Evidence map›Paper›PMID 29372272›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2018

Combined evaluation of regional coronary artery calcium and myocardial perfusion by

Emilia Zampella, Wanda Acampa, Roberta Assante, Carmela Nappi, Valeria Gaudieri, Ciro Gabriele Mainolfi, Roberta Green, Valeria Cantoni, Mariarosaria Panico, Michele Klain and 3 more

Abstract read
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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing 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.

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

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

  1. Pooled it
  2. Article
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  7. Article
  8. Coronary artery calcium score and pre-test probabilities as gatekeepers to predict and rule out perfusion defects in positron emission tomography.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  9. Combined evaluation of CAC score and myocardial perfusion imaging in patients at risk of cardiovascular disease: where are we and what do the data say.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Review
  10. Future of Radionuclide Myocardial Perfusion Imaging: Transitioning from SPECT to PET.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  11. Myocardial perfusion reserve by CZT cameras: A journey inside coronary microvascular circulation. Is it time to leave yet?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  12. The addition of coronary artery calcium to myocardial perfusion: Double or nothing?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  13. Prediction of outcome byJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Multimodality imaging approach to Fabry cardiomyopathy: Any role for nuclear cardiology?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Review
  18. Cardiac imaging for the assessment of patients being evaluated for liver transplantation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Review
  19. Future of nuclear cardiology is bright: Promise of cardiac PET/CT and artificial intelligence.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  20. Vasodilators and myocardial blood flow by CZT cameras: Make us see further.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    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

13 authors.

Emilia ZampellaDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Wanda AcampaDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Roberta AssanteDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Carmela NappiDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Valeria GaudieriInstitute of Biostructure and Bioimaging, National Council of Research, Naples, Italy.
Ciro Gabriele MainolfiDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Roberta GreenDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Valeria CantoniDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Mariarosaria PanicoInstitute of Biostructure and Bioimaging, National Council of Research, Naples, Italy.
Michele KlainDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Mario PetrettaDepartment of Translational Medical Sciences, University Federico II, Naples, Italy.
Piotr J SlomkaDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Alberto CuocoloDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy. cuocolo@unina.it.ORCID 0000-0003-3431-7658

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCardiac imaging with PET/CT allows measurement of coronary artery calcium (CAC), myocardial perfusion and coronary vascular function. We investigated whether the combined assessment of regional CAC score, ischemic total perfusion deficit (ITPD) and quantitative coronary vascular function would further improve the diagnostic accuracy of PET/CT in predicting obstructive coronary artery disease (CAD).

methodsWe analyzed 113 patients with suspected CAD referred to

resultsVessels with obstructive CAD (71 vessels) had higher ITPD (4.6 ± 6.2 vs. 0.6 ± 1.3) and lower hyperemic MBF (1.01 ± 0.5 vs. 1.75 ± 0.6 ml/min/g) and CFR (1.56 ± 0.6 vs. 2.38 ± 0.7; all p < 0.001) than those without. In prediction of per-vessel CAD, the AUCs for the models including CAC/ITPD/hyperemic MBF (0.869) and CAC/ITPD/CFR (0.875) were higher (both p < 0.01) than for the model including CAC/ITPD (0.790). Compared with CAC/ITPD, continuous net reclassification improvement was 0.69 (95% bootstrap confidence interval, CI, 0.365-1.088) for the CAC/ITPD/hyperemic MBF model and 0.99 (95% bootstrap CI 0.64-1.26) for the CAC/ITPD/CFR model.

conclusionHyperemic MBF and CFR provide incremental information about the presence of CAD over CAC score and perfusion imaging parameters. The combined use of CAC, myocardial perfusion imaging and quantitative coronary vascular function in may help predict more accurately the presence of obstructive CAD.

Indexed as

Coronary AngiographyCoronary CirculationPositron Emission Tomography Computed TomographyAgedCalciumCoronary Artery DiseaseFemaleHumansMaleMiddle AgedMyocardial Perfusion ImagingPositron-Emission TomographyRubidium RadioisotopesTomography, X-Ray ComputedCalciumRubidium-82Rubidium RadioisotopesCoronary artery calciumCoronary artery diseaseCoronary flow reserveHybrid PET/CTMyocardial perfusion

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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.