Evidence map›Paper›PMID 27387521›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2016

Quantitation of left ventricular ejection fraction reserve from early gated regadenoson stress Tc-99m high-efficiency SPECT.

Yafim Brodov, Mathews Fish, Mathieu Rubeaux, Yuka Otaki, Heidi Gransar, Mark Lemley, Jim Gerlach, Daniel Berman, Guido Germano, Piotr Slomka

Abstract read
In one paragraph

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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Article
  3. Is there room in the MPI toolbox for another prognostic indicator?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  4. Prognostic value of early left ventricular ejection fraction reserve during regadenoson stress solid-state SPECT-MPI.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  5. Prognostic value of absent left ventricular ejection fraction reserve with regadenoson SPECT MPI.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  6. Article
  7. Prolonged left ventricular dysfunction following pharmacologic stress myocardial perfusion imaging: Should we be less stunned than in the past?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  8. Article
  9. Article
  10. Leveraging latest computer science tools to advance nuclear cardiology.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  11. Real-time gated-SPECT myocardial perfusion imaging with CZT detectors: A promising tool for monitoring left ventricular function.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  12. Myocardial stunning by gated SPECT: An old tool reinvented in a stunning turn.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  13. Failure to accurately identify the number of diseased coronary arteries: A weakness of SPECT MPI.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  14. Article
  15. Article
  16. New Trends in Quantitative Nuclear Cardiology Methods.Current cardiovascular imaging reports · 2018
    Article
  17. Review of cardiovascular imaging in the journal of nuclear cardiology in 2016: Part 2 of 2-myocardial perfusion imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Review
  18. Clinical value of hyperemic left ventricular systolic function in vasodilator stress testing.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Review
  19. Gated SPECT myocardial perfusion imaging quality assurance in current and future practice.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    Article
  20. Novel SPECT Technologies and Approaches in Cardiac Imaging.Cardiovascular innovations and applications · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Yafim BrodovDepartments of Imaging and Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Mathews FishNuclear Medicine Department, Oregon Heart and Vascular Institute, Sacred Heart Medical Center, Springfield, OR, USA.
Mathieu RubeauxDepartments of Imaging and Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Yuka OtakiDepartments of Imaging and Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Heidi GransarDepartments of Imaging and Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Mark LemleyNuclear Medicine Department, Oregon Heart and Vascular Institute, Sacred Heart Medical Center, Springfield, OR, USA.
Jim GerlachDepartments of Imaging and Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Daniel BermanDepartments of Imaging and Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Guido GermanoDepartments of Imaging and Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Piotr SlomkaDepartments of Imaging and Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA. piotr.slomka@cshs.org.

Funding

Quantitative Prediction of Disease and Outcomes from Next Generation SPECT and CTR01HL089765 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI SLOMKA, PIOTR J · 2007 to 2021
$6.1M
NHLBI NIH HHS R01 HL089765
6 · The paper itself

Abstract

backgroundEjection fraction (EF) reserve has been found to be a useful adjunct for identifying high risk coronary artery disease in cardiac positron emission tomography (PET). We aimed to evaluate EF reserve obtained from technetium-99m sestamibi (Tc-99m) high-efficiency (HE) SPECT.

methodsFifty patients (mean age 69 years) undergoing regadenoson same-day rest (8-11 mCi)/stress (32-42 mCi) Tc-99m gated HE SPECT were enrolled. Stress imaging was started 1 minute after sequential intravenous regadenoson .4 mg and Tc-99m injections, and was composed of five 2 minutes supine gated acquisitions followed by two 4 minutes supine and upright images. Ischemic total perfusion deficit (ITPD) ≥5 % was considered as significant ischemia.

resultsSignificantly lower mean EF reserve was obtained in the 5th and 9th minute after regadenoson bolus in patients with significant ischemia vs patients without (5th minute: -4.2 ± 4.6% vs 1.3 ± 6.6%, P = .006; 9th minute: -2.7 ± 4.8% vs 2.0 ± 6.6%, P = .03).

conclusionsNegative EF reserve obtained between 5th and 9th minutes of regadenoson stress demonstrated best concordance with significant ischemia and may be a promising tool for detection of transient ischemic functional changes with Tc-99m HE-SPECT.

Indexed as

PurinesPyrazolesStroke VolumeTechnetium Tc 99m SestamibiAgedCardiac-Gated Single-Photon Emission Computer-Assisted TomographyCoronary Artery DiseaseExercise TestFemaleHumansImage EnhancementImage Interpretation, Computer-AssistedMaleRadiopharmaceuticalsReproducibility of ResultsSensitivity and SpecificityPurinesPyrazolesRadiopharmaceuticalsregadenosonTechnetium Tc 99m SestamibiVasodilator Agentsearly stress imagingimage qualityleft ventricular ejection fraction reserveRegadenoson Tc-99m high-efficiency SPECT

Identifiers

PMID27387521
PMCPMC5116262

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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.