Evidence map›Paper›PMID 28236336›Full record

ArticleJournal of magnetic resonance imaging : JMRI2017

Cardiac MR elastography for quantitative assessment of elevated myocardial stiffness in cardiac amyloidosis.

Arvin Arani, Shivaram P Arunachalam, Ian C Y Chang, Francis Baffour, Phillip J Rossman, Kevin J Glaser, Joshua D Trzasko, Kiaran P McGee, Armando Manduca, Martha Grogan and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

52 citing papers in PubMed, 94 citations in OpenAlex.

  1. QuantitativeEuropean journal of nuclear medicine and molecular imaging · 2026
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  7. Frontiers in cardiovascular medicine · 2026
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  19. A Versatile MR Elastography Research Tool with a Modified Motion Signal-to-noise Ratio Approach.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2024
    Article
  20. Article
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

13 authors at 2 institutions in 1 country.

Arvin AraniRadiology, Mayo Clinic, Rochester, Minnesota, USA.
Shivaram P ArunachalamRadiology, Mayo Clinic, Rochester, Minnesota, USA.
Ian C Y ChangCardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA.
Francis BaffourRadiology, Mayo Clinic, Rochester, Minnesota, USA.
Phillip J RossmanRadiology, Mayo Clinic, Rochester, Minnesota, USA.
Kevin J GlaserRadiology, Mayo Clinic, Rochester, Minnesota, USA.
Joshua D TrzaskoRadiology, Mayo Clinic, Rochester, Minnesota, USA.
Kiaran P McGeeRadiology, Mayo Clinic, Rochester, Minnesota, USA.
Armando ManducaRadiology, Mayo Clinic, Rochester, Minnesota, USA.
Martha GroganCardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA.
Angela DispenzieriMedicine: Division of Hematology, Mayo Clinic, Rochester, Minnesota, USA.
Richard L EhmanRadiology, Mayo Clinic, Rochester, Minnesota, USA.
Philip A AraozRadiology, Mayo Clinic, Rochester, Minnesota, USA.
Mayo Clinic · USWinnMed · US

Funding

Magnetic Resonance ElastographyR37EB001981 · NIBIB · MAYO CLINIC ROCHESTER · PI EHMAN, RICHARD L. · 2016 to 2025
$4.0M
Magnetic Resonance ElastographyR01EB001981 · NIBIB · MAYO CLINIC ROCHESTER · PI EHMAN, RICHARD L. · 2003 to 2013
$3.1M
Cardiac Magnetic Resonance Elastography: Imaging Heart Failure PathophysiologyR01HL115144 · NHLBI · MAYO CLINIC ROCHESTER · PI ARAOZ, PHILIP ALEXANDER · 2012 to 2016
$2.0M
NHLBI NIH HHS R01 HL115144NIBIB NIH HHS R01 EB001981NIBIB NIH HHS R37 EB001981
6 · The paper itself

Abstract

purposeTo evaluate if cardiac magnetic resonance elastography (MRE) can measure increased stiffness in patients with cardiac amyloidosis. Myocardial tissue stiffness plays an important role in cardiac function. A noninvasive quantitative imaging technique capable of measuring myocardial stiffness could aid in disease diagnosis, therapy monitoring, and disease prognostic strategies. We recently developed a high-frequency cardiac MRE technique capable of making noninvasive stiffness measurements. MATERIALS AND

methodsIn all, 16 volunteers and 22 patients with cardiac amyloidosis were enrolled in this study after Institutional Review Board approval and obtaining formal written consent. All subjects were imaged head-first in the supine position in a 1.5T closed-bore MR imager. 3D MRE was performed using 5 mm isotropic resolution oblique short-axis slices and a vibration frequency of 140 Hz to obtain global quantitative in vivo left ventricular stiffness measurements. The median stiffness was compared between the two cohorts. An octahedral shear strain signal-to-noise ratio (OSS-SNR) threshold of 1.17 was used to exclude exams with insufficient motion amplitude.

resultsFive volunteers and six patients had to be excluded from the study because they fell below the 1.17 OSS-SNR threshold. The myocardial stiffness of cardiac amyloid patients (median: 11.4 kPa, min: 9.2, max: 15.7) was significantly higher (P = 0.0008) than normal controls (median: 8.2 kPa, min: 7.2, max: 11.8).

conclusionThis study demonstrates the feasibility of 3D high-frequency cardiac MRE as a contrast-agent-free diagnostic imaging technique for cardiac amyloidosis. LEVEL OF EVIDENCE: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2017;46:1361-1367.

Indexed as

EchocardiographyElasticity Imaging TechniquesMagnetic Resonance ImagingAgedAged, 80 and overAmyloidosisCase-Control StudiesContrast MediaElastic ModulusFemaleHeartHeart VentriclesHumansImage Processing, Computer-AssistedMaleMiddle AgedContrast Media#cardiac amyloidosis#cardiac MREmagnetic resonance elastographymyocardial stiffnessquantitative stiffness imaging

Identifiers

PMID28236336
PMCPMC5572539
OpenAlexW2589945804

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.