Evidence map›Paper›PMID 22388997›Full record

ArticleAnnals of the rheumatic diseases2012

Inflammation assessment in patients with arthritis using a novel in vivo fluorescence optical imaging technology.

Stephanie G Werner, Hans-Eckhard Langer, Sarah Ohrndorf, Malte Bahner, Peter Schott, Carsten Schwenke, Michael Schirner, Hans Bastian, Gudrun Lind-Albrecht, Bernward Kurtz and 2 more

Erratum issuedOpen access · bronzeAbstract readComparative StudyEvaluation StudyMulticenter Study
In one paragraph

Article in Annals of the rheumatic diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
12.7field-weighted citation impact, top 1% of its field
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

68 citing papers in PubMed, 141 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Molecular imaging of psoriatic arthritis.Current opinion in rheumatology · 2025
    Review
  6. Article
  7. Unconventional Imaging Methods in Psoriatic Arthritis.Current rheumatology reports · 2025
    Review
  8. Article
  9. Article
  10. Photodynamic Therapy and Cardiovascular Diseases.International journal of molecular sciences · 2024
    Review
  11. Review
  12. Imaging in psoriatic arthritis: established methods and emerging techniques.Therapeutic advances in musculoskeletal disease · 2024
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Erratum issued
  • Erratum issued
5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Stephanie G WernerRheumatology, Immunology, Osteology Center, Duesseldorf, Germany.
Hans-Eckhard Langer
Sarah Ohrndorf
Malte Bahner
Peter Schott
Carsten Schwenke
Michael Schirner
Hans Bastian
Gudrun Lind-Albrecht
Bernward Kurtz
Gerd R Burmester
Marina Backhaus
Charité - Universitätsmedizin Berlin · DEEvangelisches Krankenhaus Düsseldorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndocyanine green (ICG)-enhanced fluorescence optical imaging (FOI) is an established technology for imaging of inflammation in animal models. In experimental models of arthritis, FOI findings corresponded to histologically proven synovitis. This is the first comparative study of FOI with other imaging modalities in humans with arthritis.

methods252 FOI examinations (Xiralite system, mivenion GmbH, Berlin, Germany; ICG bolus of 0.1 mg/kg/body weight, sequence of 360 images, one image per second) were compared with clinical examination (CE), ultrasonography (US) and MRI of patients with arthritis of the hands.

resultsIn an FOI sequence, three phases could be distinguished (P1-P3). With MRI as reference, FOI had a sensitivity of 76% and a specificity of 54%, while the specificity of phase 1 was 94%. FOI had agreement rates up to 88% versus CE, 64% versus greyscale US, 88% versus power Doppler US and 83% versus MRI, depending on the compared phase and parameter. FOI showed a higher rate of positive results compared to CE, US and MRI. In individual patients, FOI correlated significantly (p<0.05) with disease activity (Disease Activity Score 28, r=0.41), US (r=0.40) and RAMRIS (Rheumatoid Arthritis MRI Score) (r=0.56). FOI was normal in 97.8% of joints of controls.

conclusionICG-enhanced FOI is a new technology offering sensitive imaging detection of inflammatory changes in subjects with arthritis. FOI was more sensitive than CE and had good agreement with CE, US in power Doppler mode and MRI, while showing more positive results than these. An adequate interpretation of an FOI sequence requires a separate evaluation of all phases. For the detection of synovitis and tenosynovitis, FOI appears to be as informative as 1.5 T MRI and US.

Indexed as

FluorescenceAdultAgedAged, 80 and overArthritisArthritis, PsoriaticArthritis, RheumatoidCase-Control StudiesColoring AgentsDiagnostic ImagingFemaleHand JointsHumansImage Interpretation, Computer-AssistedIndocyanine GreenMagnetic Resonance ImagingColoring AgentsIndocyanine Green

Identifiers

PMID22388997
PMCPMC3298665
OpenAlexW2134279754

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.