Evidence map›Paper›PMID 39276598›Full record

ArticleMultiple sclerosis and related disorders2024

Cerebrovascular hemodynamics association with brain structure and function in Multiple Sclerosis.

Cristina Duque, Simin Mahinrad, Sanaz Sedaghat, James Higgins, Andrew Milstead, João Sargento-Freitas, Roumen Balabanov, Bruce Cohen, Farzaneh A Sorond

Abstract read
In one paragraph

Article in Multiple sclerosis and related disorders, 2024. 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
–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

4 citing papers in PubMed.

  1. Impaired cerebrovascular reactivity is associated with disability and cognitive performance in relapsing-remitting multiple sclerosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Observational
  2. Article
  3. Review
  4. Article
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

9 authors.

Cristina DuqueDepartment of Neurology, Hospital Pedro Hispano, Matosinhos, Portugal; Faculty of Medicine, Coimbra University, Coimbra, Portugal; Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, USA. Electronic address: acristinaduques@gmail.com.
Simin MahinradDepartment of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, USA.
Sanaz SedaghatDivision of Epidemiology and Community Health, University of Minnesota, MN, USA.
James HigginsDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, USA.
Andrew MilsteadDepartment of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, USA.
João Sargento-FreitasFaculty of Medicine, Coimbra University, Coimbra, Portugal; Department of Neurology, Coimbra University Hospital, Coimbra, Portugal.
Roumen BalabanovDepartment of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, USA.
Bruce CohenDepartment of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, USA.
Farzaneh A SorondDepartment of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, USA.

Funding

Cerebral Small Vessels in Motor and Cognitive Decline: Neuroimaging Signatures of Vulnerability & ResilienceR01NS085002 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FARZANEH A SOROND · 2014 to 2026
$3.8M
NINDS NIH HHS R01 NS085002
6 · The paper itself

Abstract

backgroundVascular risk factors seem to contribute to disease progression in Multiple Sclerosis (MS), but the mechanistic connection between vascular risk and MS is unknown. Understanding cerebrovascular hemodynamics (CVH) in MS may help advance our understanding of the link between vascular risk and MS.

objectivesExamine the relationship between CVH [dynamic cerebral autoregulation (dCA) and vasoreactivity (VR)] and brain structure (MRI) and function (cognition, and gait) in individuals with MS.

methodsTranscranial Doppler ultrasound (TCD) was utilized to assess two key markers of CVH: dCA and VR. dCA (reported as phase and gain) is calculated from the spontaneous blood pressure and flow velocity oscillations. VR is calculated as the slope of change in cerebral blood flow velocity in response to end-tidal CO

resultsEighty participants were included (age 44 ± 11, 26 % male); 75 had relapsing-remitting MS (94 %), with disease duration of 8 (11) years [median (IQR)] since MS diagnosis and an Expanded Disability Status Scale (EDSS) of 2.0 (4.0). Higher phase (better dCA) was associated with greater GM volume, lower WHM burden and higher cognitive scores in the memory and global cognitive domains (all P values <0.05). There was no relationship between CVH and gait speed in our study participants. There was no relationship between VR and any measures of brain structure and function.

conclusionsMore efficient cerebral autoregulation is associated with better brain structure (larger GM and lower WMH volumes) and function (cognition, but not gait) in patients with MS.

Indexed as

BrainCerebrovascular CirculationMagnetic Resonance ImagingUltrasonography, Doppler, TranscranialAdultFemaleGray MatterHemodynamicsHomeostasisHumansMaleMiddle AgedMultiple SclerosisMultiple Sclerosis, Relapsing-RemittingCerebral autoregulationCognitionMRIMultiple SclerosisTranscranial Doppler ultrasound

Identifiers

PMID39276598
PMCPMC11835024

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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.