Evidence map›Paper›PMID 34120634›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2021

Myocardial iron overload by cardiovascular magnetic resonance native segmental T1 mapping: a sensitive approach that correlates with cardiac complications.

Antonella Meloni, Nicola Martini, Vincenzo Positano, Antonio De Luca, Laura Pistoia, Sara Sbragi, Anna Spasiano, Tommaso Casini, Pier Paolo Bitti, Massimo Allò and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
4.9field-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.

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

33 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Review
  3. Abdominal TMagma (New York, N.Y.) · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Observational
  18. Article
  19. Article
  20. Left and right atrioventricular coupling index in patients with beta-thalassemia major.The international journal of cardiovascular imaging · 2024
    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

14 authors at 8 institutions in 1 country.

Antonella MeloniMagnetic Resonance Imaging Unit, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy.
Nicola MartiniMagnetic Resonance Imaging Unit, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy.
Vincenzo PositanoMagnetic Resonance Imaging Unit, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy.
Antonio De LucaCardiovascular Department, University of Trieste, Trieste, Italy.
Laura PistoiaMagnetic Resonance Imaging Unit, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy.
Sara SbragiCardiovascular Division, University of Pisa, Pisa, Italy.
Anna SpasianoUnità Operativa Semplice Dipartimentale Malattie Rare del Globulo Rosso, Azienda Ospedaliera di Rilievo Nazionale "A. Cardarelli", Napoli, Italy.
Tommaso CasiniCentro Talassemie ed Emoglobinopatie, Ospedale "Meyer", Firenze, Italy.
Pier Paolo BittiServizio Immunoematologia e Medicina Trasfusionale, Dipartimento dei Servizi, Presidio Ospedaliero "San Francesco" ASL Nuoro, Nuoro, Italy.
Massimo AllòEmatologia Microcitemia, Ospedale San Giovanni di Dio, ASP Crotone, Crotone, Italy.
Paola Maria Grazia SannaServizio Trasfusionale Aziendale, Azienda Ospedaliero-Universitaria di Sassari, Sassari, Italy.
Raffaele De CaterinaCardiovascular Division, University of Pisa, Pisa, Italy.
Gianfranco SinagraCardiovascular Department, University of Trieste, Trieste, Italy.
Alessia PepeMagnetic Resonance Imaging Unit, Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Italy. alessia.pepe@ftgm.it.ORCID 0000-0001-6401-3829
Fondazione Toscana Gabriele Monasterio · ITUniversity of Pisa · ITUniversity of Trieste · ITAzienda di Rilievo Nazionale ed Alta Specializzazione · ITAzienda Ospedaliero Universitaria di Sassari · ITMeyer Children's Hospital · ITNuovo Ospedale San Giovanni di Dio · ITPresidio Ospedaliero · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe compared cardiovascular magnetic resonance segmental native T1 against T2* values for the detection of myocardial iron overload (MIO) in thalassaemia major and we evaluated the clinical correlates of native T1 measurements.

methodsWe considered 146 patients (87 females, 38.7 ± 11.1 years) consecutively enrolled in the Extension-Myocardial Iron Overload in Thalassaemia Network. T1 and T2* values were obtained in the 16 left ventricular (LV) segments. LV function parameters were quantified by cine images. Post-contrast late gadolinium enhancement (LGE) and T1 images were acquired.

results64.1% of segments had normal T2* and T1 values while 10.1% had pathologic T2* and T1 values. In 526 (23.0%) segments, there was a pathologic T1 and a normal T2* value while 65 (2.8%) segments had a pathologic T2* value but a normal T1 and an extracellular volume (ECV) ≥ 25% was detected in 16 of 19 segments where ECV was quantified. Global native T1 was independent from gender or LV function but decreased with increasing age. Patients with replacement myocardial fibrosis had significantly lower native global T1. Patients with cardiac complications had significantly lower native global T1.

conclusionsThe combined use of both segmental native T1 and T2* values could improve the sensitivity for detecting MIO. Native T1 is associated with cardiac complications in thalassaemia major.

Indexed as

Contrast MediaIron OverloadFemaleGadoliniumHumansMagnetic Resonance Imaging, CineMagnetic Resonance SpectroscopyMyocardiumPredictive Value of TestsVentricular Function, LeftContrast MediaGadoliniumCardiovascular diseasesIron overloadMagnetic resonance imagingThalassaemia major

Identifiers

PMID34120634
PMCPMC8201743
OpenAlexW3167245515

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.