Evidence map›Paper›PMID 38411746›Full record

ArticleInsights into imaging2024

The value of periportal hyperintensity sign from gadobenate dimeglumine-enhanced hepatobiliary phase MRI for predicting clinical outcomes in patients with decompensated cirrhosis.

Lanqing Cong, Yan Deng, Shuo Cai, Gongzheng Wang, Xinya Zhao, Jingzhen He, Songbo Zhao, Li Wang

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Insights into imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 22% 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, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Lanqing Cong *Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong Province, 250021, China.
Yan Deng *Department of Radiology, Qilu Hospital of Shandong University, Jinan, Shandong Province, 250012, China.
Shuo CaiMRI Department, Shandong Provincial Hospital Heze Hospital, Heze, Shandong Province, 274031, China.
Gongzheng WangDepartment of Radiology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong Province, 250021, China.
Xinya ZhaoDepartment of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong Province, 250021, China.
Jingzhen HeDepartment of Radiology, Qilu Hospital of Shandong University, Jinan, Shandong Province, 250012, China.
Songbo ZhaoDepartment of Central Laboratory, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong Province, China. songbsz@163.com.
Li WangDepartment of Health Management Center, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong Province, 250021, China. wangli72977297@126.com.ORCID http://orcid.org/0009-0003-7680-5331
Shandong Provincial Hospital · CNQilu Hospital of Shandong University · CNShandong University · CNHeze Municipal Hospital · CN

Funding

Postdoctoral Research Foundation of China No. 2022M721982Shandong Provincial Postdoctoral Science Foundation SDCX-ZG-202202026
6 · The paper itself

Abstract

objectivesTo determine the value of periportal hyperintensity sign from gadobenate dimeglumine (Gd-BOPTA)-enhanced hepatobiliary phase (HBP) magnetic resonance imaging (MRI) for predicting clinical outcomes in patients with decompensated cirrhosis.

methodsA total of 199 cirrhotic patients who underwent Gd-BOPTA-enhanced MRI were divided into control group (n  =  56) and decompensated cirrhosis group (n  =  143). The presence of periportal hyperintensity sign on HBP MRI was recorded. The Cox regression model was used to investigate the association between periportal hyperintensity sign and clinical outcomes.

resultsThere was a significant difference in the frequency of periportal hyperintensity sign on HBP between compensated and decompensated cirrhotic patients (p  <  0.05). After a median follow-up of 29.0 months (range, 1.0-90.0 months), nine out of 143 patients (6.2%) with decompensated cirrhosis died. Periportal hyperintensity sign on HBP MRI was a significant risk factor for death (hazard ratio (HR)  =  23.677; 95% confidence interval (CI)  =  4.759-117.788; p  =  0.0001), with an area under the curve (AUC) of 0.844 (95% CI  =  0.774-0.899). Thirty patients (20.9%) developed further decompensation. Periportal hyperintensity sign on HBP MRI was also a significant risk factor for further decompensation (HR  =  2.594; 95% CI  =  1.140-5.903; p  =  0.023).

conclusionsPeriportal hyperintensity sign from Gd-BOPTA-enhanced HBP MRI is valuable for predicting clinical outcomes in patients with decompensated cirrhosis. CRITICAL RELEVANCE STATEMENT: Periportal hyperintensity sign from gadobenate dimeglumine-enhanced hepatobiliary phase magnetic resonance imaging is a new noninvasive method to predict clinical outcomes in patients with decompensated cirrhosis. KEY POINTS: • There was a significant difference in the frequency of periportal hyperintensity sign on HBP between compensated and decompensated cirrhotic patients. • Periportal hyperintensity sign on the hepatobiliary phase was a significant risk factor for death in patients with decompensated cirrhosis. • Periportal hyperintensity sign on the hepatobiliary phase was a significant risk factor for further decompensation in patients with decompensated cirrhosis.

Indexed as

Gadobenate dimeglumine, Periportal hyperintensity sign, Liver cirrhosis, Magnetic resonance imaging, Clinical outcomes

Identifiers

PMID38411746
PMCPMC10899122
OpenAlexW4392198910

What OpenQuestion holds

Textmetadata
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.