MyoRacer: Magnetic Resonance Imaging in Myocarditis
Study Details
Study Description
Brief Summary
The purpose of this study is the assess the diagnostic performance of magnetic resonance imaging in patients with suspected myocarditis by applying different imaging sequences at different MR scanners
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
In patients with clinical suspicion of myocarditis biventricular endomyocardial biopsy is performed for definite diagnosis. In addition, patients undergo magnetic resonance imaging at 1.5 Tesla and 3.0 Tesla within 24 hours. The imaging protocol of both scan include assessment of myocardial edema respectively edema ratio; myocardial hyperemia respectively global relative enhancement (gRE); myocardial fibrosis/necrosis respectively myocardial LE and T1 and T2 mapping sentences. Diagnostic performance of different imaging protocols as compared to the findings of endomyocardial biopsies is calculated.
The protocol also includes a follow-up MR can at 3 months.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Magnetic resonance imaging and endomyocardial biopsy Magnetic resonance imaging and endomyocardial biopsy |
Other: Endomyocardial Biopsy
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Outcome Measures
Primary Outcome Measures
- Accuracy, sensitivity and specificity of magnetic resonance imaging sequences [baseline]
The diagnostic accuracy of individual and a combination of MR imaging sequences (late enhancement images, assessment of global edema, relative enhancement and T1 and T2 mapping sequences) will be determined by comparison to endomyocardial biopsies, which serve as diagnostic gold-standard
Secondary Outcome Measures
- Diagnostic performance of biventricular endomyocardial biopsies [baseline]
Eligibility Criteria
Criteria
Inclusion Criteria:
Symptoms such as:
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Dyspnea or Orthopnea or
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Palpitations or
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Exercise intolerance or
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Angina
Evidence of myocardial involvement:
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ventricular dysfunction on echocardiography or
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new or persistent ECG changes
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elevated Troponin T History of viral infection
Exclusion Criteria:
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Contraindication for magnetic resonance imaging
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Impaired renal function: glomerular filtration rate ≤ 30 ml/min/m2
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Patients presenting with pregnancy
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Patients without informed consent
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Participation in another trial.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Heart Center of the University Leipzig | Leipzig | Germany | 04289 |
Sponsors and Collaborators
- Heart Center Leipzig - University Hospital
Investigators
- Principal Investigator: Philipp Lurz, MD, PhD, Heart Center of the University of Leipzig
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 123456123456