Evidence map›Paper›PMID 22516444›Full record

Trial reportJournal of the American College of Cardiology2012

Coronary arterial 18F-sodium fluoride uptake: a novel marker of plaque biology.

Marc R Dweck, Marcus W L Chow, Nikhil V Joshi, Michelle C Williams, Charlotte Jones, Alison M Fletcher, Hamish Richardson, Audrey White, Graham McKillop, Edwin J R van Beek and 3 more

7 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of the American College of Cardiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 241 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
241citing papers in PubMed, 1 pooled it
29.3field-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.

NCT03233243 phase4completedstarted 2020, after this paper: background citation

Rosuvastatin Effect on Atherosclerotic Plaque Metabolism - a Subclinical Atherosclerosis Imaging Study With 18F-NaF PET-CT

Ran2020Enrolled40Registered outcomes3Posted comparisons0ConditionsAtherosclerosis, Cardiovascular Diseases, Molecular ImagingArmsRosuvastatin Oral Tablet
Open the trial in the graph
NCT01358513 completednot on this map

An Observational PET/CT Study Examining the Role of Active Valvular Calcification and Inflammation in Patients With Aortic Stenosis

TypeobservationalSponsorUniversity of EdinburghRan2010 to 2015Enrolled121ConditionsAortic Stenosis
NCT02110303 phase2 / phase3completednot on this mapstarted 2015, after this paper: background citation

Dual Antiplatelet Therapy to Inhibit Coronary Atherosclerosis and Myocardial Injury in Patients With Necrotic High-Risk Coronary Plaque Disease

TypeinterventionalSponsorUniversity of EdinburghRan2015 to 2018Enrolled220ConditionsCoronary Artery DiseaseArmsTicagrelor, Placebo
NCT02278211 completednot on this mapstarted 2015, after this paper: background citation

Prediction of Recurrent Events With 18F-Fluoride to Identify Ruptured and High-risk Coronary Artery Plaques in Patients With Myocardial Infarction

TypeobservationalSponsorUniversity of EdinburghRan2015 to 2022Enrolled995ConditionsCoronary Artery Disease, Myocardial Infarction
NCT02563964 terminatednot on this mapstarted 2017, after this paper: background citation

Characterizing Vulnerable Plaques in Non-ST-Elevation Myocardial Infarction Using 18F-NaF Positron Emission Tomography - Cardiac Magnetic Resonance Imaging: A Feasibility Study

Typeobservational_patient_registrySponsorMaastricht University Medical CenterRan2017 to 2020Enrolled10ConditionsMyocardial Infarction, Myocardial Ischemia
NCT02988531 nacompletednot on this mapstarted 2017, after this paper: background citation

Validation of PET-MRI for Cardiovascular Disease

TypeinterventionalSponsorUniversity of EdinburghRan2017 to 2017Enrolled20ConditionsMRI, PET Scan, Positron-Emission Tomography, Cardiovascular DiseaseArmsPET/MR scan
NCT03943966 nacompletednot on this mapstarted 2019, after this paper: background citation

In-vivo Thrombus Imaging With 18F-GP1, a Novel Platelet PET Radiotracer

TypeinterventionalSponsorUniversity of EdinburghRan2019 to 2021Enrolled73ConditionsThrombosis, Atherothrombosis, Myocardial Infarction, STEMIArms18F-GP1 PET CT
3 · Its place in the literature

Who cites it

241 citing papers in PubMed, 1 synthesis or guideline pooled it, 484 citations in OpenAlex.

  1. Sodium fluoride in cardiovascular disorders: A systematic review.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Pooled it
  2. Head-to-head comparison ofJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2024
    Trial
  3. Trial
  4. The effect of Vitamin-KJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Trial
  5. Vascular uptake onJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Trial
  6. CoronaryCirculation. Cardiovascular imaging · 2020
    Trial
  7. Trial
  8. European journal of nuclear medicine and molecular imaging · 2020
    Trial
  9. Trial
  10. Review
  11. Coronary artery disease imaging with total-body PET.The British journal of radiology · 2026
    Review
  12. Review
  13. Article
  14. Review
  15. From incidental positron emission uptake toFrontiers in cardiovascular medicine · 2026
    Review
  16. Review
  17. The international journal of cardiovascular imaging · 2025
    Article
  18. Review
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Marc R DweckCentre for Cardiovascular Sciences, University of Edinburgh, United Kingdom. MDweck@staffmail.ed.ac.uk
Marcus W L Chow
Nikhil V Joshi
Michelle C Williams
Charlotte Jones
Alison M Fletcher
Hamish Richardson
Audrey White
Graham McKillop
Edwin J R van Beek
Nicholas A Boon
James H F Rudd
David E Newby
University of Edinburgh · GBUniversity of Cambridge · GB

Funding

British Heart Foundation CH/09/002British Heart Foundation FS/10/026British Heart Foundation FS/10/026/28209British Heart Foundation FS/11/14/28692British Heart Foundation FS/12/29/29463British Heart Foundation PG/09/083/27667Chief Scientist Office ETM/160Medical Research Council G0701127
6 · The paper itself

Abstract

objectivesWith combined positron emission tomography and computed tomography (CT), we investigated coronary arterial uptake of 18F-sodium fluoride (18F-NaF) and 18F-fluorodeoxyglucose (18F-FDG) as markers of active plaque calcification and inflammation, respectively.

backgroundThe noninvasive assessment of coronary artery plaque biology would be a major advance particularly in the identification of vulnerable plaques, which are associated with specific pathological characteristics, including micro-calcification and inflammation.

methodsWe prospectively recruited 119 volunteers (72 ± 8 years of age, 68% men) with and without aortic valve disease and measured their coronary calcium score and 18F-NaF and 18F-FDG uptake. Patients with a calcium score of 0 were used as control subjects and compared with those with calcific atherosclerosis (calcium score >0).

resultsInter-observer repeatability of coronary 18F-NaF uptake measurements (maximum tissue/background ratio) was excellent (intra-class coefficient 0.99). Activity was higher in patients with coronary atherosclerosis (n = 106) versus control subjects (1.64 ± 0.49 vs. 1.23 ± 0.24; p = 0.003) and correlated with the calcium score (r = 0.652, p < 0.001), although 40% of those with scores >1,000 displayed normal uptake. Patients with increased coronary 18F-NaF activity (n = 40) had higher rates of prior cardiovascular events (p = 0.016) and angina (p = 0.023) and higher Framingham risk scores (p = 0.011). Quantification of coronary 18F-FDG uptake was hampered by myocardial activity and was not increased in patients with atherosclerosis versus control subjects (p = 0.498).

conclusions18F-NaF is a promising new approach for the assessment of coronary artery plaque biology. Prospective studies with clinical outcomes are now needed to assess whether coronary 18F-NaF uptake represents a novel marker of plaque vulnerability, recent plaque rupture, and future cardiovascular risk. (An Observational PET/CT Study Examining the Role of Active Valvular Calcification and Inflammation in Patients With Aortic Stenosis; NCT01358513).

Indexed as

Positron-Emission TomographyAgedAorta, ThoracicBiomarkersCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFemaleFluorine RadioisotopesFluorodeoxyglucose F18HumansMaleMiddle AgedObserver VariationProspective StudiesReproducibility of ResultsBiomarkersFluorine RadioisotopesFluorodeoxyglucose F18Sodium Fluoride

Identifiers

PMID22516444
OpenAlexW121634664

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 1 more above

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.