Evidence map›Paper›PMID 42657501›Full record

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

Dynamic imaging markers of incident microhemorrhages and superficial siderosis in the A4 study: A longitudinal person-interval analysis.

Callum Hill, Huw Morgan, Sofia Michopoulou, Mahesan Niranjan, Christopher M Kipps

Registry-linked trialAbstract 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. It is linked to trial NCT02008357 (Anti-Amyloid Treatment in Asymptomatic Alzheimer's Disease), which is not on this map. Not yet cited in PubMed.

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

NCT02008357 phase3completednot on this map

Anti-Amyloid Treatment in Asymptomatic Alzheimer's Disease (A4 Study)

TypeinterventionalSponsorEli Lilly and CompanyRan2014 to 2023Enrolled1,169ConditionsCognition DisordersArmsPlacebo, Solanezumab
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Callum HillClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0002-4352-1952
Huw MorganSchool of Electronics and Computer Science, University of Southampton, Southampton, UK.ORCID https://orcid.org/0009-0002-6936-7014
Sofia MichopoulouClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0003-1974-8388
Mahesan NiranjanSchool of Electronics and Computer Science, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0001-7021-140X
Christopher M KippsClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID https://orcid.org/0000-0002-5205-9712

Funding

National Institute for Health and Care ResearchUKRI Engineering and Physical Sciences Research Council Doctoral Landscape Award
6 · The paper itself

Abstract

introductionIncident microhemorrhages and superficial siderosis are hemorrhagic magnetic resonance imaging (MRI) abnormalities relevant to amyloid-related imaging abnormalities with hemosiderin deposition (ARIA-H) risk stratification, but evidence exploring their short-term dynamic predictors remains limited.

methodsWe analyzed longitudinal MRI data from the A4 study, constructing a discrete person-interval dataset for modeling the short-term risk of incident hemorrhagic MRI abnormalities. Models incorporated baseline covariates, alongside dynamic variables of recent microhemorrhage accumulation and current microhemorrhage burden. The outcome was defined as two or more new microhemorrhages or one or more new superficial siderosis between consecutive MRI scans.

resultsAmong 1069 participants (3647 intervals), 171 hemorrhagic events occurred. Both current burden (time-to-event: odds ratio [OR] 1.37, 95% confidence interval [CI] 1.09-1.73; all-event: OR 1.24, 95% CI: 1.04-1.49) and recent microhemorrhage accumulation were independently associated with an increased risk of hemorrhagic events (time-to-event: OR 1.83, 95% CI 1.01-3.30; all-event: OR 1.43, 95% CI: 1.00-2.04). DISCUSSION: Temporal imaging variables may provide independent prognostic information beyond baseline risk, supporting a dynamic model of hemorrhagic risk in Alzheimer's disease. CLINICAL

trial registrationClinical trial of Solanezumab for older individuals who may be at risk for memory loss (A4) (NCT02008357).

Indexed as

Alzheimer DiseaseBrainCerebral HemorrhageMagnetic Resonance ImagingSiderosisAgedFemaleHumansIncidenceLongitudinal StudiesMaleA4 StudyAlzheimer's diseaseamyloid‐related imaging abnormalitiesanti‐amyloid therapyARIA‐Hlongitudinal MRImicrohemorrhagerisk predictionsolanezumabsuperficial siderosis

Identifiers

PMID42657501
PMCPMC13519892

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.