Evidence map›Paper›PMID 33000303›Full record

ArticleEuropean radiology2021

Liver enhancement during hepatobiliary phase after Gd-BOPTA administration: correlation with liver and renal function.

Matteo Bonatti, Riccardo Valletta, Giacomo Avesani, Fabio Lombardo, Federico Cannone, Giulia A Zamboni, Giancarlo Mansueto, Riccardo Manfredi, Federica Ferro

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Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.4field-weighted citation impact, top 46% 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

12 citing papers in PubMed, 11 citations in OpenAlex.

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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

9 authors at 5 institutions in 1 country.

Matteo BonattiDepartment of Radiology, Ospedale Centrale di Bolzano, via Böhler 5, 39190, Bolzano, Italy.
Riccardo VallettaDepartment of Radiology, Ospedale Centrale di Bolzano, via Böhler 5, 39190, Bolzano, Italy.
Giacomo AvesaniUOC Radiologia Diagnostica ed Interventistica Generale, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Largo Agostino Gemelli 8, 00168, Rome, Italy. giacomo.avesani@policlinicogemelli.it.ORCID https://orcid.org/0000-0001-9926-760X
Fabio LombardoDepartment of Radiology, IRCCS Ospedale Sacro Cuore - Don Calabria, via Don Sempreboni 5, 37024, Negrar, VR, Italy.
Federico CannoneDipartimento Universitario di Scienze Radiologiche ed Ematologiche, Università Cattolica del Sacro Cuore, Largo Agostino Gemelli 8, 00168, Rome, Italy.
Giulia A ZamboniSection of Radiology, Department of Diagnostic and Public Health, University of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy.
Giancarlo MansuetoSection of Radiology, Department of Diagnostic and Public Health, University of Verona, Piazzale L.A. Scuro 10, 37134, Verona, Italy.
Riccardo ManfrediUOC Radiologia Diagnostica ed Interventistica Generale, Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Largo Agostino Gemelli 8, 00168, Rome, Italy.
Federica FerroDepartment of Radiology, Ospedale Centrale di Bolzano, via Böhler 5, 39190, Bolzano, Italy.
University of Verona · ITOspedale di Bolzano · ITUniversità Cattolica del Sacro Cuore · ITAgostino Gemelli University Polyclinic · ITOspedale Sacro Cuore Don Calabria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the influence of liver and renal function on liver relative enhancement during hepatobiliary phase MRI after Gd-BOPTA administration.

methodsIn this IRB-approved retrospective cohort study, we included 326 patients who underwent Gd-BOPTA-enhanced 1.5T liver MRI, including hepatobiliary phase (HBP) acquired 90-150 min after injection, in two centres between Jan 2016 and Dec 2019. Liver signal intensity was measured on native and HBP phases and normalized to paraspinal muscles. Liver normalized relative enhancement (NRE) in HBP was calculated and compared with eGFR, total serum bilirubin and HBP acquisition delay by means of Spearman r correlation test and Mann-Whitney U test.

results221/326 patients received 0.05 mmol/Kg Gd-BOPTA (group A), whereas 105/326 received 0.1 mmol/Kg (group B). Liver NRE in HBP was significantly higher in group B than in group A (0.55vs.0.33, p < 0.0001). In both groups, liver NRE in HBP had a negative correlation with total serum bilirubin level (r = - 0.32, p < 0.0001, group A; r = - 0.36, p = 0.0002, group B). Patients with total bilirubin > 1.2 mg/dl showed significantly lower NRE in HBP compared with those with total bilirubin ≤ 1.2 mg/dl (p < 0.0001, group A; p = 0.04, group B). Patients with impaired liver function in group B showed a NRE during HBP comparable with those with normal liver function in group A. No statistically significant correlation between liver NRE and eGFR or acquisition delay was observed.

conclusionsThe degree of liver enhancement during HBP is not correlated with eGFR or acquisition delay, but it is significantly reduced in patients with impaired liver function. 0.1 mmol/kg Gd-BOPTA dose might be useful in patients with total serum bilirubin > 1.2 mg/dl. KEY POINTS: • The degree of liver enhancement during hepatobiliary phase after Gd-BOPTA administration has a negative correlation with total serum bilirubin level (r = - 0.32, p < 0.0001). • The degree of liver enhancement during HBP after Gd-BOPTA administration is not significantly correlated with renal function and acquisition delay (comprised between 90 and 150 min after contrast injection). • 0.1 mmol/Kg Gd-BOPTA dose might be preferable in patients with increased total serum bilirubin levels.

Indexed as

Contrast MediaOrganometallic CompoundsGadolinium DTPAHumansImage EnhancementLiverMagnetic Resonance ImagingMeglumineRetrospective StudiesContrast Mediagadobenic acidGadolinium DTPAMeglumineOrganometallic CompoundsBilirubinGadobenic acidLiverMagnetic resonance imagingRenal insufficiency

Identifiers

PMID33000303
OpenAlexW3089942259

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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.