Evidence map›Paper›PMID 21701012›Full record

ArticleAJR. American journal of roentgenology2011

Dynamic postprandial hepatic stiffness augmentation assessed with MR elastography in patients with chronic liver disease.

Meng Yin, Jayant A Talwalkar, Kevin J Glaser, Sudhakar K Venkatesh, Jun Chen, Armando Manduca, Richard L Ehman

Abstract read
In one paragraph

Article in AJR. American journal of roentgenology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
–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

63 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. MR Elastography: Practical Questions, From theAJR. American journal of roentgenology · 2024
    Review
  10. Liver fibrosis assessment: MR and US elastography.Abdominal radiology (New York) · 2022
    Review
  11. Article
  12. Review
  13. On the relationship between metabolic capacities andFrontiers in bioengineering and biotechnology · 2022
    Article
  14. Review
  15. Development of three-dimensional integral-type reconstruction formula for magnetic resonance elastography.International journal of computer assisted radiology and surgery · 2021
    Article
  16. Article
  17. Using MR elastography to assess portal hypertension and response to beta-blockers in patients with cirrhosis.Liver international : official journal of the International Association for the Study of the Liver · 2021
    Article
  18. MR elastography: Principles, guidelines, and terminology.Magnetic resonance in medicine · 2021
    Review
  19. Article
  20. Article

3 more citing papers are in PubMed but not listed here.

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

7 authors.

Meng YinDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA. yin.meng@mayo.edu
Jayant A Talwalkar
Kevin J Glaser
Sudhakar K Venkatesh
Jun Chen
Armando Manduca
Richard L Ehman

Funding

Magnetic Resonance ElastographyR37EB001981 · NIBIB · MAYO CLINIC ROCHESTER · PI EHMAN, RICHARD L. · 2016 to 2025
$4.0M
Magnetic Resonance ElastographyR01EB001981 · NIBIB · MAYO CLINIC ROCHESTER · PI EHMAN, RICHARD L. · 2003 to 2013
$3.1M
NIBIB NIH HHS EB001981NIBIB NIH HHS R01 EB001981NIBIB NIH HHS R37 EB001981
6 · The paper itself

Abstract

objectiveMR elastography (MRE) is an MRI-based technique for quantitatively assessing tissue stiffness by studying shear wave propagation through tissue. The goal of this study was to test the hypothesis that hepatic MRE performed before and after a meal will result in a postprandial increase in hepatic stiffness among patients with hepatic fibrosis because of transiently increased portal pressure. SUBJECTS AND

methodsTwenty healthy volunteers and 25 patients with biopsyproven hepatic fibrosis were evaluated. Preprandial MRE measurements were performed after overnight fasting. A liquid test meal was administered, and 30 minutes later a postprandial MRE acquisition was performed. Identical imaging parameters and analysis regions of interest were used for pre- and postprandial acquisitions.

resultsThe results in the 20 subjects without liver disease showed a mean stiffness change of 0.16 ± 0.20 kPa (range, -0.12 to 0.78 kPa) or 8.08% ± 10.33% (range, -5.36% to 41.7%). The hepatic stiffness obtained in the 25 patients with hepatic fibrosis showed a statistically significant increase in postprandial liver stiffness, with mean augmentation of 0.89 ± 0.96 kPa (range, 0.17-4.15 kPa) or 21.24% ± 14.98% (range, 7.69%-63.3%).

conclusionMRE-assessed hepatic stiffness elevation in patients with chronic liver disease has two major components: a static component reflecting structural change or fibrosis and a dynamic component reflecting portal pressure that can increase after a meal. These findings will provide motivation for further studies to determine the potential value of assessing postprandial hepatic stiffness augmentation for predicting the progression of fibrotic disease and the development of portal hypertension. The technique may also provide new insights into the natural history and pathophysiology of chronic liver disease.

Indexed as

Postprandial PeriodAdultAgedElasticity Imaging TechniquesElastic ModulusFemaleHumansLiverLiver CirrhosisMaleMiddle AgedReproducibility of ResultsSensitivity and SpecificityYoung Adult

Identifiers

PMID21701012
PMCPMC3151663

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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 OpenQuestion graph.