Evidence map›Paper›PMID 37071162›Full record

ArticleEuropean radiology2023

MRI texture analysis of T2-weighted images is preferred over magnetization transfer imaging for readily longitudinal quantification of gut fibrosis.

Isabelle De Kock, Simon Bos, Louke Delrue, Sophie Van Welden, Peter Bunyard, Pieter Hindryckx, Martine De Vos, Geert Villeirs, Debby Laukens

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In one paragraph

Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Intestinal strictures in Crohn's disease: An update from 2023.United European gastroenterology journal · 2024
    Review
  6. Article
  7. How to Evaluate Fibrosis in IBD?Diagnostics (Basel, Switzerland) · 2023
    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

9 authors at 3 institutions in 2 countries.

Isabelle De KockDepartment of Radiology and Medical Imaging, Ghent University Hospital, Ghent, Belgium.
Simon BosDepartment of Internal Medicine and Pediatrics, Ghent University, Corneel Heymanslaan 10, 0MRB2, B-9000, Ghent, Belgium.
Louke DelrueDepartment of Radiology and Medical Imaging, Ghent University Hospital, Ghent, Belgium.
Sophie Van WeldenDepartment of Internal Medicine and Pediatrics, Ghent University, Corneel Heymanslaan 10, 0MRB2, B-9000, Ghent, Belgium.
Peter BunyardRedx Pharma Plc, Macclesfield, UK.
Pieter HindryckxDepartment of Gastroenterology, Ghent University Hospital, Ghent, Belgium.
Martine De VosDepartment of Gastroenterology, Ghent University Hospital, Ghent, Belgium.
Geert VilleirsDepartment of Radiology and Medical Imaging, Ghent University Hospital, Ghent, Belgium.
Debby LaukensDepartment of Internal Medicine and Pediatrics, Ghent University, Corneel Heymanslaan 10, 0MRB2, B-9000, Ghent, Belgium. debby.laukens@UGent.be.ORCID http://orcid.org/0000-0002-1984-5850
Ghent University Hospital · BEGhent University · BERedx Pharma (United Kingdom) · GB

Funding

Bijzonder Onderzoeksfonds UGent BOF20/PDO/047
6 · The paper itself

Abstract

objectivesTo investigate the value of magnetization transfer (MT) MRI and texture analysis (TA) of T2-weighted MR images (T2WI) in the assessment of intestinal fibrosis in a mouse model.

methodsChronic colitis was induced in mice by cyclic administration of dextran sodium sulphate (DSS) resulting in chronic inflammation and progressive bowel fibrosis. Mice underwent 7-T MR imaging at various time points. Bowel wall MT ratio (MTR) and textural features (skewness, kurtosis, entropy), extracted by a filtration histogram technique, were correlated with histopathology. Performance of both techniques were validated using antifibrotic therapy. Finally, a retrospective study was conducted in five patients with Crohn's disease (CD) who underwent bowel surgery.

resultsMTR and texture entropy correlated with histopathological fibrosis (r = .85 and .81, respectively). Entropy was superior to MTR for monitoring bowel fibrosis in the presence of coexisting inflammation (linear regression R

conclusionMT imaging and TA of T2WI can both noninvasively detect established intestinal fibrosis in a mouse model. However, TA is especially useful for the longitudinal quantification of fibrosis in mixed inflammatory-fibrotic tissue, as well as for antifibrotic treatment response evaluation. This accessible post-processing technique merits further validation as the benefits for clinical practice as well as antifibrotic trial design would be numerous. KEY POINTS: • Magnetization transfer MRI and texture analysis of T2-weighted MR images can detect established bowel fibrosis in an animal model of gut fibrosis. • Texture entropy is able to identify and monitor bowel fibrosis progression in an inflammatory context and can assess the response to antifibrotic treatment. • A proof-of-concept study in five patients with Crohn's disease suggests that texture entropy can detect and grade fibrosis in human intestinal strictures.

Indexed as

Crohn DiseaseAnimalsConstriction, PathologicFibrosisHumansInflammationMagnetic Resonance ImagingMiceRetrospective StudiesColitisEntropyFibrosisInflammationMagnetic resonance imaging

Identifiers

PMID37071162
OpenAlexW4366242887

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.