Evidence map›Paper›PMID 24619466›Full record

Trial reportCirculation2014

Microstructural impact of ischemia and bone marrow-derived cell therapy revealed with diffusion tensor magnetic resonance imaging tractography of the heart in vivo.

David E Sosnovik, Choukri Mekkaoui, Shuning Huang, Howard H Chen, Guangping Dai, Christian T Stoeck, Soeun Ngoy, Jian Guan, Ruopeng Wang, William J Kostis and 4 more

Abstract readClinical Trial
In one paragraph

Trial report in Circulation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing 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

51 citing papers in PubMed.

  1. Article
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  11. The relationship between myocardial microstructure and strain in chronic infarction using cardiovascular magnetic resonance diffusion tensor imaging and feature tracking.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022
    Article
  12. Article
  13. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

David E SosnovikFrom Martinos Center for Biomedical Imaging, Department of Radiology (D.E.S., C.M., S.H., H.H.C., G.D., R.W., W.J.K., V.J.W.), and Cardiovascular Research Center, Cardiology Division (D.E.S., H.H.C., W.J.K.), Massachusetts General Hospital, Harvard Medical School, Boston, MA; Institute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland (C.T.S., S.K.); Cardiac Muscle Research Laboratory, Divisions of Cardiology and Genetics, Brigham and Woman's Hospital, Harvard Medical School, Boston, MA (S.N., J.G., R.L.); and Department of Computer Science, Institute of Mathematics and Statistics, University of São Paulo, São Paulo, Brazil (M.P.J.).
Choukri Mekkaoui
Shuning Huang
Howard H Chen
Guangping Dai
Christian T Stoeck
Soeun Ngoy
Jian Guan
Ruopeng Wang
William J Kostis
Marcel P Jackowski
Van J Wedeen
Sebastian Kozerke
Ronglih Liao

Funding

ULTRAHIGH FIELD TECHNOLOGY FOR FUNCTIONAL IMAGINGP41RR014075 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BOAS, DAVID A · 1999 to 2011
$16.4M
Cardiac MRI-Tractography In Vivo: Integrated Imaging of Structure and FunctionR01HL112831 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI SOSNOVIK, DAVID E · 2013 to 2016
$3.0M
3D combinatorial microenvironments for effective cell based therapyR01HL099073 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI KHADEMHOSSEINI, ALI, LIAO, RONGLIH · 2010 to 2013
$2.6M
Molecular and Microstructural Imaging of Cardiomyocyte Apoptosis and AutophagyR01HL093038 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI SOSNOVIK, DAVID E · 2008 to 2012
$2.2M
NCRR NIH HHS P41 RR014075NCRR NIH HHS P41RR14075NHLBI NIH HHS R01 HL093038NHLBI NIH HHS R01 HL099073NHLBI NIH HHS R01HL099073NHLBI NIH HHS R01 HL112831NHLBI NIH HHS R01HL112831
6 · The paper itself

Abstract

backgroundThe arrangement of myofibers in the heart is highly complex and must be replicated by injected cells to produce functional myocardium. A novel approach to characterize the microstructural response of the myocardium to ischemia and cell therapy, with the use of serial diffusion tensor magnetic resonance imaging tractography of the heart in vivo, is presented. METHODS AND

resultsValidation of the approach was performed in normal (n=6) and infarcted mice (n=6) as well as healthy human volunteers. Mice (n=12) were then injected with bone marrow mononuclear cells 3 weeks after coronary ligation. In half of the mice the donor and recipient strains were identical, and in half the strains were different. A positive response to cell injection was defined by a decrease in mean diffusivity, an increase in fractional anisotropy, and the appearance of new myofiber tracts with the correct orientation. A positive response to bone marrow mononuclear cell injection was seen in 1 mouse. The response of the majority of mice to bone marrow mononuclear cell injection was neutral (9/12) or negative (2/12). The in vivo tractography findings were confirmed with histology.

conclusionsDiffusion tensor magnetic resonance imaging tractography was able to directly resolve the ability of injected cells to generate new myofiber tracts and provided a fundamental readout of their regenerative capacity. A highly novel and translatable approach to assess the efficacy of cell therapy in the heart is thus presented.

Indexed as

Bone Marrow TransplantationDiffusion Tensor ImagingMyocardial InfarctionMyocardial IschemiaAnimalsAnisotropyDisease Models, AnimalHealthy VolunteersHumansImaging, Three-DimensionalMiceMice, Inbred C57BLMyocardiumdiffusion tensor imagingdiffusion tractographyischemiamagnetic resonance imagingmyocardiumstem cell transplantation

Identifiers

PMID24619466
PMCPMC4034455

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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.