Evidence map›Paper›PMID 40247009›Full record

ArticleScientific reports2025

Non-invasive screening for liver fibrosis by acoustic radiation force impulse in patients with ciliopathies.

Johanna Bresch, Jens König, Martin Konrad, Sabine Kollmann, Mareike Dahmer-Heath, Hauke Sebastian Heinzow, Michael Praktiknjo, Jonel Trebicka, Carsten Bergmann, Hartmut H-J Schmidt and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Johanna BreschDepartment of Medicine B, Muenster University Hospital, Albert-Schweitzer-Campus 1, Building A14, 48149, Muenster, Germany. johanna.bresch@uni-muenster.de.ORCID https://orcid.org/0009-0003-3808-9098
Jens KönigDepartment of General Pediatrics, Muenster University Hospital, Muenster, Germany.
Martin KonradDepartment of General Pediatrics, Muenster University Hospital, Muenster, Germany.
Sabine KollmannDepartment of General Pediatrics, Muenster University Hospital, Muenster, Germany.
Mareike Dahmer-HeathDepartment of General Pediatrics, Muenster University Hospital, Muenster, Germany.
Hauke Sebastian HeinzowDepartment of Medicine B, Muenster University Hospital, Albert-Schweitzer-Campus 1, Building A14, 48149, Muenster, Germany.
Michael PraktiknjoDepartment of Medicine B, Muenster University Hospital, Albert-Schweitzer-Campus 1, Building A14, 48149, Muenster, Germany.
Jonel TrebickaDepartment of Medicine B, Muenster University Hospital, Albert-Schweitzer-Campus 1, Building A14, 48149, Muenster, Germany.
Carsten BergmannMedizinische Genetik Mainz, Limbach Genetics, Mainz, Germany.
Hartmut H-J SchmidtDepartment of Medicine B, Muenster University Hospital, Albert-Schweitzer-Campus 1, Building A14, 48149, Muenster, Germany.
Bernhard SchlevogtDepartment of Medicine B, Muenster University Hospital, Albert-Schweitzer-Campus 1, Building A14, 48149, Muenster, Germany.ORCID http://orcid.org/0000-0002-3979-5299

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary cilia are antenna-like structures on the surface of epithelial cells involved in multiple signaling pathways. Their malfunction can cause a heterogenous group of diseases called ciliopathies with a broad spectrum of organ involvements, including liver fibrosis. The aim of this exploratory study was to evaluate elastography measurement via ultrasound based acoustic radiation force impulse imaging (ARFI) as a screening tool for liver fibrosis in ciliopathies. In a prospective cohort of 51 patients with ciliopathies (aged between 2 months and 66 years) from the NEOCYST registry stiffness of the right liver lobe and spleen was measured via ARFI and results were then compared with laboratory parameters, endoscopic, ultrasonographic and histological findings. ARFI screening of the liver identified 27 patients without increased liver stiffness suggesting no or insignificant fibrosis, 11 with intermediate fibrosis, and 12 with liver fibrosis F4. Four patients showed increased spleen stiffness in ARFI. In all 10 patients with histologically confirmed fibrosis, ARFI results perfectly matched fibrosis stages. In the ARFI-based overall fibrosis subgroup, ALT, AST, GGT and spleen size were significantly increased, whereas platelets were significantly decreased compared to the no fibrosis subgroup. Normal GGT excluded ARFI-defined F4 fibrosis (negative predictive value 100%). Gene variants in PKHD1, TMEM67, and TULP3 were primarily detected in our patients with liver fibrosis whereas NPHP1 and HNF1B were not associated with increased liver stiffness. ARFI is a valuable screening tool for the detection of liver involvement in ciliopathies and may be useful in addition to laboratory and clinical parameters alone.Trial registration: NEOCYST registry DRKS00011003, registered 06.09.2016, https://drks.de/search/en/trial/DRKS00011003 .

Indexed as

CiliopathiesElasticity Imaging TechniquesLiver CirrhosisAdolescentAdultAgedChildChild, PreschoolFemaleHumansInfantLiverMaleMiddle AgedProspective StudiesSpleenCiliopathiesCongenital hepatic fibrosisLiver elastographyLiver stiffness measurementSpleen stiffness measurement

Identifiers

PMID40247009
PMCPMC12006320

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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.