Evidence mapPaperPMID 37402003Full record

ArticleEuropean radiology2023

Evaluation of proton density fat fraction (PDFF) obtained from a vendor-neutral MRI sequence and MRQuantif software.

T Orcel, H T Chau, B Turlin, J Chaigneau, E Bannier, P Otal, E Frampas, A Leguen, A Boulic, H Saint-Jalmes and 4 more

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Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

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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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. [European journal of nuclear medicine and molecular imaging · 2026
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4 · The record

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5 · Who and what money

Authors and funding

14 authors.

T OrcelDepartment of Radiology, Rennes University Hospital, 2 Rue H. Le Guilloux, 35033, Rennes, France.
H T ChauDepartment of Radiology, Rennes University Hospital, 2 Rue H. Le Guilloux, 35033, Rennes, France.
B TurlinNUMECAN, INSERM U1099, Rennes University Hospital, 2 Rue H. Le Guilloux, 35033, Rennes, France.
J ChaigneauHIFIH, UPRES EA3859, Angers University Hospital, 4 Rue Larrey, 49993, Angers, France.
E BannierDepartment of Radiology, Rennes University Hospital, 2 Rue H. Le Guilloux, 35033, Rennes, France.
P OtalDepartment of Radiology, Toulouse University Hospital, 1 Av Pr J. Poulhes, 31059, Toulouse, France.
E FrampasDepartment of Radiology, Nantes University Hospital, 1 Pl. Alexis-Ricordeau, 44000, Nantes, France.
A LeguenDepartment of Radiology, Bretagne-Atlantique Hospital, 20 Bd Général Maurice Guillaudot, 56000, Vannes, France.
A BoulicDepartment of Radiology, Bretagne Sud Hospital, 5 Avenue de Choiseul, 56322, Lorient, France.
H Saint-JalmesINSERM U1099, LTSI, University of Rennes, Beaulieu Campus, 35042, Rennes, France.
C AubéHIFIH, UPRES EA3859, Angers University Hospital, 4 Rue Larrey, 49993, Angers, France.
J BoursierHIFIH, UPRES EA3859, Angers University Hospital, 4 Rue Larrey, 49993, Angers, France.
E Bardou-JacquetNUMECAN, INSERM U1099, Rennes University Hospital, 2 Rue H. Le Guilloux, 35033, Rennes, France.
Y GandonDepartment of Radiology, Rennes University Hospital, 2 Rue H. Le Guilloux, 35033, Rennes, France. yves.gandon@yahoo.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo validate the proton density fat fraction (PDFF) obtained by the MRQuantif software from 2D chemical shift encoded MR (CSE-MR) data in comparison with the histological steatosis data.

methodsThis study, pooling data from 3 prospective studies spread over time between January 2007 and July 2020, analyzed 445 patients who underwent 2D CSE-MR and liver biopsy. MR derived liver iron concentration (MR-LIC) and PDFF was calculated using the MRQuantif software. The histological standard steatosis score (SS) served as reference. In order to get a value more comparable to PDFF, histomorphometry fat fraction (HFF) were centrally determined for 281 patients. Spearman correlation and the Bland and Altman method were used for comparison.

resultsStrong correlations were found between PDFF and SS (r

conclusionThe PDFF obtained by MRQuantif from a 2D CSE-MR sequence is highly correlated with the steatosis score and very close to the fat fraction estimated by histomorphometry. Liver iron overload reduced the performance of steatosis quantification and joint quantification is recommended. This device-independent method can be particularly useful for multicenter studies. CLINICAL RELEVANCE STATEMENT: The quantification of liver steatosis using a vendor-neutral 2D chemical-shift MR sequence, processed by MRQuantif, is well correlated to steatosis score and histomorphometric fat fraction obtained from biopsy, whatever the magnetic field and the MR device used. KEY POINTS: • The PDFF measured by MRQuantif from 2D CSE-MR sequence data is highly correlated to hepatic steatosis. • Steatosis quantification performance is reduced in case of significant hepatic iron overload. • This vendor-neutral method may allow consistent estimation of PDFF in multicenter studies.

Indexed as

Fatty LiverIron OverloadNon-alcoholic Fatty Liver DiseaseHumansLiverMagnetic Resonance ImagingProspective StudiesProtonsProtonsLiver biopsyMagnetic resonance imagingNon-alcoholic fatty liver diseaseNon-alcoholic steatohepatitis

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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.