Evidence map›Paper›PMID 28327193›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2017

Longitudinal Evaluation of Aortic Hemodynamics in Marfan Syndrome: New Insights from a 4D Flow Cardiovascular Magnetic Resonance Multi-Year Follow-Up Study.

Julia Geiger, Daniel Hirtler, Kristina Gottfried, Ozair Rahman, Emilie Bollache, Alex J Barker, Michael Markl, Brigitte Stiller

Open access · goldAbstract readVideo-Audio Media
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 75 citations in OpenAlex.

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  11. International journal of cardiology. Heart & vasculature · 2022
    Article
  12. Using Molecular Targets to Predict and Treat Aortic Aneurysms.Reviews in cardiovascular medicine · 2022
    Review
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  15. Thoracoabdominal aortic aneurysm in connective tissue disorder patients.Indian journal of thoracic and cardiovascular surgery · 2022
    Article
  16. Impact of ascending aortic prosthetic grafts on early postoperative descending aortic biomechanics on cardiac magnetic resonance imaging.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2022
    Article
  17. Automatic measurement plane placement for 4D Flow MRI of the great vessels using deep learning.International journal of computer assisted radiology and surgery · 2022
    Article
  18. Non-physiological Aortic Flow and Aortopathy in Adult Patients with Transposition of the Great Arteries after the Jatene Procedure: A Pilot Study Using Echo Planar 4D Flow MRI.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2021
    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

8 authors at 3 institutions in 3 countries.

Julia GeigerDepartment of Radiology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA. Geiger_J4@ukw.de.ORCID http://orcid.org/0000-0003-3621-9955
Daniel HirtlerDepartment of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg, Freiburg, Germany.
Kristina GottfriedDepartment of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg, Freiburg, Germany.
Ozair RahmanDepartment of Radiology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Emilie BollacheDepartment of Radiology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Alex J BarkerDepartment of Radiology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Michael MarklDepartment of Radiology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Brigitte StillerDepartment of Congenital Heart Disease and Pediatric Cardiology, University Heart Center Freiburg, Freiburg, Germany.
Northwestern University · USJohannes Gutenberg University Mainz · DEUniversity Medical Center Freiburg · DE

Funding

Functional Cardiovascular 4D MRI in Congenital Heart DiseaseR01HL115828 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MARKL, MICHAEL, RIGSBY, CYNTHIA K · 2012 to 2021
$5.2M
Hemodynamic Loading of the Left Ventricle and Aorta in Aortic Valve DiseaseK25HL119608 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BARKER, ALEXANDER J. · 2014 to 2018
$819k
NHLBI NIH HHS K25 HL119608NHLBI NIH HHS R01 HL115828
6 · The paper itself

Abstract

backgroundThe aim of this 4D flow cardiovascular magnetic resonance (CMR) follow-up study was to investigate longitudinal changes in aortic hemodynamics in adolescent patients with Marfan syndrome (MFS).

methods4D flow CMR for the assessment of in-vivo 3D blood flow with full coverage of the thoracic aorta was performed twice (baseline scan t1/follow-up scan t2) in 19 adolescent MFS patients (age at t1: 12.7 ± 3.6 years, t2: 16.2 ± 4.3 years) with a mean follow-up duration of 3.5 ± 1.2 years. Ten healthy volunteers (24 ± 3.8 years) served as a control group. Data analysis included aortic blood flow visualization by color-coded 3D pathlines, and grading of flow patterns (helices/vortices) on a 3-point scale (none, moderate, severe; blinded reading, 2 observers). Regional aortic peak systolic velocities and systolic 3D wall shear stress (WSS) along the entire aortic wall were quantified. Z-Scores of the aortic root and proximal descending aorta (DAo) were assessed.

resultsRegional systolic WSS was stable over the follow-up duration, except for a significant decrease in the proximal inner DAo segment (p = 0.02) between t1 and t2. MFS patients revealed significant lower mean systolic WSS in the proximal inner DAo compared with volunteers (0.78 ± 0.15 N/m

conclusionsMFS patients have lower segmental WSS in the inner proximal DAo segment which correlates with increased localized aberrant vortex/helix flow patterns and an enlarged diameter at one of the most critical sites for aortic dissection. General aortic hemodynamics are stable but these subtle localized DAo changes are already present at young age and tend to be more pronounced in the course of time.

Indexed as

HemodynamicsAdolescentAge FactorsAortaAortic DiseasesBlood Flow VelocityCardiac-Gated Imaging TechniquesCase-Control StudiesChildChild, PreschoolFemaleFollow-Up StudiesHumansImage Interpretation, Computer-AssistedMagnetic Resonance AngiographyMagnetic Resonance Imaging4D flow cardiovascular magnetic resonanceAortaFollow-upHemodynamicsMarfan syndromeWall shear stress

Identifiers

PMID28327193
PMCPMC5361800
OpenAlexW2593170885

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.