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Increased myocardial native T1 and extracellular volume in patients with Duchenne muscular dystrophy

Overview of attention for article published in Critical Reviews in Diagnostic Imaging, January 2016
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  • Good Attention Score compared to outputs of the same age (75th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (63rd percentile)

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Title
Increased myocardial native T1 and extracellular volume in patients with Duchenne muscular dystrophy
Published in
Critical Reviews in Diagnostic Imaging, January 2016
DOI 10.1186/s12968-016-0224-7
Pubmed ID
Authors

Jonathan H. Soslow, Stephen M. Damon, Kimberly Crum, Mark A. Lawson, James C. Slaughter, Meng Xu, Andrew E. Arai, Douglas B. Sawyer, David A. Parra, Bruce M. Damon, Larry W. Markham

Abstract

Duchenne muscular dystrophy (DMD) cardiomyopathy is a progressive disease for which there is no cure. Disease-specific therapies are needed that can be initiated before irreversible myocardial damage ensues. In order to evaluate therapeutic efficacy, surrogate endpoints other than ejection fraction must be found. The hypothesis of this study is that T1 and extracellular volume fraction (ECV) mapping using cardiovascular magnetic resonance (CMR) can detect diffuse extracellular matrix expansion in DMD patients with normal left ventricular ejection fraction (LVEF) and without myocardial late gadolinium enhancement (LGE). Thirty-one DMD and 11 healthy control participants were prospectively enrolled. CMR using a modified Look-Locker (MOLLI) sequence was performed in all participants before and after contrast administration. T1 and ECV maps of the mid left ventricular myocardium were generated and regions of interest were contoured using the standard 6-segment AHA model. Global and segmental values were compared between DMD and controls using a Wilcoxon rank-sum test. The DMD participants had significantly higher mean native T1 compared with controls (1045 ms vs 988 ms, p = 0.001). DMD participants with normal LVEF and without evidence of LGE also demonstrated elevated mean native T1 (1039 ms vs 988 ms, p = 0.002, and 1038 ms vs 988 ms, p = 0.011). DMD participants had a significantly greater mean ECV than controls (0.31 vs 0.24, p < 0.001), even in the settings of normal LVEF (0.28 vs 0.24, p < 0.001) and negative LGE (0.29 vs 0.24, p = 0.001). DMD participants have elevated LV myocardial native T1 and ECV, even in the setting of normal LVEF and in the absence of LGE. T1 and ECV mapping in DMD have potential to serve as surrogate cardiomyopathy outcome measures for clinical trials.

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X Demographics

The data shown below were collected from the profiles of 8 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 68 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Germany 1 1%
Unknown 67 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 18 26%
Student > Ph. D. Student 11 16%
Student > Master 9 13%
Other 4 6%
Student > Doctoral Student 4 6%
Other 12 18%
Unknown 10 15%
Readers by discipline Count As %
Medicine and Dentistry 34 50%
Biochemistry, Genetics and Molecular Biology 5 7%
Nursing and Health Professions 3 4%
Engineering 3 4%
Agricultural and Biological Sciences 2 3%
Other 10 15%
Unknown 11 16%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 March 2016.
All research outputs
#6,618,883
of 25,522,520 outputs
Outputs from Critical Reviews in Diagnostic Imaging
#470
of 1,379 outputs
Outputs of similar age
#97,601
of 404,077 outputs
Outputs of similar age from Critical Reviews in Diagnostic Imaging
#16
of 44 outputs
Altmetric has tracked 25,522,520 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 1,379 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one has gotten more attention than average, scoring higher than 65% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 404,077 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 75% of its contemporaries.
We're also able to compare this research output to 44 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 63% of its contemporaries.