Evidence map›Paper›PMID 15052243›Full record

Trial reportJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

Normal values and within-subject variability of cardiac I-123 MIBG scintigraphy in healthy individuals: implications for clinical studies.

G Aernout Somsen, Hein J Verberne, Eric Fleury, Alberto Righetti

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03084679 (Characterization of Myocardial Interstitial Fibrosis and Cardiomyocyte Hypertrophy by Cardiac MRI In Heart Failure), which is not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03084679 naunknown statusnot on this map

Characterization of Myocardial Interstitial Fibrosis and Cardiomyocyte Hypertrophy by Cardiac MRI In Heart Failure: Implication on Early Remodeling and on the Transition to Heart Failure

TypeinterventionalSponsorUniversity of Campinas, BrazilRan2017 to 2020Enrolled90ConditionsHeart FailureArmsAerobic exercise in treadmill, Local strengthening exercises, Stretching exercises
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

  1. Guideline
  2. Cardiac resynchronization therapy upregulates cardiac autonomic control.Journal of cardiovascular electrophysiology · 2008
    Trial
  3. Review
  4. [Diagnostics (Basel, Switzerland) · 2025
    Article
  5. Review
  6. Review
  7. Anger recall mental stress decreasesJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  8. Cardiac sympathetic innervation in Parkinson's disease versus multiple system atrophy.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2022
    Article
  9. Uniformity of cardiacJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  10. Article
  11. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  12. Influence of ROI definition on the heart-to-mediastinum ratio in planarJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  13. Article
  14. Ventricular arrhythmias and autonomic nervous system: evolving role of radionuclide imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Article
  15. Article
  16. Article
  17. Article
  18. Cardiac sympathetic imaging in the diagnosis of cardiac autonomic neuropathy in pre-diabetes.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2015
    Article
  19. Article
  20. Individuals with impaired glucose tolerance demonstrate normal cardiac sympathetic innervation using I-123 mIBG scintigraphy.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

G Aernout SomsenDepartment of Cardiology, University Hospital Geneva, Geneva, Switzerland. aerout.somsen@HCUGE.CH
Hein J Verberne
Eric Fleury
Alberto Righetti
University Hospital of Geneva · CHAcademic Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough several myocardial iodine 123 metaiodobenzylguanidine (MIBG) indices are increasingly used to detect alterations in myocardial sympathetic activity in various forms of cardiac pathology, published measurements of normal values and within-subject variability are lacking. METHODS AND

resultsTwenty-five healthy volunteers underwent planar and single photon emission computed tomography (SPECT) imaging. Heart-mediastinum ratio (H/M) and myocardial washout were calculated from planar images comparing three different methods for the assessment of myocardial activity: (1) global region over the myocardium (cavity included), (2) global region over the myocardium (cavity excluded), and (3) fixed small myocardial region. Segmental (relative) uptake and washout were assessed by SPECT. For all MIBG indices, the interindividual variation was the lowest for methods 1 and 2. In SPECT this variation was low for relative segmental uptake compared with washout. In 9 subjects a second MIBG scintigraphy was performed after 3 months. The within-subject variability of H/M and washout assessed by planar methods 1 and 2 was 5%, whereas it was approximately 9% for planar method 3. For relative segmental uptake from SPECT, this variability was 5%.

conclusionMIBG H/M (planar) and relative segmental uptake (SPECT) show a low interindividual and within-subject variability. This enables the detection of small (regional) variations in myocardial sympathetic nervous function, especially to monitor the effect of therapeutic interventions in patients with various cardiac diseases.

Indexed as

3-IodobenzylguanidineAdultFemaleHeartHumansMaleMetabolic Clearance RateMiddle AgedMyocardiumNetherlandsRadiopharmaceuticalsReference ValuesReproducibility of ResultsSensitivity and SpecificityTomography, Emission-Computed, Single-Photon3-IodobenzylguanidineRadiopharmaceuticals

Identifiers

PMID15052243
OpenAlexW2172210366

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.