Evidence map›Paper›PMID 29470616›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2018

Automated SPECT analysis compared with expert visual scoring for the detection of FFR-defined coronary artery disease.

R S Driessen, P G Raijmakers, I Danad, W J Stuijfzand, S P Schumacher, J A Leipsic, J K Min, J Knuuti, A A Lammertsma, A C van Rossum and 3 more

Open access · hybridAbstract read
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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Variational autoencoders can detect coronary artery disease in myocardial perfusion SPECT images.European journal of nuclear medicine and molecular imaging · 2026
    Article
  3. Review
  4. Myocardial perfusion imaging in advanced coronary artery disease.European journal of clinical investigation · 2025
    Review
  5. Article
  6. Improved diagnostic accuracy for coronary artery disease detection with quantitative 3DEuropean journal of nuclear medicine and molecular imaging · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Automated quantitative analysis of CZT SPECT stratifies cardiovascular risk in the obese population: Analysis of the REFINE SPECT registry.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  12. Article
  13. Artificial intelligence in cardiovascular imaging: state of the art and implications for the imaging cardiologist.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2019
    Review
  14. Article
  15. Artificial Intelligence in Cardiovascular Imaging.Methodist DeBakey cardiovascular journal
    Review
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 at 5 institutions in 5 countries.

R S DriessenDepartment of Cardiology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
P G RaijmakersDepartment of Radiology & Nuclear Medicine, VU University Medical Center, Amsterdam, The Netherlands.
I DanadDepartment of Cardiology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
W J StuijfzandDepartment of Cardiology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
S P SchumacherDepartment of Cardiology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
J A LeipsicDepartment of Radiology, St. Paul's Hospital, Vancouver, Canada.
J K MinDepartment of Radiology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, USA.
J KnuutiTurku University Hospital and University of Turku, Turku, Finland.
A A LammertsmaDepartment of Radiology & Nuclear Medicine, VU University Medical Center, Amsterdam, The Netherlands.
A C van RossumDepartment of Cardiology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
N van RoyenDepartment of Cardiology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
S R UnderwoodDepartment of Nuclear Medicine, Royal Brompton Hospital, London, UK.
P KnaapenDepartment of Cardiology, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands. p.knaapen@vumc.nl.
Amsterdam UMC Location VUmc · NLNew York Hospital Queens · USRoyal Brompton Hospital · GBSt. Paul's Hospital · CATurku University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTraditionally, interpretation of myocardial perfusion imaging (MPI) is based on visual assessment. Computer-based automated analysis might be a simple alternative obviating the need for extensive reading experience. Therefore, the aim of the present study was to compare the diagnostic performance of automated analysis with that of expert visual reading for the detection of obstructive coronary artery disease (CAD).

methods206 Patients (64% men, age 58.2 ± 8.7 years) with suspected CAD were included prospectively. All patients underwent

resultsSensitivity did not differ significantly between visual reading and most automated scoring parameters, except for SDS, which was significantly higher than visual assessment (p < 0.001). Specificity, however, was significantly higher for visual reading than for any of the automated scores (p < 0.001 for all). Diagnostic accuracy was significantly higher for visual scoring (77.2%) than for all NC images scores (p < 0.05), but not compared with SSS AC and S-TPD AC (69.8% and 71.2%, p = 0.063 and p = 0.134). After optimization of the automated software, diagnostic accuracies were similar for visual (73.8%) and automated analysis. Among the automated parameters, S-TPD AC showed the highest accuracy (73.5%).

conclusionAutomated analysis of myocardial perfusion SPECT can be as accurate as visual interpretation by an expert reader in detecting significant CAD defined by FFR.

Indexed as

Image Processing, Computer-AssistedMyocardial Perfusion ImagingTomography, Emission-Computed, Single-PhotonAdultAutomationCoronary AngiographyCoronary Artery DiseaseFemaleHumansMaleMiddle AgedProspective StudiesReproducibility of ResultsSensitivity and SpecificityAutomated analysisCoronary artery diseaseIschemiaMyocardial perfusion imagingSPECT

Identifiers

PMID29470616
PMCPMC5954003
OpenAlexW2793945085

What OpenQuestion holds

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LicenceCC BY
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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.