Evidence map›Paper›PMID 41584473›Full record

ArticleStroke (Hoboken, N.J.)2024

Evaluation of Large Ischemic Cores to Predict Outcomes of Thrombectomy: A Proposal of a Novel Treatment Phase.

Takeru Umemura, Yuko Tanaka, Toru Kurokawa, Ryo Miyaoka, Masaru Idei, Hirotsugu Ohta, Junkoh Yamamoto

Abstract read
In one paragraph

Article in Stroke (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
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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.

Takeru UmemuraDepartment of Neurosurgery University of Occupational and Environmental Health Kitakyushu Japan.ORCID https://orcid.org/0000-0003-2725-517X
Yuko TanakaDepartment of Stroke Medicine and Neuro-endovascular Therapy University of Occupational and Environmental Health Kitakyushu Japan.
Toru KurokawaDepartment of Stroke Medicine and Neuro-endovascular Therapy University of Occupational and Environmental Health Kitakyushu Japan.
Ryo MiyaokaDepartment of Neurosurgery University of Occupational and Environmental Health Kitakyushu Japan.
Masaru IdeiDepartment of Neurosurgery Kitakyushu General Hospital Kitakyushu Japan.
Hirotsugu OhtaDepartment of Neurosurgery, Kyushu Rosai Hospital Moji Medical Center Kitakyushu Japan.
Junkoh YamamotoDepartment of Neurosurgery University of Occupational and Environmental Health Kitakyushu Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Endovascular treatment of large ischemic cores is challenging. The severity of ischemic stress is assessed using the apparent diffusion coefficient (ADC). We aimed to evaluate the ADC in patients with a low Alberta Stroke Program Early CT [Computed Tomography] Score using diffusion-weighted imaging and whether it correlates with clinical outcomes. Methods: This study included consecutive patients with acute large ischemic stroke (Alberta Stroke Program Early CT Score-diffusion-weighted imaging ≤5) who underwent endovascular treatment with successful recanalization between April 2014 and March 2023. The most frequent ADC (peak ADC) and diffusion-weighted imaging lesion volumes were assessed. The primary outcome was the 3-month modified Rankin Scale (mRS) score. Good (mRS score, 0-3) and poor clinical outcomes (mRS score, 4-6) were compared to confirm whether ADC was associated with clinical outcomes. Results: In total, 78 patients were enrolled in this study; 30 had an mRS score of 0 to 3 at 3 months. The peak ADC in these patients was significantly higher than that in patients with mRS scores of 4 to 6 ( Conclusion: In large ischemic cores, diffusion-weighted imaging lesions with peak ADCs ≥520×10

Indexed as

apparent diffusion coefficientdiffusion‐weighted imaginglarge ischemic corelarge ischemic strokemechanical thrombectomy

Identifiers

PMID41584473
PMCPMC12778505

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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.