Evidence map›Paper›PMID 33346203›Full record

Trial reportJournal of visualized experiments : JoVE2020

Contrast-Enhanced Subharmonic Aided Pressure Estimation (SHAPE) using Ultrasound Imaging with a Focus on Identifying Portal Hypertension.

Flemming Forsberg, Ipshita Gupta, Priscilla Machado, Colette M Shaw, Jonathan M Fenkel, Kirk Wallace, John R Eisenbrey

Registry-linked trialOpen access · greenAbstract readClinical TrialVideo-Audio Media
In one paragraph

Trial report in Journal of visualized experiments : JoVE, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05470205 (Noninvasive Subharmonic Aided Pressure Estimation of Portal Hypertension), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-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.

NCT05470205 phase3recruitingnot on this mapstarted 2022, after this paper: background citation

Noninvasive Subharmonic Aided Pressure Estimation of Portal Hypertension

TypeinterventionalSponsorThomas Jefferson UniversityRan2022 to 2026Enrolled660ConditionsLiver Diseases, Portal HypertensionArmsSHAPE measurement (Sonazoid ultrasoud contrast agent), SHAPE measurement (Definity ultrasoud contrast agent)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 21 citations in OpenAlex.

  1. Ultrasound Pressure Estimation for Diagnosing Portal Hypertension in Patients Undergoing Dialysis for Chronic Kidney Disease.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2022
    Trial
  2. Noninvasive Diagnosis of Chronic Exertional Compartment Syndrome With Shear Wave Elastography and Subharmonic-Aided Pressure Estimation.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
    Article
  3. Article
  4. Future of Endoscopy in Surveillance of Esophageal Varices.Current gastroenterology reports · 2025
    Review
  5. Article
  6. Review
  7. 3D Harmonic and Subharmonic Imaging for Characterizing Breast Lesions: A Multi-Center Clinical Trial.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2022
    Article
  8. Review
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 at 2 institutions in 1 country.

Flemming ForsbergDepartment of Radiology, Thomas Jefferson University; Flemming.Forsberg@jefferson.edu.
Ipshita GuptaDepartment of Radiology, Thomas Jefferson University; School of Biomedical Engineering, Sciences and Health Systems, Drexel University.
Priscilla MachadoDepartment of Radiology, Thomas Jefferson University.
Colette M ShawDepartment of Radiology, Thomas Jefferson University.
Jonathan M FenkelDepartment of Medicine, Division of Gastroenterology and Hepatology, Thomas Jefferson University.
Kirk WallaceGE Global Research.
John R EisenbreyDepartment of Radiology, Thomas Jefferson University.
Thomas Jefferson University · USGE Global Research (United States) · US

Funding

Noninvasive Subharmonic Aided Pressure Estimation of Portal HypertensionR01DK098526 · NIDDK · THOMAS JEFFERSON UNIVERSITY · PI Flemming Forsberg · 2013 to 2026
$5.1M
Monitoring neoadjuvant chemotherapy of breast cancer using 3D subharmonic aided pressure estimationR37CA234428 · NCI · THOMAS JEFFERSON UNIVERSITY · PI NAM, KIBO · 2019 to 2025
$3.0M
Noninvasive Portal Pressure Measurements in ChildrenR01DK118964 · NIDDK · THOMAS JEFFERSON UNIVERSITY · PI ANUPINDI, SUDHA, FORSBERG, FLEMMING · 2018 to 2022
$2.0M
Quantitative Subharmonic Breast ImagingR01CA140338 · NCI · THOMAS JEFFERSON UNIVERSITY · PI FORSBERG, FLEMMING · 2010 to 2014
$1.9M
Noninvasive and Accurate Measurement of Portal HypertensionRC1DK087365 · NIDDK · THOMAS JEFFERSON UNIVERSITY · PI FORSBERG, FLEMMING · 2009 to 2010
$895k
Subharmonic Microbubble Signals for Pressure EstimationR21HL081892 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI FORSBERG, FLEMMING · 2007 to 2008
$476k
3D Subharmonic Pressure Maps of Vulnerable PlaquesR21HL119951 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI FORSBERG, FLEMMING · 2014 to 2015
$450k
Noninvasive real-time intracardiac pressure measurements using subharmonic ultrasoundR21HL130899 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI DAVE, JAYDEV · 2016 to 2017
$401k
NCI NIH HHS R01 CA140338NCI NIH HHS R37 CA234428NHLBI NIH HHS R21 HL081892NHLBI NIH HHS R21 HL119951NHLBI NIH HHS R21 HL130899NIDDK NIH HHS R01 DK098526NIDDK NIH HHS R01 DK118964NIDDK NIH HHS RC1 DK087365
6 · The paper itself

Abstract

Noninvasive, accurate measurement of pressures within the human body has long been an important but elusive clinical goal. Contrast agents for ultrasound imaging are gas-filled, encapsulated microbubbles (diameter < 10 μm) that traverse the entire vasculature and enhance signals by up to 30 dB. These microbubbles also produce nonlinear oscillations at frequencies ranging from the subharmonic (half of the transmit frequency) to higher harmonics. The subharmonic amplitude has an inverse linear relationship with the ambient hydrostatic pressure. Here an ultrasound system capable of performing real-time, subharmonic aided pressure estimation (SHAPE) is presented. During ultrasound contrast agent infusion, an algorithm for optimizing acoustic outputs is activated. Following this calibration, subharmonic microbubble signals (i.e., SHAPE) have the highest sensitivity to pressure changes and can be used to noninvasively quantify pressure. The utility of the SHAPE procedure for identifying portal hypertension in the liver is the emphasis here, but the technique has applicability across many clinical scenarios.

Indexed as

Blood PressureAlgorithmsCalibrationContrast MediaHumansHypertension, PortalLiverMicrobubblesUltrasonographyContrast Media

Identifiers

PMID33346203
PMCPMC8327282
OpenAlexW3111971747

What OpenQuestion holds

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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.