Evidence map›Paper›PMID 34586878›Full record

ArticleThe British journal of radiology2021

Evaluation of liver fibrosis using hepatic extracellular volume fraction by contrast-enhanced computed tomography before and after direct-acting antiviral therapy in patients with chronic hepatitis C infection: comparison with serological liver fibrosis markers.

Akihiko Kanki, Kiyoka Maeba, Hidemitsu Sotozono, Kazuya Yasokawa, Atsushi Higaki, Akira Yamamoto, Tsutomu Tamada

Open access · greenAbstract readComparative Study
In one paragraph

Article in The British journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 83% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Next-Generation Therapies for Gastrointestinal Repair: Converging Traditional Medicine and Tissue Engineering.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Review
  3. Article
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

7 authors at 1 institution in 1 country.

Akihiko KankiDepartments of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama, Japan.
Kiyoka MaebaDepartments of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama, Japan.
Hidemitsu SotozonoDepartments of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama, Japan.
Kazuya YasokawaDepartments of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama, Japan.
Atsushi HigakiDepartments of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama, Japan.
Akira YamamotoDepartments of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama, Japan.
Tsutomu TamadaDepartments of Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama, Japan.
Kawasaki Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate time-dependent changes in hepatic extracellular volume (ECV) fraction using contrast-enhanced CT (CECT) and serological liver fibrosis markers, the fibrosis-4 (FIB-4) index and aspartate aminotransferase to platelet ratio index (APRI), before and after direct-acting antiviral therapy (DAA) for hepatitis C virus (HCV) infection.

methods41 HCV-infected patients who achieved sustained virological response (SVR) after DAA (SVR group) and 10 control patients (untreated or unresponsive to treatment) who underwent CECT and serum biochemical tests before or after the first examination/DAA (T1) and at intervals thereafter (T2:<6 months after T1, T3: at 6-12 months, T4: at 12-24 months, and T5:>24 months) were evaluated.

resultsIn the control group, ECV fractions remained relatively unchanged through the study, and significant differences in FIB-4 index comparisons and APRI comparisons were only seen between the T2 and T4 values (

conclusionAfter DAA, ECV fraction decreased slowly, suggesting an improvement in hepatic fibrosis, while serological liver fibrosis markers decreased immediately, probably due to improvement in hepatic inflammation. ADVANCES IN KNOWLEDGE: ECV fraction has the potential to be a non-invasive biomarker for the assessment of liver fibrosis after direct-acting antiviral therapy.

Indexed as

Contrast MediaAdultAgedAged, 80 and overAntiviral AgentsBiomarkersExtracellular SpaceFemaleHepatitis C, ChronicHumansLiverLiver CirrhosisMaleMiddle AgedRadiographic Image EnhancementRetrospective StudiesAntiviral AgentsBiomarkersContrast Media

Identifiers

PMID34586878
PMCPMC8553215
OpenAlexW3202648668

What OpenQuestion holds

Textmetadata
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.