Evidence map›Paper›PMID 31767018›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2019

The relative contributions of myocardial perfusion, blood volume and extracellular volume to native T1 and native T2 at rest and during adenosine stress in normal physiology.

Jannike Nickander, Raquel Themudo, Simon Thalén, Andreas Sigfridsson, Hui Xue, Peter Kellman, Martin Ugander

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02723747 (Quantitative Myocardial Perfusion Reserve by Cardiovascular Magnetic Resonance), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–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.

NCT02723747 unknown statusnot on this map

Quantitative Myocardial Perfusion Reserve by Cardiovascular Magnetic Resonance

TypeobservationalSponsorKarolinska InstitutetRan2016 to 2023Enrolled66ConditionsMyocardial IschemiaArmsmyocardial perfusion with magnetic resonance imaging
3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Article
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  6. BMagnetic resonance in medicine · 2025
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  12. No differences in native T1 of the renal cortex between Fabry disease patients and healthy subjects in cardiac-dedicated native T1 maps.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2024
    Article
  13. Article
  14. Review
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  16. Quantification of intramyocardial blood volume usingJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
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  17. Article
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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

7 authors.

Jannike NickanderDepartment of Clinical Physiology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.
Raquel ThemudoDepartment of Clinical Physiology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.
Simon ThalénDepartment of Clinical Physiology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.
Andreas SigfridssonDepartment of Clinical Physiology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.
Hui XueNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Peter KellmanNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Martin UganderDepartment of Clinical Physiology, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden. martin.ugander@gmail.com.ORCID 0000-0003-3665-2038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBoth ischemic and non-ischemic heart disease can cause disturbances in the myocardial blood volume (MBV), myocardial perfusion and the myocardial extracellular volume fraction (ECV). Recent studies suggest that native myocardial T1 mapping can detect changes in MBV during adenosine stress without the use of contrast agents. Furthermore, native T2 mapping could also potentially be used to quantify changes in myocardial perfusion and/or MBV. Therefore, the aim of this study was to explore the relative contributions of myocardial perfusion, MBV and ECV to native T1 and native T2 at rest and during adenosine stress in normal physiology.

methodsHealthy subjects (n = 41, 26 ± 5 years, 51% females) underwent 1.5 T cardiovascular magnetic resonance (CMR) scanning. Quantitative myocardial perfusion [ml/min/g] and MBV [%] maps were computed from first pass perfusion imaging at adenosine stress (140 microg/kg/min infusion) and rest following an intravenous contrast bolus (0.05 mmol/kg, gadobutrol). Native T1 and T2 maps were acquired before and during adenosine stress. T1 maps at rest and stress were also acquired following a 0.2 mmol/kg cumulative intravenous contrast dose, rendering rest and stress ECV maps [%]. Myocardial T1, T2, perfusion, MBV and ECV values were measured by delineating a region of interest in the midmural third of the myocardium.

resultsDuring adenosine stress, there was an increase in myocardial native T1, native T2, perfusion, MBV, and ECV (p ≤ 0.001 for all). Myocardial perfusion, MBV and ECV all correlated with both native T1 and native T2, respectively (R

conclusionsMyocardial native T1, native T2, perfusion, MBV, and ECV all increase during adenosine stress. Changes in myocardial native T1 and T2 during adenosine stress in normal physiology can largely be explained by the combined changes in myocardial perfusion and ECV.

trial registrationClinicaltrials.gov identifier NCT02723747. Registered March 16, 2016.

Indexed as

Blood VolumeCoronary CirculationMagnetic Resonance Imaging, CineAdenosineAdultBlood Flow VelocityCoronary VesselsFemaleHealthy VolunteersHumansMaleMyocardial Perfusion ImagingPredictive Value of TestsVasodilator AgentsYoung AdultAdenosineVasodilator AgentsExtracellular volumeMappingMyocardial blood volumeNative T1Native T2Quantitative perfusionStress cardiovascular magnetic resonance

Identifiers

PMID31767018
PMCPMC6876099

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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.