Evidence map›Paper›PMID 29550305›Full record

ArticleJACC. Cardiovascular imaging2018

Deep Learning for Prediction of Obstructive Disease From Fast Myocardial Perfusion SPECT: A Multicenter Study.

Julian Betancur, Frederic Commandeur, Mahsaw Motlagh, Tali Sharir, Andrew J Einstein, Sabahat Bokhari, Mathews B Fish, Terrence D Ruddy, Philipp Kaufmann, Albert J Sinusas and 10 more

Abstract readMulticenter Study
In one paragraph

Article in JACC. Cardiovascular imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 159 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
159citing papers in PubMed, 2 pooled it
29.1field-weighted citation impact, top 1% 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

159 citing papers in PubMed, 2 syntheses or guidelines pooled it, 342 citations in OpenAlex.

  1. Pooled it
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  4. Trial
  5. Article
  6. Variational autoencoders can detect coronary artery disease in myocardial perfusion SPECT images.European journal of nuclear medicine and molecular imaging · 2026
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  14. Deep learning-based obstructive coronary artery disease prediction from myocardial perfusion SPECT.European journal of nuclear medicine and molecular imaging · 2026
    Article
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  17. Article
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  19. Artificial Intelligence in Nuclear Cardiology.Journal of clinical medicine · 2025
    Review
  20. Article

99 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 9 institutions in 4 countries.

Julian BetancurDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California.
Frederic CommandeurDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California.
Mahsaw MotlaghDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California.
Tali SharirDepartment of Nuclear Cardiology, Assuta Medical Centers, Tel Aviv, Israel; Ben Gurion University of the Negev, Beer Sheba, Israel.
Andrew J EinsteinDivision of Cardiology, Department of Medicine, Columbia University Medical Center and New York-Presbyterian Hospital, New York, New York; Department of Radiology, Columbia University Medical Center and New York-Presbyterian Hospital, New York, New York.
Sabahat BokhariDivision of Cardiology, Department of Medicine, Columbia University Medical Center and New York-Presbyterian Hospital, New York, New York.
Mathews B FishOregon Heart and Vascular Institute, Sacred Heart Medical Center, Springfield, Oregon.
Terrence D RuddyDivision of Cardiology, University of Ottawa Heart Institute, Ottawa, Canada.
Philipp KaufmannDepartment of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland.
Albert J SinusasSection of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Edward J MillerSection of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut.
Timothy M BatemanCardiovascular Imaging Technologies LLC, Kansas City, Missouri.
Sharmila DorbalaDepartment of Radiology, Division of Nuclear Medicine and Molecular Imaging, Brigham and Women's Hospital, Boston, Massachusetts.
Marcelo Di CarliDepartment of Radiology, Division of Nuclear Medicine and Molecular Imaging, Brigham and Women's Hospital, Boston, Massachusetts.
Guido GermanoDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California.
Yuka OtakiDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California.
Balaji K TamarappooDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California.
Damini DeyDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California.
Daniel S BermanDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California.
Piotr J SlomkaDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, California. Electronic address: piotr.slomka@cshs.org.
Cedars-Sinai Medical Center · USBrigham and Women's Hospital · USNewYork–Presbyterian Hospital · USYale University · USBen-Gurion University of the Negev · ILHeart Imaging Technologies (United States) · USProvidence Sacred Heart Medical Center · USUniversity Hospital of Zurich · CHUniversity of Ottawa · CA

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
NHLBI NIH HHS R01 HL089765
6 · The paper itself

Abstract

objectivesThe study evaluated the automatic prediction of obstructive disease from myocardial perfusion imaging (MPI) by deep learning as compared with total perfusion deficit (TPD).

backgroundDeep convolutional neural networks trained with a large multicenter population may provide improved prediction of per-patient and per-vessel coronary artery disease from single-photon emission computed tomography MPI.

methodsA total of 1,638 patients (67% men) without known coronary artery disease, undergoing stress

resultsA total of 1,018 (62%) patients and 1,797 of 4,914 (37%) arteries had obstructive disease. Area under the receiver-operating characteristic curve for disease prediction by deep learning was higher than for TPD (per patient: 0.80 vs. 0.78; per vessel: 0.76 vs. 0.73: p < 0.01). With deep learning threshold set to the same specificity as TPD, per-patient sensitivity improved from 79.8% (TPD) to 82.3% (deep learning) (p < 0.05), and per-vessel sensitivity improved from 64.4% (TPD) to 69.8% (deep learning) (p < 0.01).

conclusionsDeep learning has the potential to improve automatic interpretation of MPI as compared with current clinical methods.

Indexed as

Coronary CirculationDeep LearningTomography, Emission-Computed, Single-PhotonAgedAged, 80 and overCoronary StenosisFemaleHumansImage Interpretation, Computer-AssistedMaleMiddle AgedMyocardial Perfusion ImagingOrganophosphorus CompoundsOrganotechnetium CompoundsPredictive Value of TestsRadiopharmaceuticalsOrganophosphorus CompoundsOrganotechnetium CompoundsRadiopharmaceuticalsTechnetium Tc 99m Sestamibitechnetium tc-99m tetrofosminconvolutional neural networkdeep learningobstructive coronary artery diseaseSPECT myocardial perfusion imaging

Identifiers

PMID29550305
PMCPMC6135711
OpenAlexW2789532252

What OpenQuestion holds

Textmetadata
LicenceTDM
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.