Evidence map›Paper›PMID 34987095›Full record

ArticleRMD open2022

Vessel inflammation and morphological changes in patients with large vessel vasculitis: a retrospective study.

Giulia Besutti, Francesco Muratore, Pamela Mancuso, Marco Ferrari, Elena Galli, Lucia Spaggiari, Filippo Monelli, Massimiliano Casali, Annibale Versari, Luigi Boiardi and 5 more

Open access · goldAbstract read
In one paragraph

Article in RMD open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Management of Takayasu Arteritis - A 2026 Update.Current rheumatology reports · 2026
    Review
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  5. Article
  6. Article
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  8. Observational
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  10. Association ofArthritis & rheumatology (Hoboken, N.J.) · 2023
    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

15 authors at 2 institutions in 2 countries.

Giulia BesuttiDepartment of Radiology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0001-5319-5495
Francesco MuratoreUnit of Rheumatology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.ORCID 0000-0003-0362-2668
Pamela MancusoDepartment of Epidemiology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Marco FerrariDepartment of Radiology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy marco.ferrari@ausl.re.it.ORCID 0000-0003-3349-2139
Elena GalliUnit of Rheumatology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Lucia SpaggiariDepartment of Radiology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Filippo MonelliDepartment of Radiology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Massimiliano CasaliNuclear Medicine Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Annibale VersariNuclear Medicine Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy.
Luigi BoiardiUnit of Rheumatology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Chiara MarvisiUnit of Rheumatology, University of Modena and Reggio Emilia, Modena, Italy.
Guido LigabueDepartment of Radiology, University of Modena and Reggio Emilia, Modena, Italy.
Pierpaolo PattaciniDepartment of Radiology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Paolo Giorgi RossiDepartment of Epidemiology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Carlo SalvaraniUnit of Rheumatology, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Azienda Sanitaria Unità Locale di Reggio Emilia · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim was to identify any association between imaging signs of vessel wall inflammation (positron emission tomography-CT (PET-CT) score and CT/MR wall thickening) and synchronous and subsequent vascular damage (stenoses/dilations) in patients with large vessel vasculitis (LVV).

methodsConsecutive patients with LVV referred to a tertiary centre in 2007-2020 with baseline PET-CT and morphological imaging (CT/MR angiography) performed within 3 months were included. All available PET-CT and CT/MR scans were reviewed to assess PET-CT uptake (4-point semi-quantitative score), wall thickening, stenoses and dilations for 15 vascular segments. The associations of baseline PET score and CT/MR wall thickening with synchronous and incident stenoses/dilations at CT/MR performed 6-30 months from baseline were evaluated in per-segment and per-patient analyses. Respective areas under the receiver operating characteristic curve (AUC) were calculated.

resultsWe included 100 patients with LVV (median age: 48 years, 22% males). Baseline PET score and wall thickening were strongly associated (Cuzick non-parametric test for trend across order groups (NPtrend) <0.001). The association with synchronous stenoses/dilations was weak for PET score (NPtrend=0.01) and strong for wall thickening (p<0.001). In per-patient analyses, sensitivity/specificity for ≥1 synchronous stenoses/dilations were 44%/67% for PET score ≥2 and 66.7%/60.5% for wall thickening. Subsequent CTs/MRs were available in 28 patients, with seven incident stenoses/dilations. Baseline PET score was strongly associated with incident stenoses/dilations (p=0.001), while baseline wall thickening was not (p=0.708), with AUCs for incident stenoses/dilations of 0.80 for PET score and 0.52 for wall thickening.

conclusionPET score and wall thickening are strongly associated, but only baseline PET score is a good predictor of incident vessel wall damage in LVV.

Indexed as

Positron Emission Tomography Computed TomographyVasculitisFemaleFluorodeoxyglucose F18HumansInflammationMaleMiddle AgedRadiopharmaceuticalsRetrospective StudiesFluorodeoxyglucose F18Radiopharmaceuticalsinflammationmagnetic resonance imagingsystemic vasculitis

Identifiers

PMID34987095
PMCPMC8734042
OpenAlexW4206652260

What OpenQuestion holds

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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.