Evidence map›Paper›PMID 41229085›Full record

ArticleJournal of neuroimaging : official journal of the American Society of Neuroimaging

Perfusion Territory Shifts in Cerebrovascular Diseases Measured by Super-Selective Arterial Spin Labeling.

Gabriel Hoffmann, Miriam Reichert, Jens Göttler, Michael Helle, Lena Schmitzer, Moritz Hernandez Petzsche, Claus Zimmer, Christine Preibisch, Michael Kallmayer, Kornelia Kreiser and 3 more

Abstract read
In one paragraph

Article in Journal of neuroimaging : official journal of the American Society of Neuroimaging. 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. Review
  2. Article
  3. Perfusion Territory Shifts in Cerebrovascular Diseases Measured by Super-Selective Arterial Spin Labeling.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    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

13 authors.

Gabriel HoffmannDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.ORCID https://orcid.org/0000-0002-5233-7532
Miriam ReichertDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Jens GöttlerDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Michael HellePhilips Innovative Technologies, Hamburg, Germany.
Lena SchmitzerDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Moritz Hernandez PetzscheDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Claus ZimmerDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Christine PreibischDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Michael KallmayerDepartment of Vascular and Endovascular Surgery, School of Medicine and Health, TUM, Munich, Germany.
Kornelia KreiserDepartment of Radiology and Neuroradiology, Universitäts- und Rehabilitationskliniken Ulm, Ulm, Germany.
Nico SollmannDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.ORCID https://orcid.org/0000-0002-8120-2223
Hans LieblDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.
Stephan KaczmarzDepartment of Diagnostic and Interventional Neuroradiology, School of Medicine and Health, Technical University of Munich (TUM), Munich, Germany.

Funding

Dr.-Ing. Leonhard Lorenz-Stiftung 971/19Evangelisches Studienwerk Villigst Personal grant to G.H.German Research Foundation (DFG) 395030489German Research Foundation (DFG) 547163214
6 · The paper itself

Abstract

background and purposeIndividualized diagnostic approaches are crucial in cerebrovascular diseases, such as internal carotid artery stenosis (ICAS). To evaluate individual collateral blood supply, vessel-selective imaging has gained high relevance. However, clinically established digital subtraction angiography (DSA) exposes patients to intervention risks and radiation. Two noninvasive MRI-based alternatives are super-selective pseudo-continuous arterial spin labeling (ss-pCASL, a technique for selective labeling of arterial blood-water) for perfusion territory mapping and four-dimensional vessel-selective angiography (4D-sPACK). We hypothesized that asymptomatic atherosclerosis-induced ICAS and Moyamoya disease result in chronic malperfusion. Therefore, we aimed towards quantitative assessment of collateral blood flow by ss-pCASL.

methodsIn this prospective monocentric study, we acquired data in three subgroups (n = 23): patients with asymptomatic unilateral atherosclerosis-induced ICAS, Moyamoya disease, and age-matched healthy controls (HCs). On the basis of vascular territories from ss-pCASL, we introduced four parameters: volume, territorial shift, overlap with an atlas, and cerebral blood flow (CBF). For patients with atherosclerosis-induced ICAS, ipsi- and contralateral hemispheres were compared (paired t-test), and hemispheric lateralization Δ was calculated subjectwise and compared between patients and HCs (unpaired t-test) (p < 0.05).

resultsWe included data from 20 subjects (8 ICAS, 3 Moyamoya, 9 HC). Group-level results showed ICAS-induced shifts with significant lateralization compared to HCs (Δ

conclusionPerfusion territory mapping by ss-pCASL revealed chronic malperfusion in asymptomatic ICAS that can be objectively quantified, and 4D-sPACK added diagnostic value similar to DSA.

Indexed as

Carotid StenosisCerebrovascular CirculationCerebrovascular DisordersMagnetic Resonance AngiographyMoyamoya DiseaseAdultAgedAngiography, Digital SubtractionCollateral CirculationFemaleHumansMaleMiddle AgedProspective StudiesSpin LabelsSpin Labelsangiographycerebrovascular diseasesmagnetic resonance imagingsuper‐selective arterial spin labelingvascular territories

Identifiers

PMID41229085
PMCPMC12612567

What Socratic holds

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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.