Evidence map›Paper›PMID 41139170›Full record

ArticleEuropean radiology2026

Probabilistic maps of white matter hyperintensity in a Chinese aging cohort and application for clinical diagnosis.

Xinyi Cai, Xiao Luo, Lianghu Guo, Yi Gu, Qing Yang, Yao Li, Minming Zhang, Jinsong Wu, Qiang He, Xu Zhang and 2 more

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Article in European radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

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5 · Who and what money

Authors and funding

12 authors.

Xinyi Cai *School of Biomedical Engineering, ShanghaiTech University, Shanghai, China.
Xiao Luo *The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Lianghu GuoSchool of Biomedical Engineering, ShanghaiTech University, Shanghai, China.
Yi GuSchool of Biomedical Engineering, ShanghaiTech University, Shanghai, China.
Qing YangSchool of Biomedical Engineering, ShanghaiTech University, Shanghai, China.
Yao LiInstitute for Medical Imaging Technology, School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China.
Minming ZhangDepartment of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Jinsong WuGlioma Surgery Division, Neurologic Surgery Department, Huashan Hospital, Shanghai, China.
Qiang HeShanghai United Imaging Healthcare Co., Ltd., Shanghai, China.
Xu ZhangSchool of Life Science and Technology, ShanghaiTech University, Shanghai, China.
Peiyu HuangThe Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China. huangpy@zju.edu.cn.
Han ZhangShanghai Clinical Research and Trial Center, Shanghai, China. zhanghan2@shanghaitech.edu.cn.ORCID http://orcid.org/0000-0002-6645-8810

Funding

Chinese Academy of Medical Sciences (CAMS) Innovation Fund for Medical Science CIFMS, 2019-I2M-5-082Major Projects of Special Development Funds in Zhangjiang National Independent Innovation Demonstration Zone, Shanghai ZJ2018-ZD-012National Natural Science Foundation of China 62131015National Natural Science Foundation of China U23A20295Open Research Fund Program of National Innovation Center for Advanced Medical Devices NMED2021ZD-01-001Shanghai Pilot Program for Basic Research JCYJ-SHFY-2022-014Shanghai Pujiang Program 21PJ1421400Shenzhen Science and Technology Innovation Program KCXFZ20211020163408012STI 2030-Major Projects 2022ZD0209000
6 · The paper itself

Abstract

objectivesWhite matter hyperintensities (WMH) are abnormalities in brain imaging that contribute to cognitive decline and diseases. This study aimed to build WMH probability maps (WPMs) and normative data of WMH volume from a Chinese aging cohort, to offer valuable insights for diagnosis. MATERIALS AND

methodsWe developed WPMs from a comprehensive dataset across six age groups (20-29, 30-39, 40-49, 50-59, 60-69, and 70-79 years), encompassing 735 participants. WMH segmentation was performed with a deep learning approach, and the resulting masks were registered to the standard space for WPM construction. We explored how WMH volume changed with age and established normative data for different age groups. Additionally, we examined whether WMH volume moderates the relationship between aging and cognitive decline. The practical utility of WPMs was then validated with a separate patient cohort with mild cognitive impairment and Alzheimer's disease.

resultsWPMs and the normative data of WMH volume were constructed for six age groups. As age increased, both the likelihood and spatial coverage of WMH grew. All types of WMH (total, periventricular, and deep white matter hyperintensities) quadratically increased with age. Deep white matter hyperintensities moderated the decline of general cognitive abilities related to aging. The two patient groups had significantly higher ratios of abnormal WMH than typical aging adults.

conclusionWe successfully built WPMs and WMH normative data for Chinese adults and demonstrated their clinical diagnostic values. KEY POINTS: Question Current diagnostic tools lack population-specific references for white matter hyperintensities (WMH)in Chinese aging adults, limiting accurate discrimination between pathological neurodegeneration and typical aging patterns. Findings These Chinese WMH probability maps show quadratic age-related growth, with deep WMH moderating cognitive decline. Mild cognitive impairment/Alzheimer's Disease (MCI/AD) patients exhibited significantly higher WMH volumes. Clinical relevance These population-specific WMH references enable clinicians to quantitatively identify abnormal aging and early neurodegeneration in Chinese patients, addressing the critical need for ethnically tailored diagnostic tools in Alzheimer's disease and vascular cognitive impairment.

Indexed as

AgingAlzheimer DiseaseCognitive DysfunctionMagnetic Resonance ImagingWhite MatterAdultAgedChinaCohort StudiesEast Asian PeopleFemaleHumansMaleMiddle AgedYoung AdultAgingBrain mappingCognitive dysfunctionImage processing, computer-assistedLeukoaraiosis

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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.