Evidence map›Paper›PMID 28482872›Full record

ArticleArthritis research & therapy2017

Disturbed microcirculation in the hands of patients with systemic sclerosis detected by fluorescence optical imaging: a pilot study.

Stefanie Friedrich, Susanne Lüders, Stephanie Gabriele Werner, Anne-Marie Glimm, Gerd-Rüdiger Burmester, Gabriela Riemekasten, Marina Backhaus, Sarah Ohrndorf

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 27 citations in OpenAlex.

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  9. Article
  10. Novel Imaging Strategies in Systemic Sclerosis.Current rheumatology reports · 2020
    Review
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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

8 authors at 4 institutions in 1 country.

Stefanie FriedrichDepartment of Rheumatology and Clinical Immunology, Charité University Hospital, Berlin, Germany.ORCID 0000-0001-6225-3730
Susanne LüdersDepartment of Rheumatology and Clinical Immunology, Charité University Hospital, Berlin, Germany.
Stephanie Gabriele WernerDepartment of Rheumatology and Clinical Immunology, Charité University Hospital, Berlin, Germany.
Anne-Marie GlimmDepartment of Rheumatology and Clinical Immunology, Charité University Hospital, Berlin, Germany.
Gerd-Rüdiger BurmesterDepartment of Rheumatology and Clinical Immunology, Charité University Hospital, Berlin, Germany.
Gabriela RiemekastenDepartment of Rheumatology, University of Schleswig-Holstein, Lübeck, Germany.
Marina BackhausDepartment of Rheumatology and Clinical Immunology, Charité University Hospital, Berlin, Germany.
Sarah OhrndorfDepartment of Rheumatology and Clinical Immunology, Charité University Hospital, Berlin, Germany. sarah.ohrndorf@charite.de.
Charité - Universitätsmedizin Berlin · DEEvangelisches Krankenhaus Düsseldorf · DEPark-Klinik Weißensee · DEUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUtilising fluorescence optical imaging (FOI), the distribution of an intravenously applied colouring agent indocyanine green (ICG) can be analysed with the potential to identify malperfusion by little to no tissue enhancement. Systemic sclerosis (SSc) is characterised by the presence of digital ulcers reflecting progressive vasculopathy. The objective was to investigate the potential of FOI in the detection of disturbed microcirculation in the hands and fingers of patients with SSc and to link FOI findings to clinical signs of ischemia such as digital ulcers and pitting scars.

methodsIn this cross-sectional study, 63 patients with SSc and 26 healthy subjects were examined. FOI was performed in all 89 individuals and compared to clinical data and capillaroscopic findings assembled for the SSc cohort.

resultsHealthy subjects showed initial ICG signals in their fingertips in 93.6%, SSc patients in 78.5% (limited SSc) and 43.2% (diffuse SSc). Moreover, in SSc patients, FOI findings were significantly associated with a late capillaroscopic pattern, disseminated SSc features, a diffuse SSc subtype, and the presence of digital ulcers or pitting scars. Intra- and inter-reader reliability for FOI amounted to κ = 0.786 and κ = 0.834, respectively.

conclusionsFOI is able to detect areas of reduced microcirculation in patients with SSc with high association to capillaroscopic findings. The results pave the way for future FOI investigations into its role in the prediction of complications due to an impaired acral perfusion.

Indexed as

AdultAgedCohort StudiesFemaleHandHumansMaleMicrocirculationMiddle AgedOptical ImagingPilot ProjectsScleroderma, SystemicYoung AdultDigital ulcersDisturbed microcirculationFluorescence optical imagingNailfold capillaroscopyRaynaud’s phenomenonSystemic sclerosis

Identifiers

PMID28482872
PMCPMC5422953
OpenAlexW2613929897

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.