Evidence map›Paper›PMID 28894923›Full record

ArticleEuropean radiology2018

Differences in myocardial strain between pectus excavatum patients and healthy subjects assessed by cardiac MRI: a pilot study.

André Lollert, Tilman Emrich, Jakob Eichstädt, Christoph Kampmann, Tariq Abu-Tair, Salmai Turial, Christoph Düber, Karl-Friedrich Kreitner, Gundula Staatz

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Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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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.

André LollertDepartment of Diagnostic and Interventional Radiology, Section of Paediatric Radiology, Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany. andre.lollert@unimedizin-mainz.de.ORCID http://orcid.org/0000-0002-0396-8362
Tilman EmrichDepartment of Diagnostic and Interventional Radiology, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Jakob EichstädtDepartment of Diagnostic and Interventional Radiology, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Christoph KampmannCenter for Diseases in Childhood and Adolescence, Division of Paediatric Cardiology and Congenital Heart Diseases, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Tariq Abu-TairCenter for Diseases in Childhood and Adolescence, Division of Paediatric Cardiology and Congenital Heart Diseases, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Salmai TurialDepartment of Paediatric Surgery and Congenital Malformations, HELIOS Dr. Horst Schmidt Kliniken, Wiesbaden, Germany.
Christoph DüberDepartment of Diagnostic and Interventional Radiology, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Karl-Friedrich KreitnerDepartment of Diagnostic and Interventional Radiology, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Gundula StaatzDepartment of Diagnostic and Interventional Radiology, Section of Paediatric Radiology, Medical Center of the Johannes Gutenberg University Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate differences in myocardial strain between pectus excavatum (PE) patients and healthy subjects (HS) assessed by cardiac MRI using the feature-tracking algorithm.

methodsCardiac MRI was performed in 14 PE patients and 14 HS (9:5 male to female in each group; age 11-30 years) using a 3T scanner. Post-examination analysis included manual biventricular contouring with volumetry and ejection fraction measurement by two independent radiologists. Dedicated software was used for automated strain assessment.

resultsIn five of the PE patients, the right ventricular ejection fraction was slightly impaired (40-44 %). PE patients had a significantly higher left ventricular longitudinal strain (P=0.004), mid (P=0.035) and apical (P=0.001) circumferential strain as well as apical circumferential strain rate (P=0.001), mid right ventricular circumferential strain (P=0.008) and strain rate (P=0.035), and apical right ventricular circumferential strain (P=0.012) and strain rate (P=0.044) than HS. The right ventricular longitudinal strain and strain rate did not differ significantly between PE patients and HS.

conclusionsMyocardial strain differs significantly between PE patients and HS. Higher myocardial strain in the mid and apical ventricles of PE patients indicates a compensation mechanism to enhance ventricular output against basal sternal compression. KEY POINTS: • The right ventricle is frequently affected by the pectus excavatum deformity. • Cardiac MRI revealed differences in myocardial strain in pectus excavatum patients. • Pectus excavatum patients exhibited higher strain in the mid/apical ventricles. • A compensation mechanism to enhance ventricular output against sternal compression is possible.

Indexed as

AdolescentAdultChildFemaleFunnel ChestHealthy VolunteersHeart VentriclesHumansMagnetic Resonance Imaging, CineMaleMyocardiumPilot ProjectsVentricular Dysfunction, RightVentricular Function, RightYoung AdultCardiac MRIFeature trackingMyocardial strainPectus excavatumQuantitative imaging

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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.