ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2016
Comparative accuracy of supine-only and combined supine-prone myocardial perfusion imaging in men.
Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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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.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Significant myocardial perfusion defect during stress visible in prone but not in supine imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023Article
- First validation of stress myocardial perfusion scintigraphy using a novel reconstruction process.Annals of nuclear medicine · 2023Article
- Prone-only SPECT myocardial perfusion imaging: An alternative standard in clinical practice?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022Article
- Men are from Mars and women are from Venus: The nuclear cardiology point of view.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021Article
- Prospective diagnostic performance of semiconductor SPECT myocardial perfusion imaging: wall thickening analysis reduces the need for an additional prone acquisition.European journal of nuclear medicine and molecular imaging · 2019Article
- Single Photon Emission Computed Tomography (SPECT) Myocardial Perfusion Imaging Guidelines: Instrumentation, Acquisition, Processing, and Interpretation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018Review
- The Private Practice Corner: A new column in the Journal of Nuclear Cardiology.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017Article
- Reducing radiation to patients and improving image quality in a real-world nuclear cardiology laboratory.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017Review
- Combined supine and prone imaging acquisition in cardiac SPECT: A turn for the better.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016Article
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCombined supine-prone myocardial perfusion imaging (CSP MPI) has been shown to reduce attenuation artifact in comparison to supine-only (SU) MPI in mixed-gender populations with varying risk for coronary artery disease (CAD), often where patients served as their own controls. However, there is limited direct comparison of these imaging strategies in men.
methods934 male patients underwent CSP or SU MPI. Diagnostic certainty of interpretation was compared. Within the cohort, 116 were referred for left heart catheterization (LHC) to assess for CAD. Sensitivity, specificity, and area under the curve (AUC) were compared with additional analysis based on body mass index (BMI).
results597 patients completed the SU protocol and 337 patients completed the CSP protocol. Equivocal studies were seen more frequently in the SU group (13%) than in the CSP group (4%, P < .001). At catheterization, the specificity for CSP MPI of 70% was higher than 40% for SU MPI (P = .032). The CSP AUC (0.80 ± 0.06) was significantly larger than SU AUC (0.57 ± 0.05, P = .004). CSP specificity was significantly higher in obese patients.
conclusionsCSP MPI increases diagnostic certainty and improves test accuracy for CAD detection in men with CAD risk factors, especially obese patients, compared to SU MPI.
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