Evidence map›Paper›PMID 22999722›Full record

Trial reportJournal of the American College of Cardiology2012

Quantification of absolute myocardial perfusion in patients with coronary artery disease: comparison between cardiovascular magnetic resonance and positron emission tomography.

Geraint Morton, Amedeo Chiribiri, Masaki Ishida, Shazia T Hussain, Andreas Schuster, Andreas Indermuehle, Divaka Perera, Juhani Knuuti, Stacey Baker, Erik Hedström and 4 more

2 registry-linked trialsAbstract readClinical TrialComparative Study
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 2 registered trials, which are not on this map. Cited by 111 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 4 pooled it
–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.

NCT03180060 completednot on this mapstarted 2015, after this paper: background citation

Accuracy and Heterogeneity of Stress Imaging for Detecting Coronary Artery Disease: A Systematic Review and Meta-Analysis Using HSROC Methods in 23,051 Patients.

TypeobservationalSponsorAmerican British Cowdray Medical CenterRan2015 to 2016Enrolled23,051ConditionsCoronary Disease, Echocardiography, Fractional Flow Reserve, Myocardial, Hemodynamics
NCT03661827 nacompletednot on this mapstarted 2019, after this paper: background citation

Diagnostic Accuracy in Left Ventricular Systolic Dysfunction for Identifying Coronary Artery Disease With Dobutamine Versus Adenosine Non-invasive Stress Cardiac Magnetic Resonance Evaluation

TypeinterventionalSponsorUniversity of LeicesterRan2019 to 2023Enrolled69ConditionsHeart Failure, Coronary Artery Disease, Cardiac MRIArmsStress Cardiac MRI
3 · Its place in the literature

Who cites it

111 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Advances in Myocardial Perfusion MR Imaging: Physiological Implications, the Importance of Quantitative Analysis, and Impact on Patient Care in Coronary Artery Disease.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2022
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  4. Society for cardiovascular magnetic resonance expert consensus statement on quantitative myocardial perfusion cardiovascular magnetic resonance imaging.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance
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  5. Importance of operator training and rest perfusion on the diagnostic accuracy of stress perfusion cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2018
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  11. SimultaneousFrontiers in medicine · 2025
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51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Geraint MortonKing's College London British Heart Foundation Centre of Excellence, National Institute of Health Research Biomedical Research Centre at Guy's and St. Thomas' NHS Foundation Trust, Wellcome Trust and Engineering and Physical Sciences Research Council Medical Engineering Centre, Division of Imaging Sciences, The Rayne Institute, St. Thomas' Hospital, London, United Kingdom.
Amedeo Chiribiri
Masaki Ishida
Shazia T Hussain
Andreas Schuster
Andreas Indermuehle
Divaka Perera
Juhani Knuuti
Stacey Baker
Erik Hedström
Paul Schleyer
Michael O'Doherty
Sally Barrington
Eike Nagel

Funding

British Heart Foundation FS/10/029/28253British Heart Foundation RE/08/003Wellcome Trust 088641Wellcome Trust WT 088641/Z/09/Z
6 · The paper itself

Abstract

objectivesThe aim of this study was to compare fully quantitative cardiovascular magnetic resonance (CMR) and positron emission tomography (PET) myocardial perfusion and myocardial perfusion reserve (MPR) measurements in patients with coronary artery disease (CAD).

backgroundAbsolute quantification of myocardial perfusion and MPR with PET have proven diagnostic and prognostic roles in patients with CAD. Quantitative CMR perfusion imaging has been established more recently and has been validated against PET in normal hearts. However, there are no studies comparing fully quantitative CMR against PET perfusion imaging in patients with CAD.

methodsForty-one patients with known or suspected CAD prospectively underwent quantitative (13)N-ammonia PET and CMR perfusion imaging before coronary angiography.

resultsThe CMR-derived MPR (MPR(CMR)) correlated well with PET-derived measurements (MPR(PET)) (r = 0.75, p < 0.0001). MPR(CMR) and MPR(PET) for the 2 lowest scoring segments in each coronary territory also correlated strongly (r = 0.79, p < 0.0001). Absolute CMR perfusion values correlated significantly, but weakly, with PET values both at rest (r = 0.32; p = 0.002) and during stress (r = 0.37; p < 0.0001). Area under the receiver-operating characteristic curve for MPR(PET) to detect significant CAD was 0.83 (95% confidence interval: 0.73 to 0.94) and for MPR(CMR) was 0.83 (95% confidence interval: 0.74 to 0.92). An MPR(PET) ≤1.44 predicted significant CAD with 82% sensitivity and 87% specificity, and MPR(CMR) ≤1.45 predicted significant CAD with 82% sensitivity and 81% specificity.

conclusionsThere is good correlation between MPR(CMR) and MPR(PET.) For the detection of significant CAD, MPR(PET) and MPR(CMR) seem comparable and very accurate. However, absolute perfusion values from PET and CMR are only weakly correlated; therefore, although quantitative CMR is clinically useful, further refinements are still required.

Indexed as

Myocardial Perfusion ImagingAgedCoronary Artery DiseaseFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPositron-Emission TomographyReproducibility of Results

Identifiers

PMID22999722
PMCPMC7611225

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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.