Evidence map›Paper›PMID 31847822›Full record

ArticleBMC medical imaging2019

Evaluation of venous pathology of the lower extremities with triggered angiography non-contrast-enhanced magnetic resonance imaging.

Yao-Kuang Huang, Yuan-Hsi Tseng, Chih-Hung Lin, Yuan-Hsiung Tsai, Yin-Chen Hsu, Shih-Chung Wang, Chien-Wei Chen

Open access · goldAbstract read
In one paragraph

Article in BMC medical imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.6field-weighted citation impact, top 5% of its field
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

17 citing papers in PubMed, 28 citations in OpenAlex.

  1. Noninvasive diagnostic imaging of pelvic venous disorders.Ultraschall in der Medizin (Stuttgart, Germany : 1980) · 2024
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  13. Updates in Magnetic Resonance Venous Imaging.Seminars in interventional radiology · 2021
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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

7 authors at 1 institution in 1 country.

Yao-Kuang HuangDivision of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Yuan-Hsi TsengDivision of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Chih-Hung LinWound Center and Plastic Surgery, Chang Gung Memorial Hospital Chiayi Branch, Chiayi, Taiwan.
Yuan-Hsiung TsaiCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Yin-Chen HsuCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Shih-Chung WangCollege of Medicine, Chang Gung University, Taoyuan, Taiwan.
Chien-Wei ChenCollege of Medicine, Chang Gung University, Taoyuan, Taiwan. chienwei33@gmail.com.ORCID 0000-0002-5085-9919
Chang Gung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo explore the diagnostic performance of triggered angiography non-contrast-enhanced magnetic resonance imaging (TRANCE-MRI) for the evaluation of venous pathology of the lower extremity.

methodsThis was a single-centre prospective cohort study of 25 patients with suspected venous disease in the lower extremities. Each patient received Doppler ultrasonography (for venous evaluation) before the scheduled TRANCE-MRI (for venous and arterial evaluations) on a 1.5 T MR scanner (Philips Ingenia, Philips Healthcare, Best, the Netherlands), followed by lymphography and computed tomography angiography that were arranged according to the diagnostic indications.

resultsThe sensitivity, specificity and accuracy of TRANCE-MRI were 85.7%, 88/9 and 88%, respectively. The inter-rater agreement for deep vein thrombosis (DVT) of the thigh between the ultrasonography and TRANCE-MRI results was substantial agreement (Cohen's kappa κ, 0.72). In ultrasonography-negative cases, TRANCE-MRI detected four additional cases (16%, 4/25) of DVT; three cases (12%, 3/25) of venous compression caused by pelvic lymphadenopathy, hip prosthesis or knee joint effusion; one case (4%, 1/25) of vena cava anomaly; two cases (8%, 2/25) of occult peripheral artery disease (PAD); and one case (4%, 1/25) of an occluded bypass graft.

conclusionTRANCE-MRI can be used as an alternative and objective tool for assessing lower extremity diseases, especially suspected venous pathology. Compared with ultrasonography, TRANCE-MRI plays a better role in assessing varicose veins of the lower extremities and deep veins of the pelvis and abdomen. However, false-positive results may occur in the left common iliac vein of elderly patients. Finally, occult PAD rarely occurs in patients with suspected lower extremity venous disease. Therefore, we recommend performing the TRANCE-MRV protocol instead of the full protocol (MRV + MRA) in the clinical setting in patients with venous scenarios.

Indexed as

AgedAged, 80 and overFemaleHumansLower ExtremityLymphographyMagnetic Resonance AngiographyMaleMiddle AgedProspective StudiesSensitivity and SpecificityUltrasonography, DopplerVenous ThrombosisMRINon-contrastStatic ulcerTRANCEVenographyVenous disease

Identifiers

PMID31847822
PMCPMC6918566
OpenAlexW2994703983

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.