Evidence map›Paper›PMID 23871886›Full record

ArticleJournal of the American College of Cardiology2013

Evaluation of age-related interstitial myocardial fibrosis with cardiac magnetic resonance contrast-enhanced T1 mapping: MESA (Multi-Ethnic Study of Atherosclerosis).

Chia-Ying Liu, Yuan-Chang Liu, Colin Wu, Anderson Armstrong, Gustavo J Volpe, Rob J van der Geest, Yongmei Liu, William G Hundley, Antoinette S Gomes, Songtao Liu and 3 more

Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of the American College of Cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02517944 (MYOCARDIAL SILENT INFARCTIONS AND FIBROSIS IN FAMILIAL HYPERCHOLESTEROLEMIA), which is not on this map. Cited by 194 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
194citing papers in PubMed, 2 pooled it
26.5field-weighted citation impact, top 1% 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.

NCT02517944 unknown statusnot on this mapstarted 2014, after this paper: background citation

Myocardial silent infarctions and fibrosis in familial hypercholesterolemia

Typeobservational_patient_registrySponsorInstitute of Cardiometabolism and Nutrition, FranceRan2014 to 2015Enrolled110ConditionsFamilial Hypercholesterolemia - Heterozygous
3 · Its place in the literature

Who cites it

194 citing papers in PubMed, 2 syntheses or guidelines pooled it, 339 citations in OpenAlex.

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  11. Reference ranges for myocardial native T1, T2, and extracellular volume at 5.0T cardiac magnetic resonance imaging in healthy adults.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2026
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  16. Aging-Induced QT Prolongation as a Potential Contributor to Longevity.Journal of cardiovascular development and disease · 2026
    Review
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134 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 3 countries.

Chia-Ying LiuDepartment of Radiology, Johns Hopkins University, Baltimore, Maryland; Radiology and Imaging Sciences, National Institutes of Health, Bethesda, Maryland.
Yuan-Chang LiuDepartment of Radiology, Johns Hopkins University, Baltimore, Maryland; Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou, College of Medicine, Chang Gung University, Taipei, Taiwan; Cardiology Division, Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland.
Colin WuOffice of Biostatistics, National Heart, Lung, and Blood Institute, Bethesda, Maryland.
Anderson ArmstrongCardiology Division, Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland.
Gustavo J VolpeCardiology Division, Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland.
Rob J van der GeestDepartment of Radiology, Leiden University Medical Center, Leiden, the Netherlands.
Yongmei LiuDepartment of Epidemiology and Prevention, Wake Forest University, Winston-Salem, North Carolina.
William G HundleyDepartment of Internal Medicine, Wake Forest University, Winston-Salem, North Carolina.
Antoinette S GomesDepartment of Medicine, University of California, Los Angeles, Los Angeles, California.
Songtao LiuRadiology and Imaging Sciences, National Institutes of Health, Bethesda, Maryland.
Marcelo NacifDepartment of Radiology, Johns Hopkins University, Baltimore, Maryland; Radiology and Imaging Sciences, National Institutes of Health, Bethesda, Maryland.
David A BluemkeDepartment of Radiology, Johns Hopkins University, Baltimore, Maryland; Radiology and Imaging Sciences, National Institutes of Health, Bethesda, Maryland; Cardiology Division, Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland.
João A C LimaDepartment of Radiology, Johns Hopkins University, Baltimore, Maryland; Cardiology Division, Department of Medicine, Johns Hopkins Hospital, Baltimore, Maryland. Electronic address: jlima@jhmi.edu.
National Institutes of Health · USJohns Hopkins University · USJohns Hopkins Hospital · USLeiden University Medical Center · NLNational Heart Lung and Blood Institute · USUniversity of California, Los Angeles · USWake Forest University · US

Funding

Molecular Biomedical Imaging Laboratory (NIBIB)ZIAEB000072 · NIBIB · NATIONAL INSTITUTE OF BIOMEDICAL IMAGING AND BIOENGINEERING · PI BLUEMKE, DAVID · 2010 to 2017
$5.0M
SUBCLINICAL CARDIOVASCULAR DISEASE STUDYN01HC095166 · HC · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI TRACY, RUSSELL P · 1999 to 2001
$758k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY-FIELD CENTERN01HC095162 · HC · JOHNS HOPKINS UNIVERSITY · PI SZKLO, MOYSES A · 1999 to 2000
$694k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--FIELD CENTERN01HC095161 · HC · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHEA, STEVEN · 1999 to 2001
$642k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--FIELD CENTERN01HC095165 · HC · WAKE FOREST UNIVERSITY · PI BURKE, GREGORY L · 1999 to 2001
$616k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--FIELD CENTERN01HC095160 · HC · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SAAD, MOHAMMED F · 1999 to 2001
$592k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY-FIELD CENTERN01HC095164 · HC · NORTHWESTERN UNIVERSITY · PI LIU, KIANG JOHN · 1999 to 2001
$511k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--FIELD CENTERN01HC095163 · HC · UNIVERSITY OF MINNESOTA TWIN CITIES · PI FOLSOM, AARON R · 1999 to 2001
$443k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDYN01HC095168 · HC · JOHNS HOPKINS UNIVERSITY · PI BLUEMKE, DAVID A. · 1999 to 2000
$375k
SUBCLINICAL CARDIOVASCULAR DISEASE COORDINATING CENTER-N01HC95159-268095159N01HC095159 · HC · UNIVERSITY OF WASHINGTON · PI KRONMAL, RICHARD A · 1999 to 2006
$304k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY-ULTRASOUNDN01HC095167 · HC · TUFTS MEDICAL CENTER · PI O'LEARY, DANIEL H. · 1999 to 2001
$62k
Molecular Biomedical Imaging Laboratory (CC)ZIACL090019 · CLC · CLINICAL CENTER · PI JONES, ELIZABETH C. · 2010 to 2017
$0k
NHLBI NIH HHS N01 HC095159NHLBI NIH HHS N01 HC095168NHLBI NIH HHS N01-HC-95159NHLBI NIH HHS N01-HC-95160NHLBI NIH HHS N01-HC-95161NHLBI NIH HHS N01-HC-95162NHLBI NIH HHS N01-HC-95163NHLBI NIH HHS N01-HC-95164NHLBI NIH HHS N01-HC-95165NHLBI NIH HHS N01-HC-95166NHLBI NIH HHS N01-HC-95167NHLBI NIH HHS N01-HC-95168
6 · The paper itself

Abstract

objectivesThis study sought to determine the relationship of cardiovascular magnetic resonance (CMR) measures of tissue composition to age in the Multi-Ethnic Study of Atherosclerosis (MESA).

backgroundAnimal and human studies have demonstrated increased collagen deposition in senescent hearts. New CMR indices of tissue composition by using T1 mapping are sensitive to the presence of myocardial fibrosis.

methodsA total of 1,231 study participants (51% women; age range 54 to 93 years) of the MESA cohort were evaluated with T1 mapping by using 1.5-T CMR scanners. None of the participants had focal scar on delayed enhancement CMR. Single-slice T1 mapping was performed at the midventricular level before and at 12- and 25-min delay after administration of gadolinium contrast by using a modified Look-Locker inversion recovery sequence. The partition coefficient was determined by the slope of the linear relationship of (1/T1myo vs. 1/T1blood). The extracellular volume fraction (ECV) was derived accounting for the hematocrit level. Multivariable regression analyses were performed, adjusting for traditional risk factors and left ventricular structure.

resultsWomen had significantly greater partition coefficient, ECV, and precontrast T1 than men, as well as lower post-contrast T1 values (all p < 0.05). In general, linear regression analyses demonstrated that greater partition coefficient, pre-contrast T1 values, and ECV were associated with older age in men (multivariate regression coefficients = 0.01; 5.9 ms; and 1.04% per 10 years' change; all p < 0.05). ECV was also significantly associated with age in women after multivariable adjustments.

conclusionsCMR parameters that have been associated with myocardial fibrosis were related to older age in the MESA study. Women had higher ECV than men but less ECV change over time.

Indexed as

Contrast MediaEthnicityAgedAged, 80 and overAgingAtherosclerosisCardiomyopathiesFemaleFibrosisHumansMagnetic Resonance Imaging, CineMaleMiddle AgedMyocardiumPrevalenceUnited StatesContrast MediaagingBMIbody mass indexcardiovascular magnetic resonanceCMRECVextracellular volumegadoliniumGdGFRglomerular filtration rateleft ventricularLVmagnetic resonancemagnetic resonance imagingmodified Look-Locker inversion recoveryMOLLIMRmyocardial fibrosisT(1) mapping

Identifiers

PMID23871886
PMCPMC3807823
OpenAlexW1605003779

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Registered trials

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.