Multiparametric cardiac magnetic resonance imaging in pediatric and adolescent patients with acute myocarditis.
Pediatr Radiol
; 51(13): 2470-2480, 2021 12.
Article
en En
| MEDLINE
| ID: mdl-34435226
ABSTRACT
BACKGROUND:
The diagnostic value of cardiac magnetic resonance imaging (MRI) employing the 2018 Lake Louise criteria in pediatric and adolescent patients with acute myocarditis is undefined.OBJECTIVE:
To evaluate the diagnostic value of the Lake Louise criteria in pediatric and adolescent patients with suspected acute myocarditis and to show the utility of cardiac MRI for follow-up in this patient cohort. MATERIALS ANDMETHODS:
Forty-three patients (age range 8-21 years) with suspected acute myocarditis and 13 control patients who underwent cardiac MRI were retrospectively analyzed. T2-weighted and late gadolinium enhancement imaging were performed in all patients. T1 and T2 mapping were available in 26/43 patients (60%). The Lake Louise criteria were assessed. In 27/43 patients (63%), cardiac MRI follow-up was available. Receiver operating characteristic analysis, Pearson's correlation coefficient and paired Student's t-test were used for statistical analysis.RESULTS:
In the total cohort, the Lake Louise criteria achieved a sensitivity of 86% (95% confidence interval [CI] 72-95%) and a specificity of 100% (95% CI 79-100%) for the diagnosis of acute myocarditis. In the subgroup of patients with available mapping parameters, the diagnostic performance of the Lake Louise criteria was higher when mapping parameters were implemented into the score (area under the receiver operating characteristic curve 0.944 vs. 0.870; P=0.033). T2 relaxation times were higher in patients with admission to the intermediate care unit and were associated with the length of intermediate care unit stay (r=0.879, P=0.049). Cardiac MRI markers of active inflammation decreased on follow-up examinations (e.g., T1 relaxation times 1,032±39 ms vs. 975±33 ms, P<0.001; T2 relaxation times 58±5 ms vs. 54±5 ms, P=0.003).CONCLUSION:
The Lake Louise criteria have a high diagnostic performance for the diagnosis of acute myocarditis and are a valuable tool for follow-up in pediatric and adolescent patients. The mapping techniques enhance the diagnostic performance of the 2018 Lake Louise criteria.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Miocarditis
Tipo de estudio:
Observational_studies
Límite:
Adolescent
/
Adult
/
Child
/
Humans
Idioma:
En
Revista:
Pediatr Radiol
Año:
2021
Tipo del documento:
Article
País de afiliación:
Alemania