Evidence map›Paper›PMID 40781765›Full record

ArticleEuropean journal of clinical investigation2026

Association between CMR-derived hepatic T1-time, tricuspid regurgitation and survival.

Katharina Mascherbauer, Christina Kronberger, Manuel Gruber, Carolina Donà, Matthias Koschutnik, Varius Dannenberg, Michael Poledniczek, Laura Lunzer, Christian Nitsche, Franz Duca and 10 more

Abstract read
In one paragraph

Article in European journal of clinical investigation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. T1 mapping in repaired tetralogy of Fallot: A marker of fibrosis or a mirror of hemodynamics?Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
    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

20 authors.

Katharina MascherbauerDivision of Cardiology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-9681-1833
Christina KronbergerDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Manuel GruberDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Carolina DonàDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Matthias KoschutnikDivision of Cardiology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-6164-8773
Varius DannenbergDivision of Cardiology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-5722-4281
Michael PoledniczekDivision of Cardiology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-6091-9823
Laura LunzerDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Christian NitscheDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Franz DucaDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Gregor HeitzingerDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Kseniya HalavinaDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Dietrich BeitzkeDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
Christian LoeweDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
Michael TraunerDivision of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
Philipp BartkoDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Julia MascherbauerDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Christian HengstenbergDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Andreas KammerlanderDivision of Cardiology, Medical University of Vienna, Vienna, Austria.
Elisabeth WaldmannDivision of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac magnetic resonance (CMR) derived hepatic T1-time is associated with outcome. However, the interplay between tricuspid regurgitation (TR), which can cause congestive hepatopathy and liver T1-time is unclear.

methodsWe measured hepatic T1-time in CMR all-comers, who underwent echocardiography within 3 weeks of CMR. Kaplan-Meier estimates and Cox regression models were used to investigate the association between hepatic T1-time, TR severity and a composite endpoint of heart failure hospitalisation and all-cause death.

results1029 participants (67 ± 17 y/o, 44% female) had a mean hepatic T1-time of 605 ± 79 ms. Overall, 41% (417) presented with non/trace, 38% (391) with mild, 13% (135) with moderate and 8% (85) with severe/massive/torrential TR. Liver T1-time was significantly associated with TR severity (no/trace: 586 ± 72 ms; mild: 601 ± 74 ms; moderate: 634 ± 84 ms; severe/massive/torrential: 665 ± 83 ms; β = 25.4 ms, [95% CI:19.7-31.2, p < .001]). After adjustment for serum NT-proBNP and right ventricular function in a linear regression model, TR severity remained significantly associated with hepatic T1-time (p < .001). During follow-up (mean 53 ± 36 months) 326 (32%) events occurred. Hepatic T1-time (adj.HR 1.69 [95% CI: 1.49-1.92] per 100 ms increase, p < .001) and TR (adj.HR 1.66 [95% CI: 1.49-1.84], p < .001) were both associated with outcome. Even after adjustment for serum NT-proBNP, cardiac structure and function, age, sex and TR severity, hepatic T1-time remained significantly associated with event-free survival (adj.HR 1.42 [95% CI: 1.20-1.68] per 100 ms increase, p < .001).

conclusionTR exerts a notable influence on hepatic T1-time. Nevertheless, after adjustment for serum NTproBNP, cardiac function and TR severity, hepatic T1-time still independently predicts outcomes. This underscores the importance of hepatic T1-time both as a marker of TR and prognosis.

Indexed as

Heart FailureLiverTricuspid Valve InsufficiencyAgedEchocardiographyFemaleHospitalizationHumansKaplan-Meier EstimateMagnetic Resonance ImagingMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsProportional Hazards ModelsSeverity of Illness IndexNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)CMRhepatic‐T1 timeT1‐timetricuspid regurgitation

Identifiers

PMID40781765
PMCPMC12811836

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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.