Evidence map›Paper›PMID 39270799›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2024

Practice patterns of cardiovascular magnetic resonance use in the diagnosis of pediatric myocarditis: A survey-based study.

Hannah M Jacobs, Jonathan H Soslow, Matthew D Cornicelli, Shae A Merves, Ruchira Garg, Mehul D Patel, Arpit Agarwal, Nilanjana Misra, Michael P DiLorenzo, M Jay Campbell and 5 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2024. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Hannah M JacobsDivision of Pediatric Cardiology, Nationwide Children's Hospital, Columbus, Ohio, USA. Electronic address: Hannah.Jacobs@nationwidechildrens.org.
Jonathan H SoslowDivision of Pediatric Cardiology, Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, Tennessee, USA. Electronic address: jonathan.h.soslow@vumc.org.
Matthew D CornicelliDivision of Pediatric Cardiology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA. Electronic address: mcornicelli@luriechildrens.org.
Shae A MervesDivision of Pediatric Cardiology and Pediatric Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA; Arkansas Children's Hospital, Little Rock, Arkansas, USA. Electronic address: SAMerves@uams.edu.
Ruchira GargDepartments of Cardiology and Pediatrics, Cedars-Sinai Smidt Heart Institute, Los Angeles, California, USA; Guerin Children's Hospital, Los Angeles, California, USA. Electronic address: Ruchira.Garg@cshs.org.
Mehul D PatelDivision of Pediatric Cardiology, The University of Texas Health Science Center at Houston, Houston, Texas, USA. Electronic address: Mehul.D.Patel@uth.tmc.edu.
Arpit AgarwalDivision of Pediatric Cardiology, Children's Hospital of San Antonio, San Antonio, Texas, USA. Electronic address: arpit557@gmail.com.
Nilanjana MisraDivision of Pediatric Cardiology, Cohen Children's Medical Center, Northwell Health, Queens, New York, USA. Electronic address: nmisra1@northwell.edu.
Michael P DiLorenzoDivision of Cardiology, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons and New York, New York, New York, USA; Presbyterian Morgan Stanley Children's Hospital, New York, New York, USA. Electronic address: mpd2001@cumc.columbia.edu.
M Jay CampbellDivision of Pediatric Cardiology, Duke University Medical Center, Durham, North Carolina, USA. Electronic address: michael.campbell2@duke.edu.
Jeremy SteeleDivision of Pediatric Cardiology, Yale University, New Haven, Connecticut, USA. Electronic address: jeremy.steele@yale.edu.
Jennifer Co-VuDivision of Pediatric Cardiology, University of Florida, Gainesville, Florida, USA. Electronic address: jcovu@mail.ufl.edu.
Joshua D RobinsonDivision of Pediatric Cardiology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA. Electronic address: JDRobinson@luriechildrens.org.
Simon LeeDivision of Pediatric Cardiology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA. Electronic address: silee@luriechildrens.org.
Jason N JohnsonDivision of Pediatric Cardiology and Pediatric Radiology, The University of Tennessee Health Science Center, Memphis, Tennessee, USA; Le Bonheur Children's Hospital, Memphis, Tennessee, USA. Electronic address: jjohn315@uthsc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular magnetic resonance (CMR) is used to diagnose myocarditis in adults and children based on the original Lake Louise criteria (LLC) and more recently the revised LLC. The major change included in the revised LLC was the incorporation of parametric mapping, which significantly increases the sensitivity and specificity of diagnosis. Subsequently, scientific statements have recommended the use of parametric mapping in the diagnosis of myocarditis in children. However, there are some challenges to parametric mapping that are unique to the pediatric population. Our goal is to characterize clinical CMR and parametric mapping practice patterns for the diagnosis of myocarditis in pediatric centers.

methodsThe Cardiovascular Magnetic Resonance Evaluation in Return to Athletes for Myocarditis in Coronavirus Disease 2019 and Immunization Consortium (CERAMICi) created a Research Electronic Data Capture (REDCap) survey to evaluate clinical practice patterns for diagnosis of myocarditis in pediatrics. This survey was distributed to the Society for Cardiovascular Magnetic Resonance community.

resultsFifty-nine responses from 51 centers were received, with only one response from each center being utilized. Only 35% (18/51) of centers (37% (14/38) North America, 31% (4/13) international) reported using CMR routinely in all patients with a suspicion of myocarditis. Diagnostic uncertainty was noted as the most important reason for CMR, while cost was noted as the least important consideration. The majority of centers reported using the revised LLC (37/51, 72%) compared to original LLC (7/51, 14%) or a hybrid criteria (6/51, 12%). When looking at the use of parametric mapping, only 5/47 (11%) for T1 mapping and 11/49 (22%) for T2 mapping reported having scanner-specific pediatric normative data.

conclusionRoutine CMR imaging for diagnosis of myocarditis in pediatrics is infrequently performed at surveyed centers despite the focus on a group of non-invasive cardiac imagers. While the majority reported using parametric mapping, few centers reported having pediatric scanner-specific normative data. This highlights an important gap in the utilization of CMR that may aid in the diagnosis of myocardial disease.

Indexed as

MyocarditisPractice Patterns, Physicians'AdolescentAge FactorsChildChild, PreschoolCOVID-19FemaleHealth Care SurveysHumansMagnetic Resonance ImagingMalePredictive Value of TestsReproducibility of ResultsLake Louise criteriaMyocarditisParametric mappingPediatric

Identifiers

PMID39270799
PMCPMC11647491

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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.