PMID- 24293405 OWN - NLM STAT- MEDLINE DCOM- 20150701 LR - 20161125 IS - 1522-2586 (Electronic) IS - 1053-1807 (Linking) VI - 40 IP - 6 DP - 2014 Dec TI - Potentially simple score of late gadolinium enhancement cardiac MR in acute myocarditis outcome. PG - 1347-54 LID - 10.1002/jmri.24504 [doi] AB - PURPOSE: To determine the value of cardiac MRI for the monitoring and the prognosis of patients with acute myocarditis. Cardiac MRI plays an increasingly important role in the diagnosis of acute myocarditis. However, it is less established as a prognostic tool, which requires specific postprocessing of images. MATERIALS AND METHODS: In a prospective pilot study, we assessed the prognostic value of the evolution in a simplified visual quantitative score (SQS) of late gadolinium enhancement (LGE) between initial hospitalization and 3 months later. The prognostic value was assessed at 1 year using a combination of death, heart transplant, and confirmed recurrence as main outcome. RESULTS: Twenty-eight patients were included in this study. A significant correlation was found between LGE measured by SQS and planimetry (r = 0.95, P < 0.001). Intraobserver and interobserver reproducibilities were good for SQS (ICC = 0.95 [95% CI: 0.86 to 0.98], and 0.94 [95% CI: 0.84 to 0.98], respectively). At initial hospitalization, patient characteristics between the two groups were similar. Patients with stable or increased SQS suffered more frequently from clinical outcome events than patients with a decrease in SQS (P = 0.02). CONCLUSION: Monitoring of the evolution of LGE using a simple visual score is of interest to identify patients at risk of pejorative prognosis after acute myocarditis. CI - (c) 2013 Wiley Periodicals, Inc. FAU - Barone-Rochette, Gilles AU - Barone-Rochette G AD - Department of Cardiology, University Hospital, Grenoble, France; INSERM U 1039, Bioclinic Radiopharmaceutics Laboratory, Grenoble, France. FAU - Augier, Caroline AU - Augier C FAU - Rodiere, Mathieu AU - Rodiere M FAU - Quesada, Jean-Louis AU - Quesada JL FAU - Foote, Alison AU - Foote A FAU - Bouvaist, Helene AU - Bouvaist H FAU - Marliere, Stephanie AU - Marliere S FAU - Fagret, Daniel AU - Fagret D FAU - Baguet, Jean Philippe AU - Baguet JP FAU - Vanzetto, Gerald AU - Vanzetto G LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20131201 PL - United States TA - J Magn Reson Imaging JT - Journal of magnetic resonance imaging : JMRI JID - 9105850 RN - 0 (Contrast Media) RN - 0 (Organometallic Compounds) RN - 6HG8UB2MUY (Meglumine) RN - L0ND3981AG (gadoterate meglumine) SB - IM MH - Acute Disease MH - *Algorithms MH - Contrast Media MH - Feasibility Studies MH - Female MH - Humans MH - Image Enhancement/methods MH - Image Interpretation, Computer-Assisted/*methods MH - Magnetic Resonance Imaging, Cine/*methods MH - Male MH - *Meglumine MH - Myocarditis/*pathology/*therapy MH - *Organometallic Compounds MH - Prognosis MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Treatment Outcome OTO - NOTNLM OT - cardiac magnetic resonance OT - delayed gadolinium-enhancement OT - myocarditis OT - prognosis EDAT- 2013/12/03 06:00 MHDA- 2015/07/02 06:00 CRDT- 2013/12/03 06:00 PHST- 2013/04/21 00:00 [received] PHST- 2013/10/14 00:00 [accepted] PHST- 2013/12/03 06:00 [entrez] PHST- 2013/12/03 06:00 [pubmed] PHST- 2015/07/02 06:00 [medline] AID - 10.1002/jmri.24504 [doi] PST - ppublish SO - J Magn Reson Imaging. 2014 Dec;40(6):1347-54. doi: 10.1002/jmri.24504. Epub 2013 Dec 1.