Evidence map›Paper›PMID 27641778›Full record

ArticleDiagnostic and interventional radiology (Ankara, Turkey)

MRI of pneumonia in immunocompromised patients: comparison with CT.

Afra Ekinci, Tuba Yücel Uçarkuş, Aylin Okur, Mehmet Öztürk, Serap Doğan

Open access · greenAbstract readComparative Study
In one paragraph

Article in Diagnostic and interventional radiology (Ankara, Turkey). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
  2. Article
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  5. Article
  6. Chest MRI of patients with COVID-19.Magnetic resonance imaging · 2021
    Article
  7. Article
  8. Radiology case reports · 2020
    Article
  9. Pulmonary Findings of COVID-19 Identified at Cardiac MRI.Radiology. Cardiothoracic imaging · 2020
    Article
  10. Article
  11. Molecular Imaging of Pulmonary Inflammation and Infection.International journal of molecular sciences · 2020
    Review
  12. Review
  13. COVID-19 myocarditis: a case report.Einstein (Sao Paulo, Brazil) · 2020
    Article
  14. Article
  15. Article
  16. Review
  17. 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

5 authors at 3 institutions in 1 country.

Afra EkinciDepartment of Radiology, Erciyes University School of Medicine, Kayseri, Turkey. drafrayildirim@hotmail.com.
Tuba Yücel Uçarkuş
Aylin Okur
Mehmet Öztürk
Serap Doğan
Bozok Universitesi · TRErciyes University · TRKayseri Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePneumonia is an important cause of mortality and morbidity in immunocompromised patients. Computed tomography (CT) is the most sensitive imaging modality for the diagnosis and surveillance of these patients. Since CT exposes the patient to ionizing radiation, we investigated the utility of magnetic resonance imaging (MRI) in the diagnosis and surveillance of immunocompromised patients with pneumonia.

methodsThe study included 40 immunocompromised patients with pneumonia documented on CT. The patients were examined by MRI within 48 hours of CT examination. All images were obtained with three different sequences: balanced fast field echo, T1-weighted turbo spin-echo (TSE), and T2-weighted TSE. Lung abnormalities were evaluated using CT and MRI.

resultsInfection was determined in 36 patients (90%), while the causative organism remained unknown in four patients (10%). In all the patients, the CT findings were consistent with infection, although three patients showed no abnormal findings on MRI. CT was superior to MRI in the detection of the tree-in-bud nodules, centrilobular nodules, and halo sign (P < 0.001, for all). A significant difference was observed between the MRI sequences and CT in terms of the number of detected nodules (P < 0.001). The nodule detection rate of MRI significantly increased in proportion to the size of the nodule (P < 0.001). All MRI sequences had almost perfect agreement with CT for the detection of consolidation (к=0.950, P < 0.001), patchy increased density (к=1, P < 0.001), pleural effusion (к=0.870, P < 0.001), pericardial effusion (к=1, P < 0.001), reverse halo sign, (к=1 P < 0.001), 10-20 mm, nodules (к=0.896, P < 0.001 for CT and B-FFE; к=0.948, P < 0.001 for CT and T1- or T2-weighted imaging) 10-20 mm, >20 mm nodules (к=0.844, P < 0.001).

conclusionAlthough CT is superior to MRI in the diagnosis of pneumonia in immunocompromised patients, MRI is an important imaging modality that can be used, particularly in the follow-up of these patients, thus decreasing to avoid ionizing radiation exposure.

Indexed as

AdolescentAdultAgedFemaleHumansImmunocompromised HostMagnetic Resonance ImagingMaleMiddle AgedMultimodal ImagingPneumoniaSensitivity and SpecificityTomography, X-Ray ComputedYoung Adult

Identifiers

PMID27641778
PMCPMC5214072
OpenAlexW2523448025

What OpenQuestion holds

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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.