Evidence map›Paper›PMID 41426850›Full record

ReviewCureus2025

Diagnostic Performance of Vessel Wall Magnetic Resonance Imaging (VW-MRI) for Intracranial Vasculopathies: A Systematic Review and Meta-Analysis.

Mohammed F Albalawi, Abdulmajeed Albalawi, Eslam M Rabea, Mohammed Alqahtani, Fawaz Alotaibi, Muhannad Asiri, Sawsan Bakry, Hussain BinAmir, Samar Emad Eshetawe, Alaa Heji and 5 more

Abstract readReview
In one paragraph

Review in Cureus, 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. 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

15 authors.

Mohammed F AlbalawiDepartment of Neurology, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Abdulmajeed AlbalawiDepartment of Internal Medicine, Ministry of National Guard Health Affairs, Tabuk, SAU.
Eslam M RabeaDepartment of Neurosurgery, Alexandria Main University Hospital, Alexandria, EGY.
Mohammed AlqahtaniDepartment of Neurology, King Fahad General Hospital, Jeddah, SAU.
Fawaz AlotaibiDepartment of Neurology, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Muhannad AsiriDepartment of Neurology, King Fahad General Hospital, Jeddah, SAU.
Sawsan BakryDepartment of Neurology, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Hussain BinAmirDepartment of Neurology, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Samar Emad EshetaweDepartment of Neurology, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Alaa HejiDepartment of Neurology, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Hossam M GhorabDepartment of Internal Medicine, Alexandria University Faculty of Medicine, Alexandria, EGY.
Fahad AlajlanDepartment of Neurology, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.
Ashfaq ShuaibDepartment of Neurology, University of Alberta, Alberta, CAN.
Abdulrahman Ayidh AlrasheedDepartment of Neurology, Prince Sultan Military Medical City, Riyadh, SAU.
Adel AlhazzaniDepartment of Neurology, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vessel wall magnetic resonance imaging (VW-MRI) provides superior capabilities, compared to traditional angiography, in evaluating intracranial vessel walls. This study aimed to assess the diagnostic performance of VW-MRI in intracranial vasculopathies. This systematic review and meta-analysis followed PRISMA guidelines. PubMed, Scopus, Web of Science, Cochrane Library, and ScienceDirect were searched to identify studies investigating the diagnostic performance of VW-MRI in intracranial vasculopathies. Eligible studies should report sufficient data to construct 2 × 2 contingency tables. Disease categories were included only if at least two studies were available. Pooled sensitivity, specificity, diagnostic odds ratio (DOR), and area under the curve (AUC) were estimated using a bivariate model. Study quality was assessed using the QUADAS (Quality Assessment of Diagnostic Accuracy Studies) tool. Ten studies on intracranial atherosclerotic disease (ICAD) demonstrated high diagnostic accuracy (sensitivity 0.877; specificity 0.808; DOR 34.2; AUC 0.907). Subgroup analyses confirmed reliability in detecting stenosis, distinguishing culprit from non-culprit lesions, and identifying eccentric wall thickening as a biomarker. Six studies on intracranial vasculitis showed strong diagnostic performance of concentric wall enhancement (sensitivity 0.817; specificity 0.864; DOR 44.9; AUC 0.909). Two studies on intracranial dissection reported high accuracy (sensitivity 0.901; specificity 0.829; DOR 58.1; AUC 0.930). VW-MRI demonstrates excellent diagnostic performance for ICAD, intracranial vasculitis, and dissection. It provides added value beyond conventional imaging by enabling evaluation of vessel wall features and lesion characterization. Further high-quality studies, with larger sample sizes, are needed to validate its clinical utility.

Indexed as

intracranialsensitivityspecificityvasculopathiesvessel wall mri

Identifiers

PMID41426850
PMCPMC12717477

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.