Evidence map›Paper›PMID 28986407›Full record

ArticleHeart (British Cardiac Society)2018

Ferumoxytol-enhanced magnetic resonance imaging in acute myocarditis.

Colin G Stirrat, Shirjel R Alam, Thomas J MacGillivray, Calum D Gray, Marc R Dweck, Kevin Dibb, Nick Spath, John R Payne, Sanjay K Prasad, Roy S Gardner and 4 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Heart (British Cardiac Society), 2018. 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 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Cardiovascular magnetic resonance native TJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2020
    Pooled it
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Ferumoxytol-enhanced cardiovascular magnetic resonance detection of early stage acute myocarditis.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2019
    Article
  17. Cardiac MRI Evaluation of Myocarditis.Current treatment options in cardiovascular medicine · 2019
    Review
  18. Molecular Imaging of the Heart.Comprehensive Physiology · 2019
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 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 Facility, University of Edinburgh, Edinburgh, UK.
Calum D GrayClinical Research Facility, University of Edinburgh, Edinburgh, UK.
Marc R DweckBritish Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Kevin DibbBritish Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Nick SpathBritish Heart Foundation/University Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
John R PayneDepartment of Cardiology, Golden Jubilee National Hospital, Clydebank, UK.
Sanjay K PrasadDepartment of Cardiology, Royal Brompton Hospital, London, UK.
Roy S GardnerDepartment of Cardiology, Golden Jubilee National Hospital, Clydebank, UK.
Saeed MirsadraeeDepartment of Radiology, Royal Brompton Hospital, London, 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 · GBGolden Jubilee National Hospital · GBRoyal Brompton Hospital · GB

Funding

British Heart Foundation FS/14/78/31020British Heart Foundation FS/17/19/32641Chief Scientist Office ETM/266Medical Research Council G0701127Wellcome Trust
6 · The paper itself

Abstract

objectivesUltrasmall superparamagnetic particles of iron oxide (USPIO)-enhanced MRI can detect tissue-resident macrophage activity and identify cellular inflammation within tissues. We hypothesised that USPIO-enhanced MRI would provide a non-invasive imaging technique that would improve the diagnosis and management of patients with acute myocarditis.

methodsTen volunteers and 14 patients with suspected acute myocarditis underwent T2, T2* and late gadolinium enhancement (LGE) 3T MRI, with further T2* imaging at 24 hours after USPIO (ferumoxytol, 4 mg/kg) infusion, at baseline and 3 months. Myocardial oedema and USPIO enhancement were determined within areas of LGE as well as throughout the myocardium.

resultsMyocarditis was confirmed in nine of the 14 suspected cases of myocarditis. There was greater myocardial oedema in regions of LGE in patients with myocarditis when compared with healthy volunteer myocardium (T2 value, 57.1±5.3 vs 46.7±1.6 ms, p<0.0001). There was no demonstrable difference in USPIO enhancement between patients and volunteers even within regions displaying LGE (change in R2*, 35.0±15.0 vs 37.2±9.6 s

conclusionIn patients with acute myocarditis, USPIO-enhanced MRI does not provide additional clinically relevant information to LGE and T2 mapping MRI. This suggests that tissue-resident macrophages do not provide a substantial contribution to the myocardial inflammation in this condition.Clinical trial registration NCT02319278; Results.

Indexed as

MyocarditisAcute DiseaseAdultContrast MediaDextransFemaleHumansImage EnhancementImage Interpretation, Computer-AssistedInflammationMacrophage ActivationMagnetic Resonance Imaging, CineMagnetite NanoparticlesMaleMiddle AgedMyocardiumContrast MediaDextransferumoxtran-10Magnetite NanoparticlescardiacinflammationMRImyocarditisUSPIO.

Identifiers

PMID28986407
PMCPMC5861394
OpenAlexW2761323870

What OpenQuestion holds

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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.