Evidence map›Paper›PMID 25051945›Full record

ArticleJACC. Cardiovascular imaging2014

Coronary vessel wall contrast enhancement imaging as a potential direct marker of coronary involvement: integration of findings from CAD and SLE patients.

Niharika Varma, Rocio Hinojar, David D'Cruz, Eduardo Arroyo Ucar, Andreas Indermuehle, Sarah Peel, Gerald Greil, Nicholas Gaddum, Phil Chowienczyk, Eike Nagel and 2 more

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in JACC. Cardiovascular imaging, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02407197 (International T1 Multicentre CMR Study), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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.

NCT02407197 completednot on this map

International T1 Multicentre CMR Study

Typeobservational_patient_registrySponsorKing's College LondonRan2011 to 2022Enrolled1,629ConditionsCardiomyopathy, Heart Failure, Coronary Artery Disease, Chronic Kidney Diseases
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Imaging Evaluation of Kawasaki Disease.Current cardiology reports · 2022
    Review
  4. Cardiovascular disease in women: insights from magnetic resonance imaging.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2020
    Review
  5. Review
  6. Review
  7. Review
  8. Magnetic resonance imaging for characterizing myocardial diseases.The international journal of cardiovascular imaging · 2017
    Review
  9. Coronary Artery Plaque Imaging.Current atherosclerosis reports · 2017
    Review
  10. Coronary Atherosclerosis TJACC. Cardiovascular imaging · 2017
    Article
  11. Article
  12. Review
  13. Review
  14. Observational
  15. Review
  16. Article
  17. Imaging therapeutic response to immunosuppression in IgG4-related coronary disease: The role of coronary wall enhancement cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Niharika VarmaCardiovascular Imaging Department, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom.
Rocio HinojarCardiovascular Imaging Department, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom.
David D'CruzThe Lupus Unit, Rayne's Institute, King's College London, London, United Kingdom.
Eduardo Arroyo UcarCardiovascular Imaging Department, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom.
Andreas IndermuehleDepartment of Medical Physics and Bioengineering, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom.
Sarah PeelDepartment of Medical Physics and Bioengineering, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom.
Gerald GreilCardiovascular Imaging Department, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom.
Nicholas GaddumDepartment of Medical Physics and Bioengineering, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom.
Phil ChowienczykCardiovascular Division, King's College London, London, United Kingdom.
Eike NagelCardiovascular Imaging Department, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom.
Rene M BotnarDepartment of Medical Physics and Bioengineering, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom.
Valentina O PuntmannCardiovascular Imaging Department, Division of Imaging Sciences and Biomedical Engineering, King's College London, London, United Kingdom. Electronic address: v.puntmann@kcl.ac.uk.

Funding

British Heart Foundation PG/10/44/28343British Heart Foundation RG/12/1/29262Department of Health
6 · The paper itself

Abstract

objectivesThis study investigated the feasibility of visual and quantitative assessment of coronary vessel wall contrast enhancement (CE) for detection of symptomatic atherosclerotic coronary artery disease (CAD) and subclinical coronary vasculitis in autoimmune inflammatory disease (systemic lupus erythematosus [SLE]), as well as the association with aortic stiffness, an established marker of risk.

backgroundCoronary CE by cardiac magnetic resonance (CMR) is a novel noninvasive approach to visualize gadolinium contrast uptake within the coronary artery vessel wall.

methodsA total of 75 subjects (CAD: n = 25; SLE: n = 27; control: n = 23) underwent CMR imaging using a 3-T clinical scanner. Coronary arteries were visualized by a T2-prepared steady state free precession technique. Coronary wall CE was visualized using inversion-recovery T1 weighted gradient echo sequence 40 min after administration of 0.2 mmol/kg gadobutrol. Proximal coronary segments were visually examined for distribution of CE and quantified for contrast-to-noise ratio (CNR) and total CE area.

resultsCoronary CE was prevalent in patients (93%, n = 42) with a diffuse pattern for SLE and a patchy/regional distribution in CAD patients. Compared with control subjects, CNR values and total CE area in patients with CAD and SLE were significantly higher (mean CNR: 3.9 ± 2.5 vs. 6.9 ± 2.5 vs. 6.8 ± 2.0, respectively; p < 0.001; total CE area: median 0.8 [interquartile range (IQR): 0.6 to 1.2] vs. 3.2 [IQR: 2.6 to 4.0] vs. 3.3 [IQR: 1.9 to 4.5], respectively; p < 0.001). Both measures were positively associated with aortic stiffness (CNR: r = 0.61, p < 0.01; total CE area: 0.36, p = 0.03), hypercholesterolemia (r = 0.68, p < 0.001; r = 0.61, p < 0.001) and hypertension (r = 0.40, p < 0.01; r = 0.32, p < 0.05).

conclusionsWe demonstrate that quantification of coronary CE by CNR and total CE area is feasible for detection of subclinical and clinical uptake of gadolinium within the coronary vessel wall. Coronary vessel wall CE may become an instrumental novel direct marker of vessel wall injury and remodeling in subpopulations at risk.

Indexed as

Contrast MediaMagnetic Resonance AngiographyOrganometallic CompoundsAdultAtherosclerosisCase-Control StudiesCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFeasibility StudiesFemaleHumansHypercholesterolemiaImage Interpretation, Computer-AssistedLupus Erythematosus, SystemicMaleContrast MediagadobutrolOrganometallic Compoundscardiac magnetic resonancecontrast-to-noise ratiocoronary enhancementvessel wall remodeling

Identifiers

PMID25051945
PMCPMC4136741

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Registered trials

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.