Evidence map›Paper›PMID 27343083›Full record

Trial reportWiener klinische Wochenschrift2016

Diagnostic accuracy and effective radiation dose of high pitch dual source multidetector computed tomography in evaluation of coronary artery bypass graft patency.

Mustafa Koplay, Serkan Guneyli, Hakan Akbayrak, Kenan Demir, Mesut Sivri, Ahmet Avci, Hasan Erdogan, Yahya Paksoy

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Wiener klinische Wochenschrift, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. CT angio for the evaluation of graft patency.Journal of thoracic disease · 2017
    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

8 authors.

Mustafa KoplayDepartment of Radiology, Medical Faculty, Selcuk University, The Central Campus, 42075, Konya, Turkey. koplaymustafa@hotmail.com.
Serkan GuneyliDepartment of Radiology, Medical Faculty, Bulent Ecevit University, Zonguldak, Turkey.
Hakan AkbayrakDepartment of  Cardiovascular Surgery, Medical Faculty, Selcuk University, Konya, Turkey.
Kenan DemirDepartment of Cardiology, Medical Faculty, Selcuk University, Konya, Turkey.
Mesut SivriDepartment of Radiology, Medical Faculty, Selcuk University, The Central Campus, 42075, Konya, Turkey.
Ahmet AvciDepartment of Cardiology, Medical Faculty, Selcuk University, Konya, Turkey.
Hasan ErdoganDepartment of Radiology, Medical Faculty, Selcuk University, The Central Campus, 42075, Konya, Turkey.
Yahya PaksoyDepartment of Radiology, Medical Faculty, Selcuk University, The Central Campus, 42075, Konya, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of the study was to evaluate the diagnostic accuracy and effective radiation dose (ERD) of high pitch dual source multidetector computed tomography (MDCT) for coronary artery bypass graft (CABG) patency. MATERIALS AND

methodsFourty-five patients who underwent 128 × 2‑slice MDCT angiography with a prospective electrocardiogram-triggering, low-dose, high pitch, dual source, flash spiral acquisition mode after CABG surgery were included in the study. The interobserver agreement of the image quality was evaluated with Cohen κ value. The image quality was compared to the heart rates (HRs) using Mann-Whitney U test and to the graft segments using χ(2) test. The findings for the CABG patency on MDCT were compared to those determined on catheter coronary angiography. Dose-length product (DLP) and ERD were compared to the gender, HRs, and body mass index (BMI) of the patients using Kruskall Wallis and Mann-Whitney U tests.

resultsA total of 110 grafts and 330 vessel segments were evaluated with a good interobserver agreement (κ = 0.80). The image quality was better in proximal and middle graft segments (p < 0.05), as well as in the patients with low HRs (p < 0.05). High pitch MDCT had the following sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy for evaluation of graft patency: 92.8, 99.3, 92.8, 99.3 and 98.8 %, respectively. ERD was correlated to the HRs and BMI.

conclusionsHigh pitch 128 × 2‑slice dual source CT angiography is a noninvasive imaging modality, and it can be safely and effectively used in evaluation of CABG patency with lower radiation dose.

Indexed as

Coronary Artery BypassVascular PatencyAgedComputed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseFemaleGraft SurvivalHumansMaleMiddle AgedMultidetector Computed TomographyRadiation DosageRadiation ExposureRadiation ProtectionRadiometryCoronary artery bypass graftDual sourceHigh pitchMultidetector computed tomographyRadiation dose

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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.