Evidence map›Paper›PMID 20482819›Full record

SynthesisJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2010

Meta-analysis of the diagnostic performance of stress perfusion cardiovascular magnetic resonance for detection of coronary artery disease.

Michèle Hamon, Georges Fau, Guillaume Née, Javed Ehtisham, Rémy Morello, Martial Hamon

Registry-linked trialAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01710254 (Detection of Coronary Artery Disease in Patients With Atrial Fibrillation Using Regadenoson Stress MRI), which is not on this map. Cited by 87 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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.

NCT01710254 phase2completednot on this mapstarted 2013, after this paper: background citation

Detection of Coronary Artery Disease in Patients With Atrial Fibrillation Using Regadenoson Stress MRI

TypeinterventionalSponsorUniversity of UtahRan2013 to 2016Enrolled30ConditionsAtrial Fibrillation, Coronary Artery DiseaseArmsRegadenoson MRI, Gadobenate dimeglumine
3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Diagnostic performance of semi-quantitative and quantitative stress CMR perfusion analysis: a meta-analysis.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2017
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Guideline
  7. Trial
  8. Trial
  9. Trial
  10. Review
  11. Prognostic Value of Regadenoson Stress Perfusion CMR.Medical sciences (Basel, Switzerland) · 2026
    Article
  12. Article
  13. Article
  14. Mechanisms and prognostic impact of myocardial ischaemia in hypertrophic cardiomyopathy.The international journal of cardiovascular imaging · 2023
    Review
  15. Safety, feasibility, and hemodynamic response of regadenoson for stress perfusion CMR.The international journal of cardiovascular imaging · 2023
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Evidence-based cardiovascular magnetic resonance cost-effectiveness calculator for the detection of significant coronary artery disease.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2022
    Article

27 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

6 authors.

Michèle HamonDepartment of Radiology, University Hospital of Caen, France. hamon-mi@chu-caen.fr
Georges Fau
Guillaume Née
Javed Ehtisham
Rémy Morello
Martial Hamon

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimEvaluation of the diagnostic accuracy of stress perfusion cardiovascular magnetic resonance for the diagnosis of significant obstructive coronary artery disease (CAD) through meta-analysis of the available data. METHODOLOGY: Original articles in any language published before July 2009 were selected from available databases (MEDLINE, Cochrane Library and BioMedCentral) using the combined search terms of magnetic resonance, perfusion, and coronary angiography; with the exploded term coronary artery disease. Statistical analysis was only performed on studies that: (1) used a [greater than or equal to] 1.5 Tesla MR scanner; (2) employed invasive coronary angiography as the reference standard for diagnosing significant obstructive CAD, defined as a [greater than or equal to] 50% diameter stenosis; and (3) provided sufficient data to permit analysis.

resultsFrom the 263 citations identified, 55 relevant original articles were selected. Only 35 fulfilled all of the inclusion criteria, and of these 26 presented data on patient-based analysis. The overall patient-based analysis demonstrated a sensitivity of 89% (95% CI: 88-91%), and a specificity of 80% (95% CI: 78-83%). Adenosine stress perfusion CMR had better sensitivity than with dipyridamole (90% (88-92%) versus 86% (80-90%), P = 0.022), and a tendency to a better specificity (81% (78-84%) versus 77% (71-82%), P = 0.065).

conclusionStress perfusion CMR is highly sensitive for detection of CAD but its specificity remains moderate.

Indexed as

AdenosineCoronary CirculationDipyridamoleMagnetic Resonance ImagingAgedAged, 80 and overCoronary AngiographyCoronary StenosisFemaleHumansMaleMiddle AgedMyocardial Perfusion ImagingPredictive Value of TestsSensitivity and SpecificitySeverity of Illness IndexAdenosineDipyridamole

Identifiers

PMID20482819
PMCPMC2890682

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.