Evidence map›Paper›PMID 28642288›Full record

Observational studyHeart (British Cardiac Society)2017

Ferumoxytol-enhanced magnetic resonance imaging assessing inflammation after myocardial infarction.

Colin G Stirrat, Shirjel R Alam, Thomas J MacGillivray, Calum D Gray, Marc R Dweck, Jennifer Raftis, William Sa Jenkins, William A Wallace, Renzo Pessotto, Kelvin Hh Lim and 4 more

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in Heart (British Cardiac Society), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02319278 (DEtection of Cellular Inflammation With FERumoxytol in the HEART), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
5.6field-weighted citation impact, top 4% 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.

NCT02319278 phase2 / phase3completednot on this map

DEtection of Cellular Inflammation With FERumoxytol in the HEART

TypeinterventionalSponsorUniversity of EdinburghRan2014 to 2016Enrolled58ConditionsCardiac Transplant, Cardiac Sarcoid, Myocarditis, Healthy VolunteersArmsFerumoxytol
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 63 citations in OpenAlex.

  1. Trial
  2. Effect of clinically relevant iron oxide nanoparticles on macrophage polarization, tumor growth and tumor microenvironment modulation.Journal of controlled release : official journal of the Controlled Release Society · 2026
    Article
  3. Molecular contrast agents for post-infarct cardiac remodelling: a contemporary review.European heart journal. Imaging methods and practice · 2026
    Review
  4. Review
  5. Article
  6. Ferumoxytol-enhanced cardiovascular magnetic resonance imaging: applications and technical advances.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. A primer onFrontiers in medicine · 2023
    Review
  14. Imaging Methods: Magnetic Resonance Imaging.Circulation. Cardiovascular imaging · 2023
    Review
  15. Review
  16. Review
  17. Article
  18. Physiological and Pathological Factors Affecting Drug Delivery to the Brain by Nanoparticles.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2021
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Colin G StirratBritish Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Shirjel R AlamBritish Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Thomas J MacGillivrayClinical Research Imaging Centre, University of Edinburgh, Edinburgh, UK.
Calum D GrayClinical Research Imaging Centre, University of Edinburgh, Edinburgh, UK.
Marc R DweckBritish Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Jennifer RaftisBritish Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
William Sa JenkinsBritish Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
William A WallaceDepartment of Pathology, University of Edinburgh, Edinburgh, UK.
Renzo PessottoDepartment of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
Kelvin Hh LimDepartment of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
Saeed MirsadraeeClinical Research Imaging Centre, University of Edinburgh, Edinburgh, UK.
Peter A HenriksenBritish Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Scott Ik SempleBritish Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
David E NewbyBritish Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
University of Edinburgh · GBBritish Heart Foundation · GBEdinburgh Royal Infirmary · GB

Funding

British Heart Foundation FS/12/83British Heart Foundation FS/12/84/29814British Heart Foundation FS/14/78/31020Chief Scientist Office ETM/266Medical Research Council G0701127Wellcome Trust
6 · The paper itself

Abstract

objectivesMacrophages play a central role in the cellular inflammatory response to myocardial infarction (MI) and predict subsequent clinical outcomes. We aimed to assess temporal changes in cellular inflammation and tissue oedema in patients with acute MI using ultrasmallsuperparamagnetic particles of iron oxide (USPIO)-enhanced MRI.

methodsThirty-one patients were recruited following acute MI and followed up for 3 months with repeated T2 and USPIO-enhanced T2*-mapping MRI. Regions of interest were categorised into infarct, peri-infarct and remote myocardial zones, and compared with control tissues.

resultsFollowing a single dose, USPIO enhancement was detected in the myocardium until 24 hours (p<0.0001). Histology confirmed colocalisation of iron and macrophages within the infarcted, but not the non-infarcted, myocardium. Following repeated doses, USPIO uptake in the infarct zone peaked at days 2-3, and greater USPIO uptake was detected in the infarct zone compared with remote myocardium until days 10-16 (p<0.05). In contrast, T2-defined myocardial oedema peaked at days 3-9 and remained increased in the infarct zone throughout the 3-month follow-up period (p<0.01).

conclusionMyocardial macrophage activity can be detected using USPIO-enhanced MRI in the first 2 weeks following acute MI. This observed pattern of cellular inflammation is distinct, and provides complementary information to the more prolonged myocardial oedema detectable using T2 mapping. This imaging technique holds promise as a non-invasive method of assessing and monitoring myocardial cellular inflammation with potential application to diagnosis, risk stratification and assessment of novel anti-inflammatory therapeutic interventions. TRIAL REGISTRATION NUMBER: Trial registration number: 14663. Registered on UK Clinical Research Network (http://public.ukcrn.org.uk) and also ClinicalTrials.gov (https://clinicaltrials.gov/ct2/show/NCT02319278?term=DECIFER&rank=2).

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleFerrosoferric OxideFollow-Up StudiesHematinicsHumansInflammationMacrophagesMagnetic Resonance Imaging, CineMaleMiddle AgedMyocardial InfarctionMyocardiumFerrosoferric OxideHematinicsCardiacInflammationMolecular ImagingMRIMyocardial InfarctionUSPIO

Identifiers

PMID28642288
PMCPMC5629948
OpenAlexW2668438839

What OpenQuestion holds

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LicenceCC BY
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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.