Evidence map›Paper›PMID 30648355›Full record

ArticlePhysiological reports2019

Exercise-stimulated arterial transit time in calf muscles measured by dynamic contrast-enhanced magnetic resonance imaging.

Christopher C Conlin, Gwenael Layec, Christopher J Hanrahan, Nan Hu, Michelle T Mueller, Vivian S Lee, Jeff L Zhang

Open access · goldAbstract read
In one paragraph

Article in Physiological reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 4 institutions in 2 countries.

Christopher C ConlinDepartment of Radiology and Imaging Sciences, University of Utah, Salt Lake City, Utah.
Gwenael LayecSchool of Public Health and Health Sciences, University of Massachusetts Amherst, Amherst, Massachusetts.
Christopher J HanrahanDepartment of Radiology and Imaging Sciences, University of Utah, Salt Lake City, Utah.
Nan HuDivision of Biostatistics, Department of Internal Medicine, University of Utah, Salt Lake City, Utah.
Michelle T MuellerDivision of Vascular Surgery, Department of Internal Medicine, University of Utah, Salt Lake City, Utah.
Vivian S LeeVerily Life Sciences, Cambridge, Massachusetts.
Jeff L ZhangDepartment of Radiology and Imaging Sciences, University of Utah, Salt Lake City, Utah.
University of Utah Hospital · USUniversity of Utah · USCambridge Life Sciences (United Kingdom) · GBUniversity of Massachusetts Amherst · US

Funding

Non-Contrast-Enhanced Peripheral MR AngiographyR01HL092439 · NHLBI · UNIVERSITY OF UTAH · PI LEE, VIVIAN S. · 2008 to 2013
$3.7M
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 HL135242NIH HHS R01HL092439NIH HHS R01 HL135242
6 · The paper itself

Abstract

The primary goal of this study was to evaluate arterial transit time (ATT) in exercise-stimulated calf muscles as a promising indicator of muscle function. Following plantar flexion, ATT was measured by dynamic contrast-enhanced (DCE) MRI in young and elderly healthy subjects and patients with peripheral artery disease (PAD). In the young healthy subjects, gastrocnemius ATT decreased significantly (P < 0.01) from 4.3 ± 1.5 to 2.4 ± 0.4 sec when exercise load increased from 4 lbs to 16 lbs. For the same load of 4 lbs, gastrocnemius ATT was lower in the elderly healthy subjects (3.2 ± 1.1 sec; P = 0.08) and in the PAD patients (2.4 ± 1.2 sec; P = 0.02) than in the young healthy subjects. While the sensitivity of the exercise-stimulated ATT is diagnostically useful, it poses a challenge for arterial spin labeling (ASL), a noncontrast MRI method for measuring muscle perfusion. As a secondary goal of this study, we assessed the impact of ATT on ASL-measured perfusion with ASL data of multiple post labeling delays (PLDs) acquired from a healthy subject. Perfusion varied substantially with PLD in the activated gastrocnemius, which can be attributed to the ATT variability as verified by a simulation. In conclusion, muscle ATT is sensitive to exercise intensity, and it potentially reflects the functional impact of aging and PAD on calf muscles. For precise measurement of exercise-stimulated muscle perfusion, it is recommended that ATT be considered when quantifying muscle ASL data.

Indexed as

ExerciseRegional Blood FlowAdultAgedAgingAnkleArteriesBlood Flow VelocityFemaleHumansMagnetic Resonance AngiographyMaleMiddle AgedMuscle, SkeletalPeripheral Arterial DiseaseArterial spin labelingarterial transit timecalf muscleperfusion

Identifiers

PMID30648355
PMCPMC6333626
OpenAlexW2909865130

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.