Evidence map›Paper›PMID 26745861›Full record

ArticlePancreas2016

Preoperative Computerized Tomography and Magnetic Resonance Imaging of the Pancreas Predicts Pancreatic Mass and Functional Outcomes After Total Pancreatectomy and Islet Autotransplant.

Michael C Young, Jake R Theis, James S Hodges, Ty B Dunn, Timothy L Pruett, Srinath Chinnakotla, Sidney P Walker, Martin L Freeman, Guru Trikudanathan, Mustafa Arain and 6 more

Abstract read
In one paragraph

Article in Pancreas, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
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  5. Article
  6. Cross-sectional imaging of the pancreas in diabetes.Abdominal radiology (New York) · 2024
    Review
  7. Observational
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  10. Review
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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

16 authors at 1 institution in 1 country.

Michael C YoungFrom the Departments of *Surgery and †Radiology, University of Minnesota Medical School; ‡Division of Biostatistics, School of Public Health, University of Minnesota; §Centers for Diagnostic Imaging; and ∥Department of Medicine, ¶Schulze Diabetes Institute, and #Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN.
Jake R Theis
James S Hodges
Ty B Dunn
Timothy L Pruett
Srinath Chinnakotla
Sidney P Walker
Martin L Freeman
Guru Trikudanathan
Mustafa Arain
Paul R Robertson
Joshua J Wilhelm
Sarah J Schwarzenberg
Barbara Bland
Gregory J Beilman
Melena D Bellin
University of Minnesota · US

Funding

Sitagliptin therapy to improve outcomes after islet autotransplantation.K23DK084315 · NIDDK · UNIVERSITY OF MINNESOTA · PI BELLIN, MELENA D. · 2010 to 2014
$816k
NIDDK NIH HHS K23 DK084315
6 · The paper itself

Abstract

objectivesApproximately two thirds of patients will remain on insulin therapy after total pancreatectomy with islet autotransplant (TPIAT) for chronic pancreatitis. We investigated the relationship between measured pancreas volume on computerized tomography or magnetic resonance imaging and features of chronic pancreatitis on imaging, with subsequent islet isolation and diabetes outcomes.

methodsComputerized tomography or magnetic resonance imaging was reviewed for pancreas volume (Vitrea software) and presence or absence of calcifications, atrophy, and dilated pancreatic duct in 97 patients undergoing TPIAT. Relationship between these features and (1) islet mass isolated and (2) diabetes status at 1-year post-TPIAT were evaluated.

resultsPancreas volume correlated with islet mass measured as total islet equivalents (r = 0.50, P < 0.0001). Mean islet equivalents were reduced by more than half if any one of calcifications, atrophy, or ductal dilatation were observed. Pancreatic calcifications increased the odds of insulin dependence 4.0 fold (1.1, 15). Collectively, the pancreas volume and 3 imaging features strongly associated with 1-year insulin use (P = 0.07), islet graft failure (P = 0.003), hemoglobin A1c (P = 0.0004), fasting glucose (P = 0.027), and fasting C-peptide level (P = 0.008).

conclusionsMeasures of pancreatic parenchymal destruction on imaging, including smaller pancreas volume and calcifications, associate strongly with impaired islet mass and 1-year diabetes outcomes.

Indexed as

AdolescentAdultAutograftsFemaleHumansIslets of Langerhans TransplantationLinear ModelsMagnetic Resonance ImagingMaleMiddle AgedOrgan SizePancreasPancreatectomyPancreatitis, ChronicPreoperative PeriodTomography, X-Ray Computed

Identifiers

PMID26745861
PMCPMC4936953
OpenAlexW2329579976

What OpenQuestion holds

Textmetadata
LicenceTDM
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.