Evidence map›Paper›PMID 22527795›Full record

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

Feasibility of myocardial perfusion imaging with half the radiation dose using ordered-subset expectation maximization with resolution recovery software.

Nili Zafrir, Alejandro Solodky, Avi Ben-Shlomo, Israel Mats, Roman Nevzorov, Alexander Battler, Ariel Gutstein

Abstract read
PubMed Publisher
In one paragraph

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Dose reduction in half-time myocardial perfusion SPECT-CT with multifocal collimation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016
    Trial
  2. Article
  3. Article
  4. Article
  5. Applying a correction factor to gated blood pool SPECT left ejection fraction value: Can this approach be used to get around a longstanding hurdle?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  6. Article
  7. Investigation of dose reduction in cardiac perfusion SPECT via optimization and choice of the image reconstruction strategy.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. 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

7 authors.

Nili ZafrirNuclear Cardiology Unit, Department of Cardiology, Rabin Medical Center, Beilinson Campus, 49100 Petach Tikva, Israel. zafrirmd@isdn.net.il
Alejandro Solodky
Avi Ben-Shlomo
Israel Mats
Roman Nevzorov
Alexander Battler
Ariel Gutstein

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study sought to assess the feasibility of performing myocardial perfusion imaging (MPI) with half the technetium activity using ordered-subset expectation maximization with resolution recovery (OSEM-RR), an iterative reconstruction software developed to improve count statistics and acquisition time.

methodsTwo hundred eighteen patients referred for MPI were randomly allocated to undergo stress-rest or rest-stress protocols with standard full-dose (FD) injections of technetium (Tc)-99m sestamibi or half-dose (HD) injections and OSEM-RR processing. Dose activities were adjusted individually by weight. The groups were compared for image quality and clinical results.

resultsThe groups were similar for mean patient age, weight, and body mass index, sex distribution, pre-test probability of CAD and CAD prevalence. Mean Tc-99m activities for the low-dose and high-dose stages were as follows: FD group: 429 ± 85 MBq and 1132 ± 200 MBq; HD group: 263 ± 129 MBq and 629 ± 85 MBq (P < .0001 for both). Mean effective dose per study was 13.6 ± 1.4 mSv in the FD group and 7.7 ± 1.0 mSv in the HD group (P < .001). Over all image quality was good-to-excellent in 98% and 95% of the groups, respectively. However, when we analyzed the low-dose stage separately, image quality was slightly worse in the HD than the FD, though still within the good-to excellent range.

conclusionsMPI with nearly half the radiation dose is feasible with good image quality.

Indexed as

RadiopharmaceuticalsTechnetiumAgedAlgorithmsBody WeightCoronary Artery DiseaseFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedMyocardial Perfusion ImagingMyocardiumObserver VariationProbabilityReproducibility of ResultsRadiopharmaceuticalsTechnetium

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.