Evidence map›Paper›PMID 29748311›Full record

ArticleCirculation. Cardiovascular imaging2018

Radiotracer Imaging Allows for Noninvasive Detection and Quantification of Abnormalities in Angiosome Foot Perfusion in Diabetic Patients With Critical Limb Ischemia and Nonhealing Wounds.

Jessica L Alvelo, Xenophon Papademetris, Carlos Mena-Hurtado, Sangchoon Jeon, Bauer E Sumpio, Albert J Sinusas, Mitchel R Stacy

Registry-linked trialOpen access · hybridAbstract readComparative Study
In one paragraph

Article in Circulation. Cardiovascular imaging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03622359 (Radiotracer Imaging of Skeletal Muscle Perfusion in Patients With Peripheral Artery Disease), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.0field-weighted citation impact, top 6% 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.

NCT03622359 narecruitingnot on this map

Radiotracer Imaging of Skeletal Muscle Perfusion in Patients With Peripheral Artery Disease

TypeinterventionalSponsorNationwide Children's HospitalRan2017 to 2028Enrolled192ConditionsPeripheral Artery Disease, Diabetes Mellitus, Chronic Limb-Threatening IschemiaArmsSPECT/CT perfusion imaging, PET/CT perfusion imaging
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
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  4. Plastic and reconstructive surgery. Global open · 2026
    Article
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  7. New horizons in nuclear cardiology: Imaging of peripheral arterial disease.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2025
    Review
  8. Article
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  13. Clinical physiology: the crucial role of MRI in evaluation of peripheral artery disease.American journal of physiology. Heart and circulatory physiology · 2024
    Review
  14. Article
  15. Article
  16. Article
  17. Incidentally Found Soft TissueNuclear medicine and molecular imaging · 2022
    Article
  18. Review
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 3 countries.

Jessica L AlveloDepartment of Internal Medicine (J.L.A., C.M.-H., B.E.S., A.J.S., M.R.S.).
Xenophon PapademetrisDepartment of Radiology and Biomedical Imaging (X.P., B.E.S., A.J.S.).
Carlos Mena-HurtadoDepartment of Internal Medicine (J.L.A., C.M.-H., B.E.S., A.J.S., M.R.S.).
Sangchoon JeonYale School of Nursing (S.J.).
Bauer E SumpioDepartment of Internal Medicine (J.L.A., C.M.-H., B.E.S., A.J.S., M.R.S.).
Albert J SinusasDepartment of Internal Medicine (J.L.A., C.M.-H., B.E.S., A.J.S., M.R.S.).
Mitchel R StacyDepartment of Internal Medicine (J.L.A., C.M.-H., B.E.S., A.J.S., M.R.S.) mitchel.stacy@nationwidechildrens.org.
Laboratoire d’Imagerie Biomédicale · FRYale University · US

Funding

Radiotracer-Based Imaging for Quantitative Assessment of Skeletal Muscle Perfusion in Peripheral Artery DiseaseR01HL135103 · NHLBI · YALE UNIVERSITY · PI Mitchel R Stacy · 2017 to 2026
$3.8M
NHLBI NIH HHS R01 HL135103
6 · The paper itself

Abstract

backgroundSingle photon emission computed tomography (SPECT)/computed tomography (CT) imaging allows for assessment of skeletal muscle microvascular perfusion but has not been quantitatively assessed in angiosomes, or 3-dimensional vascular territories, of the foot. This study assessed and compared resting angiosome foot perfusion between healthy subjects and diabetic patients with critical limb ischemia (CLI). Additionally, the relationship between SPECT/CT imaging and the ankle-brachial index-a standard tool for evaluating peripheral artery disease-was assessed. METHODS AND

resultsHealthy subjects (n=9) and diabetic patients with CLI and nonhealing ulcers (n=42) underwent SPECT/CT perfusion imaging of the feet. CT images were segmented into angiosomes for quantification of relative radiotracer uptake, expressed as standardized uptake values. Standardized uptake values were assessed in ulcerated angiosomes of patients with CLI and compared with whole-foot standardized uptake values in healthy subjects. Serial SPECT/CT imaging was performed to assess uptake kinetics of technetium-99m-tetrofosmin. The relationship between angiosome perfusion and ankle-brachial index was assessed via correlational analysis. Resting perfusion was significantly lower in CLI versus healthy subjects (

conclusionsSPECT/CT imaging assesses regional foot perfusion and detects abnormalities in microvascular perfusion that may be undetectable by conventional ankle-brachial index in patients with diabetes mellitus. SPECT/CT may provide a novel approach for evaluating responses to targeted therapies.

Indexed as

MicrocirculationSingle Photon Emission Computed Tomography Computed TomographyAnkle Brachial IndexCase-Control StudiesCritical IllnessDiabetic FootHumansIschemiaOrganophosphorus CompoundsOrganotechnetium CompoundsPerfusion ImagingPredictive Value of TestsRadiopharmaceuticalsRegional Blood FlowWound HealingOrganophosphorus CompoundsOrganotechnetium CompoundsRadiopharmaceuticalstechnetium tc-99m tetrofosmindiabetes mellitusischemiaperfusion imagingperipheral artery disease

Identifiers

PMID29748311
PMCPMC5951395
OpenAlexW2799540623

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.