Evidence map›Paper›PMID 30760470›Full record

Observational studyAnnals of the rheumatic diseases2019

[18F]Florbetapir positron emission tomography: identification of muscle amyloid in inclusion body myositis and differentiation from polymyositis.

James B Lilleker, Richard Hodgson, Mark Roberts, Karl Herholz, James Howard, Rainer Hinz, Hector Chinoy

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Annals of the rheumatic diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.9field-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.

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, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. MRI and muscle imaging for idiopathic inflammatory myopathies.Brain pathology (Zurich, Switzerland) · 2021
    Review
  4. Observational
  5. Article
  6. PET Scan: Nuclear Medicine Imaging in Myositis.Current rheumatology reports · 2019
    Review
  7. Amyloid-PET: a new tool for diagnosing IBM?Nature reviews. Rheumatology · 2019
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

James B LillekerCentre for Musculoskeletal Research, School of Biological Sciences, Faculty of Biology, Medicine and Health, Manchester Academic Health Science Centre, University of Manchester, Manchester, UK james.lilleker@manchester.ac.uk.ORCID 0000-0002-9230-4137
Richard HodgsonRadiology Department, Salford Royal NHS Foundation Trust, Salford, United Kingdom.
Mark RobertsManchester Centre for Clinical Neuroscience, Salford Royal NHS Foundation Trust, Salford, UK.
Karl HerholzWolfson Molecular Imaging Centre, University of Manchester, Manchester, UK.
James HowardRadiology Department, Salford Royal NHS Foundation Trust, Salford, United Kingdom.
Rainer Hinz *Wolfson Molecular Imaging Centre, University of Manchester, Manchester, UK.
Hector Chinoy *The National Institute for Health Research Manchester Musculoskeletal Biomedical Research Centre, Manchester University Hospitals NHS FoundationTrust, Manchester Academic Health Science Centre, University of Manchester, Manchester, United Kingdom.ORCID 0000-0001-6492-1288
Manchester Academic Health Science Centre · GBSalford Royal NHS Foundation Trust · GBUniversity of Manchester · GB

Funding

Medical Research Council MR/N003322/1
6 · The paper itself

Abstract

objectivesWith the tools available currently, confirming the diagnosis of inclusion body myositis (IBM) can be difficult. Many patients are initially misdiagnosed with polymyositis (PM). In this observational study at a UK adult neuromuscular centre, we investigated whether amyloid positron emission tomography could differentiate between IBM and PM.

methodsTen patients with IBM and six with PM underwent clinical review, [18F]florbetapir positron emission tomography and MRI of skeletal musculature. Differences in [18F]florbetapir standardised uptake value ratios in skeletal muscle regions of interest were evaluated. Relationships between [18F]florbetapir standardised uptake value ratios and measures of disease severity (clinical and by MRI of skeletal muscle) were assessed.

results[18F]florbetapir standardised uptake value ratios were significantly higher in those with IBM compared with PM for all assessed regions (total-[18F]florbetapir standardised uptake value ratio 1.45 (1.28 to 2.05) vs 1.01 (0.80 to 1.22), p=0.005). For total-[18F]florbetapir standardised uptake value ratios≥1.28, sensitivity and specificity for IBM was 80% and 100%, respectively.

conclusions[18F]florbetapir amyloid positron emission tomography differentiates IBM from PM. Successful development could facilitate accurate diagnosis, inclusion in clinical trials and help avoid unnecessary exposure to potentially harmful treatments.

Indexed as

Aniline CompoundsEthylene GlycolsAgedAmyloidFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedMuscle, SkeletalMyositis, Inclusion BodyPolymyositisPositron-Emission TomographyAmyloidAniline CompoundsEthylene Glycolsflorbetapiramyloiddiagnosticsinclusion body myositispolymyositispositron emission tomography

Identifiers

PMID30760470
PMCPMC6517800
OpenAlexW2907284691

What OpenQuestion holds

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LicenceCC BY
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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.