Evidence map›Paper›PMID 22996831›Full record

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

Accuracy of low-dose rubidium-82 myocardial perfusion imaging for detection of coronary artery disease using 3D PET and normal database interpretation.

Tyler Kaster, Ilias Mylonas, Jennifer M Renaud, George A Wells, Rob S B Beanlands, Robert A deKemp

Registry-linked trialAbstract 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. It is linked to trial NCT01128023 (Rubidium-82 - An Alternative Radiopharmaceutical for Myocardial Imaging), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.5field-weighted citation impact, top 6% 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.

NCT01128023 completednot on this map

Rubidium-82 - An Alternative Radiopharmaceutical for Myocardial Imaging(Rb-ARMI)

TypeobservationalSponsorOttawa Heart Institute Research CorporationRan2010 to 2018Enrolled10,000ConditionsCoronary Artery DiseaseArmsMyocardial perfusion imaging using Rb-82 PET or Tc-99m or Tl SPECT
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 49 citations in OpenAlex.

  1. Consistent tracer administration profile improves test-retest repeatability of myocardial blood flow quantification withJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Trial
  2. Review
  3. Exponential dosing to standardize myocardial perfusion image quality with rubidium-82 PET.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  4. Article
  5. Review
  6. Review
  7. Clinical performance of Rb-82 myocardial perfusion PET and Tc-99m-based SPECT in patients with extreme obesity.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  8. Observational
  9. PET should replace SPECT in cardiac imaging for diagnosis and risk assessment of patients with known or suspected CAD: Pro.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Article
  10. Status of cardiovascular PET radiation exposure and strategies for reduction: An Information Statement from the Cardiovascular PET Task Force.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Article
  11. Single low-dose CT scan optimized for rest-stress PET attenuation correction and quantification of coronary artery calcium.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2015
    Article
  12. Noninvasive imaging in coronary artery disease.Seminars in nuclear medicine · 2014
    Review
  13. The role of PET quantification in cardiovascular imaging.Clinical and translational imaging · 2014
    Article
  14. Review
  15. Characterizing the normal range of myocardial blood flow with ⁸²rubidium and ¹³N-ammonia PET imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2013
    Article
  16. Myocardial perfusion imaging with PET.Imaging in medicine · 2013
    Article
  17. Low-dose 3D (82)Rb PET.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Tyler KasterThe National Cardiac PET Centre and Cardiac Research Methods Centre, Division of Cardiology, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, ON K1Y 4W7, Canada.
Ilias Mylonas
Jennifer M Renaud
George A Wells
Rob S B Beanlands
Robert A deKemp
University of Ottawa · CA

Funding

CIHR 100935-1CIHR MIS-100935
6 · The paper itself

Abstract

backgroundOur aim was to develop a normal database to be used for quantification of myocardial perfusion and diagnosis of "obstructive coronary artery disease" (CAD) using low-dose rubidium-82 three-dimensional (3D) positron emission tomography (PET)-CT.

methodsFrom a record of 1,501 patients, 77 were identified as having low-likelihood (LLK) of CAD. Forty LLK patients were used to construct a normal database using 4DM-PET, the remainder used for validation of normalcy. A group of 70 patients with CAD who had invasive coronary angiography and PET-CT were used to evaluate the accuracy of the database for detecting CAD using the sum-stress-score. The effect of clinical exclusion criteria and the inclusion of LLK patients were evaluated.

resultsThe normal database for CAD detection had a normalcy rate of 95%. Sensitivity was 100% for detecting patients with either 50% or 70% stenosis. Optimal specificity was 87% for either 50% or 70% stenosis. For localizing disease at 50% stenosis in the left anterior descending, left circumflex, and right coronary artery, sensitivity ranged from 59% to 68%, while specificity was maintained at 87-89%. Similarly, at 70% stenosis, sensitivity ranged from 64% to 79%, and specificity from 87% to 91%.

conclusionsA normal database containing the relative perfusion scores of patients with LLK of CAD can be used to accurately diagnose obstructive coronary disease using low-dose Rb-82 with 3D PET-CT imaging.

Indexed as

Multimodal ImagingMyocardial Perfusion ImagingPositron-Emission TomographyRadiopharmaceuticalsRubidium RadioisotopesTomography, X-Ray ComputedAdultAgedAged, 80 and overCoronary Artery DiseaseFemaleHumansImaging, Three-DimensionalMaleMiddle AgedPredictive Value of TestsRadiopharmaceuticalsRubidium Radioisotopes

Identifiers

PMID22996831
OpenAlexW1979214878

What OpenQuestion holds

Textmetadata
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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.