Evidence map›Paper›PMID 31452280›Full record

ArticleJournal of magnetic resonance imaging : JMRI2020

Normal range for MR elastography measured liver stiffness in children without liver disease.

Mary Catherine Sawh, Kimberly P Newton, Nidhi P Goyal, Jorge Eduardo Angeles, Kathryn Harlow, Craig Bross, Alexandra N Schlein, Jonathan C Hooker, Ethan Z Sy, Kevin J Glaser and 4 more

Abstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  13. Associations of dietary sugars with liver stiffness in Latino adolescents with obesity differ on PNPLA3 and liver disease severity.Liver international : official journal of the International Association for the Study of the Liver · 2024
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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

14 authors.

Mary Catherine SawhThe Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, University of California San Diego School of Medicine, La Jolla, California, USA.
Kimberly P NewtonThe Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, University of California San Diego School of Medicine, La Jolla, California, USA.
Nidhi P GoyalThe Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, University of California San Diego School of Medicine, La Jolla, California, USA.
Jorge Eduardo AngelesThe Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, University of California San Diego School of Medicine, La Jolla, California, USA.
Kathryn HarlowThe Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, University of California San Diego School of Medicine, La Jolla, California, USA.
Craig BrossThe Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, University of California San Diego School of Medicine, La Jolla, California, USA.
Alexandra N SchleinLiver Imaging Group, Department of Radiology, University of California San Diego School of Medicine, La Jolla, California, USA.
Jonathan C HookerLiver Imaging Group, Department of Radiology, University of California San Diego School of Medicine, La Jolla, California, USA.
Ethan Z SyLiver Imaging Group, Department of Radiology, University of California San Diego School of Medicine, La Jolla, California, USA.
Kevin J GlaserDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Meng YinDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Richard L EhmanDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Claude B SirlinLiver Imaging Group, Department of Radiology, University of California San Diego School of Medicine, La Jolla, California, USA.
Jeffrey B SchwimmerThe Department of Pediatrics, Division of Gastroenterology, Hepatology, and Nutrition, University of California San Diego School of Medicine, La Jolla, California, USA.ORCID 0000-0001-8538-2877

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
San Diego Clinical and Translational Research InstituteUL1TR000100 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S · 2012 to 2015
$19.7M
Comprehensive noninvasive assessment of liver histopathology in nonalcoholic fatty liver disease (NAFLD) via magnetic resonance imaging, cytometry and elastography (MR-ICE)R01EB017197 · NIBIB · MAYO CLINIC ROCHESTER · PI YIN, MENG · 2014 to 2025
$4.3M
Magnetic Resonance ElastographyR37EB001981 · NIBIB · MAYO CLINIC ROCHESTER · PI EHMAN, RICHARD L. · 2016 to 2025
$4.0M
Magnetic Resonance ElastographyR01EB001981 · NIBIB · MAYO CLINIC ROCHESTER · PI EHMAN, RICHARD L. · 2003 to 2013
$3.1M
Development of MR Based Biomarker Panels for NAFLD _ A NASH CRN Ancillary StudyR56DK090350 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SCHWIMMER, JEFFREY BARNETT, SIRLIN, CLAUDE B · 2010 to 2012
$2.2M
National Institutes of Health (NIH) EB001981National Institutes of Health (NIH) EB017197National Institutes of Health (NIH) UL1TR000100National Institutes of Health (NIH) UL1TR001442National Institutes of Health (NIH) ULTR000100National Institutes of Health (NIH) ULTR001442NCATS NIH HHS UL1 TR000100NCATS NIH HHS UL1 TR001442NIBIB NIH HHS R01 EB001981NIBIB NIH HHS R01 EB017197NIBIB NIH HHS R37 EB001981NIDDK NIH HHS R56 DK090350
6 · The paper itself

Abstract

backgroundMagnetic resonance elastography (MRE) can determine the presence and stage of liver fibrosis. Data on normative MRE values, while reported in adults, are limited in children. PURPOSE: To determine the distribution of MRE-measured liver stiffness in children without liver disease. STUDY TYPE: Prospective, observational. POPULATION: Eighty-one healthy children (mean 12.6 ± 2.6 years, range 8-17 years). FIELD STRENGTH/SEQUENCE: 3.0T Signa HDxt, General Electric MR Scanner; 2D GRE MRE sequence. ASSESSMENT: History, examination, laboratory evaluation, and (MR) exams (proton density fat fraction, PDFF, and MRE) were performed. MR elastograms were analyzed manually at two reading centers and compared with each other for agreement and with published values in healthy adults and thresholds for fibrosis in adult and pediatric patients. STATISTICAL TESTS: Descriptive statistics, Bland-Altman analysis, t-test to compare hepatic stiffness values with reference standards.

resultsStiffness values obtained at both reading centers were similar, without significant bias (P = 0.362) and with excellent correlation (intraclass correlation coefficient [ICC] = 0.782). Mean hepatic stiffness value for the study population was 2.45 ± 0.35 kPa (95 DATA

conclusionMean liver stiffness measured with MRE in this cohort was significantly higher than that reported in healthy adults. Despite rigorous screening, some healthy children had stiffness measurements suggestive of liver fibrosis using current published thresholds. Although MRE has the potential to provide noninvasive assessment in patients with suspected hepatic disease, further refinement of this technology will help advance its use as a diagnostic tool for evidence of fibrosis in pediatric populations. LEVEL OF EVIDENCE: 1 Technical Efficacy: 5 J. Magn. Reson. Imaging 2020;51:919-927.

Indexed as

Elasticity Imaging TechniquesLiver DiseasesAdultChildEcho-Planar ImagingHumansLiverLiver CirrhosisMagnetic Resonance ImagingProspective StudiesReference ValuesReproducibility of Resultshepatic shear stiffnessmagnetic resonance imagingpediatric radiologyquantitative imaging biomarkers

Identifiers

PMID31452280
PMCPMC7386297

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.