Evidence map›Paper›PMID 27624746›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2016

Quantitative assessment of myocardial blood flow in coronary artery disease by cardiovascular magnetic resonance: comparison of Fermi and distributed parameter modeling against invasive methods.

Giorgos Papanastasiou, Michelle C Williams, Marc R Dweck, Shirjel Alam, Annette Cooper, Saeed Mirsadraee, David E Newby, Scott I Semple

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01368237 (Dynamic Myocardial Perfusion Imaging by 320 Multidetector Computed Tomography), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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.

NCT01368237 completednot on this map

Dynamic Myocardial Perfusion Imaging by 320 Multidetector Computed Tomography

TypeobservationalSponsorUniversity of EdinburghRan2006 to 2017Enrolled51ConditionsCoronary Heart DiseaseArmsComputed tomography scan
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Diagnostic performance of semi-quantitative and quantitative stress CMR perfusion analysis: a meta-analysis.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2017
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Journal of Cardiovascular Magnetic Resonance 2017.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2018
    Review
  8. Article
  9. Article
  10. Review of Journal of Cardiovascular Magnetic Resonance (JCMR) 2015-2016 and transition of the JCMR office to Boston.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2017
    Review
  11. Article
  12. Coronary angiogenic effect of long-term administration of Nigella sativa.BMC complementary and alternative medicine · 2017
    Article
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.

Giorgos PapanastasiouClinical Research Imaging Centre, University of Edinburgh, Edinburgh, UK. gpapanas@ed.ac.uk.ORCID 0000-0002-8410-6958
Michelle C WilliamsCentre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Marc R DweckCentre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Shirjel AlamCentre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Annette CooperClinical Research Imaging Centre, University of Edinburgh, Edinburgh, UK.
Saeed MirsadraeeClinical Research Imaging Centre, University of Edinburgh, Edinburgh, UK.
David E NewbyClinical Research Imaging Centre, University of Edinburgh, Edinburgh, UK.
Scott I SempleClinical Research Imaging Centre, University of Edinburgh, Edinburgh, UK.

Funding

British Heart Foundation FS/11/14/28692British Heart Foundation FS/13/77/30488British Heart Foundation FS/14/78/31020British Heart Foundation RE/08/001British Heart Foundation RE/08/001/23904Medical Research Council G0701127Wellcome Trust WT103782AIA
6 · The paper itself

Abstract

backgroundMathematical modeling of perfusion cardiovascular magnetic resonance (CMR) data allows absolute quantification of myocardial blood flow and can potentially improve the diagnosis and prognostication of obstructive coronary artery disease (CAD), against the current clinical standard of visual assessments. This study compares the diagnostic performance of distributed parameter modeling (DP) against the standard Fermi model, for the detection of obstructive CAD, in per vessel against per patient analysis.

methodsA pilot cohort of 28 subjects (24 included in the final analysis) with known or suspected CAD underwent adenosine stress-rest perfusion CMR at 3T. Data were analysed using Fermi and DP modeling against invasive coronary angiography and fractional flow reserve, acquired in all subjects. Obstructive CAD was defined as luminal stenosis of ≥70 % alone, or luminal stenosis ≥50 % and fractional flow reserve ≤0.80.

resultsOn ROC analysis, DP modeling outperformed the standard Fermi model, in per vessel and per patient analysis. In per patient analysis, DP modeling-derived myocardial blood flow at stress demonstrated the highest sensitivity and specificity (0.96, 0.92) in detecting obstructive CAD, against Fermi modeling (0.78, 0.88) and visual assessments (0.79, 0.88), respectively.

conclusionsDP modeling demonstrated consistently increased diagnostic performance against Fermi modeling and showed that it may have merit for stratifying patients with at least one vessel with obstructive CAD.

trial registrationCLINICAL

trial registrationClinicaltrials.gov NCT01368237 Registered 6 of June 2011. URL: https://clinicaltrials.gov/ct2/show/NCT01368237.

Indexed as

Coronary CirculationModels, CardiovascularPatient-Specific ModelingAdenosineAgedArea Under CurveCoronary AngiographyCoronary Artery DiseaseCoronary StenosisFeasibility StudiesFemaleFractional Flow Reserve, MyocardialHumansImage Interpretation, Computer-AssistedMagnetic Resonance Imaging, CineMaleAdenosineVasodilator AgentsCardiovascular magnetic resonanceDistributed parameter modelingFermi modelingInvasive methodsMyocardial blood flow

Identifiers

PMID27624746
PMCPMC5022209

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Registered trials

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.