Evidence map›Paper›PMID 21063927›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2011

Tetrofosmin early time gated post-stress single-photon emission computed tomography imaging: feasibility and potential benefits.

Laurent Philippe, Bertrand Mérino, Tanguy Blaire, Alban Bailliez, Danielle Casset-Senon, Maurice Levy, Arnaud Halley, Guillaume Divry

Abstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Efficiency of tetrofosmin versus sestamibi achieved through shorter injection-to-imaging times: A systematic review of the literature.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Pooled it
  2. Detection of post-exercise stunning by early gated SPECT myocardial perfusion imaging: results from the IAEA multi-center study.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2014
    Trial
  3. Accurate and efficient rapid acquisition early post-injection stress-first CZT SPECT myocardial perfusion imaging with tetrofosmin and attenuation correction.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  4. Fast myocardial perfusion imaging withJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Article
  5. Myocardial perfusion imaging with 99mTc-labeled radiopharmaceuticals: How fast can a stress-rest same-day imaging protocol be completed?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Article
  6. Should early post-stress imaging be performed on a routine clinical basis for myocardial perfusion studies?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2014
    Article
  7. 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

8 authors.

Laurent PhilippeVinci Nuclear Medicine Center, Chambray-les-Tours, France. lphilippe@mednuc-tours.fr
Bertrand Mérino
Tanguy Blaire
Alban Bailliez
Danielle Casset-Senon
Maurice Levy
Arnaud Halley
Guillaume Divry

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study is to evaluate the feasibility, the image quality, and the clinical relevance of an early gated post-stress (GPS) single-photon emission computed tomography (SPECT) tetrofosmin (Myoview™-GE Healthcare) acquisition protocol. Time delay between myocardial technetium-labeled tracer administration and SPECT acquisition is usually about 30 minutes after stress, and 45 to 60 minutes at rest: because of the absence of significant redistribution, perfusion images are related to stress even 30 minutes after stress injection, while function and thickening data obtained with gated acquisition 30 minutes after stress are mainly related to rest conditions.

methods194 patients were prospectively included and analyzed, in a multicenter registry. Three gated-SPECT 99(m)Tc-Tetrofosmin studies were performed per patient: GPS-SPECT, 30 minutes post-stress (GS30), and at rest (GR30).

resultsGPS image quality was excellent/good (93.9%), and similar to GS30 images (96.6%). The presence of adjacent myocardial sub-diaphragmatic activity on GPS images was similar to GS30 images (24% vs 22%), and less frequent than on GR30 images (31%). For perfusion, thickening, and motion scores, there was no significant difference between early and 30 minute post-stress in the global patient population, but significant differences were observed between GPS and GS30 for LVEF (65% ± 15% vs 63% ± 14%). In the ischemic patients, with the stress-rest protocol, the perfusion score was 14.2 on GPS images and 12.4 on GS30 images (P = .002).

conclusionsTetrofosmin early GPS-SPECT is feasible without impairment of image quality (better count rate). Ischemic defect size on early post-stress images is slightly more pronounced than at 30 minutes: this could modify therapeutic decision. This technique produces reliable function information during early post-stress period, and might be useful for disclosing transient motion abnormalities.

Indexed as

Organophosphorus CompoundsOrganotechnetium CompoundsCardiac-Gated Imaging TechniquesCoronary Artery DiseaseExercise TestFeasibility StudiesFemaleFranceHumansImage EnhancementMaleMiddle AgedMyocardial Perfusion ImagingRadiopharmaceuticalsReproducibility of ResultsSensitivity and SpecificityOrganophosphorus CompoundsOrganotechnetium CompoundsRadiopharmaceuticalstechnetium tc-99m tetrofosmin

Identifiers

PMID21063927
PMCPMC3032180

What OpenQuestion holds

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LicenceCC BY-NC
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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.