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      <comment>Heart and Vascular Center, Semmelweis University, Városmajor u. 68, Budapest, H-1122, Hungary            
            Hungarian Marfan Foundation, Városmajor u. 68, Budapest, H-1122, Hungary            
            Department of Pharmacology and Pharmacotherapy, Semmelweis University, Ülloi út 26, Budapest, H-1085, Hungary            
            MTA-SE Cardiovascular Imaging Research Group, Heart and Vascular Center, Semmelweis University, Városmajor u. 68, Budapest, H-1122, Hungary            
            Cited By :6            
            Export Date: 9 October 2021            
            Correspondence Address: Ágg, B.; Heart and Vascular Center, Városmajor u. 68, Hungary; email: agg.bence@med.semmelweis-univ.hu            
            Manufacturers: Philips</comment>
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      <abstractText>Clinical evidence suggests that the currently recommended approach to estimate the risk of aortic dissection in Marfan syndrome (MFS) is not reliable enough. Therefore, we investigated the possible role of visceral arterial tortuosity in the risk stratification.Splenic and renal arteries of 37 MFS patients and 74 age and gender matched control subjects were segmented using CT angiography imaging. To measure tortuosity, distance metric (DM), sum of angles metric (SOAM), inflection count metric (ICM), and the ratio of ICM and SOAM (ICM/SOAM) were calculated. DM of the splenic, right and left renal artery was significantly higher in MFS patients than in controls (2.44 [1.92-2.80] vs. 1.75 [1.57-2.18] p &lt; 0.001; 1.16 [1.10-1.28] vs. 1.11 [1.07-1.15] p = 0.011; 1.40 [1.29-1.70] vs. 1.13 [1.09-1.23] p &lt; 0.001, respectively). A similar tendency for ICM and an opposite tendency for SOAM were observed. ICM/SOAM was significantly higher in the MFS group compared to controls in case of all three arteries (73.35 [62.26-93.63] vs. 50.91 [43.19-65.62] p &lt; 0.001; 26.52 [20.69-30.24] vs. 19.95 [16.47-22.95] p &lt; 0.001; 22.81 [18.64-30.96] vs. 18.38 [15.29-21.46] p &lt; 0.001, respectively). MFS patients who underwent aortic root replacement had increased right and left renal DM and ICM/SOAM compared to MFS patients without surgery.To our knowledge this is the first demonstration of increased arterial tortuosity in MFS on visceral arteries. Visceral arterial tortuosity, dominated by curves of lower frequency but higher amplitude according to the observed opposite tendency between the DM and SOAM metrics, could be a possible new predictor of serious manifestations of MFS.</abstractText>
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mtid=&quot;31281646&quot; target=&quot;_blank&quot;&gt;Increased visceral arterial tortuosity in Marfan syndrome&lt;/a&gt;&lt;/div&gt; &lt;div class=&quot;pub-info&quot;&gt; &lt;span class=&quot;journal-title&quot;&gt;ORPHANET JOURNAL OF RARE DISEASES&lt;/span&gt; &lt;span class=&quot;journal-volume&quot;&gt;15&lt;/span&gt; : &lt;span class=&quot;journal-issue&quot;&gt;1&lt;/span&gt; &lt;span class=&quot;page&quot;&gt; Paper: 91 , 10 p. &lt;/span&gt; &lt;span class=&quot;year&quot;&gt;(2020)&lt;/span&gt; &lt;/div&gt; &lt;div class=&quot;pub-end&quot;&gt;&lt;div class=&quot;identifier-list&quot;&gt; &lt;span class=&quot;identifiers&quot;&gt; &lt;span class=&quot;id identifier oa_GOLD&quot; title=&quot; Gold &quot;&gt; &lt;a style=&quot;color:blue&quot; title=&quot;10.1186/s13023-020-01369-w&quot; target=&quot;_blank&quot; href=&quot;https://doi.org/10.1186/s13023-020-01369-w&quot;&gt; DOI &lt;/a&gt; &lt;/span&gt; &lt;span class=&quot;id identifier oa_none&quot; title=&quot;none&quot;&gt; 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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Instituties&quot;&gt;I&lt;/span&gt;/Department of Pharmacology and Pharmacotherapy; &lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Clinical&quot;&gt;C&lt;/span&gt;/Cardiovascular Center&lt;/span&gt;
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            (&lt;span class=&quot;authorship-author-name&quot;&gt;Benke Kálmán&lt;/span&gt;
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Clinical&quot;&gt;C&lt;/span&gt;/Cardiovascular Center&lt;/span&gt;
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            (&lt;span class=&quot;authorship-author-name&quot;&gt;Stengl Roland&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; Szív és érbetegségek&lt;/span&gt;)
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Clinical&quot;&gt;C&lt;/span&gt;/Cardiovascular Center&lt;/span&gt;
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            (&lt;span class=&quot;authorship-author-name&quot;&gt;Kolossváry Márton József&lt;/span&gt;
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							&lt;span class=&quot;author-name&quot; mtid=&quot;10026455&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10026455&quot; target=&quot;_blank&quot;&gt;Pólos Miklós
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Pólos Miklós&lt;/span&gt;
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10013969&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10013969&quot; target=&quot;_blank&quot;&gt;Radovits Tamás
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Radovits Tamás&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; kardiológia, érgyógyászat&lt;/span&gt;)
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Clinical&quot;&gt;C&lt;/span&gt;/Cardiovascular Center&lt;/span&gt;
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							&lt;span class=&quot;author-name&quot; mtid=&quot;10010125&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10010125&quot; target=&quot;_blank&quot;&gt;Ferdinandy Péter
            (&lt;span class=&quot;authorship-author-name&quot;&gt;Ferdinandy Péter&lt;/span&gt;
            &lt;span class=&quot;authorAux-mtmt&quot;&gt; Farmakológia, molekuláris medicina&lt;/span&gt;)
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&lt;span class=&quot;author-affil&quot;&gt;&lt;span title=&quot;Semmelweis University&quot;&gt;SU&lt;/span&gt;/&lt;span title=&quot;Faculty of Medicine&quot;&gt;FM&lt;/span&gt;/&lt;span title=&quot;Instituties&quot;&gt;I&lt;/span&gt;/Department of Pharmacology and Pharmacotherapy&lt;/span&gt;
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;&amp;nbsp;&amp;nbsp;&amp;nbsp;
							&lt;span class=&quot;author-name&quot; mtid=&quot;10019530&quot;&gt;&lt;a 
																				   href=&quot;/gui2/?type=authors&amp;mode=browse&amp;sel=10019530&quot; target=&quot;_blank&quot;&gt;Maurovich-Horvat Pál
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&lt;div class=&quot;title&quot;&gt;&lt;a href=&quot;/gui2/?mode=browse&amp;params=publication;31281646&quot; target=&quot;_blank&quot;&gt;Increased visceral arterial tortuosity in Marfan syndrome&lt;/a&gt;&lt;/div&gt;    &lt;div&gt;		&lt;span class=&quot;journal-title&quot;&gt;ORPHANET JOURNAL OF RARE DISEASES&lt;/span&gt;

        &lt;span class=&quot;journal-issn&quot;&gt;(&lt;a target=&quot;_blank&quot; href=&quot;https://portal.issn.org/resource/ISSN/1750-1172&quot;&gt;1750-1172&lt;/a&gt; &lt;a target=&quot;_blank&quot; href=&quot;https://portal.issn.org/resource/ISSN/1750-1172&quot;&gt;1750-1172&lt;/a&gt;)&lt;/span&gt;:
		&lt;span class=&quot;journal-volume&quot;&gt;15&lt;/span&gt; &lt;span class=&quot;journal-issue&quot;&gt;1&lt;/span&gt;
&lt;span class=&quot;page&quot;&gt;
		Paper 91.
	 10 p. 
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				&lt;div class=&quot;journal-subject&quot;&gt;Journal subject: Scopus - Medicine (miscellaneous)&amp;nbsp;&amp;nbsp;&amp;nbsp;Rank:&amp;nbsp;Q1&lt;/div&gt;
				&lt;div class=&quot;journal-subject&quot;&gt;Journal subject: Scopus - Pharmacology (medical)&amp;nbsp;&amp;nbsp;&amp;nbsp;Rank:&amp;nbsp;Q1&lt;/div&gt;
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	&lt;div class=&quot;publication-citation&quot; style=&quot;margin-left: 0.5cm;&quot;&gt;
		&lt;span title=&quot;&quot; class=&quot;citingPub-count&quot;&gt;Citing papers: 21&lt;/span&gt;
		| Independent citation: 14
		| Self citation: 7
		| Unknown citation: 0
		| Number of citations in WoS: 18 
		|  Number of citations in Scopus:&amp;nbsp;18 
		|  WoS/Scopus assigned:&amp;nbsp;20 
		|  Number of citations with DOI:&amp;nbsp;20 
		
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			Number of cited publications: 6
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    &lt;div class=&quot;mtid&quot;&gt;&lt;span class=&quot;long-pub-mtid&quot;&gt;Publication: 31281646&lt;/span&gt;
    | &lt;span class=&quot;status-data status-VALIDATED&quot;&gt; 	Validated
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Core	 Citing
	
	
    | &lt;span class=&quot;type-subtype&quot;&gt;Journal Article
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      		| &lt;span class=&quot;pub-category&quot;&gt;Scientific&lt;/span&gt;
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&lt;div class=&quot;funder&quot;&gt; National Heart Program(NVKP-16-1-2016-0017) Funder: NRDIO,    (UNKP-17-3-I-SE-31),    (UNKP-18-3-I-SE-69),    (UNKP-19-3-I-SE-54)   &lt;/div&gt;
&lt;div class=&quot;lastModified&quot;&gt;Last Modified: 2025.01.08. 14:00 Zóra Kondor (SE_KK_Admin5_KZ, admin)
&lt;/div&gt;




	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Comments&lt;/u&gt;: Heart and Vascular Center, Semmelweis University, Városmajor u. 68, Budapest, H-1122, Hungary            
            Hungarian Marfan Foundation, Városmajor u. 68, Budapest, H-1122, Hungary            
            Department of Pharmacology and Pharmacotherapy, Semmelweis University, Ülloi út 26, Budapest, H-1085, Hungary            
            MTA-SE Cardiovascular Imaging Research Group, He...&lt;/pre&gt;

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