Three-Dimensional High-Resolution Black-Blood Magnetic Resonance Imaging for Detection of Arteritic Anterior Ischemic Optic Neuropathy in Patients With Giant Cell Arteritis

Sommer, Nora N.; Treitl, M; Coppenrath, Eva; Kooijman, Hendrik; Dechant, Claudia; Czihal, Michael; Kolben, T; Beyer, Stefan; Sommer, Wieland H.; Saam, Tobias

doi:10.1097/rli.0000000000000500

Cited by 32 publications

(37 citation statements)

References 40 publications

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“…Each question was answered on a five-point Likert scale (from 1 - Strongly disagree to 5 - Strongly agree). KS and DY ran focus group discussions based on prior published research [ 21 ] to develop the questionnaire form.…”

Section: Methodsmentioning

confidence: 99%

Flexible e-learning video approach to improve fundus examination skills for medical students: a mixed-methods study

et al. 2021

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Background Training for the fundus examination using traditional teaching is challenging, resulting in low generalist physicians’ confidence in performing the funduscopic examination. There is growing evidence suggesting a flexible e-learning video approach’s value in teaching physical examination procedures. However, whether the flexible e-learning video approach is superior to the traditional, face-to-face (F2F) lecture-based teaching for the funduscopic exam and the cognitive processes supporting its effectiveness has not yet been determined. Methods We conducted a sequential explanatory mixed-method study to compare the flexible e-learning video approach’s effectiveness versus the F2F lecture-based approach for teaching the funduscopic exam to medical students at Chiba University in Japan. Medical students were randomly assigned to either a flexible e-learning video approach group or a F2F lecture approach group. We then quantitatively measured the diagnostic accuracy of funduscopic findings before and after attending the specific classrooms. Next, we conducted student focus groups to explore the students’ thinking processes in the flexible e-learning video approach vs. the F2F lecture-based teaching of fundus examination. The qualitative data were analyzed using the qualitative content analysis method. Results The mean diagnostic accuracy scores in the post-test significantly increased from pre-test in the intervention group (36.6 to 63.4%, p < 0.001). Post-post comparisons across the two groups revealed a significant difference (intervention group 63.4% vs. control group 34.6%, p < 0.001). Six semi-structured focused group interviews were conducted (n = 36). In the flexible e-learning video approach group, we identified ten categories corresponding to four levels of the revised Bloom’s taxonomy: remember, understand, apply, analyze. Five categories were identified in the traditional F2F lecture approach group corresponding to three revised Bloom’s taxonomy levels: understand, apply, analyze. Interrater reliability was substantial (Cohen’s kappa = 0.81). Conclusions Teaching medical students funduscopic examination using the flexible e-learning video approach leads to improved diagnostic accuracy of funduscopic examinations. The flexible e-learning video teaching method enabled higher cognitive activity levels than the traditional, lecture-based classroom, as assessed using the revised Bloom’s taxonomy. Trial registration This study was registered with the University Hospital Medical Information Network Clinical Trials Registry on 08/02/2020 (Unique trial number: UMIN 000039434).

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Section: Methodsmentioning

confidence: 99%

Flexible e-learning video approach to improve fundus examination skills for medical students: a mixed-methods study

et al. 2021

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“…In patients with suspected or known large and medium vessel vasculitis, 3D fat-suppressed black-blood T1-weighted turbo spin-echo sequences have been of particular value to depict inflammatory changes such as post-contrast vessel wall enhancement in the aorta and its branches [ 144 ], extra- and intracranial carotid artery and its branches [ 155 , 156 ], as well as the cerebral arteries [ 157 ].…”

Section: Acquired Vascular Diseasementioning

confidence: 99%

SCMR Position Paper (2020) on clinical indications for cardiovascular magnetic resonance

Leiner

Bogaert

Friedrich

et al. 2020

Journal of Cardiovascular Magnetic Resonance

206

110

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The Society for Cardiovascular Magnetic Resonance (SCMR) last published its comprehensive expert panel report of clinical indications for CMR in 2004. This new Consensus Panel report brings those indications up to date for 2020 and includes the very substantial increase in scanning techniques, clinical applicability and adoption of CMR worldwide. We have used a nearly identical grading system for indications as in 2004 to ensure comparability with the previous report but have added the presence of randomized controlled trials as evidence for level 1 indications. In addition to the text, tables of the consensus indication levels are included for rapid assimilation and illustrative figures of some key techniques are provided.

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“…It is of note that a modest interobserver agreement was observed (kappa 0.44) for MRI interpretation in comparison to US, which showed excellent results. Sommer et al [42] assessed the potential role of three-dimensional highresolution contrast enhanced black blood MRI in determining the arteritic nature of anterior ischemic optic neuropathy (AION) in 27 patients with suspected GCA. This technique detected arteritis involvement of the posterior ciliary arteries earlier than fundoscopy in some patients.…”

Section: Magnetic Resonance Imaging For Gca Diagnosismentioning

confidence: 99%

Imaging Tests in the Early Diagnosis of Giant Cell Arteritis

Prieto-Peña

Castañeda

Martínez-Rodríguez

et al. 2021

JCM

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Early recognition of giant cell arteritis (GCA) is crucial to avoid the development of ischemic vascular complications, such as blindness. The classic approach to making the diagnosis of GCA is based on a positive temporal artery biopsy, which is among the criteria proposed by the American College of Rheumatology (ACR) in 1990 to classify a patient as having GCA. However, imaging techniques, particularly ultrasound (US) of the temporal arteries, are increasingly being considered as an alternative for the diagnosis of GCA. Recent recommendations from the European League Against Rheumatism (EULAR) for the use of imaging techniques for large vessel vasculitis (LVV) included US as the first imaging option for the diagnosis of GCA. Furthermore, although the ACR classification criteria are useful in identifying patients with the classic cranial pattern of GCA, they are often inadequate in identifying GCA patients who have the extracranial phenotype of LVV. In this sense, the advent of other imaging techniques, such as magnetic resonance imaging (MRI), computed tomography (CT), and positron emission tomography (PET)/CT, has made it possible to detect the presence of extracranial involvement of the LVV in patients with GCA presenting as refractory rheumatic polymyalgia without cranial ischemic manifestations. Imaging techniques have been the key elements in redefining the diagnostic work-up of GCA. US is currently considered the main imaging modality to improve the early diagnosis of GCA.

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Three-Dimensional High-Resolution Black-Blood Magnetic Resonance Imaging for Detection of Arteritic Anterior Ischemic Optic Neuropathy in Patients With Giant Cell Arteritis

Cited by 32 publications

References 40 publications

Flexible e-learning video approach to improve fundus examination skills for medical students: a mixed-methods study

Flexible e-learning video approach to improve fundus examination skills for medical students: a mixed-methods study

SCMR Position Paper (2020) on clinical indications for cardiovascular magnetic resonance

Imaging Tests in the Early Diagnosis of Giant Cell Arteritis

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