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Masuda S, Serruys PW, Mushtaq S, Tanaka K, Mandry D, Buechel RR, Digne F, Schneider U, Pompilio G, La Meir M, Doenst T, Teichgraber U, Morel MA, Kotoku N, Ninomiya K, Kageyama S, O'Leary N, Collet C, Garg S, de Mey J, Andreini D, Onuma Y. The ability of computed tomography angiography to predict 5-year mortality in the SYNTAX III REVOLUTION trial. J Cardiovasc Comput Tomogr 2023; 17:318-325. [PMID: 37684158 DOI: 10.1016/j.jcct.2023.08.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 08/10/2023] [Accepted: 08/13/2023] [Indexed: 09/10/2023]
Abstract
BACKGROUND The feasibility of using coronary computed tomography angiography (CCTA) for long-term prediction of vital prognosis post-revascularization remains unknown. OBJECTIVES To compare the prognostic value of the SYNTAX score II 2020 (SS-2020) derived from invasive coronary angiography (ICA) or CCTA in patients with three-vessel disease and/or left main coronary artery disease undergoing percutaneous or surgical revascularization. METHODS In the SYNTAX III REVOLUTION trial, the probability of death at five years was retrospectively assessed by calculating the SS-2020 using ICA and CCTA. High- and low-risk patients for mortality were categorized according to the median percentages of predicted mortality based on both modalities. The discriminative abilities of the SS-2020 were assessed using Harrell's C statistic. RESULTS The vital status at five years of the 215 patients revascularized percutaneously (64 patients, 29.8%) or surgically (151 patients, 70.2%) was established through national registries. In patients undergoing revascularization, the SS-2020 was possibly helpful in discriminating vital prognosis at 5 years, with similar results seen with ICA and CCTA (C-index with ICA = 0.75, intercept = -0.19, slope = 0.92 and C-index with CCTA = 0.75, intercept = -0.22, slope = 0.99). In high- and low-risk patients, Kaplan-Meier estimates showed significant, and almost identical relative differences in observed mortality, irrespective of imaging modality (ICA: 93.8% vs 78.7%, log-lank P < 0.001; CCTA: 93.7% vs 78.5%, log-lank P < 0.001). CONCLUSIONS The predictive ability of the SS-2020 for five-year all-cause mortality derived from ICA and CCTA was comparable, and could helpfully discriminate vital prognosis in high- and low-risk patients.
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Affiliation(s)
| | | | - Saima Mushtaq
- Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino, IRRCS, Milan, Italy
| | - Kaoru Tanaka
- Department of Radiology, Universitair Ziekenhuis Brussel, VUB, Brussels, Belgium
| | - Damien Mandry
- Department of Radiology, CHRU Nancy and University of Lorraine, Nancy, France
| | - Ronny R Buechel
- Department of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland
| | - Franck Digne
- Hemodynamic Department, Centre Cardiologique du Nord, Saint Denis, France
| | - Ulrich Schneider
- Department of Cardiothoracic Surgery, Friedrich-Schiller-University Jena, University Hospital Jena, Jena, Germany
| | - Giulio Pompilio
- Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino, IRRCS, Milan, Italy; Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy
| | - Mark La Meir
- Department of Radiology, Universitair Ziekenhuis Brussel, VUB, Brussels, Belgium
| | - Torsten Doenst
- Department of Cardiothoracic Surgery, Friedrich-Schiller-University Jena, University Hospital Jena, Jena, Germany
| | - Ulf Teichgraber
- Department of Radiology, Friedrich-Schiller-University Jena, University Hospital Jena, Jena, Germany
| | | | - Nozomi Kotoku
- Department of Cardiology, University of Galway, Galway, Ireland
| | - Kai Ninomiya
- Department of Cardiology, University of Galway, Galway, Ireland
| | | | - Neil O'Leary
- Interventional Medicine and Innovation, University of Galway, Galway, Ireland
| | - Carlos Collet
- Onze Lieve Vrouwziekenhuis, Cardiovascular Center Aalst, Aalst, Belgium
| | - Scot Garg
- Department of Cardiology, Royal Blackburn Hospital, Blackburn, United Kingdom; Department of Medical Education, University of Central Lancashire, Preston, United Kingdom
| | - Johan de Mey
- Department of Radiology, Universitair Ziekenhuis Brussel, VUB, Brussels, Belgium
| | - Daniele Andreini
- Division of Cardiology and Cardiac Imaging, IRCCS Galeazzi Sant'Ambrogio, Milan, Italy; Department of Biomedical and Clinical Sciences "Luigi Sacco", University of Milan, Milan, Italy
| | - Yoshinobu Onuma
- Department of Cardiology, University of Galway, Galway, Ireland
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Serruys PW, Masuda S, Kageyama S, Kotoku N, Ninomiya K, Schneider U, Teichgraber U, Doenst T, Puskas JD, Narula J, Tanaka K, de May J, La Meir M, Bartorelli AL, Mushtaq S, Pompilio G, Andreini D, Onuma Y. CRT-600.09 Comparison of the SYNTAX Score 2020 Based on Coronary Artery Computed Tomography or Invasive Coronary Angiography. JACC Cardiovasc Interv 2023. [DOI: 10.1016/j.jcin.2023.01.252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
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Morgul MH, Raschzok N, Schwartlander R, Vondran F, Michel R, Stelter L, Pinkernelle J, Jordan A, Teichgraber U, Sauer IM. Tracking of Primary Human Hepatocytes with Clinical MRI: Initial Results with Tat-Peptide Modified Superparamagnetic Iron Oxide Particles. Int J Artif Organs 2018; 31:252-7. [DOI: 10.1177/039139880803100309] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The transplantation of primary human hepatocytes is a promising approach in the treatment of specific liver diseases. However, little is known about the fate of the cells following application. Magnetic resonance imaging (MRI) could enable real-time tracking and long-term detection of transplanted hepatocytes. The use of superparamagnetic iron oxide particles as cellular contrast agents should allow for the non-invasive detection of labelled cells on high-resolution magnetic resonance images. Experiments were performed on primary human hepatocytes to transfer the method of detecting labelled cells via clinical MRI into human hepatocyte transplantation. For labelling, Tat-peptide modified nano-sized superparamagnetic MagForce particles were used. Cells were investigated via a clinical MR scanner at 3.0 Tesla and the particle uptake within single hepatocytes was estimated using microscopic examinations. The labelled primary human hepatocytes were clearly detectable by MRI, proving the feasibility of this new concept. Therefore, this method is a useful tool to investigate the effects of human hepatocyte transplantation and to improve safety aspects of this method.
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Affiliation(s)
- M. H. Morgul
- Department of General, Visceral, and Transplantation Surgery, Chiarité - Campus Virchow, Universitätsmedizin Berlin - Germany
- Istanbul Faculty of Medicine, Istanbul University, Istanbul - Turkey
| | - N. Raschzok
- Department of General, Visceral, and Transplantation Surgery, Chiarité - Campus Virchow, Universitätsmedizin Berlin - Germany
| | - R. Schwartlander
- Department of General, Visceral, and Transplantation Surgery, Chiarité - Campus Virchow, Universitätsmedizin Berlin - Germany
| | - F.W. Vondran
- Department of General, Visceral, and Transplantation Surgery, Chiarité - Campus Virchow, Universitätsmedizin Berlin - Germany
| | - R. Michel
- Department of Radiology, Chiarité - Campus Virchow, Universitätsmedizin Berlin - Germany
| | - L. Stelter
- Department of Radiology, Chiarité - Campus Virchow, Universitätsmedizin Berlin - Germany
| | - J. Pinkernelle
- Department of Radiology, Chiarité - Campus Virchow, Universitätsmedizin Berlin - Germany
| | - A. Jordan
- Department of Radiology, Chiarité - Campus Virchow, Universitätsmedizin Berlin - Germany
| | - U. Teichgraber
- Department of Radiology, Chiarité - Campus Virchow, Universitätsmedizin Berlin - Germany
| | - I. M. Sauer
- Department of General, Visceral, and Transplantation Surgery, Chiarité - Campus Virchow, Universitätsmedizin Berlin - Germany
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Raschzok N, Morgul MH, Pinkernelle J, Vondran FWR, Billecke N, Kammer NN, Pless G, Adonopoulou MK, Leist C, Stelter L, Teichgraber U, Schwartlander R, Sauer IM. Imaging of primary human hepatocytes performed with micron-sized iron oxide particles and clinical magnetic resonance tomography. J Cell Mol Med 2008; 12:1384-94. [PMID: 18410523 PMCID: PMC3865680 DOI: 10.1111/j.1582-4934.2008.00343.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Transplantation of primary human hepatocytes is a promising approach in certain liver diseases. For the visualization of the hepa-tocytes during and following cell application and the ability of a timely response to potential complications, a non-invasive modality for imaging the transplanted cells has to be established. The aim of this study was to label primary human hepatocytes with micron-sized iron oxide particles (MPIOs), enabling the detection of cells by clinical magnetic resonance imaging (MRI). Primary human hepatocytes isolated from 13 different donors were used for the labelling experiments. Following the dose-finding studies, hepatocytes were incubated with 30 particles/cell for 4 hrs in an adhesion culture. Particle incorporation was investigated via light, fluorescence and electron microscopy, and labelled cells were fixed and analysed in an agarose suspension by a 3.0 Tesla MR scanner. The hepatocytes were enzymatically resuspended and analysed during a 5-day reculture period for viability, total protein, enzyme leakage (aspartate aminotransferase [AST], lactate dehydrogenase [LDH]) and metabolic activity (urea, albumin). A mean uptake of 18 particles/cell could be observed, and the primary human hepatocytes were clearly detectable by MR instrumentation. The particle load was not affected by resuspension and showed no alternations during the culture period. Compared to control groups, labelling and resuspension had no adverse effects on the viability, enzyme leakage and metabolic activity of the human hepatocytes. The feasibility of preparing MPIO-labelled primary human hepatocytes detectable by clinical MR equipment was shown in vitro. MPIO-labelled cells could serve for basic research and quality control in the clinical setting of human hepatocyte transplantation.
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Affiliation(s)
- Nathanael Raschzok
- General, Visceral and Transplantation Surgery, Charité-Campus Virchow, Universitätsmedizin Berlin, Berlin, Germany
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