Evidence map›Paper›PMID 40598011›Full record

ArticleBMC ophthalmology2025

Correlating retinal and choroidal vascular parameters with volumetric MRI in Alzheimer's disease and amnestic mild cognitive impairment.

Wufan Zhao, Cason B Robbins, Dilraj S Grewal, Hemal Patel, Srinath Soundararajan, Andy J Liu, Kim G Johnson, Rupesh Agrawal, Jeffrey R Petrella, Sandra S Stinnett and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03233646 (Evaluating the Retinal and Choroidal Microvasculature and Structure Using Multimodal Retinal and Choroidal Imaging in Neurodegenerative Disease), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

NCT03233646 recruitingnot on this map

Evaluating the Retinal and Choroidal Microvasculature and Structure Using Multimodal Retinal and Choroidal Imaging in Neurodegenerative Disease: iMIND Research Study

TypeobservationalSponsorDuke UniversityRan2017 to 2026Enrolled2,000ConditionsAlzheimer's Disease, Mild Cognitive Impairment, Parkinson's Disease, Multiple SclerosisArmsRetinal and Choroidal Imaging
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  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

12 authors.

Wufan ZhaoiMIND Study Group, Duke University School of Medicine, 2351 Erwin Road, 27710, Durham, NC, USA.
Cason B RobbinsiMIND Study Group, Duke University School of Medicine, 2351 Erwin Road, 27710, Durham, NC, USA.
Dilraj S GrewaliMIND Study Group, Duke University School of Medicine, 2351 Erwin Road, 27710, Durham, NC, USA.
Hemal PateliMIND Study Group, Duke University School of Medicine, 2351 Erwin Road, 27710, Durham, NC, USA.
Srinath SoundararajaniMIND Study Group, Duke University School of Medicine, 2351 Erwin Road, 27710, Durham, NC, USA.
Andy J LiuiMIND Study Group, Duke University School of Medicine, 2351 Erwin Road, 27710, Durham, NC, USA.
Kim G JohnsoniMIND Study Group, Duke University School of Medicine, 2351 Erwin Road, 27710, Durham, NC, USA.
Rupesh AgrawalNational Healthcare Group Eye Institute, Tan Tock Seng Hospital, Singapore, Singapore.
Jeffrey R PetrellaDepartment of Radiology, Duke University School of Medicine, Durham, NC, USA.
Sandra S StinnettiMIND Study Group, Duke University School of Medicine, 2351 Erwin Road, 27710, Durham, NC, USA.
Daniel ParkerDepartment of Neurology, Duke University School of Medicine, Durham, NC, USA.
Sharon FekratiMIND Study Group, Duke University School of Medicine, 2351 Erwin Road, 27710, Durham, NC, USA. sharon.fekrat@duke.edu.

Funding

Research Education Component CoreP30AG072958 · NIA · DUKE UNIVERSITY · PI Heather E. Whitson · 2021 to 2026
$24.1M
NIA NIH HHS P30 AG072958
6 · The paper itself

Abstract

backgroundWe assess the relationships between retinal and choroidal structural and microvascular parameters and brain volumetric magnetic resonance imaging (MRI) parameters in individuals with amnestic mild cognitive impairment (aMCI) and Alzheimer's disease (AD).

methodsParticipants underwent optical coherence tomography (OCT) and OCT angiography (OCTA) imaging using the Zeiss Cirrus HD-5000 AngioPlex (Carl Zeiss Meditec, Dublin, CA) and volumetric brain MRI imaging with NeuroQuant (CorTechs Labs, San Diego, CA) analysis. Retinal and choroidal structural and microvascular parameters were extracted from OCT and OCTA scans. Superficial capillary plexus perfusion density and vessel density in the 3 × 3 mm and 6 × 6 mm circles and rings centered on the fovea were determined. Hippocampal, superior lateral ventricle (SLV), and inferior lateral ventricle (ILV) volumes were determined. Correlations between OCT, OCTA, and volumetric MRI parameters in patients with aMCI and AD were explored using Spearman partial correlation analysis.

results68 eyes of 37 aMCI participants and 64 eyes of 33 AD participants were analyzed. In the eyes with aMCI, hippocampal volume negatively correlated with FAZ area and positively correlated with perfusion density and vessel density in the 3 mm OCTA scan. In the aMCI cohort, SLV and ILV volume inversely correlated with perfusion density in the 3 mm and 6 mm OCTA scans, respectively. In the eyes with AD, SLV and ILV volume inversely correlated with perfusion density and vessel density in the 3 mm and 6 mm OCTA scans. Central subfield thickness, ganglion cell-inner plexiform layer thickness, RNFL thickness, and choroidal vascularity index did not significantly correlate with SLV, ILV, or hippocampal volume in any cohorts (p > 0.05).

conclusionsDecline in retinal microvascular parameters significantly correlated with hippocampal volume loss and ventricular expansion, suggesting that these parameters may mirror cerebral neurodegeneration in individuals with aMCI and AD.

trial registrationClinical trial identifier: NCT03233646, registration date: July 20, 2017.

Indexed as

Alzheimer DiseaseAmnesiaChoroidCognitive DysfunctionMagnetic Resonance ImagingRetinal VesselsAgedAged, 80 and overFemaleFluorescein AngiographyHumansMaleMiddle AgedTomography, Optical CoherenceAlzheimer’s diseaseMild cognitive impairmentOCTOCT angiographyVolumetric MRI

Identifiers

PMID40598011
PMCPMC12220376

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Registered trials

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.