Evidence map›Paper›PMID 28537039›Full record

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

Investigation of dose reduction in cardiac perfusion SPECT via optimization and choice of the image reconstruction strategy.

Albert Juan Ramon, Yongyi Yang, P Hendrik Pretorius, Piotr J Slomka, Karen L Johnson, Michael A King, Miles N Wernick

Open access · greenAbstract read
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 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% of its field
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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Article
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  7. Article
  8. A task-specific deep-learning-based denoising approach for myocardial perfusion SPECT.Proceedings of SPIE--the International Society for Optical Engineering · 2023
    Article
  9. Improving detection accuracy of perfusion defect in standard dose SPECT-myocardial perfusion imaging by deep-learning denoising.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  10. The important role of task-based model observers and related techniques in medical imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  11. Retrospective fractional dose reduction in Tc-99m cardiac perfusion SPECT/CT patients: A human and model observer study.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  12. Patient-specific SPECT imaging protocols to standardize image noise.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
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  13. Article
  14. Article
  15. How low can we go?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  16. Evaluation of the effect of reducing administered activity on assessment of function in cardiac gated SPECT.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  17. Improving perfusion defect detection with respiratory motion correction in cardiac SPECT at standard and reduced doses.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  18. Article
  19. Impact of non-specific normal databases on perfusion quantification of low-dose myocardial SPECT studies.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
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  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Albert Juan RamonIllinois Institute of Technology, Medical Imaging Research Center, Chicago, IL, USA. ajuanram@hawk.iit.edu.
Yongyi YangIllinois Institute of Technology, Medical Imaging Research Center, Chicago, IL, USA.
P Hendrik PretoriusDepartment of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
Piotr J SlomkaDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Karen L JohnsonDepartment of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
Michael A KingDepartment of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
Miles N WernickIllinois Institute of Technology, Medical Imaging Research Center, Chicago, IL, USA.
Illinois Institute of Technology · USUniversity of Massachusetts Chan Medical School · USCedars-Sinai Medical Center · US

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
Probing Dose Limits in Cardiac SPECT with Reconstruction and Personalized ImagingR01HL122484 · NHLBI · ILLINOIS INSTITUTE OF TECHNOLOGY · PI KING, MICHAEL A, WERNICK, MILES N · 2014 to 2018
$3.9M
NHLBI NIH HHS R01 HL089765NHLBI NIH HHS R01 HL122484
6 · The paper itself

Abstract

backgroundWe investigated the extent to which the administered dose (activity) level can be reduced without sacrificing diagnostic accuracy for three reconstruction strategies for SPECT-myocardial perfusion imaging (MPI).

methodsWe optimized the parameters of the three reconstruction strategies for perfusion-defect detection over a range of simulated administered dose levels using a set of hybrid studies (derived from 190 subjects) consisting of clinical SPECT-MPI data modified to contain realistic simulated lesions. The optimized strategies we considered are filtered backprojection (FBP) with no correction for degradations, ordered-subsets expectation-maximization (OS-EM) with attenuation correction (AC), scatter correction (SC), and resolution correction (RC), and OS-EM with scatter and resolution correction only. Each study was evaluated using a total perfusion deficit (TPD) score computed by the Quantitative Perfusion SPECT (QPS) software package. We conducted a receiver operating characteristics (ROC) study based on the TPD scores for each dose level and reconstruction strategy.

resultsFor FBP, the achieved optimum values of the area under the ROC curve (AUC) at 100%, 50%, 25%, and 12.5% of standard dose were 0.75, 0.74, 0.72, and 0.70, respectively, compared to 0.81, 0.79, 0.76, and 0.74 for OS-EM with AC-SC-RC and 0.78, 0.77, 0.74, 0.72 for OS-EM with SC-RC.

conclusionsOur results suggest that studies reconstructed by OS-EM with AC-SC-RC could possibly be reduced, on average, to 25% of the originally administered dose without causing diagnostic accuracy (AUC) to decrease below that of FBP.

Indexed as

AdultAgedFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedMyocardial Perfusion ImagingRadiation DosageTomography, Emission-Computed, Single-Photondose reductionMyocardial perfusion imagingoptimizationSPECT

Identifiers

PMID28537039
PMCPMC9407649
OpenAlexW2619096687

What OpenQuestion holds

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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.