Evidence map›Paper›PMID 41811464›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2026

Molecular imaging of lymphatic organs provides prognostic value after acute myocardial infarction.

Theresa Reiter, Anna-Lena Dörrler, Natalie Hasenauer, Sebastian E Serfling, Takahiro Higuchi, Nils Kraus, Wolfgang R Bauer, Willibald Hochholzer, Gustavo Ramos, Samuel Samnick and 5 more

Registry-linked trialAbstract readClinical StudyMulticenter Study
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05519735 (Multimodal Characterization of Lymphatic Organs and Myocardium in Patients After Acute Myocardial Infarction), which is not on this 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.

NCT05519735 narecruitingnot on this map

Multimodal Characterization of Lymphatic Organs and Myocardium in Patients After Acute Myocardial Infarction

TypeinterventionalSponsorWuerzburg University HospitalRan2022 to 2026Enrolled57ConditionsMyocardial Infarction, Myocardial Injury, Myocardial InflammationArmsMultimodality Imaging
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  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.

Theresa ReiterDepartment of Electrophysiology, German Heart Center Munich, Technical University of Munich, Munich, Germany. reitert@dhm.mhn.de.
Anna-Lena DörrlerDepartment of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.
Natalie HasenauerDepartment of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.
Sebastian E SerflingDepartment of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.
Takahiro HiguchiDepartment of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.
Nils KrausDepartment of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany.
Wolfgang R BauerDepartment of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany.
Willibald HochholzerDepartment of Cardiology and Intensive Care Medicine, Klinikum Würzburg Mitte, Würzburg, Germany.
Gustavo RamosComprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Samuel SamnickDepartment of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.
Ulrich HofmannComprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Stefan FrantzComprehensive Heart Failure Center, University Hospital Würzburg, Würzburg, Germany.
Andreas K BuckDepartment of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.
Aleksander Kosmala *Department of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.
Rudolf A Werner *Department of Nuclear Medicine, LMU University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Munich, Germany. rudolf.werner@med.uni-muenchen.de.ORCID 0000-0003-3372-6046

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcute myocardial infarction (AMI) triggers local inflammation in the injured myocardium, followed by a systemic inflammatory response of lymphatic organs. This prospective trial (NCT05519735) focused on molecular imaging of lymphatic organs (spleen, bone marrow, and heart-draining lymph nodes) and aimed to determine whether uptake in such remote organs identifies individuals predisposed to functional recovery during follow-up after AMI.

methods41 timely re-perfused ST-elevation AMI patients received baseline C-X-C motif chemokine receptor 4 directed

resultsLVEF at baseline was 50.4 ± 8.7% (range 34-65%). At FU 1, LVEF improved significantly (54.2 ± 7.1%, P = 0.0004 vs. baseline) and the endpoint was recorded in 21/38 patients. Univariate analysis identified baseline LVEF (Odds Ratio (OR), 0.80, P = 0.002) and uptake derived from heart-draining lymph nodes (OR, 0.21, P = 0.03) as predictor of functional recovery, while only LVEF reached significance at multivariate analysis (OR, 0.72, P = 0.007). At FU 2, LVEF also improved to 54.3 ± 7.3% relative to baseline (P = 0.006) and the endpoint was met in 21/36 patients. Baseline LVEF (OR 0.84, P = 0.005) and splenic PET signal (OR, 2.46, P = 0.04) provided prognostic value at univariate analysis. Both parameters remained significant at multivariate outcome analysis (LVEF: OR, 0.73, P = 0.01; spleen: OR, 4.17, P = 0.04), indicating that baseline LVEF and splenic uptake are prognostic for improved long-term functional outcome. Established risk factors of cardiac damage (infarct size) or inflammation (C-reactive protein, white blood cell counts) failed to reach significance for functional recovery at both follow-up time-points.

conclusionsInflammatory imaging in lymphatic organs may provide a complementary in-vivo biomarker for functional recovery and seems to be more strongly associated with outcome relative to standard markers of cardiac damage or inflammation.

Indexed as

Molecular ImagingMyocardial InfarctionPositron-Emission TomographyAgedCoordination ComplexesFemaleHumansMaleMiddle AgedPeptides, CyclicPrognosis68Ga-pentixaforCoordination ComplexesPeptides, CyclicAMICXCR4Lymphatic organsMyocardial infarctionPETSpleen

Identifiers

PMID41811464
PMCPMC13197370

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Registered trials

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.