Evidence map›Paper›PMID 27511365›Full record

Observational studyAbdominal radiology (New York)2017

Correlation of hepatic fractional extracellular space using gadolinium enhanced MRI with liver stiffness using magnetic resonance elastography.

Michael L Wells, Michael R Moynagh, Rickey E Carter, Robert A Childs, Cameron E Leitch, Joel G Fletcher, Benjamin M Yeh, Sudhakar K Venkatesh

Abstract readObservational Study
In one paragraph

Observational study in Abdominal radiology (New York), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. [Study on diagnostic value of extracellular volume imaging by magnetic resonance imaging for liver fibrosis of hepatitis B].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2018
    Article
  4. Imaging of Hepatic Fibrosis.Current gastroenterology reports · 2018
    Review
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

8 authors.

Michael L WellsDepartment of Radiology, College of Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Michael R MoynaghDepartment of Radiology, College of Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Rickey E CarterDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, USA.
Robert A ChildsDepartment of Radiology, College of Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Cameron E LeitchDepartment of Radiology, College of Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Joel G FletcherDepartment of Radiology, College of Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Benjamin M YehDepartment of Radiology, University of California San Francisco, San Francisco, CA, USA.
Sudhakar K VenkateshDepartment of Radiology, College of Medicine, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA. Venkatesh.Sudhakar@mayo.edu.

Funding

UCSF Liver Core CenterP30DK026743 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Holger Willenbring · 1986 to 2026
$30.7M
NIDDK NIH HHS P30 DK026743
6 · The paper itself

Abstract

purposeTo compare MR hepatic fractional extracellular space (fECS) to liver stiffness (LS) with magnetic resonance elastography (MRE) for evaluation of liver fibrosis. METHODS AND MATERIALS: 71 consecutive patients with suspected chronic liver disease underwent standard liver MRI with MR elastography and additional delayed Gd-DTPA-enhanced sequences at 5 and 10 min in order to calculate hepatic fECS (%) and LS (kilopascals, kPa). Two radiologists blinded to clinical history examined MR images and calculated fECS and LS in identical locations for every patient. Interobserver agreement was calculated using the intraclass correlation coefficient. Pearson's correlation was calculated for LS and fECS measures, as was the area under the receiver operatic curve (AUROC), sensitivity and specificity of fECS to predict liver stiffness ≥2.93 and ≥5 kPa. The sensitivity of fECS for detecting fibrosis was separately analyzed in the subgroup of patients without anatomic findings of cirrhosis.

resultsSubstantial to excellent interobserver agreement for both LS and fECS measurements was seen with intraclass correlation of 0.88 (95% CI 0.81-0.92) for LS, 0.77 (95% CI 0.66-0.85) for fECS

conclusionfECS correlates modestly with MRE-determined LS. fECS at MRI is a simple calculation to perform and may represent a practical way to suggest the presence of fibrosis during routine liver evaluation.

Indexed as

AdolescentAdultAgedAged, 80 and overContrast MediaElasticity Imaging TechniquesExtracellular SpaceFemaleGadolinium DTPAHumansImage Interpretation, Computer-AssistedLiver CirrhosisMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesContrast MediagadodiamideGadolinium DTPAFractional extracellular spaceGadoliniumHepatic extracellular spaceHepatic fibrosisLiver fibrosisLiver stiffnessMR elastographyMRI

Identifiers

PMID27511365
PMCPMC5292879

What OpenQuestion holds

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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.