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. 2017 Jan 27;34(1):35–54. doi: 10.1007/s10554-017-1063-9

Table 1.

T2w Imaging

Study Field strength Sequence Validation Myocarditis (n) Control (n) Acute versus chronic cardiac inflammation Control group Test result Sensitivity (%) Specificity (%) Diagnostic accuracy (%) PPV (%) NPV (%)
Laissy et al. Chest [21] 1 T T2w sequence with long TR/TE Clinical 20 7 Acute Healthy participants Qualitative 45 100 59 100 39
Abdel-Aty et al. J Am Col Cardiol [22] 1.5 T T2w triple inversion recovery sequence Clinical 25 23 Acute Healthy participants ER cut off 1.9 84 74 79 78 81
Gutberlet et al. Radiology [23] 1.5 T T2w triple inversion recovery sequence EMB 48 35 Chronic Other diagnoses ER cut off 2 67 69 68 74 60
Röttgen et al. Eur Radiol [24] 1.5 T T2w triple inversion recovery sequence EMB 82 49 Acute No inflammation on EMB ER cut off 2 58 57 58 73 41
Voigt et al. Eur Radiol [25] 1.5 T T2w triple inversion recovery sequence EMB 12 11 Chronic No inflammation on EMB ER cut off 1.8 92 82 87 85 90
Lurz et al. JACC Cardiovasc Imaging 26 1.5 T T2w triple inversion recovery sequence EMB 53 17 Acute Other diagnoses ER cut off 1.9 64 65 64 85 37
Lurz et al. JACC Cardiovasc Imaging [26]a 1.5 T T2w triple inversion recovery sequence EMB 30 32 Chronic Other diagnoses ER cut off 1.9 42 66 54 58 50
Chu et al. Int J Cardiovasc Im [27] 1.5 T T2w triple inversion recovery sequence Clinical 35 10 Acute Healthy participants Qualitative 69 100 76 100 48
Ferreira et al. JACC Cardiovasc Imaging [28] 1.5 T Acquisition for cardiac unified T2 oedema sequence Clinical 50 45 Acute Healthy participants ER cut off 2.2 67 55 61 78 42
Sramko et al. Am J Cardiol [29] 1.5 T T2w dark blood sequence EMB 15 27 Chronic Idiopathic DCM ER cut off 1.9 13 93 64 51 66
Ferreira et al. J Cardiovasc Magn Reson [30] 1.5 T T2w triple inversion recovery sequence Clinical 60 50 Acute Healthy participants ER cut off 2.0 48 86 65 81 58
Radunski et al. JACC Cardiovasc Imaging [31] 1.5 T T2w triple inversion recovery sequence Clinical 104 21 Mostly Acute Healthy Participants ER cut off 2.2 76 42 70 84 30
Luetkens et al. Radiology [32] 3 T T2w triple inversion recovery sequence Clinical 24 42 Acute Healthy Participants ER cut off 2.09 79 61 68 58 82
Schwab et al. Rofo [33] 1.5 T T2w triple inversion recovery sequence Clinical 43 35 Acute Healthy participants Qualitative 56 100 76 100 65
Hinojar et al. JACC Cardiovasc Imaging [34] 1.5 T / 3 T T2w triple inversion recovery sequence Clinical 61 40 Acute Healthy participants Qualitative/ER 56 94 71 95 55
Luetkens et al. Eur H J Cardiovasc im [35] 1.5 T T2w triple inversion recovery sequence Clinical 34 50 Acute Healthy participants ER cut off 1.9 50 94 76 85 73
Pooled data 696 494 62 76 67 78 58
Chronic inflammation only 55 76 65 69 63
Acute inflammation only 63 76 68 80 57
Healthy participants as control 64 79 70 81 61
Other diagnoses as controls 58 69 63 73 54

DCM dilated cardiomyopathy, ER oedema ratio, EMB endomyocardial biopsy, NPV negative predictive value, PPV positive predictive value, TE echo time, TR repeat time; T2w T2 weighted

aOne study examining two groups of patients with acute and chronic cardiac inflammation