Evidence mapPaperPMID 30548522Full record

ArticleJournal of magnetic resonance imaging : JMRI2019

3T chemical shift-encoded MRI: Detection of altered proximal femur marrow adipose tissue composition in glucocorticoid users and validation with magnetic resonance spectroscopy.

Dimitri Martel, Benjamin Leporq, Amit Saxena, H Michael Belmont, Gabrielle Turyan, Stephen Honig, Ravinder R Regatte, Gregory Chang

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of magnetic resonance imaging : JMRI, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07178145 (MRI of Epicardial Adipose Tissue Composition), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 14% 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.

NCT07178145 phase4recruitingstarted 2025, after this paper: background citation

MRI of Epicardial Adipose Tissue Composition: Development of Methods and Application to Heart Failure With Preserved Ejection Fraction

Ran2025Enrolled192Registered outcomes6Posted comparisons0ConditionsEpicardial Adipose Tissue, Heart Failure Preserved Ejection FractionArmsGLP-1RA
Open the trial in the graph
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
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  12. Proton density fat fraction: magnetic resonance imaging applications beyond the liver.Diagnostic and interventional radiology (Ankara, Turkey) · 2022
    Review
  13. Survey of MRI Usefulness for the Clinical Assessment of Bone Microstructure.International journal of molecular sciences · 2021
    Review
  14. Article
  15. Review
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  17. Review
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

8 authors at 4 institutions in 2 countries.

Dimitri MartelNew York Langone Health, Department of Radiology, New York University School of Medicine, New York, New York, USA.
Benjamin LeporqUniversité de Lyon, CREATIS CNRS UMR 5220, Inserm U1206, INSA-Lyon, UCBL Lyon 1, Lyon, France.
Amit SaxenaNew York Langone Health, Division of Rheumatology, Hospital for Joint Diseases, New York, New York, USA.
H Michael BelmontNew York Langone Health, Division of Rheumatology, Hospital for Joint Diseases, New York, New York, USA.
Gabrielle TuryanNew York Langone Health, Osteoporosis Center, Hospital for Joint Diseases, New York, New York, USA.
Stephen HonigNew York Langone Health, Osteoporosis Center, Hospital for Joint Diseases, New York, New York, USA.
Ravinder R RegatteNew York Langone Health, Department of Radiology, New York University School of Medicine, New York, New York, USA.
Gregory ChangNew York Langone Health, Department of Radiology, New York University School of Medicine, New York, New York, USA.
New York University Langone Orthopedic Hospital · USNYU Langone Health · USInserm · FRNew York University · US

Funding

TR&D 3: Revealing Microstructure: Biophysical Modeling and Validation for Discovery and Clinical CareP41EB017183 · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · 2025 to 2025
$1.3M
NIAMS NIH HHS R01 AR066008NIAMS NIH HHS R01 AR070131NIAMS NIH HHS R01 AR073851NIBIB NIH HHS P41 EB017183
6 · The paper itself

Abstract

backgroundOsteoporosis (OP) results in weak bone and can ultimately lead to fracture. Drugs such as glucocorticoids can also induce OP (glucocorticoid-induced osteoporosis [GIO]). Bone marrow adipose tissue composition and quantity may play a role in OP pathophysiology, but has not been thoroughly studied in GIO compared to primary OP. PURPOSE/HYPOTHESIS: Chemical shift-encoded (CSE) MRI allows detection of subregional differences in bone marrow adipose tissue composition and quantity in the proximal femur of GIO compared to OP subjects and has high agreement with the reference standard of magnetic resonance spectroscopy (MRS). STUDY TYPE: Prospective. SUBJECTS: In all, 18 OP and 13 GIO subjects. FIELDS STRENGTH: 3T. SEQUENCE: Multiple gradient-echo, stimulated echo acquisition mode (STEAM). ASSESSMENT: Subjects underwent CSE-MRI in the proximal femurs, and for each parametric map regions of interest (ROIs) were assessed in the femoral head (fHEAD), femoral neck (fNECK), Ward's triangle (fTRIANGLE), and the greater trochanter (GTROCH). In addition, we compared CSE-MRI against the reference standard of MRS performed in the femoral neck and Ward's triangle. STATISTICAL TESTS: Differences between OP/GIO were investigated using the Mann-Whitney nonparametric test. Bland-Altman methodology was used to assess measurement agreement between CSE-MRI and MRS.

resultsGIO compared with OP subjects demonstrated: decreased monounsaturated fat fraction (MUFA) (-2.1%, P < 0.05) in fHEAD; decreased MUFA (-3.8%, P < 0.05), increased saturated fat fraction (SFA) (5.5%, P < 0.05), and decreased DATA

conclusion3T CSE-MRI may allow reliable assessment of subregional bone marrow adipose tissue (bMAT) quantity and composition in the proximal femur in a clinically reasonable scan time. Glucocorticoids may alter the lipid profile of bMAT and potentially result in reduced bone quality. LEVEL OF EVIDENCE: 2 Technical Efficacy: Stage 2 J. Magn. Reson. Imaging 2019;50:490-496.

Indexed as

Adipose TissueAdolescentAdultAgedAlgorithmsBone DensityBone MarrowFatty AcidsFemaleFemurGlucocorticoidsHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMaleFatty AcidsGlucocorticoidschemical shift encoded MRIfatty acid compositionglucocorticoidship bone marrowosteoporosis

Identifiers

PMID30548522
PMCPMC6675589
OpenAlexW2904675220

What Socratic holds

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Read underepoch 390

Registered trials

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.