Evidence map›Paper›PMID 41641789›Full record

ArticleInternational journal of stroke : official journal of the International Stroke Society2026

Contrasting patterns of leptomeningeal and parenchymal gadolinium extravasation in cerebral amyloid angiopathy: An MRI-based evaluation.

S Voigt, Jja de Jong, Phm Voorter, E A Koemans, M R Schipper, M C van der Plas, K Kaushik, Rgj van der Zwet, R van Dort, H van den Brink and 6 more

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Article in International journal of stroke : official journal of the International Stroke Society, 2026. 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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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

16 authors.

S VoigtDepartment of Neurology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-5182-6676
Jja de JongDepartment of Radiology & Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
Phm VoorterDepartment of Radiology & Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
E A KoemansDepartment of Neurology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-0560-8077
M R SchipperDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-1463-0997
M C van der PlasDepartment of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
K KaushikDepartment of Neurology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-1429-6853
Rgj van der ZwetDepartment of Neurology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0003-4578-1376
R van DortDepartment of Neurology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-7777-3189
H van den BrinkDepartment of Neurology, J. Philip Kistler Stroke Research Center, MGH, Boston, MA, USA.
S J van VeluwDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Mjp van OschDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Maa van WalderveenDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
W H BackesDepartment of Radiology & Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
Mjh WermerDepartment of Neurology, Leiden University Medical Center, Leiden, The Netherlands.
W M FreezeDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies suggest that blood-brain barrier (BBB) disruption may play a role in the pathophysiology of vessel rupture in cerebral amyloid angiopathy (CAA). Here, in a cross-sectional cohort study, we apply contrast-enhanced 3 Tesla magnetic resonance imaging (MRI) to test the hypothesis that the BBB is damaged in patients with CAA and to determine whether BBB leakage is associated with hemorrhagic brain injury in CAA.

methodsParenchymal BBB leakage rate (K

resultsIn total, 25 patients with a clinical diagnosis of probable CAA without prior intracerebral hemorrhage and 19 age- and sex-matched controls were included. In patients with CAA, BBB leakage rates were lower in the cortex (4.2 × 10 DISCUSSION: Our results suggest that global parenchymal gadolinium extravasation across the BBB is lower in patients with CAA compared with controls. This observation can be explained in terms of limited capillary blood perfusion and/or raising the possibility that vascular amyloid-β deposition impairing molecular transport across the BBB. In contrast, focal leptomeningeal enhancement was higher in CAA, reflecting vessel wall infiltration.

Indexed as

brain microbleedscerebral hemorrhagehemorrhageIntracerebral hemorrahageMRIneurology

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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.