Evidence map›Paper›PMID 33625795›Full record

SynthesisJournal of magnetic resonance imaging : JMRI2021

Systematic Review of Magnetic Resonance Lymphangiography From a Technical Perspective.

Michael Mills, Malou van Zanten, Marco Borri, Peter S Mortimer, Kristiana Gordon, Pia Ostergaard, Franklyn A Howe

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of magnetic resonance imaging : JMRI, 2021. 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
2.4field-weighted citation impact, top 12% 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, 23 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Magnetic resonance lymphangiography: Establishing normal.Journal of vascular surgery. Venous and lymphatic disorders · 2024
    Article
  8. Imaging Modalities for Evaluating Lymphedema.Medicina (Kaunas, Lithuania) · 2023
    Review
  9. Article
  10. MRI of Lymphedema.Journal of magnetic resonance imaging : JMRI · 2023
    Review
  11. Review
  12. Article
  13. Article
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

7 authors at 2 institutions in 1 country.

Michael MillsMolecular and Clinical Sciences Research Institute, St George's University, London, UK.ORCID 0000-0001-6316-4561
Malou van ZantenMolecular and Clinical Sciences Research Institute, St George's University, London, UK.ORCID 0000-0001-9620-075X
Marco BorriMolecular and Clinical Sciences Research Institute, St George's University, London, UK.
Peter S MortimerMolecular and Clinical Sciences Research Institute, St George's University, London, UK.ORCID 0000-0003-1901-6849
Kristiana GordonLymphovascular Medicine, Dermatology Department, St George's Hospital, London, UK.ORCID 0000-0002-7840-5644
Pia OstergaardMolecular and Clinical Sciences Research Institute, St George's University, London, UK.ORCID 0000-0002-2190-1356
Franklyn A HoweMolecular and Clinical Sciences Research Institute, St George's University, London, UK.
St George's, University of London · GBSt George's Hospital · GB

Funding

British Heart Foundation RG/17/7/33217Department of Health NIHR-HCS-D13-04-002Medical Research Council MR/P011543/1
6 · The paper itself

Abstract

backgroundClinical examination and lymphoscintigraphy are the current standard for investigating lymphatic function. Magnetic resonance imaging (MRI) facilitates three-dimensional (3D), nonionizing imaging of the lymphatic vasculature, including functional assessments of lymphatic flow, and may improve diagnosis and treatment planning in disease states such as lymphedema. PURPOSE: To summarize the role of MRI as a noninvasive technique to assess lymphatic drainage and highlight areas in need of further study. STUDY TYPE: Systematic review. POPULATION: In October 2019, a systematic literature search (PubMed) was performed to identify articles on magnetic resonance lymphangiography (MRL). FIELD STRENGTH/SEQUENCE: No field strength or sequence restrictions. ASSESSMENT: Article quality assessment was conducted using a bespoke protocol, designed with heavy reliance on the National Institutes of Health quality assessment tool for case series studies and Downs and Blacks quality checklist for health care intervention studies. STATISTICAL TESTS: The results of the original research articles are summarized.

resultsFrom 612 identified articles, 43 articles were included and their protocols and results summarized. Field strength was 1.5 or 3.0 T in all studies, with 25/43 (58%) employing 3.0 T imaging. Most commonly, imaging of the peripheries, upper and lower limbs including the pelvis (32/43, 74%), and the trunk (10/43, 23%) is performed, including two studies covering both regions. Imaging protocols were heterogenous; however, T DATA

conclusionMRL is uniquely placed to yield large field of view, qualitative and quantitative, 3D imaging of the lymphatic vasculature. Despite study heterogeneity, consensus is emerging regarding MRL protocol design. MRL has the potential to dramatically improve understanding of the lymphatics and detect disease, but further optimization, and research into the influence of study protocol differences, is required before this is fully realized. LEVEL OF EVIDENCE: 2 TECHNICAL EFFICACY: Stage 2.

Indexed as

Lymphatic VesselsLymphedemaContrast MediaHumansLymphographyMagnetic Resonance ImagingMagnetic Resonance SpectroscopyContrast MedialymphaticslymphedemalymphographyMagnetic resonance lymphangiographyreview

Identifiers

PMID33625795
PMCPMC7611641
OpenAlexW3132158683

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.