Evidence map›Paper›PMID 35348866›Full record

ArticleEuropean radiology2022

Oxygen extraction fraction (OEF) assesses cerebral oxygen metabolism of deep gray matter in patients with pre-eclampsia.

Linfeng Yang, Junghun Cho, Tao Chen, Kelly M Gillen, Jing Li, Qihao Zhang, Lingfei Guo, Yi Wang

Abstract 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. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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  5. Sensitivity assessment of QSM+qBOLD (or QQ) in detecting elevated oxygen extraction fraction (OEF) in physiological change.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025
    Article
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  8. Recent Advances in MR Imaging-based Quantification of Brain Oxygen Metabolism.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2024
    Review
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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

8 authors at 4 institutions in 2 countries.

Linfeng YangJinan Maternity and Child Care Hospital, Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University, 2 Jian-guo Xiao Jing-san Road, Jinan, 250001, Shandong, China.ORCID https://orcid.org/0000-0002-3228-6926
Junghun ChoDepartment of Radiology, Weill Cornell Medical College, New York, 407 East 61st Street, New York, NY, 10065, USA.ORCID https://orcid.org/0000-0002-0826-5463
Tao ChenJinan Maternity and Child Care Hospital, Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University, 2 Jian-guo Xiao Jing-san Road, Jinan, 250001, Shandong, China.ORCID https://orcid.org/0000-0002-0104-0608
Kelly M GillenDepartment of Radiology, Weill Cornell Medical College, New York, 407 East 61st Street, New York, NY, 10065, USA.ORCID https://orcid.org/0000-0003-1319-4900
Jing LiDepartment of Radiology, Beijing Friendship Hospital, Capital Medical University, 95 Yong-an Road, Xicheng District, Beijing, 100050, China.ORCID https://orcid.org/0000-0001-9392-6600
Qihao ZhangDepartment of Radiology, Weill Cornell Medical College, New York, 407 East 61st Street, New York, NY, 10065, USA.ORCID https://orcid.org/0000-0002-8054-5849
Lingfei GuoDepartment of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, 324 Jing-wu Road, Jinan, 250021, Shandong, China. glfsci@163.com.ORCID http://orcid.org/0000-0002-4885-625X
Yi WangDepartment of Radiology, Weill Cornell Medical College, New York, 407 East 61st Street, New York, NY, 10065, USA.ORCID https://orcid.org/0000-0003-1404-8526
Cornell University · USJinan Maternity And Care Hospital · CNCapital Medical University · CNShandong Provincial Hospital · CN

Funding

Funding for Study Abroad Program by Shandong Province 201803059Medical and Health Science and Technology Development Project of Shandong Province 2016WS0529National Natural Science Foundation of China 81800840Natural Science Foundation of Shandong Province ZR2020MH288Technology Development Plan of Jinan 201301049, 201602206, 201907052
6 · The paper itself

Abstract

objectivesThe objective of this study was to compare oxygen extraction fraction (OEF) values in the deep gray matter (GM) of pre-eclampsia (PE) patients, pregnant healthy controls (PHCs), and non-pregnant healthy controls (NPHCs) to explore their brain oxygen metabolism differences in GM.

methodsForty-seven PE patients, forty NPHCs, and twenty-one PHCs were included. Brain OEF values were computed from quantitative susceptibility mapping (QSM) plus quantitative blood oxygen level-dependent magnitude (QSM + qBOLD = QQ)-based mapping. One-way ANOVA was used to compare mean OEF values in the three groups. The area under the curve of the mean OEF value in each region of interest was estimated using a receiver operating characteristic curve analysis.

resultsWe found that the mean OEF values in the thalamus, putamen, caudate nucleus, pallidum, and substantia nigra were significantly different in these three groups (F = 5.867, p = 0.004; F = 5.142, p = 0007; F = 6.158, p = 0.003; F = 6.319, p = 0.003; F = 5.491, p = 0.005). The mean OEF values for these 5 regions were higher in PE patients than in NPHCs and in PHCs (p < 0.05). The AUC of these ROIs ranged from 0.673 to 0.692 (p < 0.01) and cutoff values varied from 35.1 to 36.6%, indicating that the OEF values could discriminate patients with and without PE. Stepwise multivariate analysis revealed that the OEF values correlated with hematocrit in pregnant women (r = 0.353, p = 0.003).

conclusionOEF values in the brains of pregnant women can be measured in clinical practice using QQ-based OEF mapping for noninvasive assessment of hypertensive disorders. KEY POINTS: • Pre-eclampsia is a hypertensive disorder associated with abnormalities in brain oxygen extraction. • Oxygen extraction fraction (OEF) is an indicator of brain tissue viability and function. QQ-based mapping of OEF is a new MRI technique that can noninvasively quantify brain oxygen metabolism. • OEF values in the brains of pregnant women can be measured for noninvasive assessment of hypertensive disorders in clinical practice.

Indexed as

Hypertension, Pregnancy-InducedPre-EclampsiaBrainBrain MappingCerebrovascular CirculationFemaleGray MatterHumansMagnetic Resonance ImagingOxygenOxygen ConsumptionPregnancyOxygenBlood oxygenation level–dependentMagnetic resonance imagingOxygen extraction fractionPre-eclampsiaQuantitative susceptibility mapping

Identifiers

PMID35348866
OpenAlexW4220843420

What OpenQuestion holds

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Registered trials

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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.