Cardio-oncology & other

Noninvasive assessment of organ-specific and shared pathways in multi-organ fibrosis using T1 mapping

Nat MedPublished Cross-sectional study

Authors' conclusion

By leveraging machine learning to quantify T1 time across multiple organs at scale, we uncovered new organ-specific and shared biologic pathways underlying fibrosis that may provide therapeutic targets.

Study context

Population
UK Biobank participants who underwent MRI (liver, pancreas, heart and kidney T1 time)UK Biobank
Participants
43,881 participants
Exposure
High vs low burden of fibrosis
Outcome
Independent genetic loci associated with organ T1 time
Methodological detailsmachine learning, phenome-wide association analyses, genome-wide association analyses
  • Machine learning
  • Phenome-wide association analyses
  • Genome-wide association analyses

Main finding

As reported in the abstract

Liver T1 time loci

27

Pancreas T1 time loci

18

Myocardial T1 time loci

11

Renal cortex T1 time loci

10

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Mortality by number of organs with T1 time in top quintileMultivariable-adjusted · multivariable-adjusted analysis3.31 (1.77–6.19)P = 1.78 × 10-4

Mortality by number of organs with T1 time in top quintile

Increasing number of organs with T1 time in top quintile associated with increased mortality

Original publication

Noninvasive assessment of organ-specific and shared pathways in multi-organ fibrosis using T1 mapping. Nat Med. Published 28 May 2024. doi:10.1038/s41591-024-03010-w

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