Evidence mapPaperPMID 23958293Full record

Trial reportJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2013

Combined measurement of perfusion, venous oxygen saturation, and skeletal muscle T2* during reactive hyperemia in the leg.

Erin K Englund, Michael C Langham, Cheng Li, Zachary B Rodgers, Thomas F Floyd, Emile R Mohler, Felix W Wehrli

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing 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

39 citing papers in PubMed.

  1. Trial
  2. Article
  3. A Novel 9-ChannelMagnetic resonance in medicine · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Kinetic differences between macro- and microvascular measures of reactive hyperemia.Journal of applied physiology (Bethesda, Md. : 1985) · 2020
    Article
  16. Article
  17. Review
  18. The exercise pressor reflex and active OPhysiological reports · 2019
    Article
  19. Review
  20. 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

7 authors.

Erin K EnglundDepartment of Radiology, Laboratory of Structural NMR Imaging, University of Pennsylvania Medical Center, 3400 Spruce Street, Philadelphia, PA 19104, USA. wehrli@mail.med.upenn.edu.
Michael C Langham
Cheng Li
Zachary B Rodgers
Thomas F Floyd
Emile R Mohler
Felix W Wehrli

Funding

The Microcirculation in Claudication and Exercise RehabilitationR01HL075649 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI FLOYD, THOMAS FREDERICK, MOHLER, EMILE R. · 2003 to 2014
$5.0M
MRI Assessment of Vascular ReactivityR01HL109545 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI WEHRLI, FELIX W · 2011 to 2014
$2.1M
Surrogate measures of endothelial dysfunction with integrated MRIK25HL111422 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI LANGHAM, MICHAEL · 2012 to 2016
$702k
NHLBI NIH HHS K25 HL111422NHLBI NIH HHS R01 HL075649NHLBI NIH HHS R01 HL109545
6 · The paper itself

Abstract

backgroundThe function of the peripheral microvascular may be interrogated by measuring perfusion, tissue oxygen concentration, or venous oxygen saturation (SvO2) recovery dynamics following induced ischemia. The purpose of this work is to develop and evaluate a magnetic resonance (MR) technique for simultaneous measurement of perfusion, SvO2, and skeletal muscle T2*.

methodsPerfusion, Intravascular Venous Oxygen saturation, and T2* (PIVOT) is comprised of interleaved pulsed arterial spin labeling (PASL) and multi-echo gradient-recalled echo (GRE) sequences. During the PASL post-labeling delay, images are acquired with a multi-echo GRE to quantify SvO2 and T2* at a downstream slice location. Thus time-courses of perfusion, SvO2, and T2* are quantified simultaneously within a single scan. The new sequence was compared to separately measured PASL or multi-echo GRE data during reactive hyperemia in five young healthy subjects. To explore the impairment present in peripheral artery disease patients, five patients were evaluated with PIVOT.

resultsComparison of PIVOT-derived data to the standard techniques shows that there was no significant bias in any of the time-course-derived metrics. Preliminary data show that PAD patients exhibited alterations in perfusion, SvO2, and T2* time-courses compared to young healthy subjects.

conclusionSimultaneous quantification of perfusion, SvO2, and T2* is possible with PIVOT. Kinetics of perfusion, SvO2, and T2* during reactive hyperemia may help to provide insight into the function of the peripheral microvasculature in patients with PAD.

Indexed as

Magnetic Resonance ImagingAdultAgedBiomarkersCase-Control StudiesFemaleHumansHyperemiaLower ExtremityMaleMicrocirculationMiddle AgedMuscle, SkeletalOxygenPerfusion ImagingPeripheral Arterial DiseaseBiomarkersOxygen

Identifiers

PMID23958293
PMCPMC3765712

What Socratic 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 Socratic graph.