Evidence map›Paper›PMID 40768642›Full record

ArticleAging and disease2025

Exploring the Cerebro-Renovascular Link: Implications of Renal Haemodynamics on Intracranial Arterial Calcification.

Joseph Amihere Ackah, Xiang-Yan Chen, Huixing Zeng, Yiming Liu, Youcheng Rong, Xuelong Li, Ben Yuk-Fai Fong, Ximin Pan, Feng Zhang, Jing Cai

Abstract read
In one paragraph

Article in Aging and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Joseph Amihere AckahDepartment of Health Technology and Informatics, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
Xiang-Yan ChenDivision of Science, Engineering and Health Studies, College of Professional and Continuing Education, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.
Huixing ZengDepartment of Health Technology and Informatics, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
Yiming LiuDepartment of Ultrasonography and Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Youcheng RongDepartment of Ultrasonography and Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Xuelong LiDepartment of Neurology, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
Ben Yuk-Fai FongDivision of Science, Engineering and Health Studies, College of Professional and Continuing Education, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.
Ximin PanDepartment of Radiology and Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Feng ZhangDepartment of Ultrasonography and Biomedical Innovation Center, The Sixth Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Jing CaiDepartment of Health Technology and Informatics, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence hints that the cerebro-renovascular pathway could offer promising approaches to enhancing renal health and reducing the associated risk and burden of intracranial arterial calcification (IAC), a crucial marker for ageing-related intracranial atherosclerosis. This study explored whether renal function and renovascular haemodynamic metrics could predict the severity and load of IAC and elucidate the clinical distinctiveness between intimal and medial IAC. Seventy-seven Chinese participants were enrolled in this cross-sectional study. Kidney functions were evaluated using the estimated glomerular filtration rate (eGFR). Renovascular haemodynamics (on resistance) was assessed using duplex ultrasound to record metrics such as the resistive index (RI) of renal and interlobar arteries. Non-enhanced computed tomography (CT) assessed the count, severity, and load of IAC and classified IAC into intimal and medial. Regression models were fitted for analyses. Among 69 patients with IAC, 29% exhibited predominantly intimal and 71% predominantly medial calcification. Of those with IAC, 26 (37.7%) had an eGFR below 60 ml/min/1.73m², 19 (27.5%) had values between 60-90 ml/min/1.73m², and 24 (34.8%) had scores above 90 ml/min/1.73m². Measures of eGFR <60 ml/min/1.73m² were independently associated with higher renal RI [adjusted OR=3.45 (95%CI: 1.38-8.59, p=.008)]. Patients with predominantly medial IAC had higher renovascular resistance. Higher renal RI independently predicted higher IAC load [adjusted OR=1.88 (95%CI: 1.06-3.35, p=0.032)]. In summary, renovascular haemodynamics significantly determine the load and severity of IAC, particularly in individuals with reduced renal function (eGFR <60 ml/min/1.73m²). The impact of renal impairment is more pronounced on medial IAC than on intimal IAC.

Indexed as

HemodynamicsIntracranial ArteriosclerosisKidneyVascular CalcificationAgedCross-Sectional StudiesFemaleGlomerular Filtration RateHumansMaleMiddle AgedTomography, X-Ray Computed

Identifiers

PMID40768642
PMCPMC13256646

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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.