Evidence map›Paper›PMID 40506232›Full record

ArticleAJNR. American journal of neuroradiology2025

Quantitative Shape Irregularity and Density Heterogeneity of Preoperative Hematoma Can Predict Rebleeding following Minimally Invasive Catheter Evacuation for Intracerebral Hemorrhage.

Kaijiang Kang, Zeqiang Ji, Yang Du, Guangshuo Li, Jing Yan, Zeyu Ding, Yiming Shi, Yanfang Liu, Jianwei Wu, Xingquan Zhao

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Kaijiang KangFrom the Department of Neurology (K.K., Z.J., Y.D., G.L., J.Y., Z.D., Y.S., Y.L., J.W., X.Z.), Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-1110-0627
Zeqiang JiFrom the Department of Neurology (K.K., Z.J., Y.D., G.L., J.Y., Z.D., Y.S., Y.L., J.W., X.Z.), Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yang DuFrom the Department of Neurology (K.K., Z.J., Y.D., G.L., J.Y., Z.D., Y.S., Y.L., J.W., X.Z.), Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Guangshuo LiFrom the Department of Neurology (K.K., Z.J., Y.D., G.L., J.Y., Z.D., Y.S., Y.L., J.W., X.Z.), Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Jing YanFrom the Department of Neurology (K.K., Z.J., Y.D., G.L., J.Y., Z.D., Y.S., Y.L., J.W., X.Z.), Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Zeyu DingFrom the Department of Neurology (K.K., Z.J., Y.D., G.L., J.Y., Z.D., Y.S., Y.L., J.W., X.Z.), Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yiming ShiFrom the Department of Neurology (K.K., Z.J., Y.D., G.L., J.Y., Z.D., Y.S., Y.L., J.W., X.Z.), Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Yanfang LiuFrom the Department of Neurology (K.K., Z.J., Y.D., G.L., J.Y., Z.D., Y.S., Y.L., J.W., X.Z.), Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Jianwei WuFrom the Department of Neurology (K.K., Z.J., Y.D., G.L., J.Y., Z.D., Y.S., Y.L., J.W., X.Z.), Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Xingquan ZhaoFrom the Department of Neurology (K.K., Z.J., Y.D., G.L., J.Y., Z.D., Y.S., Y.L., J.W., X.Z.), Beijing Tiantan Hospital, Capital Medical University, Beijing, China zxq@vip.163.com.ORCID https://orcid.org/0000-0001-8345-5147

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePostoperative rebleeding is a critical factor associated with poor outcomes in patients with intracerebral hemorrhage (ICH) who undergo minimally invasive catheter evacuation (MICE) followed by thrombolysis. This study aimed to explore the association between quantitative shape irregularity and density heterogeneity of preoperative hematoma and rebleeding after MICE. MATERIALS AND

methodsWe analyzed patients with ICH who underwent MICE between February 2021 and January 2024. The surface regularity index (SRI) and density coefficient of variation (DCV) of the hematomas were obtained based on preoperative CT by using 3D Slicer software. Postoperative rebleeding was defined as a hematoma increase of >6 mL or >33% compared with the previous CT. The predictive value of shape irregularity (reflected by SRI) and density heterogeneity (reflected by DCV) for postoperative rebleeding were comprehensively analyzed.

resultsIn total, 240 patients were included, of whom 45 (18.8%) experienced postoperative rebleeding. Patients with postoperative rebleeding exhibited lower SRI (37.2 versus 51.4,

conclusionsHematoma shape irregularity and density heterogeneity are risk factors for rebleeding after MICE for ICH. SRI and DCV can be used to identify individuals at high risk of postoperative rebleeding.

Indexed as

Cerebral HemorrhageHematomaMinimally Invasive Surgical ProceduresTomography, X-Ray ComputedAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsRecurrenceRetrospective Studies

Identifiers

PMID40506232
PMCPMC12453446

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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.