Evidence map›Paper›PMID 41416659›Full record

SynthesisCNS neuroscience & therapeutics2025

Glymphatic Pathway Dysfunction in Mild Cognitive Impairment: A Systematic Review and Meta-Analysis Using Diffusion Tensor Imaging Along the Perivascular Space.

Sadegh Ghaderi, Sana Mohammadi, Ali Fathi Jouzdani, Amir Mahmoud Ahmadzadeh

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in CNS neuroscience & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 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.

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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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

4 authors.

Sadegh GhaderiNeuromuscular Research Center, Department of Neurology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Sana MohammadiNeuromuscular Research Center, Department of Neurology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Ali Fathi JouzdaniSchool of Cognitive Sciences, Institute for Research in Fundamental Sciences (IPM), Tehran, Iran.
Amir Mahmoud AhmadzadehDepartment of Radiology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate glymphatic dysfunction in mild cognitive impairment (MCI) using the diffusion tensor imaging along the perivascular space (DTI-ALPS) index.

methodsUsing PRISMA 2020, we searched PubMed, Web of Science, Scopus, and Embase (until May 10, 2025) for studies comparing the ALPS index in MCI patients versus healthy controls.

resultsThe pooled meta-analysis of 18 studies (1133 MCI patients, mean age 69.3 years; 1275 HCs) revealed a significantly lower ALPS index in MCI patients than in HCs (Cohen's d = -0.70; 95% CI: -1.10, -0.29; p < 0.001), with high heterogeneity (I

conclusionsThese findings support the utility of the ALPS index as a noninvasive biomarker for early glymphatic dysfunction in cognitive decline.

Indexed as

Cognitive DysfunctionDiffusion Tensor ImagingGlymphatic SystemHumansdiffusion tensor imagingglymphatic systemmild cognitive impairmentperivascular space

Identifiers

PMID41416659
PMCPMC12715781

What OpenQuestion holds

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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.