Evidence map›Paper›PMID 29948896›Full record

Trial reportJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2020

18F-fluorodeoxyglucose use after cardiac transplant: A comparative study of suppression of physiological myocardial uptake.

Renata Christian Martins Felix, Clécio Maria Gouvea, Christiane Cigagna Wiefels Reis, Jacqueline Sampaio Dos Santos Miranda, Ligia Beatriz Chaves Espinoso Schtruk, Alexandre Siciliano Colafranceschi, Cláudio Tinoco Mesquita

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Brazilian Society of Cardiology Guideline on Myocarditis - 2022.Arquivos brasileiros de cardiologia · 2022
    Guideline
  2. JHLT open · 2026
    Article
  3. Review
  4. Association between FDG uptake in the right ventricular myocardium and cancer therapy-induced cardiotoxicity.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
  5. Opening the door to noninvasive assessment of cardiac transplant rejection: It's all in the preparation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Renata Christian Martins FelixFederal Fluminense University, Av. Marquês do Paraná, 303 - Centro, Niterói, RJ, 24033-900, Brazil. renatafelix@cardiol.br.
Clécio Maria GouveaNational Institute of Cardiology, Rio de Janeiro, Brazil.
Christiane Cigagna Wiefels ReisNational Institute of Cardiology, Rio de Janeiro, Brazil.
Jacqueline Sampaio Dos Santos MirandaNational Institute of Cardiology, Rio de Janeiro, Brazil.
Ligia Beatriz Chaves Espinoso SchtrukNational Institute of Cardiology, Rio de Janeiro, Brazil.
Alexandre Siciliano ColafranceschiNational Institute of Cardiology, Rio de Janeiro, Brazil.
Cláudio Tinoco MesquitaFederal Fluminense University, Av. Marquês do Paraná, 303 - Centro, Niterói, RJ, 24033-900, Brazil.
Instituto Nacional de Cardiologia · BRUniversidade Federal Fluminense · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background18F-fluorodeoxyglucose (FDG) has been useful in the evaluation of myocardial inflammatory processes. However, it is challenging to identify them due to physiological 18F-FDG uptake. There are no publications demonstrating the application of FDG in post-transplant rejection in humans yet. The aim of this study is to determine the feasibility of suppression of myocardial FDG uptake in post-transplant patients, comparing three different protocols of preparation.

methodsTen patients after heart transplantation were imaged by FDG associated with three endomyocardial biopsies (EMB), scheduled in the first year after the procedure. Before each imaging, patients were randomized to one of three preparations: (1) hyperlipidic-hypoglycemic diet; (2) fasting longer than 12 hours; and (3) fasting associated with intravenous heparin. All patients would undergo the three methods. FDG images were analyzed using visual analysis scores and relative radiotracer cardiac uptake (RRCU).

resultsThe suppression rate of radiotracer activity ranged from 55% to 62%. Visual analysis showed that preparation 3 presented less efficacy in the suppression compared to the others. However, RRCU did not show difference between the preparations.

conclusionsSuppression of physiological myocardial FDG uptake after cardiac transplantation is feasible. The usefulness of heparin in the suppression is unclear.

Indexed as

Heart TransplantationAdultAnticoagulantsDiet, Carbohydrate-RestrictedDiet, DiabeticFastingFeasibility StudiesFemaleFluorodeoxyglucose F18Heart FailureHeparinHumansMaleMiddle AgedRadiopharmaceuticalsSingle Photon Emission Computed Tomography Computed TomographyAnticoagulantsFluorodeoxyglucose F18HeparinRadiopharmaceuticals18F-FDGHeart transplantmyocardial uptakePET

Identifiers

PMID29948896
OpenAlexW2807804142

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.