Evidence map›Paper›PMID 29718694›Full record

ArticleThe British journal of radiology2018

Feasibility and agreement of stiffness measurements using gradient-echo and spin-echo MR elastography sequences in unselected patients undergoing liver MRI.

Guilherme Moura Cunha, Kevin J Glaser, Anke Bergman, Rodrigo P Luz, Eduardo H de Figueiredo, Flavia Paiva Proença Lobo Lopes

Abstract read
In one paragraph

Article in The British journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Advances in Magnetic Resonance Elastography of Liver.Magnetic resonance imaging clinics of North America · 2020
    Review
  5. Article
  6. Review
  7. 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

6 authors at 4 institutions in 2 countries.

Guilherme Moura Cunha1 MRI Department, Clínica de Diagnóstico por Imagem CDPI-DASA , Rio de Janeiro , Brazil.ORCID http://orcid.org/0000-0001-6403-5155
Kevin J Glaser2 Department of Radiology, Mayo Clinic , Rochester, MN , USA.
Anke Bergman3 Programa de Carcinogênese Molecular, Instituto Nacional de Câncer (INCA) , Rio de Janeiro , Brazil.
Rodrigo P Luz4 Hepatology, Universidade Federal do Rio De Janeiro, UFRJ, Cidade Universitária , Rio de Janeiro , Brazil.
Eduardo H de Figueiredo5 MR Advanced Applications-Research , GE Healthcare, Latin America , São Paulo , Brazil.
Flavia Paiva Proença Lobo Lopes1 MRI Department, Clínica de Diagnóstico por Imagem CDPI-DASA , Rio de Janeiro , Brazil.
Universidade Federal do Rio de Janeiro · BRCentrus Diagnósticos por Imagem · BRInstituto Nacional de Câncer - INCA · BRMayo Clinic in Arizona · 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
NIBIB NIH HHS R01 EB001981NIBIB NIH HHS R37 EB001981
6 · The paper itself

Abstract

objectiveTo evaluate the agreement of three MR elastography (MRE) sequences in patients undergoing liver MRI for clinical care.  Methods:  A cross-sectional retrospective study was performed with 223 patients referred for liver MRI, including 12 patients with liver iron overload. Data obtained with spin-echo (SE) and gradient-echo (GRE) MRE sequences were compared. Multiple linear regression adjusted for the presence of liver fat was also performed to assess the correlation between fat infiltration and stiffness measurements results. Agreement between two SE sequences was assessed in patients with liver iron overload.  Results: We found strong correlation between the GRE sequence and two SE sequences. Spearman's correlation coefficients between the GRE, SE, and SE-EPI MRE sequences in patients with liver R2* <75Hz were 0.74, 0.81, and 0.80. GRE-MRE failed in patients with liver R2* > 75 Hz. In this subgroup, the correlation coefficient between both SE-MRE sequences was 0.97. Liver fat did not interfere with the results.

conclusionIn clinical setting, there is a high correlation between the GRE and SE MRE stiffness measurements, independently of the degree of liver fat infiltration measured by PDFF. A strong correlation between SE-MRE sequences is found even in patients with iron overload.  Advances in knowledge: Our study addresses liver iron and fat content simultaneously to describing the technical feasibility and correlation between different MRE sequences in consecutive unselected patients refereed for liver MRI. EPI SE-MRE should be considered an optimal alternative to assess liver fibrosis in patients in whom GRE-MRE failures, such as iron-overloaded, in pediatric, elderly, or severely ill populations.

Indexed as

AdultAgedAged, 80 and overContrast MediaCross-Sectional StudiesElasticity Imaging TechniquesFeasibility StudiesFemaleHumansImage Interpretation, Computer-AssistedLiver DiseasesMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesContrast Media

Identifiers

PMID29718694
PMCPMC6221762
OpenAlexW2802998868

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.