Evidence map›Paper›PMID 41264040›Full record

ArticleNeurosurgical review2025

Prognostic value of perivascular spaces, diffusion tensor imaging-derived indices, and choroid plexus in idiopathic normal pressure hydrocephalus.

Wenjie He, Zekai Chen, Pujie Qiu, Jialing Lv, Qizhong Xu, Jun Xia, Guihua Jiang

Abstract read
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In one paragraph

Article in Neurosurgical review, 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. Observational
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

7 authors.

Wenjie He *Departments of Medical Imaging, Shenzhen Second People's Hospital/The First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, Guangdong Province, China.
Zekai Chen *Departments of Medical Imaging, Shenzhen Second People's Hospital/The First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, Guangdong Province, China.
Pujie QiuSun Yat-sen University Zhongshan School of Medicine, Guangzhou, Guangdong Province, China.
Jialing LvDepartments of Medical Imaging, Shenzhen Second People's Hospital/The First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, Guangdong Province, China.
Qizhong XuDepartments of Medical Imaging, Shenzhen Second People's Hospital/The First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, Guangdong Province, China.
Jun XiaDepartments of Medical Imaging, Shenzhen Second People's Hospital/The First Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, Guangdong Province, China. xiajun2003sz@aliyun.com.
Guihua JiangThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong, China. gzjiangguihua@163.com.

Funding

National Natural Science Foundation of China 82171913Shenzhen Science and Technology Program JCYJ 20220818101816036
6 · The paper itself

Abstract

This study investigated the ability of the perivascular space (PVS), free water in the white matter (FW-WM), diffusion tensor imaging analysis along the PVS (DTI-ALPS), and choroid plexus (CP) to predict postoperative prognosis for idiopathic normal pressure hydrocephalus (iNPH), and the relationships between these MRI indices and clinical phenotypes. This retrospective study included patients with iNPH who underwent magnetic resonance imaging (MRI). MRI indices included the PVS volume fraction (PVSVF), FW-WM fractional volume, DTI-ALPS, and CP volume fraction (CPVF). Predictors of improvement were analyzed using a logistic regression model and receiver operating characteristic analysis. The primary endpoint was the improvement in the modified Rankin Scale (mRS) score at 1 year after surgery; secondary endpoints were the iNPH grading scale (iNPHGS), Mini-Mental State Examination (MMSE), and Timed Up-and-Go (TUG) test at 1 year. Multiple comparisons were controlled using the false discovery rate (FDR). The 32 enrolled patients (70 ± 7 years) included 17 men. The improvement rates in mRS, iNPHGS, MMSE, and TUG were 56% (18/32), 59% (19/32), 60% (15/25), and 57% (12/21), respectively. No significant differences in the examined MRI indices or clinical symptoms were observed between improved and non-improved groups for either the primary or secondary outcomes (all p > 0.05). Lower DTI-ALPS scores were correlated with lower MMSE scores (r = 0.542, p

Indexed as

Choroid PlexusDiffusion Tensor ImagingGlymphatic SystemHydrocephalus, Normal PressureAgedAged, 80 and overFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPrognosisRetrospective StudiesWhite MatterChoroid plexusDiffusion tensor imagingIdiopathic normal pressure hydrocephalusPerivascular spacesPrognosis

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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.