Evidence map›Paper›PMID 34480832›Full record

SynthesisJournal of applied clinical medical physics2021

Detection of acute myocarditis using T1 and T2 mapping cardiovascular magnetic resonance: A systematic review and meta-analysis.

Zhi Jia, Lihong Wang, Yanqing Jia, Jun Liu, Hong Zhao, Liwei Huo, Binbin Zheng

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of applied clinical medical physics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Role of Endomyocardial Biopsy in Diagnostics of Myocarditis.Diagnostics (Basel, Switzerland) · 2022
    Review
  7. 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.

Zhi JiaDepartment of Cardiology, Tianjin Beichen Hospital, Tianjin, China.
Lihong WangDepartment of Cardiology, Tianjin Beichen Hospital, Tianjin, China.
Yanqing JiaDepartment of Cardiology, Tianjin Beichen Hospital, Tianjin, China.
Jun LiuDepartment of Cardiology, Tianjin Beichen Hospital, Tianjin, China.
Hong ZhaoDepartment of Cardiology, Tianjin Beichen Hospital, Tianjin, China.
Liwei HuoDepartment of Cardiology, Tianjin Beichen Hospital, Tianjin, China.
Binbin ZhengDepartment of Cardiology, Tianjin Beichen Hospital, Tianjin, China.

Funding

Tianjin Beichen District Science and technology project 2018-SHGY-15
6 · The paper itself

Abstract

objectivesThis study was aimed to systematically review the existing literature and explore more the diagnostic value of T1 and T2 mapping in acute myocarditis.

methodsStudies were searched from five electronic databases. Sensitivity, specificity, diagnostic odds ratio (DOR), and summary receiver operating characteristic curves (SROC) were calculated to present diagnostic performance. A meta-regression and subgroup analysis was performed based on validation (endomyocardial biopsy [EMB] vs. clinical criteria).

resultsA total of 10 studies were included, with 400 myocarditis patients and 266 controls. Native T1, T2, and extracellular volume (ECV) values were significantly increased in the myocarditis group. Pooled sensitivities for T1, T2 mapping, and ECV were 0.84 (0.78-0.88), 0.77 (0.69-0.83), and 0.69 (0.50-0.83), respectively. Pooled specificities were 0.86 (0.69-0.95), 0.83 (0.73-0.89), and 0.77 (0.63-0.87), respectively. The DORs were 32 (12-87), 16 (8-30), and 7 (4-14), respectively. The areas under the curve (AUC) of SROC were 0.87 (0.84-0.90), 0.86 (0.82-0.89), and 0.80 (0.76-0.83), respectively. In the meta-regression and subgroup analysis, significantly lower specificities of T1 and T2 mapping were observed in EMB studies (p < 0.01).

conclusionThe currently available evidence shows that T1 and T2 mapping including ECV alone offer comparably good diagnostic performance for the detection of acute myocarditis. The reason for the observed mismatch with EMB findings should be further investigated.

Indexed as

MyocarditisAcute DiseaseContrast MediaHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMyocardiumPredictive Value of TestsReproducibility of ResultsContrast MediadiagnosisECVmappingmeta-analysismyocarditis

Identifiers

PMID34480832
PMCPMC8504590

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