Evidence map›Paper›PMID 34757697›Full record

ArticleACR open rheumatology2022

Feasibility of T2 Mapping of the Sacroiliac Joints in Healthy Control Subjects and Children and Young Adults with Sacroiliitis.

Michael L Francavilla, Suraj D Serai, Timothy G Brandon, David M Biko, Dmitry Khrichenko, Jie C Nguyen, Rui Xiao, Nancy A Chauvin, Liya Gendler, Pamela F Weiss

Open access · goldAbstract read
In one paragraph

Article in ACR open rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
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

10 authors at 3 institutions in 1 country.

Michael L FrancavillaThe Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Suraj D SeraiThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Timothy G BrandonThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-1305-4871
David M BikoThe Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Dmitry KhrichenkoThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Jie C NguyenThe Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Rui XiaoPerelman School of Medicine, University of Pennsylvania, Philadelphia.
Nancy A ChauvinPennsylvania State Health Milton S. Hershey Children's Hospital, Hershey.
Liya GendlerThe Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Pamela F WeissThe Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Children's Hospital of Philadelphia · USPenn State Milton S. Hershey Medical Center · USUniversity of Pennsylvania · US

Funding

Rheumatology Research Foundation R-Bridge Award
6 · The paper itself

Abstract

objectiveTo assess the feasibility of T2 mapping for evaluating pediatric SIJ cartilage at 3 Tesla (T) magnetic resonance imaging (MRI).

methodsHealthy control subjects and adolescents with sacroiliitis underwent a 3T MRI dedicated pelvic protocol that included a T2 mapping sequence consisting of multislice, multiecho acquisition. Healthy control subjects were prospectively recruited from our primary care practices as part of a larger imaging study, whereas adolescents with sacroiliitis were recruited specifically for this study. Regions of interest (ROIs) were hand-drawn by a senior pediatric radiologist twice and a radiology fellow twice to calibrate and test reliability using the intraclass correlation coefficient (ICC). T2 relaxation time between control subjects and cases was compared using univariate linear regression. We tested the association of T2 relaxation time in adolescents with sacroiliitis with patient-reported outcomes and the Spondyloarthritis Research Consortium of Canada sacroiliac joint (SIJ) inflammation and structural scores using Pearson correlation coefficients.

resultsFourteen subjects were evaluable (six control subjects: median age 13.7 years [interquartile range (IQR): 12.2-15.5], 67% male patients; eight cases: median age 17.4 years [IQR: 12.5-20], 88% male patients]. Acquisition time for T2 mapping sequences was approximately 6 minutes, and segmenting the ROI for each SIJ took approximately 3 minutes. The intrarater and inter-rater ICCs were 0.67 and 0.46, respectively, indicating good to fair reliability. There was a trend, albeit statistically insignificant, in longer median T2 relaxation time in cases (43.04 ms; IQR: 41.25-49.76 ms) versus healthy control subjects (40.0 ms; IQR: 38.9-48.6 ms). Although not statistically significant, cases with longer T2 relaxation time tended to occur with poorer patient-reported outcomes. Correlations with the SIJ inflammation and structural lesion scores were weak.

conclusionT2 mapping of the SIJ cartilage in children was feasible and reliable. Larger controlled and longitudinal assessments are needed to assess the validity and utility of these measurements for routine clinical practice and trials.

Identifiers

PMID34757697
PMCPMC8754013
OpenAlexW3211618232

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.