Evidence map›Paper›PMID 41801368›Full record

ArticleNeuroradiology2026

Choroid plexus structural and functional abnormalities correlate with disease severity and cognition in cerebral small vessel disease.

Dan Luo, Xiaohua Wang, Yuling Peng, Peng Zeng, Bang Zeng, Binglan Li, Lisha Nie, Tianyou Luo, Yongmei Li

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In one paragraph

Article in Neuroradiology, 2026. 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
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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

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Dan LuoThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xiaohua WangThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yuling PengThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Peng ZengThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Bang ZengThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Binglan LiThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Lisha NieGE Healthcare, MR Research China, Beijing, China.
Tianyou LuoThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China. ltychy@sina.com.
Yongmei LiThe First Affiliated Hospital of Chongqing Medical University, Chongqing, China. lymzhang70@163.com.

Funding

Chongqing Science and Technology Bureau cstc2022ycjh-bgzXM0230the First Affiliated Hospital of Chongqing Medical University CYYY-BSYJSKYCXXM202420
6 · The paper itself

Abstract

purposeThe choroid plexus (CP) plays an interactive role in diverse pathophysiological mechanisms of cerebral small vessel disease (CSVD). We aimed to explore whether the CP has specific imaging or clinical consequences in CSVD by itself.

methodsA total of 90 patients with CSVD and 31 healthy controls (HCs) who underwent multiparameter MRI and neuropsychological tests, were retrospectively evaluated. The CP of the lateral ventricles was automatically segmented and manually corrected. The normalized CP volume, susceptibility and perfusion information of CP, and the diffusion tensor image analysis along the perivascular space (DTI-ALPS) index relating to glymphatic efflux were obtained. Partial correlation and multiple linear regression analyses were used to assess the relationship between CP and disease severity and CSVD-related cognitive decline.

resultsPatients with CSVD had greater CP volume, lower susceptibility, reduced perfusion, and smaller DTI-ALPS indices (all p < 0.05). CP volume was correlated with white matter hyperintensities, lacunes, and CSVD burden (r = 0.237, p = 0.028; r= 0.228, p = 0.034; r = 0.320, p= 0.003). CP volume and perfusion showed correlations with specific cognitive domains (all p < 0.05), including memory, attention, and visuospatial functions. Interestingly, the susceptibility and arterial transit time of CP were related to DTI-ALPS in HC group (β = 0.542,p= 0.047; β=-0.605,p = 0.015), while the correlation vanished in CSVD group.

conclusionThe CP showed structural and functional abnormalities, which was related to CSVD disease severity and cognitive status, highlighting CP-targeted interventions as a potential therapeutic strategy. The uncoupling between CP and DTI-ALPS in CSVD patients suggests disrupted fluid homeostasis, warranting further validation via direct glymphatic imaging.

Indexed as

Cerebral Small Vessel DiseasesChoroid PlexusMagnetic Resonance ImagingAgedCase-Control StudiesDiffusion Tensor ImagingFemaleHumansMaleMiddle AgedNeuropsychological TestsRetrospective StudiesSeverity of Illness IndexArterial spin labelingCerebral small vessel diseaseChoroid plexusCognitionGlymphatic systemQuantitative susceptibility mapping

Identifiers

PMID41801368

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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.