Evidence map›Paper›PMID 29318430›Full record

ArticleEuropean radiology2018

An eight-year prospective controlled study about the safety and diagnostic value of cardiac and non-cardiac 1.5-T MRI in patients with a conventional pacemaker or a conventional implantable cardioverter defibrillator.

Pierpaolo Lupo, Riccardo Cappato, Giovanni Di Leo, Francesco Secchi, Giacomo D E Papini, Sara Foresti, Hussam Ali, Guido M G De Ambroggi, Antonio Sorgente, Gianluca Epicoco and 2 more

Abstract readControlled Clinical Trial
PubMed Publisher
In one paragraph

Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.2field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. SCMR expert consensus statement for cardiovascular magnetic resonance of patients with a cardiac implantable electronic device.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2024
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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

12 authors at 3 institutions in 1 country.

Pierpaolo LupoArrhythmia and Electrophysiology Centre, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Riccardo CappatoArrhythmia and Electrophysiology Centre, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Giovanni Di LeoUnit of Radiology, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Francesco SecchiUnit of Radiology, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Giacomo D E PapiniUnit of Radiology, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Sara ForestiArrhythmia and Electrophysiology Centre, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Hussam AliArrhythmia and Electrophysiology Centre, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Guido M G De AmbroggiArrhythmia and Electrophysiology Centre, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Antonio SorgenteArrhythmia and Electrophysiology Centre, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Gianluca EpicocoArrhythmia and Electrophysiology Centre, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Paola M CannaòUnit of Radiology, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy.
Francesco SardanelliUnit of Radiology, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy. francesco.sardanelli@unimi.it.ORCID http://orcid.org/0000-0001-6545-9427
IRCCS Policlinico San Donato · ITHumanitas University · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate safety and diagnostic value of 1.5-T MRI in carriers of conventional pacemaker (cPM) or conventional implantable defibrillator (cICD).

methodsWe prospectively compared cPM/cICD-carriers undergoing MRI (study group, SG), excluding those device-dependent or implanted <6 weeks before enrolment or prior to 01/01/2000, with cPM/cICD-carriers undergoing chest x-ray, CT or follow-up (reference group, RG).

results142 MRI (55 cardiac) were performed in 120 patients with cPM (n=71) or cICD (n=71). In the RG 98 measurements were performed in 95 patients with cPM (n=40) or cICD (n=58). No adverse events were observed. No MRI prolonged/interrupted. All cPM/cICD were correctly reprogrammed after MRI without malfunctions. One temporary communication failure was observed in one cPM-carrier. Immediately after MRI, 12/14 device interrogation parameters did not change significantly (clinically negligible changes of battery voltage and cICD charging time), without significant variations for SG versus RG. Three-12 months after MRI, 9/11 device interrogation parameters did not change significantly (clinically negligible changes of battery impedance/voltage). Non-significant changes of three markers of myocardial necrosis. Non-cardiac MRI: 82/87 diagnostic without artefacts; 4/87 diagnostic with artefacts; 1/87 partially diagnostic. Cardiac MRI: in cPM-carriers, 14/15 diagnostic with artefacts, 1/15 partially diagnostic; in cICD-carriers, 9/40 diagnostic with artefacts, 22 partially diagnostic, nine non-diagnostic.

conclusionsA favourable risk-benefit ratio of 1.5-T MRI in cPM/cICD carriers was reported. KEY POINTS: • Cooperation between radiologists and cardiac electrophysiologists allowed safe 1.5-T MRI in cPM/cICD-carriers. • No adverse events for 142 MRI in 71 cPM-carriers and 71 cICD-carriers. • Ninety-nine per cent (86/87) of non-cardiac MRI in cPM/cICD-carriers were diagnostic. • All cPM-carrier cardiac MRIs had artefacts, 14 examinations diagnostic, 1 partially diagnostic. • Twenty-three per cent (9/40) of cardiac MRI in cICD-carriers were non-diagnostic.

Indexed as

ArtifactsDefibrillators, ImplantablePacemaker, ArtificialAgedArrhythmias, CardiacEquipment DesignEquipment SafetyFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingMagnetic Resonance Imaging, CineMaleMiddle AgedProspective StudiesConventional implantable cardioverter defibrillatorsConventional pacemakersImage artefactsMagnetic resonance imagingRisk-benefit ratio

Identifiers

PMID29318430
OpenAlexW2783695000

What OpenQuestion holds

Textmetadata
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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.