Evidence map›Paper›PMID 20387135›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2010

Intra- and inter-operator repeatability of myocardial blood flow and myocardial flow reserve measurements using rubidium-82 pet and a highly automated analysis program.

Ran Klein, Jennifer M Renaud, Maria C Ziadi, Stephanie L Thorn, Andy Adler, Rob S Beanlands, Robert A deKemp

Abstract read
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In one paragraph

Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
8.5field-weighted citation impact, top 2% 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

71 citing papers in PubMed, 150 citations in OpenAlex.

  1. Reducing motion-correction-induced variability inJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Trial
  2. Consistent tracer administration profile improves test-retest repeatability of myocardial blood flow quantification withJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Trial
  3. Trial
  4. Feasibility and operator variability of myocardial blood flow and reserve measurements with ⁹⁹mTc-sestamibi quantitative dynamic SPECT/CT imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2014
    Trial
  5. Trial
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  10. Prognostic Value of Coronary Flow Capacity byCirculation. Cardiovascular imaging · 2024
    Article
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  13. Review
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  15. Prediction of outcome byJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  16. Diagnostic value of clinical risk scores for predicting normal stress myocardial perfusion imaging in subjects without coronary artery calcium.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  17. Reduced acquisition times for measurement of myocardial blood flow withJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  18. Quantification of myocardial perfusion reserve by CZT-SPECT: A head to head comparison withJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  19. Article
  20. Article

11 more citing papers are in PubMed but not listed here.

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

7 authors at 2 institutions in 1 country.

Ran KleinUniversity of Ottawa Heart Institute, National Cardiac PET Centre, 40 Ruskin St., Ottawa, ON, K1Y 4W7, Canada.
Jennifer M Renaud
Maria C Ziadi
Stephanie L Thorn
Andy Adler
Rob S Beanlands
Robert A deKemp
University of Ottawa · CACarleton University · CA

Funding

Canadian Institutes of Health Research MIS-100935Canadian Institutes of Health Research MOP-79311
6 · The paper itself

Abstract

backgroundChanges in myocardial blood flow between rest and stress states are commonly used to diagnose coronary artery disease. Relative myocardial perfusion imaging (MPI) is used routinely while myocardial blood flow quantification (MBF) may improve the sensitivity for detection of early disease. The ratio of flow at stress and rest (S/R) and their difference (S-R) have both been proposed as a means to detect regions with reduced myocardial flow reserve (MFR). In this study, we describe a highly automated method to calculate regional and global rest, stress, S/R, and S-R polar maps of the left ventricle myocardium.

methodsWe measured the inter- and intra-operator variability using two randomized datasets (n = 30 each) for each of two operators (novice and expert) with correlation and Bland-Altman reproducibility coefficient (RPC%) analyses.

resultsS-R MBF had less inter-operator dependent variability than S/R (RPC% = 5.0% vs 12.6%, P < .001). While there was no difference in intra-operator variability with S-R MBF (novice vs expert RPC% = 6.4% vs 5.9%, P = ns), variability was higher in the novice-operator for S/R (RPC% = 16.8% vs 8.5% respectively, P < .001), suggesting that S-R may be preferred for detecting small changes in MFR. The novice operator's intervention pattern became more similar to that of the expert in the later dataset, emphasizing the need for adequate training and quality assurance.

conclusionThe proposed method results in low operator-dependent variability, suitable for routine use.

Indexed as

Fractional Flow Reserve, MyocardialRubidium RadioisotopesAgedCoronary Artery DiseaseFemaleHumansImage Interpretation, Computer-AssistedMaleMyocardial Perfusion ImagingObserver VariationRadiopharmaceuticalsReproducibility of ResultsSensitivity and SpecificityRadiopharmaceuticalsRubidium Radioisotopes

Identifiers

PMID20387135
OpenAlexW2167072605

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.