Evidence map›Paper›PMID 23622506›Full record

ArticleJournal of cardiovascular computed tomography

A direct comparison of the sensitivity of CT and MR cardiac perfusion using a myocardial perfusion phantom.

James Otton, Geraint Morton, Andreas Schuster, Boris Bigalke, Riccardo Marano, Luca Olivotti, Eike Nagel, Amedeo Chiribiri

Open access · hybridAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of cardiovascular computed tomography. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. SimultaneousEuropean journal of hybrid imaging · 2019
    Article
  6. Article
  7. Review
  8. Review
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

8 authors at 2 institutions in 3 countries.

James OttonKing's College London, Division of Imaging Sciences, The Rayne Institute, Wing, St. Thomas' Hospital, London SE1 7EH, United Kingdom. jotton@gmail.com
Geraint Morton
Andreas Schuster
Boris Bigalke
Riccardo Marano
Luca Olivotti
Eike Nagel
Amedeo Chiribiri
King's College London · GBSt Thomas' Hospital · GB

Funding

Biotechnology and Biological Sciences Research CouncilBritish Heart Foundation FS/10/029/28253British Heart Foundation RE/08/003Department of HealthWellcome TrustWellcome Trust WT 088641/Z/09/Z.
6 · The paper itself

Abstract

backgroundDirect comparison of CT and magnetic resonance (MR) perfusion techniques has been limited and in vivo assessment is affected by physiological variability, timing of image acquisition, and parameter selection.

objectiveWe precisely compared high-resolution k-t SENSE MR cardiac perfusion at 3 T with single-phase CT perfusion (CTP) under identical imaging conditions.

methodsWe used a customized MR imaging and CT compatible dynamic myocardial perfusion phantom to represent the human circulation. CT perfusion studies were performed with a Philips iCT (256 slice) CT, with isotropic resolution of 0.6 mm(3). MR perfusion was performed with k-t SENSE acceleration at 3 T and spatial resolution of 1.2 × 1.2 × 10 mm. The image contrast between normal and underperfused myocardial compartments was quantified at various perfusion and photon energy settings. Noise estimates were based on published clinical data.

resultsContrast by CTP highly depends on photon energy and also timing of imaging within the myocardial perfusion upslope. For an identical myocardial perfusion deficit, the native image contrast-to-noise ratio (CNR) generated by CT and MR are similar. If slice averaging is used, the CNR of a perfusion deficit is expected to be greater for CTP than MR perfusion (MRP). Perfect timing during single time point CTP imaging is difficult to achieve, and CNR by CT decreases by 24%-31% two seconds from the optimal imaging time point. Although single-phase CT perfusion offers higher spatial resolution, MRP allows multiple time point sampling and quantitative analysis.

conclusionThe ability of CTP and current optimal MRP techniques to detect simulated myocardial perfusion deficits is similar.

Indexed as

Coronary AngiographyHumansImage EnhancementImage Interpretation, Computer-AssistedMagnetic Resonance AngiographyMyocardial Perfusion ImagingPhantoms, ImagingReproducibility of ResultsSensitivity and SpecificityTomography, X-Ray Computed

Identifiers

PMID23622506
PMCPMC3994525
OpenAlexW2094598103

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.