Evidence map›Paper›PMID 28520813›Full record

ArticlePloS one2017

Pancreatic fat content by magnetic resonance imaging in subjects with prediabetes, diabetes, and controls from a general population without cardiovascular disease.

Sophia D Heber, Holger Hetterich, Roberto Lorbeer, Christian Bayerl, Jürgen Machann, Sigrid Auweter, Corinna Storz, Christopher L Schlett, Konstantin Nikolaou, Maximilian Reiser and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.8field-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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Cross-sectional imaging of the pancreas in diabetes.Abdominal radiology (New York) · 2024
    Review
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  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

12 authors at 6 institutions in 1 country.

Sophia D HeberDepartment of Diagnostic and Interventional Radiology, University of Tuebingen, Tuebingen, Germany.
Holger HetterichInstitute of Clinical Radiology, Ludwig-Maximilian-University Hospital, Munich, Germany.
Roberto LorbeerInstitute of Clinical Radiology, Ludwig-Maximilian-University Hospital, Munich, Germany.
Christian BayerlInstitute of Clinical Radiology, Ludwig-Maximilian-University Hospital, Munich, Germany.
Jürgen MachannSection on Experimental Radiology, Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Tuebingen, Germany.
Sigrid AuweterInstitute of Clinical Radiology, Ludwig-Maximilian-University Hospital, Munich, Germany.
Corinna StorzDepartment of Diagnostic and Interventional Radiology, University of Tuebingen, Tuebingen, Germany.
Christopher L SchlettDepartment of Radiology, Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.
Konstantin NikolaouDepartment of Diagnostic and Interventional Radiology, University of Tuebingen, Tuebingen, Germany.
Maximilian ReiserInstitute of Clinical Radiology, Ludwig-Maximilian-University Hospital, Munich, Germany.
Annette PetersGerman Center for Cardiovascular Disease Research (DZHK e.V.), Munich, Germany.
Fabian BambergDepartment of Diagnostic and Interventional Radiology, University of Tuebingen, Tuebingen, Germany.ORCID http://orcid.org/0000-0002-7460-3942
Ludwig-Maximilians-Universität München · DEUniversity of Tübingen · DEGerman Centre for Cardiovascular Research · DEDeutsches Diabetes-Zentrum e.V. · DEHeidelberg University · DEHelmholtz Zentrum München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveDespite the relevance of pancreatic fat content in the development of metabolic diseases, its association with impaired glucose metabolism, diabetes, and other adipose tissue compartments remains unclear. Thus, we determined differences in pancreatic fat content by magnetic resonance imaging (MRI) between subjects with prediabetes, diabetes, and normal controls in a cohort from the general population.

methodsSubjects without history of cardiovascular disease with established diabetes or prediabetes as well as normal controls were included and underwent whole-body MRI on a 3T scanner. Pancreatic fat content was quantified by measuring the proton-density fat fraction (PDFFpanc) using a 3D multi-echo GRE sequence (increment: 1.23 ms, 6 echoes) by placing ROIs in the pancreatic head, body, and tail by independent readers. In addition, hepatic fat content as well as abdominal subcutaneous and visceral adipose tissue (SAT and VAT) were measured by multi-echo GRE and 3D 2-point volume-interpolated DIXON MRI, respectively. Univariate and multivariate analyses were employed to determine associations.

resultsA total of 385 subjects were included in the analysis (median age: 57 years, 58.2% males), of them 53 were classified as subjects with diabetes, 95 as prediabetes, and 237 as controls (13.8%, 24.7%, and 61.6%; respectively). The median PDFFpanc was 5.2% [IQR 3.3-9.4], and significantly higher in subjects with prediabetes and diabetes as compared to controls (PDFFpanc: 6.2% [IQR: 3.5-12] vs. 8.6% [IQR: 4.3-17.5] vs. 4.9% [3.1-7.4], p<0.001, respectively). After adjusting for age, gender and BMI the association was attenuated (all p>0.12). While in univariate analysis BMI, PDFFhepatic, SAT and VAT were associated with PDFFpanc (all p<0.05), only VAT predicted PDFFpanc independently (β: 0.02, 95%-confidence interval: 0.01-0.04, p<0.001).

conclusionWhile pancreatic fat content differs significantly between subjects with prediabetes, diabetes and controls, this association may be confounded by age, gender, and the amount of VAT in this cross-sectional study.

Indexed as

Magnetic Resonance ImagingAgedBiomarkersCardiovascular DiseasesCase-Control StudiesComorbidityDiabetes MellitusFemaleHumansIntra-Abdominal FatMaleMiddle AgedPancreasPopulation SurveillancePrediabetic StateRisk FactorsBiomarkers

Identifiers

PMID28520813
PMCPMC5435170
OpenAlexW2616275380

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.