Evidence map›Paper›PMID 22037814›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2012

Effect of tracer dose on left ventricular mechanical dyssynchrony indices by phase analysis of gated single photon emission computed tomography myocardial perfusion imaging.

Wael AlJaroudi, Wael A Jaber, Manuel D Cerqueira

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Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

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20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

20 citing papers in PubMed.

  1. Article
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  8. Are SPECT MPI measures of dyssynchrony dyssynchronous?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
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  10. Auxiliary ischemic markers, the role of left ventricular dyssynchrony.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  11. Left ventricular mechanical dyssynchrony graduation of myocardial perfusion gated SPECT phase analysis: What next.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  12. Article
  13. Early post-stress LV dyssynchrony: a new marker for significant CAD.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2014
    Article
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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Wael AlJaroudiDivision of Cardiovascular Medicine, Section of Cardiovascular Imaging, Cleveland Clinic, Cleveland, OH, USA. aljarow@ccf.org
Wael A Jaber
Manuel D Cerqueira

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are limited data on the effect of tracer dose on the reproducibility and accuracy of left ventricular (LV) mechanical dyssynchrony indices by phase analysis of gated single photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI). METHODS AND

resultsWe measured LV dyssynchrony in 54 patients with normal LV ejection and perfusion (group 1) and 54 age and gender matched patients with LV ejection <35% (group 2) using phase analysis of gated SPECT MPI from stress (high dose) and rest (low dose) studies with 2 software programs: Corridor4DM (4DM) and Emory Cardiac Toolbox (ECTb). Although the correlation between rest- and stress-derived standard deviation was good (R = 0.76, P < .0001, with both software programs), there was considerable variability between the measurements (P < .0001 by paired t test). In addition, the rest standard deviation was significantly higher than stress in group 1 (10.2° ± 4.6° vs 6.1° ± 2.5°, and 12.2° ± 6.4° vs 7.9° ± 4.6°, with 4DM and ECTb, respectively, P < .0001 for both) and group 2 patients (44.0° ± 18.0° vs 35.9° ± 21.0° and 47.3° ± 19.2° vs 38.8° ± 19.8°, with 4DM and ECTb, P = .03 and .02, respectively). Similarly, the rest standard deviations were higher than the stress values irrespective of the type of stress test (i.e., exercise vs pharmacological), and the body mass index. Finally, using rest-derived dyssynchrony indices was associated with 9%-13% and 22%-26% false positive rate of significant mechanical dyssynchrony using different cut-off values for groups 1 and 2, respectively.

conclusionLV mechanical dyssynchrony indices by phase analysis have more variation and are significantly higher if derived from rest gated SPECT images obtained with low-dose tracer.

Indexed as

Cardiac-Gated Single-Photon Emission Computer-Assisted TomographyAgedDose-Response Relationship, DrugFemaleHumansImage EnhancementImage Interpretation, Computer-AssistedMaleMyocardial Perfusion ImagingOrganophosphorus CompoundsOrganotechnetium CompoundsRadiopharmaceuticalsReproducibility of ResultsSensitivity and SpecificityVentricular Dysfunction, LeftOrganophosphorus CompoundsOrganotechnetium CompoundsRadiopharmaceuticalstechnetium tc-99m tetrofosmin

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Registered trials

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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.