Evidence map›Paper›PMID 42420504›Full record

ArticleCardiovascular and interventional radiology2026

Predictive Value of Baseline High-Resolution MRI Features for In-Stent Restenosis in Symptomatic Nonacute Intracranial Atherosclerotic Occlusion.

Chun Zhou, Ting Li, Yue-Zhou Cao, Zhen-Yu Jia, Lin-Bo Zhao, Xiao-Quan Xu, Hai-Bin Shi, Shan-Shan Lu, Sheng Liu

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In one paragraph

Article in Cardiovascular and interventional radiology, 2026. 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. Article
4 · The record

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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

9 authors.

Chun Zhou *Department of Interventional Radiology, The First Affiliated Hospital With Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China.
Ting Li *Department of Radiology, The First Affiliated Hospital With Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China.
Yue-Zhou CaoDepartment of Interventional Radiology, The First Affiliated Hospital With Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China.
Zhen-Yu JiaDepartment of Interventional Radiology, The First Affiliated Hospital With Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China.
Lin-Bo ZhaoDepartment of Interventional Radiology, The First Affiliated Hospital With Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China.
Xiao-Quan XuDepartment of Radiology, The First Affiliated Hospital With Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China.
Hai-Bin ShiDepartment of Interventional Radiology, The First Affiliated Hospital With Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China.
Shan-Shan LuDepartment of Radiology, The First Affiliated Hospital With Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China. lushan1118@163.com.
Sheng LiuDepartment of Interventional Radiology, The First Affiliated Hospital With Nanjing Medical University, 300 Guangzhou Road, Nanjing, 210029, China. liusheng@njmu.edu.cn.ORCID http://orcid.org/0000-0002-4058-4413

Funding

National Natural Science Foundation of China 82472085
6 · The paper itself

Abstract

purposeAmong symptomatic nonacute intracranial atherosclerotic occlusion (ICAO), endovascular recanalization has shown potential efficacy and acceptable periprocedural complications. However, the long-term benefits of stent implantation could be diminished by in-stent restenosis (ISR). This study aimed to investigate the association between radiological features on preoperative high-resolution MRI (HR-MRI) and ISR. MATERIALS AND

methodsWe retrospectively reviewed 103 patients with symptomatic nonacute ICAO who underwent stenting between January 2018 to December 2024 at our institution. Patients' clinical-hematological parameters, HR-MRI features and procedural results were collected. Potential factors related to ISR were analyzed by univariate and multivariate analyses.

resultsAt a median 4.1-month imaging follow-up, this study observed a ISR rate of 29.1% (30/103) after stenting for nonacute ICAO. Based on multivariate analysis, plaque enhancement amplitude (≥ 1.43 vs. < 1.43, OR 3.960 (95% CI 1.279-12.265); P = 0.017), lumen collapsibility index (≥ 29.3% vs. < 29.3%, OR 5.124 (95% CI 1.703-15.413); P = 0.004), and degree of residual stenosis after recanalization (≥ 20.6% vs. < 20.6%, OR 5.311 (95% CI 1.832-15.400); P = 0.002) were independent ISR predictors. Furthermore, from 0 to 3 of these risk factors, the incidence of ISR increased significantly (6.5%, 17.1%, 61.9%, and 80.0%, respectively; P < 0.001).

conclusionsIn symptomatic nonacute ICAO patients, the baseline HR-MRI features were identified valuable for predicting ISR and individualized intervention of these imaging features may be beneficial to reduce restenosis risk. Further research with larger sample sizes and long-term follow-up is needed to confirm these findings.

Indexed as

Endovascular ProceduresGraft Occlusion, VascularIntracranial ArteriosclerosisMagnetic Resonance ImagingStentsAgedFemaleHumansMaleMiddle AgedPredictive Value of TestsRecurrenceRetrospective StudiesIn-stent restenosisIntracranial atherosclerotic diseaseNonacute occlusionPredictorsRadiological features

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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.