Evidence map›Paper›PMID 32144857›Full record

ArticleJournal of magnetic resonance imaging : JMRI2020

Quantitative MRI Reveals Microstructural Changes in the Upper Leg Muscles After Running a Marathon.

Melissa T Hooijmans, Jithsa R C Monte, Martijn Froeling, Sandra van den Berg-Faay, Vincent L Aengevaeren, Robert Hemke, Frank F Smithuis, Thijs M H Eijsvogels, Adrianus J Bakermans, Mario Maas and 2 more

Open access · bronzeAbstract 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.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 43 citations in OpenAlex.

  1. Effect of Daily OralNutrients · 2021
    Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Sports Radiology: A Key Driver of Clinical Decision-Making.Diagnostics (Basel, Switzerland) · 2025
    Article
  7. Skeletal muscle elastic modulus in marathon distance runners.European journal of applied physiology · 2025
    Article
  8. Imaging of muscle injuries in soccer.Skeletal radiology · 2025
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Compositional and Functional MRI of Skeletal Muscle: A Review.Journal of magnetic resonance imaging : JMRI · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. [Imaging of muscle injuries in sports medicine].Radiologie (Heidelberg, Germany) · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Melissa T HooijmansAmsterdam University Medical Centers, University of Amsterdam, Department of Biomedical Engineering and Physics, Amsterdam Movement Sciences, Amsterdam, Netherlands.ORCID 0000-0002-2233-1383
Jithsa R C MonteAmsterdam University Medical Centers, University of Amsterdam, Department of Radiology and Nuclear Medicine, Amsterdam Movement Sciences, Amsterdam, Netherlands.
Martijn FroelingDepartment of Radiology, University Medical Center Utrecht, Utrecht, Netherlands.ORCID 0000-0003-3841-0497
Sandra van den Berg-FaayAmsterdam University Medical Centers, University of Amsterdam, Department of Radiology and Nuclear Medicine, Amsterdam Movement Sciences, Amsterdam, Netherlands.
Vincent L AengevaerenRadboud Institute for Health Sciences, Department of Physiology, Radboud University Medical Center, Nijmegen, Netherlands.
Robert HemkeAmsterdam University Medical Centers, University of Amsterdam, Department of Radiology and Nuclear Medicine, Amsterdam Movement Sciences, Amsterdam, Netherlands.
Frank F SmithuisAmsterdam University Medical Centers, University of Amsterdam, Department of Radiology and Nuclear Medicine, Amsterdam Movement Sciences, Amsterdam, Netherlands.
Thijs M H EijsvogelsRadboud Institute for Health Sciences, Department of Physiology, Radboud University Medical Center, Nijmegen, Netherlands.
Adrianus J BakermansAmsterdam University Medical Centers, University of Amsterdam, Department of Radiology and Nuclear Medicine, Amsterdam Movement Sciences, Amsterdam, Netherlands.ORCID 0000-0001-9291-9441
Mario MaasAmsterdam University Medical Centers, University of Amsterdam, Department of Radiology and Nuclear Medicine, Amsterdam Movement Sciences, Amsterdam, Netherlands.
Aart J NederveenAmsterdam University Medical Centers, University of Amsterdam, Department of Radiology and Nuclear Medicine, Amsterdam Movement Sciences, Amsterdam, Netherlands.
Gustav J StrijkersAmsterdam University Medical Centers, University of Amsterdam, Department of Biomedical Engineering and Physics, Amsterdam Movement Sciences, Amsterdam, Netherlands.
Amsterdam University Medical Centers · NLRadboud University Nijmegen · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe majority of sports-related injuries involve skeletal muscle. Unlike acute trauma, which is often caused by a single traumatic event leading to acute symptoms, exercise-induced microtrauma may remain subclinical and difficult to detect. Therefore, novel methods to detect and localize subclinical exercise-induced muscle microtrauma are desirable. PURPOSE: To assess acute and delayed microstructural changes in upper leg muscles with multiparametric quantitative MRI after running a marathon. STUDY TYPE: Longitudinal; 1-week prior, 24-48 hours postmarathon and 2-week follow-up POPULATION: Eleven men participants (age: 47-68 years). FIELD STRENGTH/SEQUENCE: Spin-echo echo planar imaging (SE-EPI) with diffusion weighting, multispin echo, Dixon, and fat-suppressed turbo spin-echo (TSE) sequences at 3T. MR datasets and creatine kinase (CK) concentrations were obtained at three timepoints. ASSESSMENT: Diffusion parameters, perfusion fractions, and quantitative (q)T STATISTICAL TESTS: Differences between timepoints in MR parameters were assessed with a multilevel linear mixed model and in CK concentrations with a Friedman test. Mean diffusivity (MD) and qT

resultsCK concentrations were elevated (1194 U/L [166-3906], P < 0.001) at 24-48 hours postmarathon and returned to premarathon values (323 U/L [56-2216]) at 2-week follow-up. Most of the MRI diffusion indices in muscles without acute injury changed at 24-48 hours postmarathon and returned to premarathon values at follow-up (MD, RD, and λ3; P < 0.006). qT DATA

conclusionMarathon running-induced microtrauma was detected with MRI in individual whole upper leg muscles and even more pronounced on local segments. LEVEL OF EVIDENCE: 2 TECHNICAL EFFICACY STAGE: 3 J. Magn. Reson. Imaging 2020;52:407-417.

Indexed as

LegMarathon RunningAgedEcho-Planar ImagingHumansMagnetic Resonance ImagingMaleMiddle AgedMuscle, SkeletalDTIinflammationmicrostructuremuscle injuryperfusion

Identifiers

PMID32144857
PMCPMC7496541
OpenAlexW3009585896

What OpenQuestion holds

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LicenceCC BY-NC
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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.