Evidence map›Paper›PMID 34448269›Full record

ArticleTransplant international : official journal of the European Society for Organ Transplantation2021

Magnetic resonance imaging assessment of renal flow distribution patterns during ex vivo normothermic machine perfusion in porcine and human kidneys.

Rianne Schutter, Veerle A Lantinga, Tim L Hamelink, Merel B F Pool, Otis C van Varsseveld, Jan Hendrik Potze, Jan-Luuk Hillebrands, Marius C van den Heuvel, Rudi A J O Dierckx, Henri G D Leuvenink and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 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
5.4field-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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. 48 h Normothermic Machine Perfusion With Urine Recirculation for Discarded Human Kidney Grafts.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Sense and Sensibilities of Organ Perfusion as a Kidney and Liver Viability Assessment Platform.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    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

12 authors at 1 institution in 1 country.

Rianne SchutterDepartment of Surgery - Organ Donation and Transplantation, University of Groningen, University Medical Center, Groningen, The Netherlands.ORCID https://orcid.org/0000-0001-9461-8060
Veerle A LantingaDepartment of Surgery - Organ Donation and Transplantation, University of Groningen, University Medical Center, Groningen, The Netherlands.
Tim L HamelinkDepartment of Surgery - Organ Donation and Transplantation, University of Groningen, University Medical Center, Groningen, The Netherlands.
Merel B F PoolDepartment of Surgery - Organ Donation and Transplantation, University of Groningen, University Medical Center, Groningen, The Netherlands.ORCID https://orcid.org/0000-0003-4914-8981
Otis C van VarsseveldDepartment of Surgery - Organ Donation and Transplantation, University of Groningen, University Medical Center, Groningen, The Netherlands.
Jan Hendrik PotzeDepartment of Radiology, University of Groningen, University Medical Center, Groningen, The Netherlands.
Jan-Luuk HillebrandsDepartment of Pathology & Medical Biology, University of Groningen, University Medical Center, Groningen, The Netherlands.
Marius C van den HeuvelDepartment of Pathology & Medical Biology, University of Groningen, University Medical Center, Groningen, The Netherlands.
Rudi A J O DierckxDepartment of Radiology, University of Groningen, University Medical Center, Groningen, The Netherlands.
Henri G D LeuveninkDepartment of Surgery - Organ Donation and Transplantation, University of Groningen, University Medical Center, Groningen, The Netherlands.
Cyril MoersDepartment of Surgery - Organ Donation and Transplantation, University of Groningen, University Medical Center, Groningen, The Netherlands.
Ronald J H BorraDepartment of Radiology, University of Groningen, University Medical Center, Groningen, The Netherlands.
University Medical Center Groningen · NL

Funding

European Research CouncilNierstichting
6 · The paper itself

Abstract

Acceptance criteria of deceased donor organs have gradually been extended toward suboptimal quality, posing an urgent need for more objective pre-transplant organ assessment. Ex vivo normothermic machine perfusion (NMP) combined with magnetic resonance imaging (MRI) could assist clinicians in deciding whether a donor kidney is suitable for transplantation. Aim of this study was to characterize the regional distribution of perfusate flow during NMP, to better understand how ex vivo kidney assessment protocols should eventually be designed. Nine porcine and 4 human discarded kidneys underwent 3 h of NMP in an MRI-compatible perfusion setup. Arterial spin labeling scans were performed every 15 min, resulting in perfusion-weighted images that visualize intrarenal flow distribution. At the start of NMP, all kidneys were mainly centrally perfused and it took time for the outer cortex to reach its physiological dominant perfusion state. Calculated corticomedullary ratios based on the perfusion maps reached a physiological range comparable to in vivo observations, but only after 1 to 2 h after the start of NMP. Before that, the functionally important renal cortex appeared severely underperfused. Our findings suggest that early functional NMP quality assessment markers may not reflect actual physiology and should therefore be interpreted with caution.

Indexed as

KidneyOrgan PreservationAnimalsExtracorporeal CirculationHumansMagnetic Resonance ImagingPerfusionSwinearterial spin labelingkidneymachine perfusionmagnetic resonance imagingtransplantation

Identifiers

PMID34448269
PMCPMC9290094
OpenAlexW3194063997

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.