PMID- 25620255
OWN - NLM
STAT- MEDLINE
DCOM- 20150519
LR  - 20181202
IS  - 0253-3758 (Print)
IS  - 0253-3758 (Linking)
VI  - 42
IP  - 11
DP  - 2014 Nov
TI  - [Diagnostic value of cardiac magnetic resonance in patients with acute viral 
      myocarditis].
PG  - 927-31
AB  - OBJECTIVE: To assess the diagnostic value of cardiac magnetic resonance (CMR) in 
      patients with acute viral myocarditis. METHODS: Thirty patients with suspected 
      acute viral myocarditis admitted in first people's hospital of Shunde from June 
      2011 to June 2013 were included in this prospective study. The diagnostic 
      sensitivity, specificity, positive predictive value (PPV), negative predictive 
      value (NPV) and accuracy of acute viral myocarditis were evaluated by clinical 
      diagnosis. Diagnostic value among different scan methods and Lake Louise criteria 
      were compared. RESULTS: Acute viral myocarditis was diagnosed in 63.33% (19/30) 
      patients.Values for sensitivity, specificity, PPV, NPV, and diagnostic accuracy 
      within the overall cohort were 57.89%, 72.73%, 78.57%, 50.00%, 63.33%, 
      respectively by edema imaging (ER).Values for sensitivity, specificity, PPV, NPV, 
      and diagnostic accuracy within the overall cohort were 78.95%, 63.64%, 78.95%, 
      63.64%, 73.33%, respectively using global relative enhancement (gRE).Values for 
      sensitivity, specificity, PPV, NPV, and diagnostic accuracy within the overall 
      cohort were 78.95%, 54.55%, 75.00%, 60.00%, 70.00%, respectively using late 
      gadolinium enhancement (LGE) criteria.Values for sensitivity, specificity, PPV, 
      NPV, and diagnostic accuracy within the overall cohort were 84.21%, 81.82%, 
      88.89%, 75.00%, 83.33% using Lake Louise criteria. The sensitivity, specificity, 
      PPV, NPV, and diagnostic accuracy using Lake Louise criteria were significantly 
      higher than using ER, gRE, LGE alone(all P < 0.05).Specificity was higher using 
      ER than using gRE and LGE (both P < 0.05). The sensitivity, NPV, and diagnostic 
      accuracy were significantly higher using gRE than using ER (all P < 0.05) and was 
      similar as using LGE (all P > 0.05). CONCLUSION: Cardiac magnetic resonance is an 
      excellent imaging modality for the diagnosis of acute viral myocarditis.
FAU - Ouyang, Haichun
AU  - Ouyang H
AD  - Department of Cardiology, First People's Hospital of Shunde, Foshan 528300, 
      China.
FAU - Chen, Haixiong
AU  - Chen H
FAU - Hu, Yunzhao
AU  - Hu Y
FAU - Wu, Yanxian
AU  - Wu Y
AD  - Email: wuyanxian200@sohu.com.
FAU - Li, Wensheng
AU  - Li W
FAU - Chen, Yuying
AU  - Chen Y
FAU - Cen, Yujian
AU  - Cen Y
LA  - chi
PT  - Journal Article
PL  - China
TA  - Zhonghua Xin Xue Guan Bing Za Zhi
JT  - Zhonghua xin xue guan bing za zhi
JID - 7910682
RN  - 0 (Contrast Media)
RN  - AU0V1LM3JT (Gadolinium)
SB  - IM
MH  - Acute Disease
MH  - Contrast Media
MH  - Gadolinium
MH  - Heart
MH  - Humans
MH  - *Magnetic Resonance Spectroscopy
MH  - Myocarditis/*diagnosis/*virology
MH  - Predictive Value of Tests
MH  - Prospective Studies
MH  - Sensitivity and Specificity
EDAT- 2015/01/27 06:00
MHDA- 2015/05/20 06:00
CRDT- 2015/01/27 06:00
PHST- 2015/01/27 06:00 [entrez]
PHST- 2015/01/27 06:00 [pubmed]
PHST- 2015/05/20 06:00 [medline]
PST - ppublish
SO  - Zhonghua Xin Xue Guan Bing Za Zhi. 2014 Nov;42(11):927-31.