Evidence map›Paper›PMID 39893169›Full record

Trial reportNutrition & diabetes2025

Sequence of episodic memory-related behavioral and brain-imaging abnormalities in type 2 diabetes.

Bo Hu, Ying Yu, Xin-Wen Yu, Min-Hua Ni, Yan-Yan Cui, Xin-Yu Cao, Ai-Li Yang, Yu-Xin Jin, Sheng-Ru Liang, Si-Ning Li and 5 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Nutrition & diabetes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02420470 (The Early Warning System for the Central Nervous System Micro-structure Alterations During Early Diabetes Based on the Multi-mode MRIs), which is not on this 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.

NCT02420470 recruitingnot on this map

The Early Warning System for the Central Nervous System Micro-structure Alterations During Early Diabetes Based on the Multi-mode MRIs

TypeobservationalSponsorTang-Du HospitalRan2015 to 2026Enrolled300ConditionsDiabetes Mellitus Type 2, Mild Cognitive Impairment, Metabolic Syndrome X
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Stage-Aware Event-Based Modeling (SA-EBM) for Disease Progression.Proceedings of machine learning research · 2025
    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

15 authors.

Bo Hu *Department of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Ying Yu *Department of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Xin-Wen Yu *Department of Endocrinology, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Min-Hua NiDepartment of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Yan-Yan CuiDepartment of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Xin-Yu CaoDepartment of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Ai-Li YangDepartment of Endocrinology, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Yu-Xin JinDepartment of Endocrinology, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Sheng-Ru LiangDepartment of Endocrinology, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Si-Ning LiDepartment of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Pan DaiDepartment of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Ke WuDepartment of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Lin-Feng YanDepartment of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China.
Bin GaoDepartment of Endocrinology, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China. bingao0726@163.com.
Guang-Bin CuiDepartment of Radiology, Functional and Molecular Imaging Key Lab of Shaanxi Province, Tangdu Hospital, Air Force Medical University (Fourth Military Medical University), Xi'an, Shaanxi Province, China. cgbtd@126.com.ORCID 0000-0002-7935-9803

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82302148National Natural Science Foundation of China (National Science Foundation of China) 82471936
6 · The paper itself

Abstract

backgroundEpisodic memory decline is a common complication of type 2 diabetes (T2D). To comprehensively explore the neural mechanisms underlying it, we aimed to explore the sequence that episodic memory-related behavioral and brain-imaging biomarkers appear abnormal in the progression of T2D.

methodsWe enrolled 62 healthy controls and 110 patients with T2D. The California Verbal Learning Test, Montreal cognitive assessment, and Stroop color word test was used to assess the episodic memory, general cognitive function, and executive function. Principal component analysis was applied to extract behavioral biomarkers. Imaging biomarkers included structural and functional MRI features of the entorhinal cortex-hippocampus and hippocampus-anterior cingulate cortex pathways. We used a novel discriminative event-based model to determine the sequence that memory-related biomarkers appear abnormal and estimate the stage of memory decline.

resultsT2D patients exhibited poorer memory, general cognitive function, and executive function compared to healthy controls after controlling age, sex, and education level. In the progression of T2D, functional interaction between brain regions showed abnormalities first, followed by memory tests, the cerebral spontaneous neural activity, and finally the gray matter volume. Besides, abnormalities appeared earlier in the entorhinal cortex than in the anterior cingulate cortex. Later stage of memory decline was distributed in older patients with T2D and was associated with higher systolic blood pressure, postprandial blood glucose, and low-density lipoprotein.

conclusionsIn T2D, behavioral and brain imaging biomarkers of episodic memory appear abnormal in a specific sequence, and the stage of memory decline was closely associated with old age and vascular risk factors. CLINICAL

trial registrationNCT02420470, ClinicalTrials.gov ( https://www. CLINICALTRIALS: gov/ ).

Indexed as

BrainDiabetes Mellitus, Type 2Memory DisordersMemory, EpisodicAgedBiomarkersCase-Control StudiesCognitionExecutive FunctionFemaleHippocampusHumansMagnetic Resonance ImagingMaleMiddle AgedNeuropsychological TestsBiomarkers

Identifiers

PMID39893169
PMCPMC11787324

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.