Evidence map›Paper›PMID 33845778›Full record

Observational studyBMC cardiovascular disorders2021

Characterization of subclinical diastolic dysfunction by cardiac magnetic resonance feature-tracking in adult survivors of non-Hodgkin lymphoma treated with anthracyclines.

Maurício Fregonesi Barbosa, Daniéliso Renato Fusco, Rafael Dezen Gaiolla, Konrad Werys, Suzana Erico Tanni, Rômulo Araújo Fernandes, Sergio Marrone Ribeiro, Gilberto Szarf

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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
1.4field-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, 11 citations in OpenAlex.

  1. Pooled it
  2. Late cardiac effects of anthracycline-based therapy in childhood cancer survivors: a CMR study of cardiac strain and function.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
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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

8 authors at 3 institutions in 2 countries.

Maurício Fregonesi BarbosaDepartment of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros 800, Vila Clementino, São Paulo, 04024-002, Brazil. maufbarbosa@gmail.com.ORCID 0000-0002-6557-2275
Daniéliso Renato FuscoCardiology Division, Internal Medicine Department, Universidade Estadual Paulista (UNESP), Botucatu, Brazil.ORCID 0000-0002-9456-0150
Rafael Dezen GaiollaHematology Division, Internal Medicine Department, Universidade Estadual Paulista (UNESP), Botucatu, Brazil.ORCID 0000-0002-9480-4995
Konrad WerysUniversity of Oxford Centre for Clinical Magnetic Resonance Research (OCMR), University of Oxford, Oxford, UK.ORCID 0000-0002-2334-2359
Suzana Erico TanniPneumology Division, Internal Medicine Department, Universidade Estadual Paulista (UNESP), Botucatu, Brazil.ORCID 0000-0002-2587-2759
Rômulo Araújo FernandesDepartment of Physical Education, Universidade Estadual Paulista (UNESP), Presidente Prudente, Brazil.ORCID 0000-0003-1576-8090
Sergio Marrone RibeiroDepartment of Tropical Diseases and Diagnostic Imaging, Universidade Estadual Paulista (UNESP), Botucatu, Brazil.ORCID 0000-0003-0732-2814
Gilberto SzarfDepartment of Diagnostic Imaging, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros 800, Vila Clementino, São Paulo, 04024-002, Brazil.ORCID 0000-0002-1941-7899
Universidade Estadual Paulista (Unesp) · BRHospital Israelita Albert Einstein · BRUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of anthracycline-based chemotherapy is associated with the development of heart failure, even years after the end of treatment. Early detection of cardiac dysfunction could identify a high-risk subset of survivors who would eventually benefit from early intervention. Cardiac magnetic resonance feature-tracking (CMR-FT) analysis offers a practical and rapid method to calculate systolic and diastolic strains from routinely acquired cine images. While early changes in systolic function have been described, less data are available about late effects of chemotherapy in diastolic parameters by CMR-FT. The main goal of this study was to determine whether left ventricular (LV) early diastolic strain rates (GDSR-E) by CMR-FT are impaired in long-term adult survivors of non-Hodgkin lymphoma (NHL). Our secondary objective was to analyze associations between GDSR-E with cumulative anthracycline dose, systolic function parameters and myocardial tissue characteristics.

methodsThis is a single center cross-sectional observational study of asymptomatic patients in remission of NHL who previously received anthracycline therapy. All participants underwent their CMR examination on a 3.0-T scanner, including cines, T2 mapping, T1 mapping and late gadolinium enhancement imaging. Derived myocardial extracellular volume fraction was obtained from pre- and post-contrast T1 maps. CMR-FT analysis was performed using Trufi Strain software. The data obtained were compared between anthracycline group and volunteers without cardiovascular disease or neoplasia.

resultsA total of 18 adult survivors of NHL, 14 (77.8%) males, at mean age of 57.6 (± 14.7) years-old, were studied 88.2 (± 52.1) months after exposure to anthracycline therapy (median 400 mg/m

conclusionsLeft ventricular early diastolic strain rates by CMR-FT are impaired late after anthracycline chemotherapy in adult survivors of non-Hodgkin lymphoma.

Indexed as

Cancer SurvivorsMagnetic Resonance Imaging, CineAdultAgedAnthracyclinesAntibiotics, AntineoplasticAsymptomatic DiseasesCardiotoxicityCross-Sectional StudiesFemaleHumansLymphoma, Non-HodgkinMaleMiddle AgedPredictive Value of TestsTime FactorsAnthracyclinesAntibiotics, AntineoplasticCancerChemotherapyDiastolic dysfunctionFeature-trackingStrain

Identifiers

PMID33845778
PMCPMC8040217
OpenAlexW3154194486

What OpenQuestion holds

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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.