Evidence map›Paper›PMID 40179104›Full record

ArticlePloS one2025

Could optical coherence tomography detect monosodium urate crystal deposition at artery walls? An exploratory, phantom-based study.

Javier Sánchez-Pujol, José Valencia, Juan-Miguel Ruiz-Nodar, Mariano Andrés

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Javier Sánchez-PujolIntensive Medicine unit, Elche General University Hospital, Elche, Alicante, Spain.
José ValenciaCardiology Department, Dr. Balmis General University Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.
Juan-Miguel Ruiz-NodarCardiology Department, Dr. Balmis General University Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.
Mariano AndrésClinical Medicine department, Miguel Hernandez University, San Juan de Alicante, Spain.ORCID 0000-0002-0219-9055

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSome reports suggest monosodium urate (MSU) crystals may deposit in artery walls. This exploratory study evaluated the capacity of optical coherence tomography (OCT) to detect MSU crystals in vessel phantoms.

methodsWe used 3D-printed blood vessel phantoms made of photosensitive acrylic resins, with varying compliances. 0.1cc volume injections of centrifugated human synovial fluids containing MSU crystals, calcium pyrophosphate crystals or 0.9% saline were performed in four predefined locations in the phantoms. OCT was subsequently performed in a blinded manner by two cardiologists, experts in the technique. Two exploratory definitions for MSU crystal deposits were used, depicting a lesion with high attenuation (#1) or also with a linear morphology (#2). Diagnostic properties of both definitions were studied building 2x2 tables.

resultsDefinition #1 was found by OCT in 3/8 (37.5%) of MSU injections and in 3/16 (18.8%) of controls, what yielded a sensitivity of 37.5%, specificity of 81.3%, positive and predictive values of 50.0% and 72.2% respectively, and positive and negative likelihood ratios of 2 and 0.77. Definition #2 was only seen in 2 cases, both with MSU crystals (8.3%); this definition showed a sensitivity of 25.0%, specificity of 100%, positive and predictive values of 100.0% and 72.7%, a negative likelihood ratio of 0.8, while the positive ratio could not be calculated. Data seemed to be slightly better with Semirigid phantoms.

conclusionThis preliminary, preclinical data suggest OCT could detect MSU crystals deposits in vessel walls.

Indexed as

ArteriesPhantoms, ImagingTomography, Optical CoherenceUric AcidCrystallizationHumansUric Acid

Identifiers

PMID40179104
PMCPMC11967950

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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.