Evidence map›Paper›PMID 41488328›Full record

ArticleFrontiers in neuroscience2025

Automated brain atrophy quantification from clinical MRI predicts early neurological deterioration in anterior choroidal artery territory infarction.

Weiwei Gao, Shouyue Jin, Zhimin Xiao, Lixue Wang, Jianzhong Lin, Xingyu Chen, Renjing Zhu, Aihuan Zhang

Abstract read
In one paragraph

Article in Frontiers in neuroscience, 2025. 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

What it found

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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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Weiwei Gao *Department of Neurology, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Shouyue Jin *Department of Neurology, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Zhimin XiaoDepartment of Neurology, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Lixue WangDepartment of Neurology, Jimusaer County People's Hospital, Xinjiang, China.
Jianzhong LinDepartment of Magnetic Resonance Imaging, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Xingyu ChenDepartment of Neurology, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Renjing ZhuDepartment of Neurology, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Aihuan ZhangDepartment of Ophthalmology, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Early neurological deterioration (END) occurs in 43%-60% of patients with anterior choroidal artery (AChA) territory infarction. While brain atrophy serves as an imaging biomarker of diminished brain reserve capacity and may influence stroke outcomes, its predictive value for END in AChA infarction remains unclear. Methods: This dual-center retrospective cohort study consecutively enrolled patients with acute AChA territory infarction admitted to two Chinese stroke centers between September 2018 and September 2024. Clinical T1-weighted images were reconstructed into standardized high-resolution images using the SynthSR deep learning algorithm, followed by fully automated brain tissue segmentation via AssemblyNet. We calculated gray matter fraction (GMF), white matter fraction (WMF), brain parenchymal fraction (BPF), and cerebrospinal fluid fraction (CSFF) to quantify brain atrophy severity. Multivariable logistic regression and restricted cubic spline (RCS) analyses were employed to assess associations between brain atrophy metrics and END. Results: Among 206 enrolled patients, 78 (37.86%) developed END. Patients with END demonstrated significantly greater brain atrophy: GMF ( Conclusion: Automated brain atrophy quantification based on routine clinical MRI can independently predict END risk in patients with AChA infarction, providing a feasible imaging biomarker for this high-risk stroke population and facilitating early risk stratification and treatment optimization.

Indexed as

anterior choroidal arteryautomated neuroimagingbrain atrophy quantificationearly neurological deteriorationinfarction

Identifiers

PMID41488328
PMCPMC12756492

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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.