Evidence map›Paper›PMID 24715624›Full record

Trial reportJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2014

Cardiovascular implantable electronic device infection: delayed vs standard FDG PET-CT imaging.

Lucia Leccisotti, Francesco Perna, Mariaelena Lago, Milena Leo, Antonella Stefanelli, Maria L Calcagni, Gemma Pelargonio, Maria L Narducci, Gianluigi Bencardino, Fulvio Bellocci and 1 more

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02196753 (Positron Emission Tomography Combined With Computed Tomography), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% 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.

NCT02196753 unknown statusnot on this map

Positron Emission Tomography Combined With Computed Tomography (PET CT) in Suspected Cardiovascular Implantable Electronic Device Infection, a Pilot Study - PET Guidance I

TypeobservationalSponsorNational Institute of Cardiology, Warsaw, PolandRan2014 to 2017Enrolled40ConditionsComplications, Infective Endocarditis, Implant Site Pocket Infection, Fever of Unknown OriginArmsPET CT
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. EANM/SNMMI guideline/procedure standard for [European journal of nuclear medicine and molecular imaging · 2025
    Guideline
  2. Role ofJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Pooled it
  3. Expert consensus on workflow of PET/CT with long axial field-of-view.European journal of nuclear medicine and molecular imaging · 2025
    Review
  4. Review
  5. Article
  6. The Role of theJournal of personalized medicine · 2024
    Article
  7. Review
  8. Review
  9. Accuracy ofJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  10. Nuclear Imaging in Infective Endocarditis.Pharmaceuticals (Basel, Switzerland) · 2021
    Review
  11. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  12. Review
  13. Current cardiology reports · 2021
    Review
  14. Article
  15. State of the art ofClinical and translational imaging · 2021
    Review
  16. Article
  17. Article
  18. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  19. Article
  20. Dual-time-point FDG PET/CT imaging in prosthetic heart valve endocarditis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    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 1 institution in 1 country.

Lucia LeccisottiInstitute of Nuclear Medicine, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, 00168, Rome, Italy, lucia.leccisotti@rm.unicatt.it.
Francesco Perna
Mariaelena Lago
Milena Leo
Antonella Stefanelli
Maria L Calcagni
Gemma Pelargonio
Maria L Narducci
Gianluigi Bencardino
Fulvio Bellocci
Alessandro Giordano
Università Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPositron emission tomography-computed tomography (PET-CT) with (18)F-fluorodeoxyglucose (FDG) has emerged as a rapidly evolving diagnostic tool for infectious diseases. However, the optimal imaging time in this clinical setting is not clear yet. The aim of this study is to investigate whether delayed (3 hours) FDG PET-CT could increase the diagnostic accuracy of this technique compared to standard (1 hour) imaging in the detection of septic foci involving the pocket and/or pacing leads in patients with suspected cardiovascular implantable electronic device (CIED) infection scheduled for device removal. METHODS AND

resultsTwenty-seven patients underwent standard and delayed imaging. PET-CT results were compared to bacteriological cultures after CIED removal. Fifteen controls free of infection underwent PET-CT imaging as part of investigation of malignancy. The diagnostic accuracy of delayed imaging was significantly higher than 1-hour scan for lead infection (70% vs 51%, P = .024). No significant difference was found between standard and delayed diagnostic accuracy for pocket or device infection. Semi-quantitative analysis showed that mean pocket and lead target-to-background ratio were significantly higher on delayed compared to standard imaging (3.7 ± 1.9 vs 1.6 ± 1.1, P = .0002; 3.0 ± 1.3 vs 0.7 ± 1.0, P = .01).

conclusionsDelayed FDG PET-CT imaging should be considered at least in patients with negative 1-hour scan and founded suspicion of pacing lead infection.

Indexed as

Fluorodeoxyglucose F18AgedDefibrillators, ImplantableEndocarditisFemaleHumansMaleMultimodal ImagingPacemaker, ArtificialPositron-Emission TomographyProsthesis-Related InfectionsRadiopharmaceuticalsReproducibility of ResultsSensitivity and SpecificityTime FactorsTomography, X-Ray ComputedFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID24715624
OpenAlexW2063714483

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.