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ArticleNeuroradiology2025

Enlarged perivascular spaces as vascular health indicators: correlations with clinical and imaging data in young and middle-age stroke patients.

Caterina Bernetti, Gianfranco Di Gennaro, Nicoletta Brunelli, Marilena Marcosano, Claudia Altamura, Giorgio Liaci, Desirè Anzalone, Fabrizio Vernieri, Bruno Beomonte Zobel, Carlo A Mallio

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Article in Neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

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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

2 citing papers in PubMed.

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4 · The record

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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

10 authors.

Caterina BernettiFondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy. c.bernetti@policlinicocampus.it.ORCID http://orcid.org/0000-0002-7377-6067
Gianfranco Di GennaroDepartment of Health Sciences, Chair of Medical Statistics, University of Catanzaro "Magna Graecia", Catanzaro, Italy.
Nicoletta BrunelliFondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Marilena MarcosanoFondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Claudia AltamuraFondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Giorgio LiaciFondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Desirè AnzaloneHumanitas Istituto Clinico Catanese, Catania, Italy.
Fabrizio VernieriFondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Bruno Beomonte ZobelFondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Carlo A MallioFondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo understand the role of enlarged Perivascular Spaces (PVSs) in a population with young middle age stroke and to identify predictors of PVSs enlargment using clinical and imaging data. MATERIALS/

methodsRetrospective revision of demographics, clinical and MRI data, of 163 patients, with MRI confirmed stroke. Ischemic area and WMH were semi-automatically segmented on DWI images and FLAIR images. Severity of PVS was evaluated on T2-weighted images according to the Potter scale. To identify potential predictors of the extent of PVSs, an exploratory backward stepwise ordinal regression model was developed, including all measured variables.

resultsWith the extent of PVSs at Basal Ganglia as the dependent variable, the logarithm of WMH demonstrated a significant positive association with the outcome. ESUS exhibited a positive relationship, underscoring its potential role as a predictor of the outcome. In PVSs in Mid Brain, dyslipidemia displayed a significant negative effect, signifying a reduced likelihood of the outcome in its presence. Hypertension emerged as a statistically significant and notably positive predictor of PVSs.

conclusionSignificant associations between PVSs, WMH volume, and vascular features suggest their potential as vascular health indicators. These findings underscore the potentiality of PVSs as a biomarker for further investigation in stroke research. However, given the cross-sectional nature of our data, the relationship between PVS alterations and stroke requires further longitudinal studies to clarify their role and temporal association and eventually refining diagnostic and therapeutic approaches and mitigating stroke risks for younger stroke populations.

Indexed as

Glymphatic SystemMagnetic Resonance ImagingStrokeAdultFemaleHumansMaleMiddle AgedRetrospective StudiesMagnetic resonanceNeuroradiologyPerivascular spacesSegmentation methodsStroke

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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.