Evidence map›Paper›PMID 21406626›Full record

ArticleRadiology2011

Detection of inflammatory arthritis by using hyperpolarized 13C-pyruvate with MR imaging and spectroscopy.

John D MacKenzie, Yi-Fen Yen, Dirk Mayer, James S Tropp, Ralph E Hurd, Daniel M Spielman

Abstract read
In one paragraph

Article in Radiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
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

38 citing papers in PubMed, 55 citations in OpenAlex.

  1. Quo Vadis HyperpolarizedZeitschrift fur medizinische Physik · 2025
    Review
  2. First in-human evaluation of [1-Magnetic resonance in medicine · 2024
    Article
  3. Article
  4. Article
  5. pH Dependence ofPharmaceuticals (Basel, Switzerland) · 2021
    Article
  6. HyperpolarizedNMR in biomedicine · 2021
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. HyperpolarizedNMR in biomedicine · 2019
    Article
  12. Article
  13. Article
  14. HyperpolarizedRadiology · 2019
    Review
  15. Increased hyperpolarized [1-NMR in biomedicine · 2018
    Article
  16. Article
  17. HyperpolarizedProceedings of the National Academy of Sciences of the United States of America · 2017
    Article
  18. Combining hyperpolarizedMagnetic resonance in medicine · 2017
    Article
  19. Article
  20. PreliminaryContrast media & molecular imaging · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

John D MacKenzieDepartment of Radiology, Stanford University, Stanford, Calif, USA.
Yi-Fen Yen
Dirk Mayer
James S Tropp
Ralph E Hurd
Daniel M Spielman
Applied Sciences Laboratory (United States) · USStanford University · US

Funding

X-RAY COMPATIBLE RF-COIL FOR MR IMAGINGP41RR009784 · NCRR · STANFORD UNIVERSITY · PI GLOVER, GARY H · 1995 to 2011
$15.0M
Metabolic Imaging of the Cardioprotective Effects of Alcohol and ALDH2 ActivatorsR01AA018681 · NIAAA · STANFORD UNIVERSITY · PI SPIELMAN, DANIEL M · 2010 to 2013
$1.9M
Dynamic Metabolic Imaging of Hyperpolarized SubstratesR01EB009070 · NIBIB · UNIVERSITY OF MARYLAND BALTIMORE · PI MAYER, DIRK · 2009 to 2012
$1.6M
NCRR NIH HHS P41 RR009784NCRR NIH HHS RR09784NIAAA NIH HHS AA018681NIAAA NIH HHS R01 AA018681NIBIB NIH HHS EB009070NIBIB NIH HHS R01 EB009070PHS HHS 2674-2
6 · The paper itself

Abstract

purposeTo examine the feasibility of using magnetic resonance (MR) spectroscopy with hyperpolarized carbon 13 ((13)C)-labeled pyruvate to detect inflammation. MATERIALS AND

methodsThe animal care and use committee approved all work with animals. Arthritis was induced in the right hind paw of six rats; the left hind paw served as an internal control. The lactate dehydrogenase-catalyzed conversion of pyruvate to lactate was measured in inflamed and control paws by using (13)C MR spectroscopy. Clinical and histologic data were obtained to confirm the presence and severity of arthritis. Hyperpolarized (13)C-pyruvate was intravenously injected into the rats before simultaneous imaging of both paws with (13)C MR spectroscopy. The Wilcoxon signed rank test was used to test for differences in metabolites between the control and arthritic paws.

resultsAll animals showed findings of inflammation in the affected paws and no signs of arthritis in the control paws at both visible inspection (clinical index of 3 for arthritic paws and 0 for control paws) and histologic examination (histologic score of 3-5 for arthritic paws and 0 for control paws). Analysis of the spectroscopic profiles of (13)C-pyruvate and converted (13)C-lactate showed an increase in the amount of (13)C-lactate in inflamed paws (median lactate-to-pyruvate ratio, 0.50; mean lactate-to-pyruvate ratio ± standard deviation, 0.52 ± 0.16) versus control paws (median lactate-to-pyruvate ratio, 0.27; mean lactate-to-pyruvate ratio, 0.32 ± 0.11) (P < .03). The ratio of (13)C-lactate to total (13)C was also significantly increased in inflamed paws compared with control paws (P < .03).

conclusionThese results suggest that alterations in the conversion of pyruvate to lactate as detected with (13)C-MR spectroscopy may be indicative of the presence of inflammatory arthritis.

Indexed as

AnimalsArthritis, ExperimentalBiomarkersCarbon IsotopesContrast MediaDisease Models, AnimalGadoliniumHeterocyclic CompoundsInflammationLactic AcidMagnetic Resonance SpectroscopyOrganometallic CompoundsPyruvatesRatsRats, Sprague-DawleyStatistics, NonparametricBiomarkersCarbon IsotopesContrast MediaGadoliniumgadoteridolHeterocyclic CompoundsLactic AcidOrganometallic CompoundsPyruvates

Identifiers

PMID21406626
PMCPMC3079121
OpenAlexW2138723517

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.