Evidence map›Paper›PMID 24376774›Full record

Trial reportPloS one2013

Qualitative and quantitative assessment of adenosine triphosphate stress whole-heart dynamic myocardial perfusion imaging using 256-slice computed tomography.

Akira Kurata, Naoto Kawaguchi, Teruhito Kido, Katsuji Inoue, Jun Suzuki, Akiyoshi Ogimoto, Jun-ichi Funada, Jitsuo Higaki, Masao Miyagawa, Mani Vembar and 1 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2013. 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
3.7field-weighted citation impact, top 8% 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, 33 citations in OpenAlex.

  1. Article
  2. Review
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  4. Role of DECT in coronary artery disease: a comparative study with ICA and SPECT.Diagnostic and interventional radiology (Ankara, Turkey) · 2020
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  11. Clinical value of high duke treadmill score with myocardial perfusion SPECT.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016
    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

11 authors at 3 institutions in 2 countries.

Akira KurataDepartment of Diagnostic and Therapeutic Radiology, Ehime University Graduate School of Medicine, Ehime, Japan.
Naoto KawaguchiDepartment of Diagnostic and Therapeutic Radiology, Ehime University Graduate School of Medicine, Ehime, Japan.
Teruhito KidoDepartment of Diagnostic and Therapeutic Radiology, Ehime University Graduate School of Medicine, Ehime, Japan.
Katsuji InoueDepartment of Integrated Medicine and Informatics, Ehime University Graduate School of Medicine, Ehime, Japan.
Jun SuzukiDepartment of Integrated Medicine and Informatics, Ehime University Graduate School of Medicine, Ehime, Japan.
Akiyoshi OgimotoDepartment of Integrated Medicine and Informatics, Ehime University Graduate School of Medicine, Ehime, Japan.
Jun-ichi FunadaDepartment of Cardiology, National Hospital Organization, Ehime National Hospital, Ehime, Japan.
Jitsuo HigakiDepartment of Integrated Medicine and Informatics, Ehime University Graduate School of Medicine, Ehime, Japan.
Masao MiyagawaDepartment of Diagnostic and Therapeutic Radiology, Ehime University Graduate School of Medicine, Ehime, Japan.
Mani VembarCT Clinical Science, Philips Healthcare, Cleveland, Ohio, United States of America.
Teruhito MochizukiDepartment of Diagnostic and Therapeutic Radiology, Ehime University Graduate School of Medicine, Ehime, Japan.
Ehime University · JPNational Hospital Organization · JPPhilips (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate the correlation of the qualitative transmural extent of hypoperfusion areas (HPA) using stress dynamic whole-heart computed tomography perfusion (CTP) imaging by 256-slice CT with CTP-derived myocardial blood flow (MBF) for the estimation of the severity of coronary artery stenosis. METHODS AND

resultsEleven patients underwent adenosine triphosphate (0.16 mg/kg/min, 5 min) stress dynamic CTP by 256-slice CT (coverage: 8 cm, 0.27 s/rotation), and 9 of the 11 patients underwent coronary angiography (CAG). Stress dynamic CTP (whole-heart datasets over 30 consecutive heart beats in systole without spatial and temporal gaps) was acquired with prospective ECG gating (effective radiation dose: 10.4 mSv). The extent of HPAs was visually graded using a 3-point score (normal, subendocardial, transmural). MBF (ml/100g/min) was measured by deconvolution. Differences in MBF (mean ± standard error) according to HPA and CAG results were evaluated. In 27 regions (3 major coronary territories in 9 patients), 11 coronary stenoses (> 50% reduction in diameter) were observed. In 353 myocardial segments, HPA was significantly related to MBF (P < 0.05; normal 295 ± 94; subendocardial 186 ± 67; and transmural 80 ± 53). Coronary territory analysis revealed a significant relationship between coronary stenosis severity and MBF (P < 0.05; non-significant stenosis [< 50%], 284 ± 97; moderate stenosis [50-70%], 184 ± 74; and severe stenosis [> 70%], 119 ± 69).

conclusionThe qualitative transmural extent of HPA using stress whole-heart dynamic CTP imaging by 256-slice CT exhibits a good correlation with quantitative CTP-derived MBF and may aid in assessing the hemodynamic significance of coronary artery disease.

Indexed as

Adenosine TriphosphateCoronary CirculationCoronary StenosisFemaleHeartHumansImage Processing, Computer-AssistedMaleMiddle AgedMyocardial Perfusion ImagingProspective StudiesSensitivity and SpecificityStress, PhysiologicalTomography, X-Ray ComputedAdenosine Triphosphate

Identifiers

PMID24376774
PMCPMC3871670
OpenAlexW1975426008

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.