Evidence map›Paper›PMID 40462222›Full record

ArticleJournal of cardiovascular imaging2025

Diagnostic performance of cardiovascular magnetic resonance parametric mapping as per modified Lake Louise Criteria in acute myocarditis: an updated systematic review and meta-analysis.

Latika Giri, Roshan Singh, Ahmed Marey, Yupeng Li, Bharath Ambale Venkatesh, Jawdat Abdulla, Stefan Zimmerman, Muhammad Umair

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Article in Journal of cardiovascular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. European journal of nuclear medicine and molecular imaging · 2026
    Observational
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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Latika GiriDepartment of Radiology, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal. Lgiri2458@gmail.com.
Roshan SinghDepartment of Radiology, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.
Ahmed MareyDepartment of Radiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Yupeng LiDepartment of Political Science and Economics, Rowan University, Glassboro, NJ, USA.
Bharath Ambale Venkatesh4Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD, USA.
Jawdat AbdullaDepartment of Cardiology, Amager and Hvidovre Hospital, Hvidovre, Denmark.
Stefan Zimmerman4Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD, USA.
Muhammad Umair4Department of Radiology and Radiological Sciences, Johns Hopkins Hospital, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular magnetic resonance mapping parameters-native T1 mapping, T2 mapping, and extracellular volume (ECV)-are key for diagnosing acute myocarditis under the modified 2018 Lake Louise Criteria (mLLC). This systematic review and meta-analysis evaluated their diagnostic performance and established optimal thresholds for acute myocarditis.

methodsWe reviewed articles published in the past decade utilizing parametric mapping for myocarditis diagnosis. Data on sensitivity, specificity, and area under the curve (AUC) were extracted. Quality assessment was conducted using the QUADAS-2 tool by two independent reviewers.

resultsEleven studies with 677 patients were included. Native T1 mapping showed sensitivity of 83%, specificity of 86%, diagnostic odds ratio (DOR) of 39, and an AUC of 0.91. T2 mapping had sensitivity of 81%, specificity of 86%, DOR of 25, and an AUC of 0.89. ECV demonstrated sensitivity of 71%, specificity of 81%, DOR of 13, and an AUC of 0.83. Mean control values were 1,039 ± 39.23 ms for native T1 mapping, 57 ± 5.18 ms for T2 mapping, and 31% ± 5.60% for ECV. Optimal thresholds were 1,021 ms for native T1 mapping, 52 ms for T2 mapping, and 28% for ECV based on receiver operating characteristic curves analysis based on 1.5-T scanner value. Native T1 mapping showed the highest diagnostic accuracy. Subgroup analysis found no significant sensitivity differences based on biopsy or clinical criteria.

conclusionsParametric mapping, particularly native T1, demonstrated strong diagnostic performance for acute myocarditis compared to T2 mapping and ECV within the modified 2018 Lake Louise Criteria framework. Incorporating these cardiovascular magnetic resonance parameters may improve diagnostic accuracy. Further research is recommended to refine these findings and optimize diagnostic strategies.

Indexed as

Diagnostic Techniques, CardiovascularExtracellular SpaceMagnetic Resonance ImagingMyocarditisSensitivity and Specificity

Identifiers

PMID40462222
PMCPMC12131415

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