Evidence map›Paper›PMID 39127616›Full record

ArticleBMC neurology2024

Prevalence and clinical implications of calcification in internal carotid artery stenosis: a retrospective study.

Fengli Fu, Xiaoli Liu, Rui Zhang, Siran Zhang, Jianhua Mao, Yan Li, Shu Wan, Shanhu Xu

Abstract read
In one paragraph

Article in BMC neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Endovascular treatment strategies in highly-calcified carotid stenoses.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2026
    Article
  2. Article
  3. Article
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

8 authors.

Fengli Fu *Radiology Department, Zhejiang Hospital, Hangzhou, 310030, China.
Xiaoli Liu *Neurology Department, Zhejiang Hospital, Hangzhou, 310030, China.
Rui ZhangThe Second School of Clinical Medicine, Zhejiang Chinese Medical School, Hangzhou, 310053, China.
Siran ZhangNeurology Department, Zhejiang Hospital, Hangzhou, 310030, China.
Jianhua MaoRadiology Department, Zhejiang Hospital, Hangzhou, 310030, China.
Yan LiNeurology Department, Zhejiang Hospital, Hangzhou, 310030, China.
Shu WanZhejiang Province Engineering Research Center for Precision Medicine in Cerebrovascular Diseases, Hangzhou, 310030, China. wanshu@zju.edu.cn.
Shanhu XuNeurology Department, Zhejiang Hospital, Hangzhou, 310030, China. coralxu@163.com.

Funding

Key Research and Development Project of Zhejiang Provincial Department of Science and Technology NO.2021C03105Medical Science and Technology Project of Zhejiang Province NO.2022KY468Medical Science and Technology Project of Zhejiang Province NO.2022KY484Special Support Program for High Level Talents of Zhejiang Province NO.2022R52038
6 · The paper itself

Abstract

backgroundCalcification is common in advanced atheromatous plaque, but its clinical significance remains unclear. This study aimed to assess the prevalence of plaque calcification in the moderate-to-severe internal carotid artery stenosis and investigate its relationship with ipsilateral ischemia.

methodsThe retrospective study included 178 patients detected with proximal internal carotid artery (pICA) stenosis of ≥ 50% on multidetector computed tomography at Zhejiang Hospital from January 2019 to March 2023. Association between plaque calcification characteristics (calcification thickness, position, type, circumferential extent, calcium volume and calcium score) and ipsilateral cerebrovascular events was analyzed.

resultsThe 178 patients (mean age 71.24 ± 10.02 years, 79.78% males) had 224 stenosed pICAs overall. Plaque calcification was noted in 200/224 (89.29%) arteries. Calcification rates were higher in older age-groups. Calcification volume (r = 0.219, p < 0.001) and calcification score (r = 0.230, p < 0.001) were correlated with age. Ipsilateral ischemic events were significantly more common in the noncalcification group than in the calcification group (χ

conclusionsPlaque calcification in proximal internal carotid artery is common, and prevalence increases with age. Calcification characteristics could be predictive of ipsilateral ischemic events. The positive rim sign within plaque is a high-risk factor for a future ischemic event.

Indexed as

Carotid Artery, InternalCarotid StenosisAgedAged, 80 and overCalcinosisFemaleHumansMaleMiddle AgedMultidetector Computed TomographyPlaque, AtheroscleroticPrevalenceRetrospective StudiesVascular CalcificationInternal carotid arteryIschemic strokeMultidetector computed tomographic angiographyPlaque calcificationPositive rim sign

Identifiers

PMID39127616
PMCPMC11316406

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.