Evidence map›Paper›PMID 37840055›Full record

ArticleInsights into imaging2023

Image quality in whole-body MRI using the MY-RADS protocol in a prospective multi-centre multiple myeloma study.

Sam Keaveney, Alina Dragan, Mihaela Rata, Matthew Blackledge, Erica Scurr, Jessica M Winfield, Joshua Shur, Dow-Mu Koh, Nuria Porta, Antonio Candito and 18 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Insights into imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03188172 (MUK Nine b), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
4.4field-weighted citation impact, top 5% 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.

NCT03188172 phase2unknown statusnot on this map

MUK Nine b: OPTIMUM. A Phase II Study Evaluating Optimised Combination of Biological Therapy in Newly Diagnosed High Risk Multiple Myeloma and Plasma Cell Leukaemia.

TypeinterventionalSponsorUniversity of LeedsRan2017 to 2026Enrolled95ConditionsMultiple MyelomaArmsCyclophosphamide, Bortezomib, Lenalidomide, Daratumumab, Dexamethasone
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Observational
  2. Article
  3. Review
  4. Article
  5. Observational
  6. 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

28 authors at 15 institutions in 1 country.

Sam KeaveneyMRI Unit, The Royal Marsden NHS Foundation Trust, London, UK. Sam.Keaveney@rmh.nhs.uk.ORCID http://orcid.org/0000-0001-7715-0750
Alina DraganMRI Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Mihaela RataMRI Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Matthew BlackledgeDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.
Erica ScurrMRI Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Jessica M WinfieldMRI Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Joshua ShurMRI Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Dow-Mu KohMRI Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Nuria PortaClinical Trials and Statistics Unit, The Institute of Cancer Research, London, UK.
Antonio CanditoDivision of Radiotherapy and Imaging, The Institute of Cancer Research, London, UK.
Alexander KingUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Winston RennieUniversity Hospitals of Leicester NHS Trust, Leicester, UK.
Suchi GabaUniversity Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Priya SureshUniversity Hospitals Plymouth NHS Trust, Plymouth, UK.
Paul MalcolmNorfolk & Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
Amy DavisEpsom & St. Helier University Hospitals NHS Trust, Epsom, UK.
Anjumara NilakWorcestershire Acute Hospitals NHS Trust, Worcester, UK.
Aarti ShahHampshire Hospitals NHS Foundation Trust, Basingstoke, UK.
Sanjay GandhiNorth Bristol NHS Trust, Bristol, UK.
Mauro AlbrizioNottingham University Hospitals NHS Trust, Nottingham, UK.
Arnold DruryRoyal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Bournemouth, UK.
Guy PrattUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
Gordon CookClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
Sadie RobertsClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
Matthew JennerUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Sarah BrownClinical Trials Research Unit, Leeds Institute of Clinical Trials Research, University of Leeds, Leeds, UK.
Martin KaiserMRI Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Christina MessiouMRI Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Royal Marsden NHS Foundation Trust · GBInstitute of Cancer Research · GBUniversity of Leeds · GBUniversity Hospital Southampton NHS Foundation Trust · GBEpsom and St Helier University Hospitals NHS Trust · GBHampshire Hospitals NHS Foundation Trust · GBNorfolk and Norwich University Hospitals NHS Foundation Trust · GBNorth Bristol NHS Trust · GBNottingham University Hospitals NHS Trust · GBRoyal Bournemouth and Christchurch Hospitals NHS Foundation Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity Hospitals of Leicester NHS Trust · GBUniversity Hospitals of North Midlands NHS Trust · GBUniversity Hospitals Plymouth NHS Trust · GBWorcestershire Acute Hospitals NHS Trust · GB

Funding

Cancer Research UK 25351Cancer Research UK 25354Cancer Research UK 25447Cancer Research UK 28677 (NCITA)
6 · The paper itself

Abstract

backgroundThe Myeloma Response Assessment and Diagnosis System (MY-RADS) guidelines establish a standardised acquisition and analysis pipeline for whole-body MRI (WB-MRI) in patients with myeloma. This is the first study to assess image quality in a multi-centre prospective trial using MY-RADS.

methodsThe cohort consisted of 121 examinations acquired across ten sites with a range of prior WB-MRI experience, three scanner manufacturers and two field strengths. Image quality was evaluated qualitatively by a radiologist and quantitatively using a semi-automated pipeline to quantify common artefacts and image quality issues. The intra- and inter-rater repeatability of qualitative and quantitative scoring was also assessed.

resultsQualitative radiological scoring found that the image quality was generally good, with 94% of examinations rated as good or excellent and only one examination rated as non-diagnostic. There was a significant correlation between radiological and quantitative scoring for most measures, and intra- and inter-rater repeatability were generally good. When the quality of an overall examination was low, this was often due to low quality diffusion-weighted imaging (DWI), where signal to noise ratio (SNR), anterior thoracic signal loss and brain geometric distortion were found as significant predictors of examination quality.

conclusionsIt is possible to successfully deliver a multi-centre WB-MRI study using the MY-RADS protocol involving scanners with a range of manufacturers, models and field strengths. Quantitative measures of image quality were developed and shown to be significantly correlated with radiological assessment. The SNR of DW images was identified as a significant factor affecting overall examination quality.

trial registrationClinicalTrials.gov, NCT03188172 , Registered on 15 June 2017. CRITICAL RELEVANCE STATEMENT: Good overall image quality, assessed both qualitatively and quantitatively, can be achieved in a multi-centre whole-body MRI study using the MY-RADS guidelines. KEY POINTS: • A prospective multi-centre WB-MRI study using MY-RADS can be successfully delivered. • Quantitative image quality metrics were developed and correlated with radiological assessment. • SNR in DWI was identified as a significant predictor of quality, allowing for rapid quality adjustment.

Indexed as

Multi-centre trialMyelomaQuality controlWhole-body MRI

Identifiers

PMID37840055
PMCPMC10577121
OpenAlexW4387652324

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.