Evidence map›Paper›PMID 30388024›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2019

Exercise-induced calf muscle hyperemia: quantitative mapping with low-dose dynamic contrast enhanced magnetic resonance imaging.

Jeff L Zhang, Gwenael Layec, Christopher Hanrahan, Christopher C Conlin, Corey Hart, Nan Hu, Lillian Khor, Michelle Mueller, Vivian S Lee

Open access · bronzeAbstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 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
1.9field-weighted citation impact, top 14% 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, 18 citations in OpenAlex.

  1. Article
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  4. Clinical physiology: the crucial role of MRI in evaluation of peripheral artery disease.American journal of physiology. Heart and circulatory physiology · 2024
    Review
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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 at 2 institutions in 1 country.

Jeff L ZhangDepartment of Radiology and Imaging Sciences, University of Utah , Salt Lake City, Utah.
Gwenael LayecDivision of Geriatrics, Department of Internal Medicine, University of Utah , Salt Lake City, Utah.
Christopher HanrahanDepartment of Radiology and Imaging Sciences, University of Utah , Salt Lake City, Utah.
Christopher C ConlinDepartment of Radiology and Imaging Sciences, University of Utah , Salt Lake City, Utah.
Corey HartDivision of Endocrinology, Diabetes, Nutrition and Metabolism, Mayo Clinic , Rochester, Minnesota.
Nan HuDivision of Epidemiology, Department of Internal Medicine, University of Utah , Salt Lake City, Utah.
Lillian KhorDivision of Cardiology, Department of Internal Medicine, University of Utah , Salt Lake City, Utah.
Michelle MuellerDivision of Vascular Surgery, Department of Internal Medicine, University of Utah , Salt Lake City, Utah.
Vivian S LeeVerily Life Sciences, Boston, Massachusetts.
University of Utah · USMayo Clinic · US

Funding

Stress-rest calf muscle perfusion: a functional diagnostic test for peripheral arterial disease (PAD)R01HL135242 · NHLBI · UNIVERSITY OF UTAH · PI NATARAJAN, PRADEEP · 2017 to 2020
$2.8M
Nitric oxide coupling and BH4 availability roles in muscle dysfunction with COPDR00HL125756 · NHLBI · UNIVERSITY OF MASSACHUSETTS AMHERST · PI LAYEC, GWENAEL · 2018 to 2020
$738k
Nitric oxide coupling and BH4 availability roles in muscle dysfunction with COPDK99HL125756 · NHLBI · UNIVERSITY OF UTAH · PI LAYEC, GWENAEL · 2015 to 2016
$300k
NHLBI NIH HHS K99 HL125756NHLBI NIH HHS R00 HL125756NHLBI NIH HHS R01 HL135242
6 · The paper itself

Abstract

Peripheral artery disease (PAD) in the lower extremities often leads to intermittent claudication. In the present study, we proposed a low-dose DCE MRI protocol for quantifying calf muscle perfusion stimulated with plantar flexion and multiple new metrics for interpreting perfusion maps, including the ratio of gastrocnemius over soleus perfusion (G/S; for assessing the vascular redistribution between the two muscles) and muscle perfusion normalized by whole body perfusion (for quantifying the muscle's active hyperemia). Twenty-eight human subjects participated in this Institutional Review Board-approved study, with 10 healthy subjects ( group A) for assessing interday reproducibility and 8 healthy subjects ( group B) for exploring the relationship between plantar-flexion load and induced muscle perfusion. In a pilot group of five elderly healthy subjects and five patients with PAD ( group C), we proposed a protocol that measured perfusion for a low-intensity exercise and for an exhaustion exercise in a single MRI session. In group A, perfusion estimates for calf muscles were highly reproducible, with correlation coefficients of 0.90-0.93. In group B, gastrocnemius perfusion increased linearly with the exercise workload ( P < 0.05). With the low-intensity exercise, patients with PAD in group C showed substantially lower gastrocnemius perfusion compared with elderly healthy subjects [43.4 (SD 23.5) vs. 106.7 (SD 73.2) ml·min

Indexed as

ExerciseAdultAnkleFemaleHumansHyperemiaMagnetic Resonance ImagingMaleMiddle AgedMuscle, SkeletalPeripheral Arterial Diseasecalf musclescardiac outputmagnetic resonance imagingperipheral artery diseaseplantar flexion

Identifiers

PMID30388024
PMCPMC6415822
OpenAlexW2899402020

What OpenQuestion holds

Textmetadata
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.