Evidence map›Paper›PMID 29706134›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2018

Additive value of 3T cardiovascular magnetic resonance coronary angiography for detecting coronary artery disease.

Lijun Zhang, Xiantao Song, Li Dong, Jianan Li, Ruiyu Dou, Zhanming Fan, Jing An, Debiao Li

Open access · goldAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Diagnostic accuracy of whole heart coronary magnetic resonance angiography: a systematic review and meta-analysis.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
    Pooled it
  2. CMR publications from China of the last more than 30 years.The international journal of cardiovascular imaging · 2020
    Pooled it
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  13. Journal of Cardiovascular Magnetic Resonance: 2017/2018 in review.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2019
    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

8 authors at 4 institutions in 2 countries.

Lijun ZhangDepartment of Radiology, Beijing Anzhen Hospital, Capital Medical University, Anzhenli Avenue, Chao Yang District, Beijing, 100029, China.
Xiantao SongDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Li DongDepartment of Radiology, Beijing Anzhen Hospital, Capital Medical University, Anzhenli Avenue, Chao Yang District, Beijing, 100029, China.
Jianan LiDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Ruiyu DouDepartment of Radiology, Beijing Anzhen Hospital, Capital Medical University, Anzhenli Avenue, Chao Yang District, Beijing, 100029, China.
Zhanming FanDepartment of Radiology, Beijing Anzhen Hospital, Capital Medical University, Anzhenli Avenue, Chao Yang District, Beijing, 100029, China. fanzm120@126.com.
Jing AnSiemens Shenzhen Magnetic Resonance Ltd, Guangdong Shenzhen, China.
Debiao LiBiomedical Imaging Research Institute, Cedars-Sinai Medical Center, University of California, Los Angeles, USA.
Beijing Anzhen Hospital · CNCapital Medical University · CNCedars-Sinai Medical Center · USSiemens (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of the work was to evaluate the incremental diagnostic value of free-breathing, contrast-enhanced, whole-heart, 3 T cardiovascular magnetic resonance coronary angiography (CE-MRCA) to stress/rest myocardial perfusion imaging (MPI) and late gadolinium enhancement (LGE) imaging for detecting coronary artery disease (CAD).

methodsFifty-one patients with suspected CAD underwent a comprehensive cardiovascular magnetic resonance (CMR) examination (CE-MRCA, MPI, and LGE). The additive diagnostic value of MRCA to MPI and LGE was evaluated using invasive x-ray coronary angiography (XA) as the standard for defining functionally significant CAD (≥ 50% stenosis in vessels > 2 mm in diameter).

results90.2% (46/51) patients (54.0 ± 11.5 years; 71.7% men) completed CE-MRCA successfully. On per-patient basis, compared to MPI/LGE alone or MPI alone, the addition of MRCA resulted in higher sensitivity (100% vs. 76.5%, p < 0.01), no change in specificity (58.3% vs. 66.7%, p = 0.6), and higher accuracy (89.1% vs 73.9%, p < 0.01) for CAD detection (prevalence = 73.9%). Compared to LGE alone, the addition of CE-MRCA resulted in higher sensitivity (97.1% vs. 41.2%, p < 0.01), inferior specificity (83.3% vs. 91.7%, p = 0.02), and higher diagnostic accuracy (93.5% vs. 54.3%, p < 0.01).

conclusionThe inclusion of successful free-breathing, whole-heart, 3 T CE-MRCA significantly improved the sensitivity and diagnostic accuracy as compared to MPI and LGE alone for CAD detection.

Indexed as

Magnetic Resonance AngiographyAdultAgedContrast MediaCoronary AngiographyCoronary Artery DiseaseCoronary CirculationCoronary StenosisCoronary VesselsFemaleGadolinium DTPAHumansMaleMiddle AgedMyocardial Perfusion ImagingPredictive Value of TestsContrast MediaGadolinium DTPA3 TeslaContrast enhancedCoronary artery diseaseCoronary magnetic resonance angiographyLate gadolinium enhancementStress-rest perfusion imaging

Identifiers

PMID29706134
PMCPMC5925832
OpenAlexW2807428040

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.