Evidence map›Paper›PMID 29975714›Full record

ArticlePloS one2018

Design and application of an MR reference phantom for multicentre lung imaging trials.

Simon M F Triphan, Jürgen Biederer, Kerstin Burmester, Iven Fellhauer, Claus F Vogelmeier, Rudolf A Jörres, Hans-Ulrich Kauczor, Claus P Heußel, Mark O Wielpütz, Bertram J Jobst

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01245933 (Impact of Systemic Manifestations/Comorbidities on Clinical State, Prognosis and Utilisation of Health Care Resources in Patients With COPD), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 22% 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.

NCT01245933 completednot on this map

Impact of Systemic Manifestations/Comorbidities on Clinical State, Prognosis and Utilisation of Health Care Resources in Patients With COPD

TypeobservationalSponsorPhilipps University MarburgRan2010 to 2023Enrolled2,741ConditionsChronic Obstructive Pulmonary Disease (COPD)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. The use of chest magnetic resonance imaging in interstitial lung disease: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2018
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The radiological diagnosis of bronchiectasis: what's in a name?European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  9. 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

10 authors at 3 institutions in 1 country.

Simon M F TriphanDepartment of Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.ORCID 0000-0003-2068-1184
Jürgen BiedererDepartment of Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.
Kerstin BurmesterDepartment of Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.
Iven FellhauerDepartment of Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.
Claus F VogelmeierGerman Centre for Lung Research (DZL), Gießen, Germany.
Rudolf A JörresGerman Centre for Lung Research (DZL), Gießen, Germany.
Hans-Ulrich KauczorDepartment of Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.
Claus P HeußelDepartment of Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.
Mark O WielpützDepartment of Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.
Bertram J JobstDepartment of Diagnostic and Interventional Radiology, University of Heidelberg, Heidelberg, Germany.
Heidelberg University · DEGerman Center for Lung Research · DEUniversitätsklinikum Gießen und Marburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAs there is an increasing number of multicentre lung imaging studies with MRI in patients, dedicated reference phantoms are required to allow for the assessment and comparison of image quality in multi-vendor and multi-centre environments. However, appropriate phantoms for this purpose are so far not available commercially. It was therefore the purpose of this project to design and apply a cost-effective and simple to use reference phantom which addresses the specific requirements for imaging the lungs with MRI.

methodsThe phantom was designed to simulate 4 compartments (lung, blood, muscle and fat) which reflect the specific conditions in proton-MRI of the chest. Multiple phantom instances were produced and measured at 15 sites using a contemporary proton-MRI protocol designed for an in vivo COPD study at intervals over the course of the study. Measures of signal- and contrast-to-noise ratio, as well as structure and edge depiction were extracted from conventionally acquired images using software written for this purpose.

resultsFor the signal to noise ratio, low intra-scanner variability was found with 4.5% in the lung compartment, 4.0% for blood, 3.3% for muscle and 3.7% for fat. The inter-scanner variability was substantially higher, with 41%, 32%, 27% and 32% for the same order of compartments. In addition, measures of structure and edge depiction were found to both vary significantly among several scanner types and among scanners of the same model which were equipped with different gradient systems.

conclusionThe described reference phantom reproducibly quantified image quality aspects and detected substantial inter-scanner variability in a typical pulmonary multicentre proton MRI study, while variability was greater in lung tissue compared to other tissue types. Accordingly, appropriate reference phantoms can help to detect bias in multicentre in vivo study results and could also be used to harmonize equipment or data.

Indexed as

Reference StandardsEquipment DesignHumansLungMagnetic Resonance ImagingPhantoms, ImagingSignal-To-Noise RatioSoftwareTomography, X-Ray Computed

Identifiers

PMID29975714
PMCPMC6033396
OpenAlexW2864379737

What OpenQuestion holds

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Registered trials

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.