Evidence map›Paper›PMID 31984436›Full record

ArticlePediatric radiology2020

Prospective pediatric study comparing glomerular filtration rate estimates based on motion-robust dynamic contrast-enhanced magnetic resonance imaging and serum creatinine (eGFR) to

Sila Kurugol, Onur Afacan, Richard S Lee, Catherine M Seager, Michael A Ferguson, Deborah R Stein, Reid C Nichols, Monet Dugan, Alto Stemmer, Simon K Warfield and 1 more

Erratum issuedOpen access · greenAbstract readComparative Study
In one paragraph

Article in Pediatric radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Sila KurugolComputational Radiology Laboratory, Department of Radiology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave., Boston, 02115, MA, USA. sila.kurugol@childrens.harvard.edu.ORCID 0000-0002-5081-4569
Onur AfacanComputational Radiology Laboratory, Department of Radiology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave., Boston, 02115, MA, USA.
Richard S LeeDepartment of Urology,, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Catherine M SeagerDepartment of Urology,, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Michael A FergusonDivision of Nephrology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Deborah R SteinDivision of Nephrology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Reid C NicholsSiemens Healthcare, Erlangen, Germany.
Monet DuganComputational Radiology Laboratory, Department of Radiology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave., Boston, 02115, MA, USA.
Alto StemmerSiemens Healthcare, Erlangen, Germany.
Simon K WarfieldComputational Radiology Laboratory, Department of Radiology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave., Boston, 02115, MA, USA.
Jeanne S ChowDepartment of Radiology, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Boston Children's Hospital · USSiemens Healthineers (Germany) · DE

Funding

Improved Motion Robust MRI of ChildrenR01EB019483 · NIBIB · BOSTON CHILDREN'S HOSPITAL · PI WARFIELD, SIMON K · 2015 to 2024
$3.9M
MRI Biomarkers of Patients with Tuberous Sclerosis Complex and AutismR01NS079788 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI WARFIELD, SIMON K · 2013 to 2017
$3.6M
Novel MRI Imaging Tools and Software for Assessing Pediatric Crohn's DiseaseR01DK100404 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI WARFIELD, SIMON K · 2014 to 2018
$1.9M
NIBIB NIH HHS R01 EB019483NIDDK NIH HHS R01 DK100404NINDS NIH HHS R01 NS079788
6 · The paper itself

Abstract

backgroundCurrent methods to estimate glomerular filtration rate (GFR) have shortcomings. Estimates based on serum creatinine are known to be inaccurate in the chronically ill and during acute changes in renal function. Gold standard methods such as inulin and

objectiveThe purpose of our study was to determine the feasibility and accuracy of GFR measured by motion-robust radial VIBE dynamic contrast-enhanced MRI compared to estimates by serum creatinine (eGFR) and MATERIALS AND

methodsWe enrolled children, 0-18 years of age, who were undergoing both a contrast-enhanced MRI and nuclear medicine

resultsTwenty-one children (7 female, 14 male) were enrolled between February 2017 and May 2018. Data from six of these children were not further analyzed because of deviations from the MRI protocol. Fifteen patients were analyzed (5 female, 10 male; average age 5.9 years); the method was technically feasible in all children. The results showed that the MR-GFR correlated with NM-GFR with a Pearson correlation coefficient (r-value) of 0.98. Bland-Altman analysis (i.e. difference of MR-GFR and NM-GFR versus mean of NM-GFR and MR-GFR) showed a mean difference of -0.32 and reproducibility coefficient of 18 with 95% confidence interval, and the coefficient of variation of 6.7% with values between -19 (-1.96 standard deviation) and 18 (+1.96 standard deviation). In contrast, serum creatinine compared with NM-GFR yielded an r-value of 0.73. Bland-Altman analysis (i.e. difference of eGFR and NM-GFR versus mean of NM-GFR and eGFR) showed a mean difference of 2.9 and reproducibility coefficient of 70 with 95% confidence interval, and the coefficient of variation of 25% with values between -67 (-1.96 standard deviation) and 73 (+1.96 standard deviation).

conclusionMR-GFR is a technically feasible and reliable method of measuring GFR when compared to the reference standard, NM-GFR by serum

Indexed as

Contrast MediaTechnetium Tc 99m PentetateAdolescentChildChild, PreschoolCreatinineFeasibility StudiesFemaleGlomerular Filtration RateHumansImage EnhancementInfantKidneyMagnetic Resonance ImagingMaleProspective StudiesContrast MediaCreatinineRadiopharmaceuticalsTechnetium Tc 99m Pentetate99mTc diethylenetriamine pentaacetic acidChildrenDynamic contrast-enhanced magnetic resonance imagingGlomerular filtration rateKidneysNuclear medicineRenal functionSerum creatinine

Identifiers

PMID31984436
PMCPMC7153988
OpenAlexW3003792417

What OpenQuestion holds

Textmetadata
LicenceTDM
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.