ReviewJournal of the American College of Cardiology2014
Patient-centered imaging: shared decision making for cardiac imaging procedures with exposure to ionizing radiation.
Review in Journal of the American College of Cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 133 citations in OpenAlex.
- A systematic review of the hybrid machine learning models for brain tumour segmentation and detection in medical images.Frontiers in artificial intelligence · 2025Pooled it
- Radiation Safety in Children With Congenital and Acquired Heart Disease: A Scientific Position Statement on Multimodality Dose Optimization From the Image Gently Alliance.JACC. Cardiovascular imaging · 2017Guideline
- Diagnostic Performance of PET Versus SPECT Myocardial Perfusion Imaging in Patients with Smaller Left Ventricles: A Substudy of theJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2021Trial
- Patient satisfaction with coronary CT angiography, myocardial CT perfusion, myocardial perfusion MRI, SPECT myocardial perfusion imaging and conventional coronary angiography.European radiology · 2015Trial
- Artificial Intelligence-Driven Cost Savings from Emergency Department Chest Pain Patient Evaluation: A Monte Carlo Simulation.The western journal of emergency medicine · 2026Article
- Sociodemographic factors associated with public awareness of medical radiation risks and safety practices in the West Bank, Palestine: a cross-sectional study.BMC public health · 2026Article
- Diagnostic Performance of a Novel AI-Guided Coronary Computed Tomography Algorithm for Predicting Myocardial Ischemia (AI-QCTJournal of the Society for Cardiovascular Angiography & Interventions · 2026Article
- National cost savings, operational and safety benefits from use of magnetocardiography in the assessment of emergency department chest pain patients.American heart journal plus : cardiology research and practice · 2024Article
- Performance of an artificial intelligence-guided quantitative coronary computed tomography algorithm for predicting myocardial ischemia in real-world practice.International journal of cardiology. Heart & vasculature · 2024Article
- Impact of atherosclerosis imaging-quantitative computed tomography on diagnostic certainty, downstream testing, coronary revascularization, and medical therapy: the CERTAIN study.European heart journal. Cardiovascular Imaging · 2024Article
- Shared Decision-making in Palliative and End-of-life Care in the Cardiac Intensive Care Unit.US cardiology · 2024Review
- 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 · 2023Article
- A Multimedia Strategy to Integrate Introductory Broad-Based Radiation Science Education in US Medical Schools.Journal of the American College of Radiology : JACR · 2023Review
- Imaging of heart disease in women: review and case presentation.European journal of nuclear medicine and molecular imaging · 2022Review
- Evaluation of DNA damage induced by ionizing radiation from myocardial perfusion imaging: a pilot study.BMC cardiovascular disorders · 2022Article
- Development, diagnostic performance, and interobserver agreement of aJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022Article
- Radiation dose reduction with deep-learning image reconstruction for coronary computed tomography angiography.European radiology · 2022Article
- Article
- Insights into Nuclear Cardiology in the United States from the first 3 years of the ImageGuide Registry.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022Article
- Can manipulation of gut microbiota really be transformed into an intervention strategy for cardiovascular disease management?Folia microbiologica · 2021Review
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Authors and funding
23 authors at 18 institutions in 3 countries.
Funding
Abstract
The current paper details the recommendations arising from an NIH-NHLBI/NCI-sponsored symposium held in November 2012, aiming to identify key components of a radiation accountability framework fostering patient-centered imaging and shared decision-making in cardiac imaging. Symposium participants, working in 3 tracks, identified key components of a framework to target critical radiation safety issues for the patient, the laboratory, and the larger population of patients with known or suspected cardiovascular disease. The use of ionizing radiation during an imaging procedure should be disclosed to all patients by the ordering provider at the time of ordering, and reinforced by the performing provider team. An imaging protocol with effective dose ≤3 mSv is considered very low risk, not warranting extensive discussion or written informed consent. However, a protocol effective dose >20 mSv was proposed as a level requiring particular attention in terms of shared decision-making and either formal discussion or written informed consent. Laboratory reporting of radiation dosimetry is a critical component of creating a quality laboratory fostering a patient-centered environment with transparent procedural methodology. Efforts should be directed to avoiding testing involving radiation, in patients with inappropriate indications. Standardized reporting and diagnostic reference levels for computed tomography and nuclear cardiology are important for the goal of public reporting of laboratory radiation dose levels in conjunction with diagnostic performance. The development of cardiac imaging technologies revolutionized cardiology practice by allowing routine, noninvasive assessment of myocardial perfusion and anatomy. It is now incumbent upon the imaging community to create an accountability framework to safely drive appropriate imaging utilization.
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What OpenQuestion holds
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.