Evidence map›Paper›PMID 38748492›Full record

ArticleDiabetes2024

Quantitative Imaging Reveals Steatosis and Fibroinflammation in Multiple Organs in People With Type 2 Diabetes: A Real-World Study.

Charlie Diamond, Michele Pansini, Azlinda Hamid, Nicole Eichert, Prashant Pandya, Sarah N Ali, Graham J Kemp, Gaya Thanabalasingham, Helena Thomaides Brears, Daniel J Cuthbertson

Abstract read
In one paragraph

Article in Diabetes, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Insulin Resistance and Inflammation.International journal of molecular sciences · 2026
    Review
  11. Article
  12. T1 Mapping of the Abdomen, From theAJR. American journal of roentgenology · 2025
    Review
  13. Review
  14. Article
  15. Article
  16. 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

10 authors.

Charlie DiamondPerspectum, Ltd., Oxford, U.K.
Michele PansiniPerspectum, Ltd., Oxford, U.K.
Azlinda HamidInstitute of Life Course and Medical Sciences, University of Liverpool, Liverpool, U.K.
Nicole EichertPerspectum, Ltd., Oxford, U.K.
Prashant PandyaPerspectum, Inc., Dallas, TX.
Sarah N AliRoyal Free London NHS Foundation Trust, London, U.K.
Graham J KempInstitute of Life Course and Medical Sciences, University of Liverpool, Liverpool, U.K.
Gaya ThanabalasinghamOxford Centre for Diabetes, Endocrinology and Metabolism, Oxford University Hospitals NHS Foundation Trust, Oxford, U.K.
Helena Thomaides BrearsPerspectum, Ltd., Oxford, U.K.ORCID 0000-0003-0774-6983
Daniel J CuthbertsonInstitute of Life Course and Medical Sciences, University of Liverpool, Liverpool, U.K.

Funding

Innovate UKUK Biobank
6 · The paper itself

Abstract

We aimed to determine the extent of multiorgan fat accumulation and fibroinflammation in individuals living with type 2 diabetes. We deeply phenotyped individuals with type 2 diabetes (134 from secondary care, 69 from primary care) with multiorgan, quantitative, multiparametric MRI and compared with 134 matched control individuals without diabetes and 92 control individuals with normal weight. We examined the impact of diabetes duration, obesity status, and glycemic control. Ninety-three of the individuals with type 2 diabetes were reevaluated at 7 months (median). Multiorgan abnormalities were more common in individuals with type 2 diabetes (94%) than in age- and BMI-matched healthy individuals or healthy individuals with normal weight. We demonstrated a high burden of combined steatosis and fibroinflammation within the liver, pancreas, and kidneys (41%, 17%, and 10%) associated with visceral adiposity (73%) and poor vascular health (82%). Obesity was most closely associated with advanced liver disease, renal and visceral steatosis, and multiorgan abnormalities, while poor glycemic control was associated with pancreatic fibroinflammation. Pharmacological therapies with proven cardiorenal protection improved liver and vascular health unlike conventional glucose-lowering treatments, while weight loss or improved glycemic control reduced multiorgan adiposity (P ≤ 0.01). Quantitative imaging in people with type 2 diabetes highlights widespread organ abnormalities and may provide useful risk and treatment stratification. ARTICLE HIGHLIGHTS:

Indexed as

Diabetes Mellitus, Type 2InflammationMagnetic Resonance ImagingAdultAgedFatty LiverFemaleFibrosisHumansKidneyLiverMaleMiddle AgedObesityPancreas

Identifiers

PMID38748492
PMCPMC11262045

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.