Evidence map›Paper›PMID 30406608›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2020

Evaluation of the effect of reducing administered activity on assessment of function in cardiac gated SPECT.

Albert Juan Ramon, Yongyi Yang, Miles N Wernick, P Hendrik Pretorius, Karen L Johnson, Piotr J Slomka, Michael A King

Open access · greenAbstract read
In one paragraph

Article 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Cardiac SPECT radiomic features repeatability and reproducibility: A multi-scanner phantom study.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
  3. Article
  4. How low can we go?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 3 institutions in 1 country.

Albert Juan RamonMedical Imaging Research Center, Illinois Institute of Technology, Chicago, IL, USA.
Yongyi YangMedical Imaging Research Center, Illinois Institute of Technology, Chicago, IL, USA. yangyo@iit.edu.
Miles N WernickMedical Imaging Research Center, Illinois Institute of Technology, Chicago, IL, USA.
P Hendrik PretoriusDepartment of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
Karen L JohnsonDepartment of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
Piotr J SlomkaDepartment of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Michael A KingDepartment of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
Illinois Institute of Technology · USUniversity of Massachusetts Chan Medical School · USCedars-Sinai Medical Center · US

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
Probing Dose Limits in Cardiac SPECT with Reconstruction and Personalized ImagingR01HL122484 · NHLBI · ILLINOIS INSTITUTE OF TECHNOLOGY · PI KING, MICHAEL A, WERNICK, MILES N · 2014 to 2018
$3.9M
NHLBI NIH HHS R01 HL089765NHLBI NIH HHS R01 HL122484
6 · The paper itself

Abstract

backgroundWe previously optimized several reconstruction strategies in SPECT myocardial perfusion imaging (MPI) with low dose for perfusion-defect detection. Here we investigate whether reducing the administered activity can also maintain the diagnostic accuracy in evaluating cardiac function.

methodsWe quantified the myocardial motion in cardiac-gated stress 99m-Tc-sestamibi SPECT studies from 163 subjects acquired with full dose (29.8 ± 3.6 mCi), and evaluated the agreement of the obtained motion/thickening and ejection fraction (EF) measures at various reduced dose levels (uniform reduction or personalized dose) with that at full dose. We also quantified the detectability of abnormal motion via a receiver-operating characteristics (ROC) study. For reconstruction we considered both filtered backprojection (FBP) without correction for degradations, and iterative ordered-subsets expectation-maximization (OS-EM) with resolution, attenuation and scatter corrections.

resultsWith dose level lowered to 25% of full dose, the obtained results on motion/thickening, EF and abnormal motion detection were statistically comparable to full dose in both reconstruction strategies, with Pearson's r > 0.9 for global motion measures between low dose and full dose.

conclusionsThe administered activity could be reduced to 25% of full dose without degrading the function assessment performance. Low dose reconstruction optimized for perfusion-defect detection can be reasonable for function assessment in gated SPECT.

Indexed as

Technetium Tc 99m SestamibiAgedCardiac-Gated Single-Photon Emission Computer-Assisted TomographyCoronary Artery DiseaseFemaleHeartHeart VentriclesHumansMaleMiddle AgedMotionMyocardial Perfusion ImagingPerfusionReproducibility of ResultsROC CurveScattering, RadiationTechnetium Tc 99m SestamibiCADgated SPECTimage reconstructionMPISPECT

Identifiers

PMID30406608
PMCPMC11407505
OpenAlexW2900235849

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.