Evidence map›Paper›PMID 29380286›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2019

Diagnostic value of stress thallium-201/rest technetium-99m-sestamibi sequential dual isotope high-speed myocardial perfusion imaging for the detection of haemodynamically relevant coronary artery stenosis.

Gilles Barone-Rochette, Feras Zoreka, Loïc Djaileb, Nicolas Piliero, Alex Calizzano, Jean Louis Quesada, Alexis Broisat, Laurent Riou, Jacques Machecourt, Daniel Fagret and 2 more

Abstract read
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In one paragraph

Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Simultaneous dual-tracerJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  4. Review of cardiovascular imaging in the Journal of Nuclear Cardiology 2019: Single-photon emission computed tomography.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Review
  5. Article
  6. Dual isotope stress Tl-201 and rest Tc-99m CZT SPECT: Are we truly leveraging CZT technology?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  7. Testing our tests: Do clinical studies of diagnostic performance truly inform patient management?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Gilles Barone-RochetteDepartment of Cardiology, University Hospital, Grenoble Alpes, France. GBarone@chu-grenoble.fr.
Feras ZorekaDepartment of Cardiology, University Hospital, Grenoble Alpes, France.
Loïc DjailebDepartment of Nuclear medicine, University Hospital, Grenoble Alpes, France.
Nicolas PilieroDepartment of Cardiology, University Hospital, Grenoble Alpes, France.
Alex CalizzanoDepartment of Nuclear medicine, University Hospital, Grenoble Alpes, France.
Jean Louis QuesadaCenter of Clinical Investigations, Grenoble Alpes University Hospital, Grenoble, France.
Alexis BroisatINSERM U1039, Bioclinic Radiopharmaceutics Laboratory, Grenoble Alpes, France.
Laurent RiouINSERM U1039, Bioclinic Radiopharmaceutics Laboratory, Grenoble Alpes, France.
Jacques MachecourtDepartment of Cardiology, University Hospital, Grenoble Alpes, France.
Daniel FagretINSERM U1039, Bioclinic Radiopharmaceutics Laboratory, Grenoble Alpes, France.
Gerald VanzettoDepartment of Cardiology, University Hospital, Grenoble Alpes, France.
Catherine GhezziINSERM U1039, Bioclinic Radiopharmaceutics Laboratory, Grenoble Alpes, France.
Université Grenoble Alpes · FRLaboratoire de Radiopharmaceutiques Biocliniques · FRFrench Clinical Research Infrastructure Network · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to determine the diagnostic accuracy of stress thallium-201/rest technetium-99m-sestamibi sequential dual-isotope high-speed myocardial perfusion imaging (DI-HS-MPI) against invasively determined fractional flow reserve (FFR).

methodsFifty-four consecutive patients prospectively underwent DI-HS-MPI before invasive coronary angiography. Perfusion was scored visually by summed stress score on a patient and coronary territory basis. Significant coronary artery disease (CAD) was defined by the presence of ≥ 90% stenosis/occlusion or fractional flow reserve ≤ 0.80 for coronary stenosis ≥ 50%.

resultsFFR was measured in 69 of 162 coronary vessels, with 1.28 ± 0.56 vessels assessed/patient. Sensitivity, specificity, and diagnostic accuracy of MPI for the detection of significant CAD were 92.8%, 69.2%, and 81.4%, on a patient basis, and 83.7%, 90.4%, and 88.8% by coronary territory.

conclusionsDI-HS-MPI accurately detects functionally significant CAD as defined by using FFR.

Indexed as

Myocardial Perfusion ImagingRadiopharmaceuticalsTechnetium Tc 99m SestamibiThallium RadioisotopesAdolescentAdultAgedAged, 80 and overChildCoronary AngiographyCoronary StenosisExercise TestFemaleFractional Flow Reserve, MyocardialHumansMaleRadiopharmaceuticalsTechnetium Tc 99m SestamibiThallium-201Thallium RadioisotopesCoronary artery diseasedual isotopefractional flow reservenew camera CZTSPECT

Identifiers

PMID29380286
OpenAlexW2792021604

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.