Evidence map›Paper›PMID 33991378›Full record

ArticleJournal of magnetic resonance imaging : JMRI2021

Assessment of Imaging Modalities Against Liver Biopsy in Nonalcoholic Fatty Liver Disease: The Amsterdam NAFLD-NASH Cohort.

Marian A Troelstra, Julia J Witjes, Anne-Marieke van Dijk, Anne L Mak, Oliver Gurney-Champion, Jurgen H Runge, Diona Zwirs, Daniela Stols-Gonçalves, Aelko H Zwinderman, Marije Ten Wolde and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 5 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

42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Accuracy of Non-Invasive Imaging Techniques for the Diagnosis of MASH in Patients With MASLD: A Systematic Review.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 3 countries.

Marian A TroelstraDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0001-6748-4810
Julia J WitjesDepartment of Internal and Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0002-3622-8731
Anne-Marieke van DijkDepartment of Internal and Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Anne L MakDepartment of Internal and Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Oliver Gurney-ChampionDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Jurgen H RungeDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.ORCID 0000-0003-4190-3890
Diona ZwirsDepartment of Internal and Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Daniela Stols-GonçalvesDepartment of Internal and Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Aelko H ZwindermanDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Marije Ten WoldeDepartment of Internal Medicine, Flevoziekenhuis, Almere, The Netherlands.
Houshang MonajemiDepartment of Internal Medicine, Rijnstate Ziekenhuis, Arnhem, The Netherlands.
Sandjai RamsoekhDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Ralph SinkusInserm U1148, LVTS, University Paris Diderot, University Paris 13, Paris, France.
Otto M van DeldenDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Ulrich H BeuersDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Joanne VerheijDepartment of Pathology, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Max NieuwdorpDepartment of Internal and Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Aart J NederveenDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Adriaan G HolleboomDepartment of Internal and Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLFlevoziekenhuis · NLInserm · FRRijnstate Hospital · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNoninvasive diagnostic methods are urgently required in disease stratification and monitoring in nonalcoholic fatty liver disease (NAFLD). Multiparametric magnetic resonance imaging (MRI) is a promising technique to assess hepatic steatosis, inflammation, and fibrosis, potentially enabling noninvasive identification of individuals with active and advanced stages of NAFLD. PURPOSE: To examine the diagnostic performance of multiparametric MRI for the assessment of disease severity along the NAFLD disease spectrum with comparison to histological scores. STUDY TYPE: Prospective, cohort. POPULATION: Thirty-seven patients with NAFLD. FIELD STRENGTH/SEQUENCE: Multiparametric MRI at 3.0 T consisted of magnetic resonance (MR) spectroscopy (MRS) with multi-echo stimulated-echo acquisition mode, magnitude-based and three-point Dixon using a two-dimensional multi-echo gradient echo, MR elastography (MRE) using a generalized multishot gradient-recalled echo sequence and intravoxel incoherent motion (IVIM) using a multislice diffusion weighted single-shot echo-planar sequence. ASSESSMENT: Histological steatosis grades were compared to proton density fat fraction measured by MRS (PDFF STATISTICAL TESTS: Spearman's rank test, Kruskal-Wallis test, Dunn's post-hoc test with Holm-Bonferroni P-value adjustment, receiver operating characteristic curve analysis. A P-value <0.05 was considered statistically significant.

resultsHistological steatosis grade correlated significantly with PDFF DATA

conclusionMultiparametric MRI is a promising method for noninvasive, accurate, and sensitive distinction between simple hepatic steatosis and NASH, as well as for the assessment of steatosis and fibrosis severity. LEVEL OF EVIDENCE: 2 TECHNICAL EFFICACY: 2.

Indexed as

Elasticity Imaging TechniquesNon-alcoholic Fatty Liver DiseaseBiopsyHumansLiverMagnetic Resonance ImagingProspective Studiesliver biopsymagnetic resonance imagingmultiparametricnonalcoholic fatty liver diseasenonalcoholic steatohepatitis

Identifiers

PMID33991378
PMCPMC9290703
OpenAlexW3161209354

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.