Evidence map›Paper›PMID 36334103›Full record

ArticleEuropean radiology2023

Vessel wall enhancement as a predictor of arterial stenosis progression and poor outcomes in moyamoya disease.

Mingming Lu, Hongtao Zhang, Dongqing Liu, Fangbin Hao, Lichen Zhang, Peng Peng, Fei Yuan, Shitong Liu, Fugeng Sheng, Yuan Liu and 4 more

Abstract read
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In one paragraph

Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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.

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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  9. [Reconstruction of internal carotid artery in the resection of paraganglioma of head and neck].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024
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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

14 authors at 3 institutions in 1 country.

Mingming LuInstitute of Geriatrics, State Key Laboratory of Kidney Disease, Beijing Key Laboratory of Aging and Geriatrics, the Second Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Hongtao ZhangDepartment of Radiology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Dongqing LiuDepartment of Radiology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Fangbin HaoDepartment of Neurosurgery, Chinese PLA General Hospital, Beijing, 100853, China.
Lichen ZhangDepartment of Radiology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Peng PengDepartment of Radiology, Pingjin Hospital, Characteristic Medical Center of Chinese People's Armed Police Force, Tianjin, China.
Fei YuanDepartment of Radiology, Pingjin Hospital, Characteristic Medical Center of Chinese People's Armed Police Force, Tianjin, China.
Shitong LiuDepartment of Radiology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Fugeng ShengDepartment of Radiology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Yuan LiuDepartment of Radiology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Xihai ZhaoCenter for Biomedical Imaging Research, Department of Biomedical Engineering, Tsinghua University School of Medicine, Beijing, China.
Yao HeInstitute of Geriatrics, State Key Laboratory of Kidney Disease, Beijing Key Laboratory of Aging and Geriatrics, the Second Medical Center of Chinese PLA General Hospital, Beijing, 100853, China. yhe301@x263.net.
Cong HanDepartment of Neurosurgery, Chinese PLA General Hospital, Beijing, 100853, China. hc82225@126.com.
Jianming CaiDepartment of Radiology, the Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China. beili12345@sina.cn.ORCID http://orcid.org/0000-0002-3998-6335
Chinese PLA General Hospital · CNPingjin Hospital · CNTsinghua University · CN

Funding

National Natural Science Foundation of China 82001774Natural Science Foundation of Beijing Municipality 7212100Tianjin Science and Technology Project TJWJ2021MS043
6 · The paper itself

Abstract

objectivesThis study aimed to determine the association between vessel wall enhancement and progression of arterial stenosis and clinical outcomes in patients with moyamoya (MMD) using high-resolution magnetic resonance (HRMR) vessel wall imaging.

methodsConsecutive participants diagnosed with MMD were prospectively recruited and underwent HRMR at baseline and during follow-up, which had an interval period of ≥ 6 months and were clinically followed up for ≤ 24 months to record the occurrence of ischemic stroke. The relationship between vessel wall enhancement and arterial stenosis progression and stroke occurrence was evaluated.

resultsHRMR vessel wall imaging was used to identify 309 stenotic lesions at the internal carotid artery (ICA) in 170 participants (mean age: 37.7 ± 11.3 years old, male: 44.1%). The baseline presence (adjusted odds ratio [aOR] = 3.57, 95% CI = 1.97-6.44, p < 0.001) and progression (aOR = 2.96, 95% CI = 1.29-6.80, p = 0.010) of vessel wall enhancement and middle cerebral artery (MCA) involvement (aOR = 4.98, 95% CI = 1.50-16.52, p = 0.009) were significantly associated with rapid progression of arterial stenosis. Furthermore, vessel wall enhancement (adjusted HR = 3.59, 95% CI = 1.33-9.70, p = 0.011) and rapid progression of arterial stenosis (adjusted HR = 4.52, 95% CI = 1.48-13.81, p = 0.008) were correlated with future stroke occurrence.

conclusionThe baseline presence of vessel wall enhancement was associated with rapid progression of arterial stenosis and increased risk for stroke in MMD patients. Our findings suggest that vessel wall enhancement may serve as a predictor of disease progression and poor outcomes in MMD. KEY POINTS: • The baseline presence of vessel wall enhancement was significantly associated with the rapid progression of arterial stenosis. • The baseline presence of vessel wall enhancement and rapid progression of arterial stenosis were both correlated with increased risk for future occurrence of stroke. • Our findings suggest that vessel wall enhancement may serve as a predictor of rapid progression of arterial stenosis and poor outcomes in MMD patients.

Indexed as

Moyamoya DiseaseStrokeAdultConstriction, PathologicHumansMagnetic Resonance ImagingMaleMiddle AgedDisease progressionMagnetic resonance imagingMoyamoya diseasePrognosisStroke

Identifiers

PMID36334103
OpenAlexW4308253327

What Socratic holds

Textmetadata
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Registered trials

None linked

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.