Evidence map›Paper›PMID 33947394›Full record

SynthesisBMC medicine2021

Functional connectivity changes in cerebral small vessel disease - a systematic review of the resting-state MRI literature.

Maximilian Schulz, Caroline Malherbe, Bastian Cheng, Götz Thomalla, Eckhard Schlemm

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07372937 (Investigating Neural Correlates of Gait Abnormalities in Patients With Cerebral Small Vessel Disease), which is not on this map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 5% of its field
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.

NCT07372937 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Investigating Neural Correlates of Gait Abnormalities in Patients With Cerebral Small Vessel Disease

TypeobservationalSponsorAin Shams UniversityRan2026 to 2027Enrolled40ConditionsCerebral Small Vessel DiseaseArmsNo Intervention: Observational
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Maximilian SchulzDepartment of Neurology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Caroline MalherbeDepartment of Neurology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Bastian ChengDepartment of Neurology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Götz ThomallaDepartment of Neurology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Eckhard SchlemmDepartment of Neurology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany. e.schlemm@uke.de.ORCID 0000-0002-5729-2935
Universität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebral small vessel disease (CSVD) is a common neurological disease present in the ageing population that is associated with an increased risk of dementia and stroke. Damage to white matter tracts compromises the substrate for interneuronal connectivity. Analysing resting-state functional magnetic resonance imaging (fMRI) can reveal dysfunctional patterns of brain connectivity and contribute to explaining the pathophysiology of clinical phenotypes in CSVD. MATERIALS AND

methodsThis systematic review provides an overview of methods and results of recent resting-state functional MRI studies in patients with CSVD. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) protocol, a systematic search of the literature was performed.

resultsOf 493 studies that were screened, 44 reports were identified that investigated resting-state fMRI connectivity in the context of cerebral small vessel disease. The risk of bias and heterogeneity of results were moderate to high. Patterns associated with CSVD included disturbed connectivity within and between intrinsic brain networks, in particular the default mode, dorsal attention, frontoparietal control, and salience networks; decoupling of neuronal activity along an anterior-posterior axis; and increases in functional connectivity in the early stage of the disease.

conclusionThe recent literature provides further evidence for a functional disconnection model of cognitive impairment in CSVD. We suggest that the salience network might play a hitherto underappreciated role in this model. Low quality of evidence and the lack of preregistered multi-centre studies remain challenges to be overcome in the future.

Indexed as

Cerebral Small Vessel DiseasesCognitive DysfunctionStrokeBrainHumansMagnetic Resonance ImagingBrain networkCerebral small vessel diseaseCognitionFunctional connectivityMagnetic resonance imagingPatho-connectomicsResting stateRisk of biasSystematic review

Identifiers

PMID33947394
PMCPMC8097883
OpenAlexW3157817175

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.