Evidence map›Paper›PMID 40285815›Full record

ArticleEuropean radiology2025

ESGAR consensus statement on MR imaging in primary sclerosing cholangitis.

Davide Ippolito, Cesare Maino, Lionel Arrivé, Ahmed Ba-Ssalamah, Roberto Cannella, Alessandro Furlan, Aristeidis Grigoriadis, Martina Pezzullo, Sarah Pöetter Lang, Sabine Schmidt Kobbe and 2 more

Abstract readConsensus Statement
In one paragraph

Article in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

12 authors.

Davide Ippolito *School of Medicine and Surgery, University of Milan-Bicocca, Monza, Italy. davide.ippolito@unimib.it.ORCID http://orcid.org/0000-0002-2696-7047
Cesare Maino *Department of Diagnostic Radiology, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Lionel ArrivéService de Radiologie, Institut Curie, PSL Research University, Paris, France.
Ahmed Ba-SsalamahDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University, General Hospital of Vienna (AKH), Vienna, Austria.
Roberto CannellaSection of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, Palermo, Italy.
Alessandro FurlanDepartment of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Aristeidis GrigoriadisDivision of Radiology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
Martina PezzulloDepartment of Radiology, Hôpital Universitaire de Bruxelles HUB, Brussels, Belgium.
Sarah Pöetter LangDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University, General Hospital of Vienna (AKH), Vienna, Austria.
Sabine Schmidt KobbeDepartment of Diagnostic and Interventional Radiology, Lausanne University Hospital (CHUV) and University of Lausanne (UNIL), Lausanne, Switzerland.
Federica VernuccioSection of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnostics (BiND), University of Palermo, Palermo, Italy.
Maria Antonietta BaliDepartment of Radiology, Hôpital Universitaire de Bruxelles HUB, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo provide a consensus statement and recommendations on MR imaging in primary sclerosing cholangitis (PSC).

methodsThe European Society of Gastrointestinal and Abdominal Radiology (ESGAR) convened a multinational European panel of experts selected based on a literature review and their leadership in the field. A modified Delphi process was adopted to draft a list of statements. For each statement, the panelists indicated the level of agreement using a 5-point Likert scale, where 1 means "no agreement," 2 means "poor agreement," 3 means "slight agreement," 4 means "fair agreement," and 5 means "complete agreement." The median score for each statement was collected. The level of evidence was reported according to the Oxford Centre for Evidence-Based Medicine. Descriptive statistics were used to rate agreement levels and the consensus' internal reliability.

resultsThe 12 voting committee members were from Italy (n = 4, 33.4%), Austria (n = 2, 16.7%), Sweden (n = 1, 8.3%), France (n = 1, 8.3%), the United States (n = 1, 8.3%), Switzerland (n = 1, 8.3%), and Belgium (n = 2, 16.7%). The final questionnaire consisted of 55 statements. The agreement reached by the expert panel was complete for 23 statements (41.8%), fair for 16 (29.1%), slight for 15 (27.2%), and poor for 1 (1.9%). Statements that received complete agreement were used to structure a reporting template.

conclusionsThis statement paper recommends how and when to perform MRI in PSC patients. A structured reporting template has been created to improve quality care and communication among radiologists and clinicians. KEY POINTS: Question A standard MR protocol and the most common imaging features to be reported are fundamental for the correct evaluation of primary sclerosing cholangitis (PSC) patients. Findings Twelve expert radiologists reported which are the most important imaging features and how and when to perform MR in PSC patients. Clinical relevance The identified statements reported in this paper and the structured reporting template are useful for radiologists and clinicians to help correctly manage PSC patients.

Indexed as

Cholangitis, SclerosingMagnetic Resonance ImagingConsensusDelphi TechniqueEuropeHumansReproducibility of ResultsSocieties, MedicalMagnetic resonance imagingMRCPPrimary sclerosing cholangitis

Identifiers

PMID40285815
PMCPMC12417234

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.