Evidence map›Paper›PMID 36987440›Full record

ArticleRadiology. Cardiothoracic imaging2023

Myocardial Inflammation on FDG PET/MRI and Clinical Outcomes in Symptomatic and Asymptomatic Participants after COVID-19 Vaccination.

Constantin Arndt Marschner, Paaladinesh Thavendiranathan, Dakota Gustafson, Kathryn L Howe, Jason E Fish, Robert M Iwanochko, Rachel M Wald, Husam Abdel-Qadir, Slava Epelman, Angela M Cheung and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Radiology. Cardiothoracic imaging, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04967807 (Myocardial Injury and Outcomes Following COVID-19 Vaccination), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 10% 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.

NCT04967807 naactive not recruitingnot on this map

Myocardial Injury and Outcomes Following COVID-19 Vaccination (MYOVAX Study)

TypeinterventionalSponsorUniversity Health Network, TorontoRan2021 to 2026Enrolled57ConditionsMyocardial Injury, Myocarditis, COVID-19 Vaccination, SARS-CoV-2ArmsCardiac PET/MRI, Blood Biomarkers
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Persistent Focal MyocardialDiagnostics (Basel, Switzerland) · 2026
    Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Radiology. Cardiothoracic imaging · 2024
    Review
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 at 1 institution in 1 country.

Constantin Arndt MarschnerDepartment of Medical Imaging, Toronto General Hospital, Peter Munk Cardiac Center, University Health Network (UHN), University of Toronto, Toronto.ORCID https://orcid.org/0000-0002-2042-7322
Paaladinesh ThavendiranathanDepartment of Medical Imaging, Toronto General Hospital, Peter Munk Cardiac Center, University Health Network (UHN), University of Toronto, Toronto.ORCID https://orcid.org/0000-0002-6497-1098
Dakota GustafsonToronto General Hospital Research Institute, University Health Network (UHN), Toronto, Canada.ORCID https://orcid.org/0000-0001-8374-6331
Kathryn L HoweToronto General Hospital Research Institute, University Health Network (UHN), Toronto, Canada.ORCID https://orcid.org/0000-0002-6519-2280
Jason E FishToronto General Hospital Research Institute, University Health Network (UHN), Toronto, Canada.ORCID https://orcid.org/0000-0003-0640-7277
Robert M IwanochkoDivision of Cardiology, Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network (UHN), University of Toronto, Toronto.ORCID https://orcid.org/0000-0001-7455-4469
Rachel M WaldDepartment of Medical Imaging, Toronto General Hospital, Peter Munk Cardiac Center, University Health Network (UHN), University of Toronto, Toronto.ORCID https://orcid.org/0000-0002-2373-6438
Husam Abdel-QadirDivision of Cardiology, Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network (UHN), University of Toronto, Toronto.ORCID https://orcid.org/0000-0002-7105-7931
Slava EpelmanDivision of Cardiology, Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network (UHN), University of Toronto, Toronto.
Angela M CheungToronto General Hospital Research Institute, University Health Network (UHN), Toronto, Canada.ORCID https://orcid.org/0000-0001-8332-0744
Rachel HongDepartment of Medical Imaging, Toronto General Hospital, Peter Munk Cardiac Center, University Health Network (UHN), University of Toronto, Toronto.
Kate HannemanDepartment of Medical Imaging, Toronto General Hospital, Peter Munk Cardiac Center, University Health Network (UHN), University of Toronto, Toronto.ORCID https://orcid.org/0000-0002-3077-2218
University Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To evaluate potential cardiac sequelae of COVID-19 vaccination at 2-month follow-up and relate cardiac symptoms to myocardial tissue changes on fluorodeoxyglucose (FDG) PET/MRI, blood biomarkers, health-related quality of life, and adverse outcomes. Materials and Methods: In this prospective study (ClinicalTrials.gov: NCT04967807), a convenience sample of individuals aged ≥17 years were enrolled after COVID-19 vaccination and were categorized as symptomatic myocarditis (new cardiac symptoms within 14 days of vaccination and met diagnostic criteria for acute myocarditis), symptomatic no myocarditis (new cardiac symptoms but did not meet criteria for myocarditis), and asymptomatic (no new cardiac symptoms). Standardized evaluation was performed 2 months after vaccination, including cardiac fluorine 18 FDG PET/MRI, blood biomarkers, and health-related quality of life. Statistical analysis included Kruskal-Wallis and Fisher exact tests. Results: Fifty-four participants were evaluated a median of 72 days (IQR: 42, 91) after COVID-19 vaccination, 17 symptomatic with myocarditis (36±[SD]15 years, 13 males), 17 symptomatic without myocarditis (42±12 years, 7 males), and 20 asymptomatic (45±14 years, 9 males). No participants in the symptomatic without myocarditis or asymptomatic groups had focal FDG-uptake, myocardial edema or impaired ventricular function. Two participants with symptomatic myocarditis had focal FDG-uptake, and three had high T2 on MRI. Health-related quality of life was lower in the symptomatic myocarditis group than the asymptomatic group. There were no adverse cardiac events beyond myocarditis in any participant. Conclusions: At two-month follow-up, FDG PET/MRI showed evidence of myocardial inflammation in 2/17 participants diagnosed with acute myocarditis early after COVID-19 vaccination, but not in symptomatic and asymptomatic participants without acute myocarditis.

Indexed as

Cardiac MRICOVID-19FDG-PETMyocarditisPET/MRIVaccination

Identifiers

PMID36987440
PMCPMC10037313
OpenAlexW4323660818

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.