Evidence map›Paper›PMID 41804724›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Evolution of cortical cerebral microinfarcts on 3T MRI: risk factors and clinical relevance.

Jiannan Huang, Christopher Chen, Wei Ying Tan, Jiangbo Cui, Eddie Jun Yi Chong, Narayanaswamy Venketasubramanian, Saima Hilal

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Jiannan HuangSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.ORCID 0000-0002-5160-5654
Christopher ChenDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Wei Ying TanSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.
Jiangbo CuiDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Eddie Jun Yi ChongDepartment of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Narayanaswamy VenketasubramanianRaffles Neuroscience Centre, Raffles Hospital, Singapore, Singapore.
Saima HilalSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore, Singapore.

Funding

Ministry of Education Singapore A-8003143-00-00National Medical Research Council ClinicianScientistAward,A-8003721-00-00National Medical Research Council NMRC/CG/013/2013National Medical Research Council NMRC/CG/NUHS/2010National Medical Research Council NMRC/CIRG/1485/2018National University of Singapore A-8000336-00-00
6 · The paper itself

Abstract

introductionCortical cerebral microinfarcts (CMIs) are associated with cognitive dysfunction and dementia, while their evolution on sequential magnetic resonance imaging (MRI) remains unclear.

methodsThe study enrolled 490 patients (72.5 ± 7.9 years) from a memory-clinic cohort, with 5-year follow-up. Cortical CMIs were graded at baseline and year 2 to identify incident lesions and other evolutionary patterns. Cognitive function was assessed annually. Clinical events, including dementia, stroke, and mortality, were recorded with time to event.

resultsForty-one (8.4%) patients showed incident cortical CMIs at year 2. Additionally, 12 had CMIs becoming invisible, and six showed CMIs incorporated into new large infarctions. Baseline cortical CMIs and large cortical infarcts showed the strongest association with incident CMIs. Incident cortical CMIs were associated with cognitive decline, white matter hyperintensity progression, and incident dementia, independent of prevalent lesions. DISCUSSION: Cortical CMI evolution may reflect dynamic changes in brain vascular pathology and represent a potential target for interventions aimed at preserving cognitive function.

Indexed as

Cerebral CortexCerebral InfarctionMagnetic Resonance ImagingAgedAged, 80 and overCognitive DysfunctionDementiaDisease ProgressionFemaleHumansMaleNeuropsychological TestsRisk Factorscerebral small vessel diseasecognitive dysfunctiondementiaepidemiologyneuroimaging

Identifiers

PMID41804724
PMCPMC12973131

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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.