Evidence map›Paper›PMID 40603640›Full record

ArticleNpj imaging2025

Interventional real-time molecular MRI for targeting early myocardial injury in a pig model.

Timo Heidt, Simon Reiss, Julien Thielmann, Christian Weber, Alexander Maier, Thomas Lottner, Heidi R Cristina-Schmitz, Timon Bühler, Diana Chiang, Claus Jülicher and 8 more

Abstract read
In one paragraph

Article in Npj imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

18 authors.

Timo Heidt *Department of Cardiology, Medical Center University of Freiburg, Freiburg, Germany.
Simon Reiss *Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Julien ThielmannDepartment of Cardiology, Medical Center University of Freiburg, Freiburg, Germany.
Christian WeberDepartment of Cardiology, Medical Center University of Freiburg, Freiburg, Germany.
Alexander MaierDepartment of Cardiology, Medical Center University of Freiburg, Freiburg, Germany.
Thomas LottnerFaculty of Medicine, University of Freiburg, Freiburg, Germany.
Heidi R Cristina-SchmitzFaculty of Medicine, University of Freiburg, Freiburg, Germany.
Timon BühlerDepartment of Cardiology, Medical Center University of Freiburg, Freiburg, Germany.
Diana ChiangDepartment of Cardiology, Medical Center University of Freiburg, Freiburg, Germany.
Claus JülicherDepartment of Cardiology, Medical Center University of Freiburg, Freiburg, Germany.
Carolin WadleDepartment of Cardiology, Medical Center University of Freiburg, Freiburg, Germany.
Ingo HilgendorfDepartment of Cardiology, Medical Center University of Freiburg, Freiburg, Germany.
Dennis WolfDepartment of Cardiology, Medical Center University of Freiburg, Freiburg, Germany.
Gavin TumlinsonFaculty of Medicine, University of Freiburg, Freiburg, Germany.
Luis HortellsFaculty of Medicine, University of Freiburg, Freiburg, Germany.
Dirk WestermannDepartment of Cardiology, Medical Center University of Freiburg, Freiburg, Germany.
Michael BockFaculty of Medicine, University of Freiburg, Freiburg, Germany.
Constantin von Zur MühlenDepartment of Cardiology, Medical Center University of Freiburg, Freiburg, Germany. constantin.vonzurmuehlen@uniklinik-freiburg.de.

Funding

Deutsche Forschungsgemeinschaft #422681845
6 · The paper itself

Abstract

Myocardial ischemia induces tissue injury with subsequent inflammation and recruitment of immune cells. Besides myocardial tissue characterization, magnetic resonance imaging (MRI) allows for functional assessment using molecular imaging contrast agents. Here, we assessed ischemic cardiac lesions non-invasively directly after ischemia/reperfusion (I/R) in a porcine model by advanced MRI techniques and molecular imaging, targeting the cell adhesion molecule P-selectin functionalized with microparticles of iron oxide (MPIO). We used a closed-chest model of I/R by temporary coronary balloon-occlusion, real time 3T MRI-guided coronary injection of MPIO-based contrast agents, as well as injury, edema and iron-sensitive MRI. Within the first hours after I/R, we found T1 mapping to be most sensitive for tissue injury, with no changes in edema-sensitive MRI. Intriguingly, P-selectin MPIO contrast agent selectively enhanced the ischemic area in iron-sensitive MRI. In conclusion, this approach allows for sensitive detection of early myocardial inflammation beyond traditional edema-sensitive imaging.

Identifiers

PMID40603640
PMCPMC12118736

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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.