ratio (p = 0.022) or HV/ICV ratio (p = 0.017), in addition to potential confounders. The CPV was significantly correlated with the LVV (r = 0.97, p < 0.01).

conclusionWe identified a relationship between CPV and MCI, which could not be explained by the degree of brain atrophy. Our results support CP dysfunction in MCI. CLINICAL RELEVANCE STATEMENT: Choroid plexus volume measurement may serve as a valuable imaging biomarker for diagnosing and monitoring mild cognitive impairment. The enlargement of the choroid plexus, independent of brain atrophy, suggests its potential role in mild cognitive impairment pathology. KEY POINTS: • The study examines choroid plexus volume in relation to cognitive decline in elderly. • Enlarged choroid plexus volume independently indicates mild cognitive impairment presence. • Choroid plexus volume could be a specific biomarker for early mild cognitive impairment diagnosis.

Indexed as

Choroid PlexusCognitive DysfunctionMagnetic Resonance ImagingAgedCohort StudiesCross-Sectional StudiesFemaleHumansMaleOrgan SizeChoroid plexusHippocampal volumeMild cognitive impairment

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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.