Evidence map›Paper›PMID 25736308›Full record

ArticleEuropean heart journal. Cardiovascular Imaging2015

Quantification of infarct size and myocardium at risk: evaluation of different techniques and its implications.

Elisa McAlindon, Maria Pufulete, Chris Lawton, Gianni D Angelini, Chiara Bucciarelli-Ducci

Open access · hybridAbstract readComparative StudyEvaluation Study
In one paragraph

Article in European heart journal. Cardiovascular Imaging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
10.0field-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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

  1. Society for Cardiovascular Magnetic Resonance (SCMR) expert consensus for CMR imaging endpoints in clinical research: part I - analytical validation and clinical qualification.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2018
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  13. The role and mechanisms of microvascular damage in the ischemic myocardium.Cellular and molecular life sciences : CMLS · 2023
    Review
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  19. Infarct quantification with cardiovascular magnetic resonance using "standard deviation from remote" is unreliable: validation in multi-centre multi-vendor data.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022
    Article
  20. Review
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

5 authors at 2 institutions in 1 country.

Elisa McAlindonNIHR Bristol Cardiovascular Biomedical Research Unit, Bristol Heart Institute, Level 7 Queens Building, Bristol Royal Infirmary, Bristol BS2 8HW, UK.
Maria PufuleteClinical Trial and Evaluation Unit (CTEU), University of Bristol, Bristol, UK.
Chris LawtonNIHR Bristol Cardiovascular Biomedical Research Unit, Bristol Heart Institute, Level 7 Queens Building, Bristol Royal Infirmary, Bristol BS2 8HW, UK.
Gianni D AngeliniNIHR Bristol Cardiovascular Biomedical Research Unit, Bristol Heart Institute, Level 7 Queens Building, Bristol Royal Infirmary, Bristol BS2 8HW, UK.
Chiara Bucciarelli-DucciNIHR Bristol Cardiovascular Biomedical Research Unit, Bristol Heart Institute, Level 7 Queens Building, Bristol Royal Infirmary, Bristol BS2 8HW, UK c.bucciarelli-ducci@bristol.ac.uk.
NIHR Bristol Cardiovascular Biomedical Research Unit · GBUniversity of Bristol · GB

Funding

Department of Health
6 · The paper itself

Abstract

aimsThe aim of this study was to evaluate seven methods for quantifying myocardial oedema [2 standard deviation (SD), 3 SD, 5 SD, full width at half maximum (FWHM), Otsu method, manual thresholding, and manual contouring] from T2-weighted short tau inversion recovery (T2w STIR) and also to reassess these same seven methods for quantifying acute infarct size following ST-segment myocardial infarction (STEMI). This study focuses on test-retest repeatability while assessing inter- and intraobserver variability. T2w STIR and late gadolinium enhancement (LGE) are the most widely used cardiovascular magnetic resonance (CMR) techniques to image oedema and infarction, respectively. However, no consensus exists on the best quantification method to be used to analyse these images. This has potential important implications in the research setting where both myocardial oedema and infarct size are increasingly used and measured as surrogate endpoints in clinical trials. METHODS AND

resultsForty patients day 2 following acute reperfused STEMI were scanned for myocardial oedema and infarction (LGE). All patients had a second CMR scan on the same day >6 h apart from the first one. Images were analysed offline by two independent observers using the semi-automated software. Both oedema and LGE were quantified using seven techniques (2 SD, 3 SD, 5 SD, Otsu, FWHM, manual threshold, and manual contouring). Interobserver, intraobserver and test-retest agreement and variability for both infarct size and oedema quantification were assessed. Infarct size and myocardial quantification vary depending on the quantification method used. Overall, manual contouring provided the lowest inter-, intraobserver, and interscan variability for both infarct size and oedema quantification. The FWHM method for infarct size quantification and the Otsu method for myocardial oedema quantification are acceptable alternatives.

conclusionsThis study determines that, in acute myocardial infarction (MI), manual contouring has the lowest overall variability for quantification of both myocardial oedema and MI when analysed by experienced observers.

Indexed as

Image Processing, Computer-AssistedAgedCohort StudiesEdema, CardiacElectrocardiographyFemaleHumansMagnetic Resonance Imaging, CineMaleMiddle AgedMyocardial InfarctionMyocardial ReperfusionMyocardiumObserver VariationProspective StudiesRisk AssessmentTroponin TCardiac magnetic resonanceInfarct sizeMyocardial oedemaQuantification

Identifiers

PMID25736308
PMCPMC4463003
OpenAlexW2137483486

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.