Evidence map›Paper›PMID 23127055›Full record

ArticleMedical physics2012

Single-scan rest∕stress imaging (18)F-labeled flow tracers.

Nathaniel Alpert, Yu-Hua Dean Fang, Georges El Fakhri

Open access · hybridAbstract read
In one paragraph

Article in Medical physics, 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
0.5field-weighted citation impact, top 31% 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.

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, 16 citations in OpenAlex.

  1. Technical evaluation of immediate back-to-back rest-stress positron emission tomography scanning withJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2025
    Article
  2. Flurpiridaz F 18: First Approval.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2025
    Review
  3. Impact of residual subtraction on myocardial blood flow and reserve estimates from rapid dynamic PET protocols.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  4. PET Parametric Imaging: Past, Present, and Future.IEEE transactions on radiation and plasma medical sciences · 2020
    Article
  5. Article
  6. Quantification of PET Myocardial Blood Flow.Current cardiology reports · 2019
    Review
  7. Article
  8. Searching for novel PET radiotracers: imaging cardiac perfusion, metabolism and inflammation.American journal of nuclear medicine and molecular imaging · 2018
    Review
  9. Article
  10. Single-scan rest/stress imaging: validation in a porcine model withEuropean journal of nuclear medicine and molecular imaging · 2017
    Article
  11. Article
  12. Article
  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

3 authors at 2 institutions in 1 country.

Nathaniel AlpertDepartment of Radiology, Massachusetts General Hospital, Boston, MA 02114, USA.
Yu-Hua Dean Fang
Georges El Fakhri
Harvard University · USMassachusetts General Hospital · US

Funding

Quantitative Oncologic PET-MRR01CA165221 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI EL FAKHRI, GEORGES · 2012 to 2023
$4.7M
Quantitative Cardiac PETR01HL110241 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI EL FAKHRI, GEORGES · 2011 to 2014
$1.9M
Quantitative Dual Isotope ECTR56HL095076 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI EL FAKHRI, GEORGES · 2009 to 2009
$500k
PET imaging of mitochondrial complex I expressionR21EB016315 · NIBIB · MASSACHUSETTS GENERAL HOSPITAL · PI EL FAKHRI, GEORGES · 2012 to 2013
$465k
NCI NIH HHS R01 CA165221NHLBI NIH HHS R01 HL110241NHLBI NIH HHS R01-HL110241NHLBI NIH HHS R56 HL095076NHLBI NIH HHS R56-HL095076NIBIB NIH HHS R21 EB016315
6 · The paper itself

Abstract

purposeThe authors report a novel measurement strategy to obtain both rest and stress blood flow during a single, relatively short, scan session.

methodsMeasurement of rest-stress myocardial blood flow with long-lived tracers usually requires separate scan sessions to remove the confounding effects of residual radioactivity concentration in the blood and tissue. The innovation of this method is to treat the rest-stress scan as a single entity in which the flow parameters change due to pharmacological challenge. With this approach the fate of a tracer molecule is naturally accounted for, no matter if it was introduced during the rest or stress phase of the study. Two new dual-injection kinetic models are considered that represent the response to pharmacological stress as a transitional or transient increase of myocardial blood flow. The authors present the theory of the method followed by the specific application of the theory to (18)F-Flurpiridaz, a new myocardial flow-imaging agent.

resultsMyocardial blood flow was accurately and precisely estimated from a single-scan rest∕stress study for the long half-lived tracer (18)F-Flurpiridaz. By accounting for the time-dependence of the kinetic parameters, the proposed models achieved good accuracy and precision (5%) under different vasodilators and different ischemic states.

conclusionsDetailed simulations predict that accurate and precise rest-stress blood flow measurements can be obtained in 20-30 min.

Indexed as

Coronary CirculationPyridazinesRestStress, PhysiologicalFeasibility StudiesHeartHumansKineticsModels, BiologicalPositron-Emission TomographyRadioactive TracersBMS 747158-02PyridazinesRadioactive Tracers

Identifiers

PMID23127055
PMCPMC3482258
OpenAlexW2024521986

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.