Evidence map›Paper›PMID 32199848›Full record

ArticleJACC. Cardiovascular imaging2020

Prognostic Value of Myocardial Extracellular Volume Fraction and T2-mapping in Heart Transplant Patients.

Kongkiat Chaikriangkrai, Muhannad Aboud Abbasi, Roberto Sarnari, Ryan Dolan, Daniel Lee, Allen S Anderson, Kambiz Ghafourian, Sadiya S Khan, Esther E Vorovich, Jonathan D Rich and 5 more

Open access · greenAbstract read
In one paragraph

Article in JACC. Cardiovascular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Kongkiat ChaikriangkraiDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois. Electronic address: supersoon@gmail.com.
Muhannad Aboud AbbasiDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Roberto SarnariDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Ryan DolanDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Daniel LeeDivision of Cardiology, Department of Medicine, Northwestern University, Chicago, Illinois.
Allen S AndersonDivision of Cardiology, Department of Medicine, Northwestern University, Chicago, Illinois.
Kambiz GhafourianDivision of Cardiology, Department of Medicine, Northwestern University, Chicago, Illinois.
Sadiya S KhanDivision of Cardiology, Department of Medicine, Northwestern University, Chicago, Illinois.
Esther E VorovichDivision of Cardiology, Department of Medicine, Northwestern University, Chicago, Illinois.
Jonathan D RichDivision of Cardiology, Department of Medicine, Northwestern University, Chicago, Illinois.
Jane E WilcoxDivision of Cardiology, Department of Medicine, Northwestern University, Chicago, Illinois.
Julie A BlaisdellDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Clyde W YancyDivision of Cardiology, Department of Medicine, Northwestern University, Chicago, Illinois.
James CarrDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Michael MarklDepartment of Radiology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Northwestern University · US

Funding

Comprehensive Cardiac Structure-Function Analysis in Heart TransplantationR01HL117888 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CARR, JAMES, MARKL, MICHAEL · 2014 to 2025
$6.4M
NHLBI NIH HHS R01 HL117888
6 · The paper itself

Abstract

objectivesThe purpose of this study was to examine prognostic value of T1- and T2-mapping techniques in heart transplant patients.

backgroundMyocardial characterization using T2 mapping (evaluation of edema/inflammation) and pre- and post-gadolinium contrast T1 mapping (calculation of extracellular volume fraction [ECV] for assessment of interstitial expansion/fibrosis) are emerging modalities that have been investigated in various cardiomyopathies.

methodsA total of 99 heart transplant patients underwent the magnetic resonance imaging (MRI) scans including T1- (n = 90) and T2-mapping (n = 79) techniques. Relevant clinical characteristics, MRI parameters including late gadolinium enhancement (LGE), and invasive hemodynamics were collected. Median clinical follow-up duration after the baseline scan was 2.4 to 3.5 years. Clinical outcomes include cardiac events (cardiac death, myocardial infarction, coronary revascularization, and heart failure hospitalization), noncardiac death and noncardiac hospitalization.

resultsOverall, the global native T1, postcontrast T1, ECV, and T2 were 1,030 ± 56 ms, 458 ± 84 ms, 27 ± 4% and 50 ± 4 ms, respectively. Top-tercile-range ECV (ECV >29%) independently predicted adverse clinical outcomes compared with bottom-tercile-range ECV (ECV <25%) (hazard ratio [HR]: 2.87; 95% confidence interval [CI]: 1.07 to 7.68; p = 0.04) in a multivariable model with left ventricular end-systolic volume and LGE. Higher T2 (T2 ≥50.2 ms) independently predicted adverse clinical outcomes (HR: 3.01; 95% CI: 1.39 to 6.54; p = 0.005) after adjustment for left ventricular ejection fraction, left ventricular end-systolic volume, and LGE. Additionally, higher T2 (T2 ≥50.2 ms) also independently predicted cardiac events (HR: 4.92; CI: 1.60 to 15.14; p = 0.005) in a multivariable model with left ventricular ejection fraction.

conclusionsMRI-derived myocardial ECV and T2 mapping in heart transplant patients were independently associated with cardiac and noncardiac outcomes. Our findings highlight the need for larger prospective studies.

Indexed as

Contrast MediaHeart TransplantationFibrosisGadoliniumHumansMagnetic Resonance Imaging, CineMyocardiumPredictive Value of TestsPrognosisProspective StudiesStroke VolumeVentricular Function, LeftContrast MediaGadoliniumextracellular volume fractionheart transplantationmagnetic resonance imagingnatural historyprognosisT1 mappingT2 mapping

Identifiers

PMID32199848
PMCPMC8809107
OpenAlexW3011660143

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.