Evidence map›Paper›PMID 28349062›Full record

SynthesisBioMed research international2017

Imaging of Myocardial Fibrosis in Patients with End-Stage Renal Disease: Current Limitations and Future Possibilities.

M P M Graham-Brown, A S Patel, D J Stensel, D S March, A-M Marsh, J McAdam, G P McCann, J O Burton

Abstract readSystematic Review
In one paragraph

Synthesis in BioMed research international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–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

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Rewiring the scar: translational advances in cardiac fibrosis.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2025
    Review
  5. Simultaneous TMagnetic resonance in medicine · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Myocardial changes on 3T cardiovascular magnetic resonance imaging in response to haemodialysis with fluid removal.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2021
    Observational
  18. Article
  19. Review
  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

8 authors.

M P M Graham-BrownJohn Walls Renal Unit, Leicester General Hospital, Leicester, UK; National Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK; Department of Cardiovascular Science, NIHR Leicester Cardiovascular Biomedical Research Unit, Leicester, UK.ORCID 0000-0002-3744-1526
A S PatelJohn Walls Renal Unit, Leicester General Hospital, Leicester, UK.
D J StenselNational Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, UK.ORCID 0000-0001-9119-8590
D S MarchJohn Walls Renal Unit, Leicester General Hospital, Leicester, UK.ORCID 0000-0002-1468-6918
A-M MarshDepartment of Cardiovascular Science, NIHR Leicester Cardiovascular Biomedical Research Unit, Leicester, UK.
J McAdamDepartment of Cardiovascular Science, NIHR Leicester Cardiovascular Biomedical Research Unit, Leicester, UK.
G P McCannDepartment of Cardiovascular Science, NIHR Leicester Cardiovascular Biomedical Research Unit, Leicester, UK.
J O BurtonJohn Walls Renal Unit, Leicester General Hospital, Leicester, UK; Department of Cardiovascular Science, NIHR Leicester Cardiovascular Biomedical Research Unit, Leicester, UK; Department of Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.

Funding

Department of Health CDF-2014-07-045Department of Health CS-2013-13-014
6 · The paper itself

Abstract

Cardiovascular disease in patients with end-stage renal disease (ESRD) is driven by a different set of processes than in the general population. These processes lead to pathological changes in cardiac structure and function that include the development of left ventricular hypertrophy and left ventricular dilatation and the development of myocardial fibrosis. Reduction in left ventricular hypertrophy has been the established goal of many interventional trials in patients with chronic kidney disease, but a recent systematic review has questioned whether reduction of left ventricular hypertrophy improves cardiovascular mortality as previously thought. The development of novel imaging biomarkers that link to cardiovascular outcomes and that are specific to the disease processes in ESRD is therefore required. Postmortem studies of patients with ESRD on hemodialysis have shown that the extent of myocardial fibrosis is strongly linked to cardiovascular death and accurate imaging of myocardial fibrosis would be an attractive target as an imaging biomarker. In this article we will discuss the current imaging methods available to measure myocardial fibrosis in patients with ESRD, the reliability of the techniques, specific challenges and important limitations in patients with ESRD, and how to further develop the techniques we have so they are sufficiently robust for use in future clinical trials.

Indexed as

CardiomyopathiesCardiovascular DiseasesDiagnosisFibrosisHeartHumansHypertrophy, Left VentricularKidney Failure, ChronicRenal Dialysis

Identifiers

PMID28349062
PMCPMC5352874

What OpenQuestion holds

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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.