Evidence map›Paper›PMID 21923935›Full record

Trial reportCardiovascular ultrasound2011

Videodensitometric analysis of advanced carotid plaque: correlation with MMP-9 and TIMP-1 expression.

Liz Andréa V Baroncini, Antonio Filho Pazin, Luiz Otávio Murta, Lia S Nakao, Simone G Ramos, Dalton B Précoma

Abstract readClinical TrialComparative Study
In one paragraph

Trial report in Cardiovascular ultrasound, 2011. 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

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

6 authors.

Liz Andréa V BaronciniDepartment of Health and Scienses - Pontificia Universidade Católica do Paraná, Rua Imaculada Conceição 1155, Curitiba, Paraná, CEP: 80215901, Brazil. lizandreabaroncini@hotmail.com
Antonio Filho Pazin
Luiz Otávio Murta
Lia S Nakao
Simone G Ramos
Dalton B Précoma

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMatrix metalloproteinase-9 (MMP-9) and tissue inhibitor of MMP (TIMP) promote derangement of the extracellular matrix, which is ultimately reflected in plaque images seen on ultrasound. Videodensitometry can identify structural disturbances in plaques.

objectivesTo establish the correlations between values determined using videodensitometry in B-mode ultrasound images of advanced carotid plaques and the total expression of MMP-9 and TIMP-1 in these removed plaques.

methodsThirty patients underwent ultrasonic tissue characterization of carotid plaques before surgery, using mean gray level (MGL), energy, entropy and homogeneity. Each patient was assigned preoperatively to one of 2 groups: group I, symptomatic patients (n = 16; 12 males; mean age 66.7 ± 6.8 years), and group II, asymptomatic patients (n = 14; 8 males; mean age 67.6 ± 6.81 years). Tissue specimens were analyzed for MMP-9 and TIMP-1 expression. Nine carotid arteries were used as normal tissue controls.

resultsMMP-9 expression levels were elevated in group II and in normal tissues compared to group I (p < 0.001). TIMP-1 levels were higher in group II than in group I, and significantly higher in normal tissues than in group I (p = 0.039). The MGL was higher in group II compared to group I (p = 0.038). Energy had greater values in group II compared to group I (p = 0.02). There were no differences between patient groups in homogeneity and entropy. Energy positively correlated with MMP-9 and TIMP-1 expression (p = 0.012 and p = 0.031 respectively). Homogeneity positively correlated with MMP-9 and TIMP-1 expression (p = 0.034 and p = 0.047 respectively). There were no correlations between protein expression and MGL or entropy.

conclusionsVideodensitometric computer analysis of ultrasound scanning images can be used to identify stable carotid plaques, which have higher total expression levels of MMP-9 and TIMP-1 than unstable plaques.

Indexed as

AgedBlotting, WesternCarotid ArteriesCarotid StenosisDensitometryEndarterectomy, CarotidFemaleHumansMaleMatrix Metalloproteinase 9Middle AgedSeverity of Illness IndexTissue Inhibitor of Metalloproteinase-1UltrasonographyVideotape RecordingMatrix Metalloproteinase 9TIMP1 protein, humanTissue Inhibitor of Metalloproteinase-1

Identifiers

PMID21923935
PMCPMC3182957

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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 OpenQuestion graph.