Evidence map›Paper›PMID 19618180›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2009

First experience of combined cardiac PET/64-detector CT angiography with invasive angiographic validation.

Ashley M Groves, Marie-Elsya Speechly-Dick, Irfan Kayani, Francesca Pugliese, Raymondo Endozo, Jean McEwan, Leon J Menezes, Said B Habib, Elizabeth Prvulovich, Peter J Ell

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 5% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. EANM procedural guidelines for PET/CT quantitative myocardial perfusion imaging.European journal of nuclear medicine and molecular imaging · 2021
    Article
  4. Hybrid anatomo-functional imaging of coronary artery disease: Beneficial irrespective of its core components.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Review
  5. Myocardial perfusion imaging with PET.The international journal of cardiovascular imaging · 2017
    Review
  6. Review
  7. Review
  8. Review
  9. Noninvasive imaging in coronary artery disease.Seminars in nuclear medicine · 2014
    Review
  10. Cardiac hybrid imaging.European journal of nuclear medicine and molecular imaging · 2014
    Review
  11. Multimodality Imaging in Ischemic Cardiomyopathy.Current cardiovascular imaging reports · 2014
    Review
  12. PET/MRI: current state of the art and future potential for cardiovascular applications.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2013
    Review
  13. Diagnosing coronary artery disease with hybrid PET/CT: it takes two to tango.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2013
    Review
  14. Article
  15. Multimodality imaging in interventional cardiology.Nature reviews. Cardiology · 2012
    Review
  16. 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

10 authors at 4 institutions in 1 country.

Ashley M GrovesInstitute of Nuclear Medicine, University College London, T-5 235 Euston Rd, London NW1 2BU, UK. drashleygroves@hotmail.com
Marie-Elsya Speechly-Dick
Irfan Kayani
Francesca Pugliese
Raymondo Endozo
Jean McEwan
Leon J Menezes
Said B Habib
Elizabeth Prvulovich
Peter J Ell
University College London · GBNottingham University Hospitals NHS Trust · GBRoyal Brompton Hospital · GBUniversity College Hospital at Westmoreland Street · GB

Funding

Department of Health
6 · The paper itself

Abstract

purposeDespite modern CT systems and expert evaluators, the diagnostic performance of coronary CT angiography is limited by overestimation of vessel stenosis which reduces the positive predictive value (PPV) of the test. The aim of this study was to evaluate the performance of combined cardiac PET/64-detector CT angiography.

methodsIncluded in this retrospective study were 33 consecutive patients (5 women, 28 men; mean age 61.6 years, range 47-87 years, mean BMI 27.3+/-5.2 kg/m(2)) with clinically suspected flow-limiting coronary artery disease who underwent combined cardiac PET/64-detector CT angiography and invasive angiography. Combined PET/CT images were reported by an experienced dual-accredited radiologist/nuclear physician. An experienced cardiac CT radiologist re-read the CT images without PET. Stenotic disease was defined as >50% vessel narrowing. Invasive coronary angiography was used as a reference standard. Local ethics committee approval and patient consent were obtained.

resultsCT angiography (without PET data) was concordant with invasive angiography in 31/33 patients and at a patient level, the sensitivity in detecting significant coronary artery lesions was 100%, the specificity was 82%, the PPV was 92% and the negative predictive value (NPV) was 100%. Using combined PET/CT angiography the findings were concordant with invasive angiography in 32/33 patients and at a patient level, the sensitivity was 96%, the specificity was 100%, the PPV was 100% and the NPV was 91%.

conclusionThe use of integrated cardiac PET/64-detector CT angiography is feasible and appears to improve some aspects of the diagnostic performance of 64-detector coronary artery angiography in detecting coronary artery disease.

Indexed as

Systems IntegrationAgedCoronary AngiographyCoronary StenosisFemaleHeartHumansMaleMiddle AgedMyocardial Perfusion ImagingObserver VariationPositron-Emission TomographyReference StandardsRetrospective StudiesStroke VolumeTomography, X-Ray Computed

Identifiers

PMID19618180
OpenAlexW2045021529

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.