Evidence map›Paper›PMID 25410469›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2015

Single low-dose CT scan optimized for rest-stress PET attenuation correction and quantification of coronary artery calcium.

Tyler S Kaster, Girish Dwivedi, Leah Susser, Jennifer M Renaud, Rob S B Beanlands, Benjamin J W Chow, Robert A deKemp

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In one paragraph

Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. The impact of coronary calcium score as an addition to myocardial perfusion imaging in altering clinical management (ICCAMPA trial).Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  5. Automated cardiovascular risk categorization through AI-driven coronary calcium quantification in cardiac PET acquired attenuation correction CT.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  6. Article
  7. Performance of visual, manual, and automatic coronary calcium scoring of cardiacJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  8. PET-derived bone information from 18F-sodium fluoride: A perfect match for whole-body PET/MR attenuation correction?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  9. Review
  10. Article
  11. Leveraging latest computer science tools to advance nuclear cardiology.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  12. Clinical performance of Rb-82 myocardial perfusion PET and Tc-99m-based SPECT in patients with extreme obesity.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  13. Automatic determination of cardiovascular risk by CT attenuation correction maps in Rb-82 PET/CT.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  14. Coronary calcium scoring of CT attenuation correction scans: Automatic, manual, or visual?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  15. Combined evaluation of regional coronary artery calcium and myocardial perfusion byEuropean journal of nuclear medicine and molecular imaging · 2018
    Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Low-dose CT-derived attenuation scan: One acquisition, more applications?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Tyler S KasterThe National Cardiac PET Centre, Division of Cardiology, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, ON, K1Y 4W7, Canada.
Girish Dwivedi
Leah Susser
Jennifer M Renaud
Rob S B Beanlands
Benjamin J W Chow
Robert A deKemp

Funding

Canadian Institutes of Health Research MIS-100935
6 · The paper itself

Abstract

backgroundCoronary artery calcium is an important marker of coronary artery disease. Myocardial perfusion imaging (MPI) using PET-CT technology requires a CT scan for attenuation correction (CTAC) but is not used routinely to measure coronary calcium burden. This study aimed to determine if a low-dose CTAC scan can also accurately quantify coronary artery calcium.

methodsTwenty-three patients underwent both a traditional coronary artery calcium scan on a dedicated cardiac CT scanner (CAC-CT) and a myocardial perfusion scan on a hybrid PET-CT scanner. The standard MPI protocol includes rest and stress-matched PET and CTAC scans. The post-stress CTAC scan was modified to approximate the CAC-CT scan protocol while maintaining ~0.5 mSv dose. Coronary artery calcium scores were compared between the Ca-CTAC and CAC-CT scans.

resultsThe modified Ca-CTAC scan showed a trend toward slight decreases in segmental stress perfusion of 2-3.5% in the anterior wall segments (P < 0.05). Correlation and agreement between the proposed Ca-CTAC and standard CAC-CT calcium scores at the optimal threshold of 110 HU were also excellent (r (2) = 0.99, κ = 1.0). There was a small difference in the regression slope vs unity: Ca-CTAC = 0.96 × CAC (P < 0.05), but the categorical classification of calcium was accurate in all twenty-three patients (κ = 1.0).

conclusionA single low-dose rest CTAC scan can be used for accurate attenuation correction of rest and stress PET perfusion images, thus allowing a post-stress CTAC scan to be optimized for improved quantification of coronary artery calcium without increasing radiation dose vs standard protocols.

Indexed as

AdultAgedAged, 80 and overCalcinosisCalciumCohort StudiesCoronary Artery DiseaseCoronary VesselsFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedMyocardial Perfusion ImagingPerfusionPositron-Emission TomographyCalcium

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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.