Skip to main content

Main menu

  • Online first
    • Online first
  • Current issue
    • Current issue
  • Archive
    • Archive
  • Submit a paper
    • Online submission site
    • Instructions for authors
  • About the journal
    • About the journal
    • Editorial board
    • Instructions for authors
    • FAQs
    • Chinese Stroke Association
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
  • BMJ Journals

User menu

  • Login

Search

  • Advanced search
  • BMJ Journals
  • Login
  • Facebook
  • Twitter
Stroke and Vascular Neurology

Advanced Search

  • Online first
    • Online first
  • Current issue
    • Current issue
  • Archive
    • Archive
  • Submit a paper
    • Online submission site
    • Instructions for authors
  • About the journal
    • About the journal
    • Editorial board
    • Instructions for authors
    • FAQs
    • Chinese Stroke Association
  • Help
    • Contact us
    • Feedback form
    • Reprints
    • Permissions
    • Advertising
Open Access

Definitions of white matter hyperintensity change: impact on estimates of progression and regression

Angela C C Jochems, Susana Muñoz Maniega, Una Clancy, Carmen Arteaga Reyes, Daniela Jaime Garcia, Maria del C. Valdés Hernández, Francesca M Chappell, Gayle Barclay, Charlotte Jardine, Donna McIntyre, Iona Gerrish, Stewart Wiseman, Michael S Stringer, Michael J Thrippleton, Fergus Doubal, Joanna M Wardlaw
DOI: 10.1136/svn-2024-003300 Published 2 October 2024
Angela C C Jochems
1UK Dementia Research Institute at the University of Edinburgh, Edinburgh, UK
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Angela C C Jochems
Susana Muñoz Maniega
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
3The University of Edinburgh, Edinburgh Imaging Facility, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Una Clancy
1UK Dementia Research Institute at the University of Edinburgh, Edinburgh, UK
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Una Clancy
Carmen Arteaga Reyes
1UK Dementia Research Institute at the University of Edinburgh, Edinburgh, UK
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Carmen Arteaga Reyes
Daniela Jaime Garcia
1UK Dementia Research Institute at the University of Edinburgh, Edinburgh, UK
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Maria del C. Valdés Hernández
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
3The University of Edinburgh, Edinburgh Imaging Facility, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Francesca M Chappell
1UK Dementia Research Institute at the University of Edinburgh, Edinburgh, UK
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Gayle Barclay
3The University of Edinburgh, Edinburgh Imaging Facility, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Charlotte Jardine
3The University of Edinburgh, Edinburgh Imaging Facility, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Donna McIntyre
3The University of Edinburgh, Edinburgh Imaging Facility, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Iona Gerrish
3The University of Edinburgh, Edinburgh Imaging Facility, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Stewart Wiseman
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
3The University of Edinburgh, Edinburgh Imaging Facility, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michael S Stringer
1UK Dementia Research Institute at the University of Edinburgh, Edinburgh, UK
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Michael S Stringer
Michael J Thrippleton
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
3The University of Edinburgh, Edinburgh Imaging Facility, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Fergus Doubal
1UK Dementia Research Institute at the University of Edinburgh, Edinburgh, UK
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Fergus Doubal
Joanna M Wardlaw
1UK Dementia Research Institute at the University of Edinburgh, Edinburgh, UK
2Centre for Clinical Brain Sciences, The University of Edinburgh, Edinburgh, UK
3The University of Edinburgh, Edinburgh Imaging Facility, Edinburgh, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Joanna M Wardlaw
  • Article
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF
Loading

Article Figures & Data

Tables

  • Supplementary Materials
  • Additional Files
  • Table 1

    Overview of the four existing approaches to define WMH change

    ApproachRegressionStableProgression
    Threshold 112Decrease>0.25 mLVolumes from −0.25 mL up to 1 SD (of mean WMH volume change)Increase >1 SD (of mean WMH volume change)
    Threshold 23Decrease>0.25 mLVolumes from −0.25 mL up to +0.25 mLIncrease >0.25 mL
    Percentile4Percentiles below the −10th percentile of no changePercentile of no volume change ±10 percentilesPercentiles above the +10th percentile of no change
    Quintile7Data are divided in quintiles reflecting any net volume change. Quintile 1 (Q1): most volume decrease; quintile 5 (Q5): most volume increase
    • WMH, white matter hyperintensity.

  • Table 2

    Participant distribution and WMH volume change (mL) after applying the four approaches to one dataset

    ApproachN (%) regressionRegressing WMH change (mL)N (%) stableStable WMH change (mL)N (%) progressionProgressing WMH change (mL)
    Threshold 1
    Mean volume (SD), (range)59
    (29.8)
    −1.36 (1.42)
    (−7.98 to –0.26)
    110
    (55.6)
    0.86 (0.89)
    (−0.23, 2.81)
    29
    (14.6)
    6.22 (3.07)
    (2.88, 12.84)
    Threshold 2
    Mean volume (SD), (range)59
    (29.8)
    −1.36 (1.42)
    (−7.98 to –0.26)
    33
    (16.7)
    −0.02 (0.14)
    (−0.23, 0.22)
    106
    (53.5)
    2.59 (2.82)
    (0.25, 12.84)
    Percentile
    Mean volume (SD), (range)56
    (28.3)
    −1.42 (1.43)
    (−7.98 to –0.33)
    42
    (21.2)
    −0.01 (0.18)
    (−0.28, 0.30)
    100
    (50.5)
    2.73 (2.85)
    (0.32, 12.84)
    QuintileQ1
    (N=40)
    Q2
    (N=40)
    Q3
    (N=40)
    Q4
    (N=39)
    Q5
    (N=39)
    Mean (SD), (range)−1.79 (1.54)
    (−7.98 to –0.68)
    −0.27 (0.20)
    (−0.65, 0.03)
    0.35 (0.18)
    (0.04, 0.70)
    1.43 (0.48)
    (0.75, 2.33)
    5.31 (3.07)
    (2.43, 12.84)
    • Q, quintile; WMH, white matter hyperintensity.

Supplementary Materials

  • Tables
  • Additional Files
  • Supplementary data

    [svn-2024-003300supp001.pdf]

Additional Files

  • Tables
  • Supplementary Materials
  • Supplementary Data

    This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content.

    • Data supplement 1
PreviousNext
Back to top
Vol 10 Issue 1 Table of Contents
Stroke and Vascular Neurology: 10 (1)
  • Table of Contents
  • Table of Contents (PDF)
  • About the Cover
  • Index by author
  • Ed Board (PDF)
Email

Thank you for your interest in spreading the word on Stroke and Vascular Neurology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Definitions of white matter hyperintensity change: impact on estimates of progression and regression
(Your Name) has sent you a message from Stroke and Vascular Neurology
(Your Name) thought you would like to see the Stroke and Vascular Neurology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Print
Alerts
Sign In to Email Alerts with your Email Address
Citation Tools
Definitions of white matter hyperintensity change: impact on estimates of progression and regression
Angela C C Jochems, Susana Muñoz Maniega, Una Clancy, Carmen Arteaga Reyes, Daniela Jaime Garcia, Maria del C. Valdés Hernández, Francesca M Chappell, Gayle Barclay, Charlotte Jardine, Donna McIntyre, Iona Gerrish, Stewart Wiseman, Michael S Stringer, Michael J Thrippleton, Fergus Doubal, Joanna M Wardlaw
Stroke and Vascular Neurology Oct 2024, svn-2024-003300; DOI: 10.1136/svn-2024-003300

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Cite This
  • APA
  • Chicago
  • Endnote
  • MLA
Loading
Definitions of white matter hyperintensity change: impact on estimates of progression and regression
Angela C C Jochems, Susana Muñoz Maniega, Una Clancy, Carmen Arteaga Reyes, Daniela Jaime Garcia, Maria del C. Valdés Hernández, Francesca M Chappell, Gayle Barclay, Charlotte Jardine, Donna McIntyre, Iona Gerrish, Stewart Wiseman, Michael S Stringer, Michael J Thrippleton, Fergus Doubal, Joanna M Wardlaw
Stroke and Vascular Neurology Oct 2024, svn-2024-003300; DOI: 10.1136/svn-2024-003300
Download PDF

Share
Definitions of white matter hyperintensity change: impact on estimates of progression and regression
Angela C C Jochems, Susana Muñoz Maniega, Una Clancy, Carmen Arteaga Reyes, Daniela Jaime Garcia, Maria del C. Valdés Hernández, Francesca M Chappell, Gayle Barclay, Charlotte Jardine, Donna McIntyre, Iona Gerrish, Stewart Wiseman, Michael S Stringer, Michael J Thrippleton, Fergus Doubal, Joanna M Wardlaw
Stroke and Vascular Neurology Oct 2024, svn-2024-003300; DOI: 10.1136/svn-2024-003300
Reddit logo Twitter logo Facebook logo Mendeley logo
Respond to this article
  • Tweet Widget
  • Facebook Like
  • Google Plus One
  • Article
    • Abstract
    • Introduction
    • Methods
    • Statistical analysis
    • Results
    • Discussion
    • Ethics statements
    • Footnotes
    • References
  • Figures & Data
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

Cited By...

More in this TOC Section

  • Intensity of statin therapy after ischaemic stroke and long-term outcomes: a nationwide cohort study
  • Sex differences in the epidemiology of spontaneous and traumatic cervical artery dissections
Show more Short report

Similar Articles

 
 

CONTENT

  • Latest content
  • Current issue
  • Archive
  • eLetters
  • Sign up for email alerts
  • RSS

JOURNAL

  • About the journal
  • Editorial board
  • Recommend to librarian
  • Chinese Stroke Association

AUTHORS

  • Instructions for authors
  • Submit a paper
  • Track your article
  • Open Access at BMJ

HELP

  • Contact us
  • Reprints
  • Permissions
  • Advertising
  • Feedback form

© 2025 Chinese Stroke Association