Evidence map›Paper›PMID 24815588›Full record

ArticleEchocardiography (Mount Kisco, N.Y.)2015

Comparison of quantitative wall-motion analysis and strain for detection of coronary stenosis with three-dimensional dobutamine stress echocardiography.

Katherine M Parker, Alexander P Clark, Norman C Goodman, David K Glover, Jeffrey W Holmes

Open access · greenAbstract readComparative Study
In one paragraph

Article in Echocardiography (Mount Kisco, N.Y.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

Katherine M ParkerDepartment of Biomedical Engineering, University of Virginia, Charlottesville, Virginia.
Alexander P Clark
Norman C Goodman
David K Glover
Jeffrey W Holmes
University of Virginia · US

Funding

Model-Based Design of Wall Motion Measures for 4-Dimensional Cardiac ImagingR01HL085160 · NHLBI · UNIVERSITY OF VIRGINIA · PI HOLMES, JEFFREY W · 2008 to 2012
$1.8M
NHLBI NIH HHS R01 HL-085160NHLBI NIH HHS R01 HL085160
6 · The paper itself

Abstract

backgroundQuantitative analysis of wall motion from three-dimensional (3D) dobutamine stress echocardiography (DSE) could provide additional diagnostic information not available from qualitative analysis. In this study, we compare the effectiveness of 3D fractional shortening (3DFS), a measure of wall motion computed from 3D echocardiography (3DE), to strain and strain rate measured with sonomicrometry for detecting critical stenoses during DSE.

methodsEleven open-chest dogs underwent DSE both with and without a critical stenosis. 3DFS was measured from 3DE images acquired at peak stress. 3DFS was normalized by subtracting average 3DFS during control peak stress (∆3DFS). Strains in the perfusion defect (PD) were measured from sonomicrometry, and PD size and location were measured with microspheres.

resultsA ∆3DFS abnormality indicated the presence of a critical stenosis with high sensitivity and specificity (88% and 100%, respectively), and ∆3DFS abnormality size correlated with PD size (R(2) = 0.54). The sensitivity and specificity for ∆3DFS were similar to that for area strain (88%, 100%) and circumferential strain and strain rate (88%, 92% and 88%, 86%, respectively), while longitudinal strain and strain rate were less specific. ∆3DFS correlated significantly with both coronary flow reserve (R(2) = 0.71) and PD size (R(2) = 0.97), while area strain correlated with PD size only (R(2) = 0.67), and other measures were not significantly correlated with flow reserve or PD size.

conclusionQuantitative wall-motion analysis using ∆3DFS is effective for detecting critical stenoses during DSE, performing similar to 3D strain, and provides potentially useful information on the size and location of a perfusion defect.

Indexed as

DobutamineEchocardiography, StressEchocardiography, Three-DimensionalAnimalsCardiotonic AgentsCoronary StenosisDisease Models, AnimalDogsSensitivity and SpecificityCardiotonic AgentsDobutaminecardiac mechanicscoronary artery diseasedemand ischemiaperfusion

Identifiers

PMID24815588
PMCPMC4415736
OpenAlexW2087476582

What OpenQuestion holds

Textmetadata
LicenceTDM
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.