Evidence map›Paper›PMID 21932053›Full record

ArticleSkeletal radiology2012

Cartilage quality in rheumatoid arthritis: comparison of T2* mapping, native T1 mapping, dGEMRIC, ΔR1 and value of pre-contrast imaging.

Christian Buchbender, Axel Scherer, Patric Kröpil, Birthe Körbl, Michael Quentin, Dorothea Ch Reichelt, Rotem S Lanzman, Christian Mathys, Dirk Blondin, Bernd Bittersohl and 7 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Skeletal radiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

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.

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

13 citing papers in PubMed.

  1. Article
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  4. Article
  5. Review
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  9. Review
  10. Review
  11. Article
  12. Insights into rheumatoid arthritis from use of MRI.Current rheumatology reports · 2014
    Review
  13. Article
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

17 authors.

Christian BuchbenderDepartment of Diagnostic and Interventional Radiology, Medical Faculty, University Düsseldorf, D-40225, Düsseldorf, Germany. Christian.buchbender@med.uni-duesseldorf.de
Axel Scherer
Patric Kröpil
Birthe Körbl
Michael Quentin
Dorothea Ch Reichelt
Rotem S Lanzman
Christian Mathys
Dirk Blondin
Bernd Bittersohl
Christoph Zilkens
Matthias Hofer
Hans-Jörg Wittsack
Matthias Schneider
Gerald Antoch
Benedikt Ostendorf
Falk Miese

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo prospectively evaluate four non-invasive markers of cartilage quality--T2* mapping, native T1 mapping, dGEMRIC and ΔR1--in healthy volunteers and rheumatoid arthritis (RA) patients. MATERIALS AND

methodsCartilage of metacarpophalangeal (MCP) joints II were imaged in 28 consecutive subjects: 12 healthy volunteers [9 women, mean (SD) age 52.67 (9.75) years, range 30-66] and 16 RA patients with MCP II involvement [12 women, mean (SD) age 58.06 (12.88) years, range 35-76]. Sagittal T2* mapping was performed with a multi-echo gradient-echo on a 3 T MRI scanner. For T1 mapping the dual flip angle method was applied prior to native T1 mapping and 40 min after gadolinium application (delayed gadolinium-enhanced MRI of cartilage, dGEMRIC, T1(Gd)). The difference in the longitudinal relaxation rate induced by gadolinium (ΔR1) was calculated. The area under the receiver operating characteristic curve (AROC) was used to test for differentiation of RA patients from healthy volunteers.

resultsdGEMRIC (AUC 0.81) and ΔR1 (AUC 0.75) significantly differentiated RA patients from controls. T2* mapping (AUC 0.66) and native T1 mapping (AUC 0.66) were not significantly different in RA patients compared to controls.

conclusionsThe data support the use of dGEMRIC for the assessment of MCP joint cartilage quality in RA. T2* and native T1 mapping are of low diagnostic value. Pre-contrast T1 mapping for the calculation of ΔR1 does not increase the diagnostic value of dGEMRIC.

Indexed as

AlgorithmsGadolinium DTPAAdultAgedArthritis, RheumatoidCartilage, ArticularContrast MediaFemaleHumansImage EnhancementImage Interpretation, Computer-AssistedMagnetic Resonance ImagingMaleMetacarpophalangeal JointMiddle AgedReproducibility of ResultsContrast MediaGadolinium DTPA

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Registered trials

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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 OpenQuestion graph.