Evidence map›Paper›PMID 27033352›Full record

Trial reportJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2016

Dose reduction in half-time myocardial perfusion SPECT-CT with multifocal collimation.

Morgan C Lyon, Courtney Foster, Xinhong Ding, Sharmila Dorbala, Don Spence, Manojeet Bhattacharya, A Hans Vija, Marcelo F DiCarli, Stephen C Moore

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report 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 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. Article
  2. Personalization ofEJNMMI physics · 2023
    Article
  3. Deep learning, another important tool for improving acquisition efficiency in SPECT MPI Imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  4. Article
  5. Effect of reduced photon count levels and choice of normal data on semi-automated image assessment in cardiac SPECT.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  6. Article
  7. Drivers of radiation dose reduction with myocardial perfusion imaging: A large health system experience.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  8. Quantitative Clinical Nuclear Cardiology, Part 1: Established Applications.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Review
  9. Quantitative Clinical Nuclear Cardiology, Part 1: Established Applications.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2019
    Review
  10. Review
  11. Contemporary Cardiac SPECT Imaging-Innovations and Best Practices: An Information Statement from the American Society of Nuclear Cardiology.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  12. 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 · 2018
    Review
  13. New techniques, distinctive population, unique normal databases.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  14. Creation and characterization of normal myocardial perfusion imaging databases using the IQ·SPECT system.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  15. Using advanced technology to reduce the dose of SPECT MPI radiation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2016
    Article
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Morgan C LyonDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA. mlyon@invicro.com.
Courtney FosterDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Xinhong DingMolecular Imaging, Siemens Medical Solutions USA, Inc., Hoffman Estates, IL, USA.
Sharmila DorbalaDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Don SpenceMolecular Imaging, Siemens Medical Solutions USA, Inc., Hoffman Estates, IL, USA.
Manojeet BhattacharyaMolecular Imaging, Siemens Medical Solutions USA, Inc., Hoffman Estates, IL, USA.
A Hans VijaMolecular Imaging, Siemens Medical Solutions USA, Inc., Hoffman Estates, IL, USA.
Marcelo F DiCarliDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Stephen C MooreDivision of Nuclear Medicine, Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent technological advances in myocardial perfusion imaging may warrant the use of lower injected activity. We evaluated whether quantitative measures of stress myocardial perfusion defects using Tc-99m sestamibi and low-energy high-resolution (LEHR) collimators are equivalent to lower dose SPECT-CT with cardiac multifocal collimators and software (IQ·SPECT).

methods93 patients underwent one-day rest-stress gated SPECT-CT. Following conventional rest imaging, 925-1100 MBq (25-30 mCi) of Tc-99m sestamibi was injected during stress testing. Stress SPECT-CT images were acquired two ways: with LEHR (13 minutes) and IQ·SPECT (7 minutes). Low-dose IQ·SPECT stress was simulated by subsampling the full-dose data to half-, quarter-, and eighth-count levels. Abnormalities were quantified using the total perfusion deficit (TPD) score and dose-specific databases.

resultsThe mean ± SD of the differences between LEHR and IQ·SPECT TPD scores were -1.01 ± 5.36%, -0.10 ± 5.81%, 1.78 ± 4.81%, and 1.75 ± 6.05% at full, half, quarter, and eighth doses, respectively. Differences were statistically significant for quarter and eighth doses. Correlation between LEHR and IQ·SPECT was excellent at all doses (R ≥ 0.93). Bland-Altman plots demonstrated minimal bias.

conclusionsWith IQ·SPECT, quantitative stress SPECT-CT imaging is possible with half of the standard injected activity in half the time.

Indexed as

AlgorithmsAdultAgedAged, 80 and overExercise TestFemaleHumansImage EnhancementImage Interpretation, Computer-AssistedMaleMiddle AgedMyocardial Perfusion ImagingRadiation DosageRadiation ExposureRadiation ProtectionRadiopharmaceuticalsRadiopharmaceuticalsTechnetium Tc 99m Sestamibicollimationdose reductionmyocardial perfusion imagingSPECT

Identifiers

What OpenQuestion holds

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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.