Evidence map›Paper›PMID 26442267›Full record

ReviewFrontiers in medicine2015

Story of Rubidium-82 and Advantages for Myocardial Perfusion PET Imaging.

Jean-François Chatal, François Rouzet, Ferid Haddad, Cécile Bourdeau, Cédric Mathieu, Dominique Le Guludec

Abstract readReview
In one paragraph

Review in Frontiers in medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Enhanced accuracy of cardiacEuropean journal of nuclear medicine and molecular imaging · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Rubidium-82 generator yield and efficiency for PET perfusion imaging: Comparison of two clinical systems.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  9. Renal Potassium Excretion Visualized onNuclear medicine and molecular imaging · 2020
    Article
  10. Rubidium-82 PET imaging is feasible in a rat myocardial infarction model.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  11. Application ofBrain and behavior · 2019
    Article
  12. Updates on the Role of Imaging in Cardiac Sarcoidosis.Current treatment options in cardiovascular medicine · 2018
    Review
  13. SPECT and PET in ischemic heart failure.Heart failure reviews · 2017
    Review
  14. SPECT myocardial blood flow quantitation toward clinical use: a comparative study withEuropean journal of nuclear medicine and molecular imaging · 2017
    Article
  15. Review
  16. Review
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

6 authors.

Jean-François ChatalGroupement d'Intérêt Public Arronax, University of Nantes , Saint-Herblain , France.
François RouzetUMR 1148, Department of Nuclear Medicine, Bichat Hospital, Assistance Publique Hôpitaux de Paris, DHU FIRE (Fibrosis, Inflammation, Remodeling in Cardiovascular, Respiratory and Renal Diseases), Paris-Diderot University , Paris , France.
Ferid HaddadGroupement d'Intérêt Public Arronax, University of Nantes , Saint-Herblain , France.
Cécile BourdeauGroupement d'Intérêt Public Arronax, University of Nantes , Saint-Herblain , France.
Cédric MathieuDepartment of Nuclear Medicine, Nantes University Hospital , Nantes , France.
Dominique Le GuludecUMR 1148, Department of Nuclear Medicine, Bichat Hospital, Assistance Publique Hôpitaux de Paris, DHU FIRE (Fibrosis, Inflammation, Remodeling in Cardiovascular, Respiratory and Renal Diseases), Paris-Diderot University , Paris , France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rubidium-82 has a long story, starting in 1954. After preclinical studies in dogs showing that myocardial uptake of this radionuclide was directly proportional to myocardial blood flow (MBF), clinical studies were performed in the 80s leading to an approval in the USA in 1989. From that time, thousands of patients have been tested and their results have been reported in three meta-analyses. Pooled patient-based sensitivity and specificity were, respectively, 0.91 and 0.90. By comparison with (99m)Tc-SPECT, (82)Rb PET had a much better diagnostic accuracy, especially in obese patients with body mass index ≥30 kg/m(2) (85 versus 67% with SPECT) and in women with large breasts. A great advantage of (82)Rb PET is its capacity to accurately quantify MBF. Quite importantly, it has been recently shown that coronary flow reserve is associated with adverse cardiovascular events independently of luminal angiographic severity. Moreover, coronary flow reserve is a functional parameter particularly useful in the estimate of microvascular dysfunction, such as in diabetes mellitus. Due to the very short half-life of rubidium-82, the effective dose calculated for a rest/stress test is roughly equivalent to the annual natural exposure and even less when stress-only is performed with a low activity compatible with a good image quality with the last generation 3D PET scanners. There is still some debate on the relative advantages of (82)Rb PET with regard to (99m)Tc-SPECT. For the last 10 years, great technological advances substantially improved performances of SPECT with its accuracy getting closer to this of (82)Rb/PET. Currently, the main advantages of PET are its capacity to accurately quantify MBF and to deliver a low radiation exposure.

Indexed as

myocardial perfusionPET imagingrubidium-82

Identifiers

PMID26442267
PMCPMC4566054

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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.