Evidence map›Paper›PMID 41149263›Full record

ArticleJournal of cardiovascular development and disease2025

Clinical, Imaging, and Serum Biomarker Predictors of Malignant Cerebral Infarction.

Alejandro Rodríguez-Vázquez, Salvatore Rudilosso, Antonio Doncel-Moriano, Andrea Cabero-Arnold, Carlos Laredo, Darío Ramis, David Moraleja, Mònica Serrano, Yolanda González-Romero, Arturo Renú and 7 more

Abstract read
In one paragraph

Article in Journal of cardiovascular development and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

17 authors.

Alejandro Rodríguez-VázquezFaculty of Medicine, Universitat de Barcelona, 170 Villarroel, 08036 Barcelona, Spain.ORCID 0000-0002-3448-9778
Salvatore RudilossoDepartment of Neurology, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.ORCID 0000-0002-8775-6884
Antonio Doncel-MorianoFaculty of Medicine, Universitat de Barcelona, 170 Villarroel, 08036 Barcelona, Spain.
Andrea Cabero-ArnoldFaculty of Medicine, Universitat de Barcelona, 170 Villarroel, 08036 Barcelona, Spain.ORCID 0009-0004-0281-6991
Carlos LaredoFundació de Recerca Clínic Barcelona-Institut d'Investigacions Biomèdiques August Pi i Sunyer (FRCB-IDIBAPS), 08036 Barcelona, Spain.ORCID 0000-0002-4626-6360
Darío RamisDepartment of Neurology, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.ORCID 0009-0008-9569-9972
David MoralejaDepartment of Neurology, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.
Mònica SerranoDepartment of Neurology, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.
Yolanda González-RomeroDepartment of Neurology, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.
Arturo RenúDepartment of Neurology, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.ORCID 0000-0001-9169-6856
Inés Bartolomé-ArenasDepartment of Neurology, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.
Irene Rosa-BatlleDepartment of Neurology, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.ORCID 0009-0007-9454-9625
Guillem DolzDepartment of Radiology, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.ORCID 0009-0002-7712-0193
Ramón TornéFundació de Recerca Clínic Barcelona-Institut d'Investigacions Biomèdiques August Pi i Sunyer (FRCB-IDIBAPS), 08036 Barcelona, Spain.ORCID 0000-0001-7932-2528
Martha VargasDepartment of Neurology, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.
Xabier UrraFaculty of Medicine, Universitat de Barcelona, 170 Villarroel, 08036 Barcelona, Spain.
Ángel ChamorroFaculty of Medicine, Universitat de Barcelona, 170 Villarroel, 08036 Barcelona, Spain.

Funding

European Social Fund The ESF - Investing in your futureInstituto de Salud Carlos III CM22/00068Instituto de Salud Carlos III INT22/00043Instituto de Salud Carlos III JR21/00011Instituto de Salud Carlos III PI21/00966Instituto de Salud Carlos III RD 24/0009/002
6 · The paper itself

Abstract

Malignant cerebral infarction (MCI) is rare but often fatal. Early identification helps guide monitoring and decompressive surgery. This study evaluated whether serum biomarkers add predictive value beyond clinical and imaging data in severe stroke patients with anterior circulation large vessel occlusion (LVO). In this prospective study, 73 acute severe LVO stroke patients underwent whole-brain CT perfusion (CTP) with rCBV-based core measurement at admission and follow-up MRI at 24 ± 12 h for infarct and edema volume assessment. Serum biomarkers (s100b, NSE, VEGF, ICAM1) were sampled a median of 20.5 h after baseline imaging. Logistic regression models predicted MCI using baseline variables (NIHSS, ASPECTS, rCBV < 30%), adding treatment data (rtPA, mTICI, NIHSS posttreatment), and adding serum biomarkers. Performance was assessed by AUC, accuracy, F1, and cross-validated R

Indexed as

biomarkerscerebral edemaCT perfusionlarge vessel occlusionmalignant cerebral infarctionpredictive modelling

Identifiers

PMID41149263
PMCPMC12563578

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.