Evidence map›Paper›PMID 29948090›Full record

ArticleEuropean radiology2019

A New Model for MR Evaluation of Liver Function with Gadoxetic Acid, Including Both Uptake and Excretion.

Daniel Truhn, Christiane K Kuhl, Alexander Ciritsis, Alexandra Barabasch, Nils A Kraemer

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Article in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Daniel TruhnDepartment of Diagnostic and Interventional Radiology, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany. dtruhn@ukaachen.de.ORCID http://orcid.org/0000-0002-9605-0728
Christiane K KuhlDepartment of Diagnostic and Interventional Radiology, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Alexander CiritsisDepartment of Diagnostic and Interventional Radiology, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Alexandra BarabaschDepartment of Diagnostic and Interventional Radiology, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Nils A KraemerDepartment of Diagnostic and Interventional Radiology, RWTH University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Universitätsklinikum Aachen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMost existing models that are in use to model hepatic function through assessment of hepatic gadoxetic acid enhancement kinetics do not consider quantitative measures of gadoxetic excretion. We developed a model that allows a simultaneous quantitation of uptake and excretion of liver specific contrast agents. The aim was to improve the assessment of hepatic synthetic function, and provide quantitative measures of hepatic excretion function.

methodsSixteen patients underwent dynamic T1-weighted turbo gradient echo imaging at 1.5 T prior and after bolus injection of gadoxetic acid at 0.1 ml/kg. DCE-images were obtained for 30 min after injection. A dual-inlet two-compartment model was then used to fit the measured liver signal values. Four tissue parameters (extracellular volume fraction, arterial flow fraction, uptake rate and excretion half-time) were extracted for each liver segment.

resultsThe proposed model provided a good fit to acquired data. Mean values for arterial flow fraction (0.08+-0.04), extracellular volume (0.20±0.08) and uptake rate (4.02 ±1.32 /100 ml/min) were comparable to those obtained with the conventional model (0.08±0.05, 0.21±0.12, and 4.93±1.74), but exhibited significantly less variation and improved fit quality.

conclusionsThe proposed model is more accurate than existing conventional models and provides an additional excretion parameter. KEY POINTS: • Models of hepatic contrast agent uptake can be extended to include excretion. • Including an additional excretion parameter improves accuracy of the model. • Standard diagnostic sequences can be extended to incorporate the model.

Indexed as

AdultAgedBody FluidsContrast MediaFemaleGadolinium DTPAHumansLiverLiver Function TestsLiver NeoplasmsMagnetic Resonance ImagingMaleMiddle AgedContrast MediaGadolinium DTPAgadolinium ethoxybenzyl DTPAContrast mediaHepatobiliary eliminationMagnetic resonance imagingPatient-specific modelling

Identifiers

PMID29948090
OpenAlexW2808117633

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.