Evidence map›Paper›PMID 34120229›Full record

ArticleEuropean radiology2022

Simultaneous evaluation of perfusion and morphology using GRASP MRI in hepatic fibrosis.

Jeong Hee Yoon, Jeong Min Lee, Mi Hye Yu, Bo Yun Hur, Robert Grimm, Steven Sourbron, Hersh Chandarana, Yohan Son, Susmita Basak, Kyoung-Bun Lee and 3 more

Registry-linked trialAbstract read
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In one paragraph

Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02480972 (Hepatic Fibrosis Assessment Using Multiparametric Magnetic Resonance Imaging), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 19% 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.

NCT02480972 nacompletednot on this map

Hepatic Fibrosis Assessment Using Multiparametric Magnetic Resonance Imaging (MRI)

TypeinterventionalSponsorSeoul National University HospitalRan2015 to 2020Enrolled69ConditionsFibrosis, CirrhosisArmsmagnetic resonance imaging
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Effect of the Relationship between Respiratory Interval and Temporal Resolution on Image Quality in Free-breathing Abdominal MR Imaging.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
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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

13 authors at 8 institutions in 6 countries.

Jeong Hee YoonRadiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Jeong Min LeeRadiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea. jmsh@snu.ac.kr.ORCID http://orcid.org/0000-0003-0561-8777
Mi Hye YuRadiology, Konkuk University School of Medicine, Seoul, 05080, Republic of Korea.
Bo Yun HurRadiology, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, 06236, Republic of Korea.
Robert GrimmSiemens Healthineers, 91052, Erlangen, Germany.
Steven SourbronInfection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK.
Hersh ChandaranaCenter for Advanced Imaging Innovation and Research (CAI2R), New York, NY, USA.
Yohan SonSiemens Healthcare Korea, Seoul, 03737, Republic of Korea.
Susmita BasakBiomedical Imaging Sciences Department, Leeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Kyoung-Bun LeePathology, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03087, Republic of Korea.
Nam-Joon YiSurgery, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03087, Republic of Korea.
Kwang-Woong LeeSurgery, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03087, Republic of Korea.
Kyung-Suk SuhSurgery, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu, Seoul, 03087, Republic of Korea.
Seoul National University · KRAdvanced Imaging Research (United States) · USKonkuk University · KRNew Generation University College · ETSeoul National University Hospital · KRSiemens Healthineers (Germany) · DEUniversity of Leeds · GBUniversity of Sheffield · GB

Funding

Medical Research Council MR/P023398/1Medical Research Council MR/P023398/2Ministry of Education 2013R1A1A2A10066037
6 · The paper itself

Abstract

objectivesTo determine if golden-angle radial sparse parallel (GRASP) dynamic contrast-enhanced (DCE)-MRI allows simultaneous evaluation of perfusion and morphology in liver fibrosis.

methodsParticipants who were scheduled for liver biopsy or resection were enrolled (NCT02480972). Images were reconstructed at 12-s temporal resolution for morphologic assessment and at 3.3-s temporal resolution for quantitative evaluation. The image quality of the morphologic images was assessed on a four-point scale, and the Liver Imaging Reporting and Data System score was recorded for hepatic observations. Comparisons were made between quantitative parameters of DCE-MRI for the different fibrosis stages, and for hepatocellular carcinoma (HCCs) with different LR features.

resultsDCE-MRI of 64 participants (male = 48) were analyzed. The overall image quality consistently stood at 3.5 ± 0.4 to 3.7 ± 0.4 throughout the exam. Portal blood flow significantly decreased in participants with F2-F3 (n = 18, 175 ± 110 mL/100 mL/min) and F4 (n = 12, 98 ± 47 mL/100 mL/min) compared with those in participants with F0-F1 (n = 34, 283 ± 178 mL/100 mL/min, p < 0.05 for all). In participants with F4, the arterial fraction and extracellular volume were significantly higher than those in participants with F0-F1 and F2-F3 (p < 0.05). Compared with HCCs showing non-LR-M features (n = 16), HCCs with LR-M (n = 5) had a significantly prolonged mean transit time and lower arterial blood flow (p < 0.05).

conclusionsLiver MRI using GRASP obtains both sufficient spatial resolution for confident diagnosis and high temporal resolution for pharmacokinetic modeling. Significant differences were found between the MRI-derived portal blood flow at different hepatic fibrosis stages. KEY POINTS: A single MRI examination is able to provide both images with sufficient spatial resolution for anatomic evaluation and those with high temporal resolution for pharmacokinetic modeling. Portal blood flow was significantly lower in clinically significant hepatic fibrosis and mean transit time and extracellular volume increased in cirrhosis, compared with those in no or mild hepatic fibrosis. HCCs with different LR features showed different quantitative parameters of DCE-MRI: longer mean transit time and lower arterial flow were observed in HCCs with LR-M features.

Indexed as

Contrast MediaLiver NeoplasmsHumansLiver CirrhosisMagnetic Resonance ImagingMalePerfusionContrast MediaCarcinomahepatocellularLiverLiver cirrhosisMagnetic resonance imaging

Identifiers

PMID34120229
OpenAlexW3172684131

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.