Evidence map›Paper›PMID 21528422›Full record

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

Reduced isotope dose and imaging time with a high-efficiency CZT SPECT camera.

W Lane Duvall, Lori B Croft, Eric S Ginsberg, Andrew J Einstein, Krista A Guma, Titus George, Milena J Henzlova

Registry-linked trialAbstract read
PubMed Publisher
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. It is linked to trial NCT01518777 (Reducing Radioisotope Dose in Regadenoson SPECT Myocardial Perfusion Imaging), which is not on this map. Cited by 66 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 3 pooled it
13.3field-weighted citation impact, top 1% 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.

NCT01518777 nacompletednot on this mapstarted 2012, after this paper: background citation

Reducing Radioisotope Dose in Regadenoson SPECT Myocardial Perfusion Imaging: Comparison of Half-Dose Scans Using a Novel Solid-State-Detector Dedicated Cardiac Camera to Full Dose Scans Acquired On Standard Equipment

TypeinterventionalSponsorS.M.Chang, MDRan2012 to 2016Enrolled74ConditionsCoronary Artery DiseaseArmsHalf-dose isotope for NuclearStressTest
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 3 syntheses or guidelines pooled it, 159 citations in OpenAlex.

  1. Pooled it
  2. Update of the Brazilian Guideline on Nuclear Cardiology - 2020.Arquivos brasileiros de cardiologia · 2020
    Guideline
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Review
  10. Recent Progress in Myocardial Perfusion Imaging Techniques.Nuclear medicine and molecular imaging · 2024
    Review
  11. Article
  12. Article
  13. Deep learning prediction of quantitative coronary angiography values using myocardial perfusion images with a CZT camera.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  14. CZT camera systems may provide better risk stratification for low-risk patients.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  15. Balancing risks and rewards in assessing pediatric heart disease.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  16. Article
  17. Simultaneous dual isotopeJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  18. Article
  19. Real-time gated-SPECT myocardial perfusion imaging with CZT detectors: A promising tool for monitoring left ventricular function.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

W Lane DuvallMount Sinai Division of Cardiology (Mount Sinai Heart), Mount Sinai Medical Center, New York, NY 10029, USA.
Lori B Croft
Eric S Ginsberg
Andrew J Einstein
Krista A Guma
Titus George
Milena J Henzlova
Mount Sinai Hospital · USColumbia University Irving Medical Center · USMount Sinai Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn light of recent focus on diagnostic imaging, cardiac SPECT imaging needs to become a shorter test with lower radiation exposure to patients. Recently introduced Cadmium Zinc Telluride (CZT) cameras have the potential to achieve both goals.

methodsDuring a 2-month period patients presenting for a Tc-99m sestamibi SPECT MPI study were imaged using a CZT camera using a low-dose rest-stress protocol (5 mCi rest and 15 mCi stress doses). Patients ≥250 lbs or a BMI ≥35 kg/m(2) were excluded. Rest images were processed at 5- and 8-minute acquisition times and stress images at 3- and 5-minute acquisition times. A subset of patients had stress imaging performed using both conventional and CZT SPECT cameras. Image acquisition times and SPECT camera images were compared based on total counts, count rate, image quality, and summed rest and stress scores. Twelve month clinical follow-up was also obtained.

results131 patients underwent the study protocol (age 64.9 ± 9.8 years, 54.2% male). There was no significant difference in image quality and mean summed scores between 5- and 8-minute rest images and between 3- and 5-minute stress images. When compared to a conventional SPECT camera in 27 patients, total rest and stress perfusion deficits and calculated LVEF were similar (r = 0.94 and 0.96, respectively). At 12 months there was a benign prognosis in patients with normal perfusion. The effective dose was 5.8 mSv for this protocol which is 49.2% less than conventional Tc-99m studies and 75.7% less than conventional Tl-201/Tc-99m dual isotope studies.

conclusionsNew SPECT camera technology with low isotope dose significantly reduces ionizing radiation exposure and imaging times compared to traditional protocols while maintaining image quality and diagnostic accuracy.

Indexed as

Myocardial Perfusion ImagingRadiopharmaceuticalsTechnetium Tc 99m SestamibiAgedCadmiumFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesTelluriumTime FactorsTomography, Emission-Computed, Single-PhotonZincCadmiumCdZnTeRadiopharmaceuticalsTechnetium Tc 99m SestamibiTelluriumZinc

Identifiers

PMID21528422
OpenAlexW1988764134

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.