Evidence map›Paper›PMID 31418490›Full record

ArticleMagnetic resonance in medicine2020

Measuring extracellular volume fraction by MRI: First verification of values given by clinical sequences.

David Nordlund, Christos Xanthis, Sebastian Bidhult, Robert Jablonowski, Mikael Kanski, Sascha Kopic, Marcus Carlsson, Henrik Engblom, Anthony H Aletras, Håkan Arheden

Open access · hybridAbstract read
In one paragraph

Article in Magnetic resonance in medicine, 2020. 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
1.2field-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

3 citing papers in PubMed, 9 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

10 authors at 1 institution in 2 countries.

David NordlundDepartment of Clinical Physiology, Clinical Sciences, Lund University and Lund University Hospital, Lund, Sweden.ORCID 0000-0002-6567-8459
Christos XanthisDepartment of Clinical Physiology, Clinical Sciences, Lund University and Lund University Hospital, Lund, Sweden.
Sebastian BidhultDepartment of Clinical Physiology, Clinical Sciences, Lund University and Lund University Hospital, Lund, Sweden.
Robert JablonowskiDepartment of Clinical Physiology, Clinical Sciences, Lund University and Lund University Hospital, Lund, Sweden.
Mikael KanskiDepartment of Clinical Physiology, Clinical Sciences, Lund University and Lund University Hospital, Lund, Sweden.
Sascha KopicDepartment of Clinical Physiology, Clinical Sciences, Lund University and Lund University Hospital, Lund, Sweden.
Marcus CarlssonDepartment of Clinical Physiology, Clinical Sciences, Lund University and Lund University Hospital, Lund, Sweden.
Henrik EngblomDepartment of Clinical Physiology, Clinical Sciences, Lund University and Lund University Hospital, Lund, Sweden.
Anthony H AletrasDepartment of Clinical Physiology, Clinical Sciences, Lund University and Lund University Hospital, Lund, Sweden.
Håkan ArhedenDepartment of Clinical Physiology, Clinical Sciences, Lund University and Lund University Hospital, Lund, Sweden.
Lund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo verify MR measurements of myocardial extracellular volume fraction (ECV) based on clinically applicable T1-mapping sequences against ECV measurements by radioisotope tracer in pigs and to relate the results to those obtained in volunteers.

methodsBetween May 2016 and March 2017, 8 volunteers (25 ± 4 years, 3 female) and 8 pigs (4 female) underwent ECV assessment with SASHA, MOLLI5(3b)3, MOLLI5(3s)3, and MOLLI5s(3s)3s. Myocardial ECV was measured independently in pigs using a radioisotope tracer method.

resultsIn pigs, ECV in normal myocardium was not different between radioisotope (average ± standard deviation; 19 ± 2%) and SASHA (21 ± 2%; P = 0.086). ECV was higher by MOLLI5(3b)3 (26 ± 2%), MOLLI5(3s)3 (25 ± 2%), and MOLLI5s(3s)3s (25 ± 2%) compared with SASHA or radioisotope (P ≤ 0.001 for all). ECV in volunteers was higher by MOLLI5(3b)3 (26 ± 3%) and MOLLI5(3s)3 (26 ± 3%) than by SASHA (22 ± 3%; P = 0.022 and P = 0.033). No difference was found between MOLLI5s(3s)3s (25 ± 3%) and SASHA (P = 0.225). Native T1 of blood and myocardium as well as postcontrast T1 of myocardium was consistently lower using MOLLI compared with SASHA. ECV increased over time as measured by MOLLI5(3b)3 and MOLLI5(3s)3 for pigs (0.08% and 0.07%/min; P = 0.004 and P = 0.013) and by MOLLI5s(3s)3s for volunteers (0.07%/min; P = 0.032) but did not increase as measured by SASHA.

conclusionClinically available MOLLI and SASHA techniques can be used to accurately estimate ECV in normal myocardium where MOLLI-sequences show minor overestimation driven by underestimation of postcontrast T1 when compared with SASHA. The timing of imaging after contrast administration affected the measurement of ECV using some variants of the MOLLI sequence.

Indexed as

Magnetic Resonance ImagingAdultAlgorithmsAnimalsContrast MediaFemaleHeartHeart RateHematocritHumansImage Interpretation, Computer-AssistedImage Processing, Computer-AssistedMaleMyocardiumPhantoms, ImagingReproducibility of ResultsContrast MediaECVextracellular volumeMOLLISASHAT1-mapping

Identifiers

PMID31418490
PMCPMC6900009
OpenAlexW2967090297

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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.