Evidence map›Paper›PMID 34233708›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2021

Quantification of regurgitation in mitral valve prolapse with four-dimensional flow cardiovascular magnetic resonance.

Ricardo A Spampinato, Cosima Jahnke, Gerard Crelier, Frank Lindemann, Florian Fahr, Monika Czaja-Ziolkowska, Franz Sieg, Elfriede Strotdrees, Gerhard Hindricks, Michael A Borger and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Measuring atrioventricular valve regurgitation in Fontan patients using cardiovascular magnetic resonance imaging and the association with clinical outcomes: A FORCE Study.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 4D Flow cardiovascular magnetic resonance consensus statement: 2023 update.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Rationale and clinical applications of 4D flow cardiovascular magnetic resonance in assessment of valvular heart disease: a comprehensive review.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022
    Review
  17. 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

11 authors at 2 institutions in 2 countries.

Ricardo A Spampinato *Department of Cardiac Surgery, Heart Center Leipzig at University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany. spampinatoricardo@gmail.com.
Cosima Jahnke *Department of Cardiology and Electrophysiology, Heart Center Leipzig at University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany.
Gerard CrelierInstitute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland.
Frank LindemannDepartment of Cardiology and Electrophysiology, Heart Center Leipzig at University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany.
Florian FahrDepartment of Cardiac Surgery, Heart Center Leipzig at University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany.
Monika Czaja-ZiolkowskaDepartment of Cardiology and Electrophysiology, Heart Center Leipzig at University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany.
Franz SiegDepartment of Cardiac Surgery, Heart Center Leipzig at University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany.
Elfriede StrotdreesDepartment of Cardiac Surgery, Heart Center Leipzig at University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany.
Gerhard HindricksDepartment of Cardiology and Electrophysiology, Heart Center Leipzig at University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany.
Michael A BorgerDepartment of Cardiac Surgery, Heart Center Leipzig at University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany.
Ingo PaetschDepartment of Cardiology and Electrophysiology, Heart Center Leipzig at University of Leipzig, Struempellstrasse 39, 04289, Leipzig, Germany.
Leipzig Heart Institute · DEETH Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFour-dimensional cardiovascular magnetic resonance (CMR) flow assessment (4D flow) allows to derive volumetric quantitative parameters in mitral regurgitation (MR) using retrospective valve tracking. However, prior studies have been conducted in functional MR or in patients with congenital heart disease, thus, data regarding the usefulness of 4D flow CMR in case of a valve pathology like mitral valve prolapse (MVP) are scarce. This study aimed to evaluate the clinical utility of cine-guided valve segmentation of 4D flow CMR in assessment of MR in MVP when compared to standardized routine CMR and transthoracic echocardiography (TTE).

methodsSix healthy subjects and 54 patients (55 ± 16 years; 47 men) with MVP were studied. TTE severity grading used a multiparametric approach resulting in mild/mild-moderate (n = 12), moderate-severe (n = 12), and severe MR (n = 30). Regurgitant volume (RVol) and regurgitant fraction (RF) were also derived using standard volumetric CMR and 4D flow CMR datasets with direct measurement of regurgitant flow (4DF

resultsThere was moderate to strong correlation between methods (r = 0.59-0.84, p < 0.001), but TTE proximal isovelocity surface area (PISA) method showed higher RVol as compared with CMR techniques (PISA vs. CMR, mean difference of 15.8 ml [95% CI 9.9-21.6]; PISA vs. 4DF

conclusionsIn the assessment of patients with MR and MVP, cine-guided valve segmentation 4D flow CMR is feasible and comparable to standard CMR, but with lower RVol when TTE is used as reference. 4DF

Indexed as

Mitral Valve InsufficiencyMitral Valve ProlapseHumansMagnetic Resonance Imaging, CineMagnetic Resonance SpectroscopyMalePredictive Value of TestsReproducibility of ResultsRetrospective StudiesSeverity of Illness IndexCardiovascular magnetic resonanceDegenerative mitral regurgitationEchocardiographyFour-dimensionalMitral valve prolapseQuantification of mitral valve regurgitation

Identifiers

PMID34233708
PMCPMC8265147
OpenAlexW3179331061

What OpenQuestion holds

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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.