Evidence map›Paper›PMID 27966044›Full record

Trial reportEuropean radiology2017

Gd-EOB-DTPA-enhanced MRI for monitoring future liver remnant function after portal vein embolization and extended hemihepatectomy: A prospective trial.

Dominik Geisel, Philip Raabe, Lutz Lüdemann, Maciej Malinowski, Martin Stockmann, Daniel Seehofer, Johann Pratschke, Bernd Hamm, Timm Denecke

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Guideline
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  8. Review
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  12. Review
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  14. New frontiers in liver resection for hepatocellular carcinoma.JHEP reports : innovation in hepatology · 2020
    Review
  15. Observational
  16. Article
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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

9 authors at 2 institutions in 1 country.

Dominik GeiselDepartment of Diagnostic and Interventional Radiology, Charité Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany. dominik.geisel@charite.de.ORCID http://orcid.org/0000-0001-7348-0971
Philip RaabeDepartment of Diagnostic and Interventional Radiology, Charité Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany.
Lutz LüdemannDepartment of Medical Physics, Essen University Hospital, Essen, Germany.
Maciej MalinowskiDepartment of General, Visceral and Transplantation Surgery, Charité Campus Virchow-Klinikum, Berlin, Germany.
Martin StockmannDepartment of General, Visceral and Transplantation Surgery, Charité Campus Virchow-Klinikum, Berlin, Germany.
Daniel SeehoferDepartment of General, Visceral and Transplantation Surgery, Charité Campus Virchow-Klinikum, Berlin, Germany.
Johann PratschkeDepartment of General, Visceral and Transplantation Surgery, Charité Campus Virchow-Klinikum, Berlin, Germany.
Bernd HammDepartment of Diagnostic and Interventional Radiology, Charité Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany.
Timm DeneckeDepartment of Diagnostic and Interventional Radiology, Charité Campus Virchow-Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DEEssen University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate changes in liver function after right portal vein embolization (PVE) and extended right hemihepatectomy using gadolinium ethoxybenzyl-DTPA-enhanced (Gd-EOB-DTPA) MRI.

methodsIn this prospective trial, 37 patients undergoing PVE were examined before and 14 and 28 days after PVE and 10 days after extended hemihepatectomy using Gd-EOB-DTPA-enhanced MRI. Lobar volume, kinetic growth rate (KGR), relative enhancement (RE) as well as hepatocellular uptake index (HUI) and fat signal fraction (FSF) were calculated for each lobe.

resultsRE of the left liver lobe (LLL) was steadily increasing after PVE and decreased to 0.48 ± 0.19 10 days after surgery, which is significantly lower than 14 days and 28 days post PVE (P < 0.05). KGR was 14.06 ± 9.82%/week for the period from PVE to 14 days after PVE. HUI of the LLL increased steadily after PVE and was significantly higher at both 14 and 28 days after PVE compared to pre PVE (P < 0.05). HUI of the residual liver after surgery was lower than before.

conclusionsGd-EOB-DTPA-enhanced MRI may be used to monitor the functional increase in the FLR after PVE and to depict the intraoperative liver injury leading to a decrease in liver remnant function. KEY POINTS: • The most significant FLR volume increase happens within the first 14 days. • No MRI parameter was able to predict the success of FLR growth. • Our data suggest an early resection about 14 days after PVE. • Routine Gd-EOB-DTPA-enhanced MRI might be suitable to replace ICG-test.

Indexed as

Portal VeinAdultAgedAged, 80 and overContrast MediaEmbolization, TherapeuticFemaleFollow-Up StudiesGadolinium DTPAHepatectomyHumansLiver NeoplasmsMagnetic Resonance ImagingMaleMiddle AgedMonitoring, PhysiologicContrast MediaGadolinium DTPAgadolinium ethoxybenzyl DTPAGadolinium ethoxybenzyl DTPALiverLiver function testsMagnetic resonance imagingPortal vein embolization

Identifiers

PMID27966044
OpenAlexW2562686425

What OpenQuestion holds

Textmetadata
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.