Evidence map›Paper›PMID 40151929›Full record

ArticleStroke2025

FLAIR Vascular Hyperintensities as Imaging Biomarker in Pediatric Acute Ischemic Stroke.

Natalie L Ullman, Arastoo Vossough, Lauren A Beslow, Rebecca N Ichord, Evelyn K Shih

Abstract read
In one paragraph

Article in Stroke, 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Natalie L UllmanDivision of Neurology, The Children's Hospital of Philadelphia, PA (N.L.U., L.A.B., R.N.I., E.K.S.).ORCID 0000-0002-9812-2537
Arastoo VossoughDepartment of Radiology (A.V.), Perelman School of Medicine at the University of Pennsylvania, Philadelphia.ORCID 0000-0003-1346-427X
Lauren A BeslowDivision of Neurology, The Children's Hospital of Philadelphia, PA (N.L.U., L.A.B., R.N.I., E.K.S.).ORCID 0000-0003-0571-980X
Rebecca N IchordDivision of Neurology, The Children's Hospital of Philadelphia, PA (N.L.U., L.A.B., R.N.I., E.K.S.).
Evelyn K ShihDivision of Neurology, The Children's Hospital of Philadelphia, PA (N.L.U., L.A.B., R.N.I., E.K.S.).ORCID 0000-0002-8455-0231

Funding

Neurologic Clinical Epidemiology Training ProgramT32NS061779 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI Andrea Lauren Christman Schneider, Allison Willis · 2008 to 2026
$4.6M
NINDS NIH HHS T32 NS061779
6 · The paper itself

Abstract

backgroundFluid-attenuated inversion recovery vascular hyperintensities (FVH) are high signal intensities on magnetic resonance imaging resulting from sluggish or stagnant flow through vessels. This investigation describes the prevalence, risk factors, and outcomes associated with FVH in pediatric arterial ischemic stroke (AIS).

methodsRetrospective review of children aged 29 days to 18 years in a single institution stroke registry from 2006 to 2022 with AIS. Magnetic resonance imaging were assessed for large vessel occlusion (LVO), FVH score, modified Alberta Stroke Program Early CT Score, and AIS volume. The association between demographic and imaging factors with the presence of and high FVH burden was assessed using Fisher exact, Pearson χ

resultsIn total, 273 patients with AIS were screened, and 83 met the inclusion criteria. Patients were a median age of 11.6 years (range, 1 month-18 years) and 37% were female. FVH were present in 53% of the cohort. Median FVH score was 0 (interquartile range, 0-2) in those without LVO and 5.5 (interquartile range, 3-7) in those with LVO (

conclusionsFVH are prevalent in children with AIS. FVH are associated with LVO, larger infarct size, and worse outcomes. Further study is needed to determine whether FVH can be used to identify patients who would benefit most from recanalization therapies.

Indexed as

Ischemic StrokeMagnetic Resonance ImagingAdolescentBiomarkersChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleRegistriesRetrospective StudiesRisk FactorsBiomarkersbiomarkerschildischemic strokemagnetic resonance imaging

Identifiers

PMID40151929
PMCPMC12101936

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Registered trials

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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.