Evidence map›Paper›PMID 27671493›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2018

Prognosis of stress-only SPECT myocardial perfusion imaging with prone imaging.

Ariel Gutstein, Tamir Bental, Ajejandro Solodky, Israel Mats, Nili Zafrir

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. 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
  4. Choosing patients for stress-first/stress-only imaging: Keep it simple.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  5. Getting it right the first time: Stress-only MPI in the ER.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  6. Time to get on the stress-only bandwagon?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Ariel GutsteinRabin Medical Center, Tel-Aviv University, Petach Tikva, Israel. aguts13@gmail.com.
Tamir BentalRabin Medical Center, Tel-Aviv University, Petach Tikva, Israel.
Ajejandro SolodkyRabin Medical Center, Tel-Aviv University, Petach Tikva, Israel.
Israel MatsRabin Medical Center, Tel-Aviv University, Petach Tikva, Israel.
Nili ZafrirRabin Medical Center, Tel-Aviv University, Petach Tikva, Israel. nilizafrir@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStress-only single-photon emission computed tomography myocardial perfusion imaging (SO SPECT MPI) is associated with similarly benign prognosis as stress-rest SPECT MPI. However, previous studies have used attenuation correction rather than prone imaging to increase the rate of SO studies.

objectivesTo assess the prognosis of SO SPECT MPI performed with prone imaging.

methodsWe performed a retrospective cohort analysis of all patients who underwent a Tc-99m gated SPECT MPI over a 58-month period.

resultsTwo thousand four hundred and sixty five patients were followed up. Of them, 1114 (45.2%) patients had a SO supine test, 388 (15.7%) underwent a SO supine and prone test, and the remaining 963 (39.1%) patients underwent a full stress-rest SPECT MPI. There was a similar annual mortality rate between the SO supine/prone group (1.3%), the SO supine (1.5%), and the stress-rest (1.5%) group (P = 0.47). Patients in the stress-rest group were significantly more likely to suffer from myocardial infarction (MI) as compared to the other two groups with an annual rate of 0.7% as compared to 0.4% (P = 0.049).

conclusionsNormal supine-prone SO SPECT MPI is associated with a similarly benign prognosis as stress-rest SPECT MPI. The adjunction of prone imaging to the stress supine significantly increases the rate of SO SPECT MPI.

Indexed as

Myocardial Perfusion ImagingPatient PositioningTomography, Emission-Computed, Single-PhotonAgedExercise TestFemaleHospitalizationHumansMaleMiddle AgedMyocardial InfarctionPrognosisProne PositionRetrospective StudiesSupine PositionSurvival RateTechnetium Tc 99m Sestamibidiagnostic and prognostic applicationdipyridamoleinfarctionmyocardialMyocardial perfusion imaging: SPECT

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.