Evidence map›Paper›PMID 27450877›Full record

SynthesisJACC. Cardiovascular imaging2017

Prognostic Value of Myocardial Scarring on CMR in Patients With Cardiac Sarcoidosis.

G Cameron Coleman, Peter W Shaw, Pelbreton C Balfour, Jorge A Gonzalez, Christopher M Kramer, Amit R Patel, Michael Salerno

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in JACC. Cardiovascular imaging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 3 pooled it
13.6field-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

98 citing papers in PubMed, 3 syntheses or guidelines pooled it, 232 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. SCMR Position Paper (2020) on clinical indications for cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2020
    Guideline
  4. Review
  5. Article
  6. Article
  7. Prognostic Value of Regadenoson Stress Perfusion CMR.Medical sciences (Basel, Switzerland) · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Cardiac Magnetic Resonance in Heart Failure: Diagnostic and Prognostic Assessments.Journal of cardiovascular development and disease · 2025
    Review
  14. Observational
  15. Review
  16. Article
  17. Review
  18. Characterization of cardiac sarcoidosis in Iranian patients using cardiac magnetic resonance and positron emission tomography imaging techniques.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2025
    Article
  19. Review
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

G Cameron ColemanDepartment of Medicine, University of Virginia, Charlottesville, Virginia.
Peter W ShawDepartment of Medicine, University of Virginia, Charlottesville, Virginia.
Pelbreton C BalfourDepartment of Medicine, University of Virginia, Charlottesville, Virginia.
Jorge A GonzalezDepartment of Medicine, University of Virginia, Charlottesville, Virginia.
Christopher M KramerDepartment of Medicine, University of Virginia, Charlottesville, Virginia; Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia.
Amit R PatelDepartment of Medicine, University of Chicago Medicine, Chicago, Illinois; Department of Radiology, University of Chicago Medicine, Chicago, Illinois.
Michael SalernoDepartment of Medicine, University of Virginia, Charlottesville, Virginia; Department of Biomedical Engineering, University of Virginia, Charlottesville, Virginia. Electronic address: ms5pc@virginia.edu.
University of Virginia · USUniversity of Illinois Chicago · USUniversity of Virginia Medical Center · US

Funding

Training in Cardiovascular Imaging ResearchT32EB003841 · NIBIB · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Jonathan R Lindner · 2004 to 2026
$4.4M
High-Resolution Whole Heart Quantitative CMR Perfusion Imaging in Ischemic Heart DiseaseR01HL131919 · NHLBI · UNIVERSITY OF VIRGINIA · PI ENNIS, DANIEL B · 2017 to 2021
$3.5M
Quantitative Adenosine Stress CMR with Spiral Pulse SequencesK23HL112910 · NHLBI · UNIVERSITY OF VIRGINIA · PI SALERNO, MICHAEL · 2012 to 2016
$789k
NHLBI NIH HHS K23 HL112910NHLBI NIH HHS R01 HL131919NIBIB NIH HHS T32 EB003841
6 · The paper itself

Abstract

objectivesThis study sought to perform a systematic review and meta-analysis to understand the prognostic value of myocardial scarring as evidenced by late gadolinium enhancement (LGE) on cardiac magnetic resonance (CMR) imaging in patients with known or suspected cardiac sarcoidosis.

backgroundAlthough CMR is increasingly used for the diagnosis of cardiac sarcoidosis, the prognostic value of CMR has been less well described in this population.

methodsPubMed, Cochrane CENTRAL, and metaRegister of Controlled Trials were searched for CMR studies with ≥1 year of prognostic data. Primary endpoints were all-cause mortality and a composite outcome of arrhythmogenic events (ventricular arrhythmia, implantable cardioverter-defibrillator shock, sudden cardiac death) plus all-cause mortality during follow-up. Summary effect estimates were generated with random-effects modeling.

resultsTen studies were included, involving a total of 760 patients with a mean follow-up of 3.0 ± 1.1 years. Patients had a mean age of 53 years, 41% were male, 95.3% had known extracardiac sarcoidosis, and 21.6% had known cardiac sarcoidosis. The average ejection fraction was 57.8 ± 9.1%. Patients with LGE had higher odds for all-cause mortality (odds ratio [OR]: 3.06; p < 0.03) and higher odds of the composite outcome (OR: 10.74; p < 0.00001) than those without LGE. Patients with LGE had an increased annualized event rate of the composite outcome (11.9% vs. 1.1%; p < 0.0001).

conclusionsIn patients with known or suspected cardiac sarcoidosis, the presence of LGE on CMR imaging is associated with increased odds of both all-cause mortality and arrhythmogenic events.

Indexed as

Magnetic Resonance ImagingAdultAgedCardiomyopathiesChi-Square DistributionCicatrixContrast MediaFemaleGadoliniumHumansMaleMiddle AgedMyocardiumOdds RatioPredictive Value of TestsPrognosisContrast MediaGadoliniumcardiac magnetic resonancecardiac sarcoidcardiovascular outcomeslate gadolinium enhancement

Identifiers

PMID27450877
PMCPMC5237422
OpenAlexW2499309551

What OpenQuestion holds

Textmetadata
LicenceTDM
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.