Evidence map›Paper›PMID 30510848›Full record

ArticleAmerican journal of nuclear medicine and molecular imaging2018

Chemotherapy-induced coronary arteries calcium score deterioration as detected with unenhanced CT portion of FDG PET/CT.

Ahmed El-Sabbagh, Medhat M Osman, Mark Fesler, Tarek Helmy, Nadeem Parker, Razi Muzaffar

Open access · greenAbstract read
In one paragraph

Article in American journal of nuclear medicine and molecular imaging, 2018. 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
0.4field-weighted citation impact, top 33% 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, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. 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

6 authors at 2 institutions in 2 countries.

Ahmed El-SabbaghDivision of Nuclear Medicine, Department of Radiology, Saint Louis University 3635 Vista Ave, Saint Louis, MO 63110, USA.
Medhat M OsmanDivision of Nuclear Medicine, Department of Radiology, Saint Louis University 3635 Vista Ave, Saint Louis, MO 63110, USA.
Mark FeslerDivision of Hematology/Oncology, Department of Internal Medicine, Saint Louis University Saint Louis, MO 63110, USA.
Tarek HelmyDivision of Cardiology, Department of Internal Medicine, Saint Louis University Saint Louis, MO 63110, USA.
Nadeem ParkerDivision of Cardiothoracic Radiology, Department of Radiology, Saint Louis University 3635 Vista Ave, Saint Louis, MO 63110, USA.
Razi MuzaffarDivision of Nuclear Medicine, Department of Radiology, Saint Louis University 3635 Vista Ave, Saint Louis, MO 63110, USA.
Saint Louis University Hospital · USSaint Louis University · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to detect the potential impact of chemotherapy on the coronary calcium scoring (CCS) in lymphoma patients undergoing FDG-PET/CT at baseline and for therapy response using the CT portion of the exam to calculate the CCS. One hundred twelve lymphoma patients were included in the study based on having both baseline and at least 2 post-chemotherapy scans. The unenhanced CT portions of the scans were reviewed to measure the CCS which was then extracted using the Toshiba Vital Program. Agatston scores were assessed as category 1 with zero CCS unit and categories 2 to 5 having more than >1, 11, 101, and 400 CCS units respectively. For statistical analysis, paired T-Tests were used to compare results. The overall changes in total coronary artery calcium (CAC) from baseline to last treatment showed a statistically significant increase in CAC with an average increase of at least 35% in the CAC score. We also compared the overall changes in CAC with patients having category 1 and 2 Agatston at baseline and found no statistical increase in CAC post-chemotherapy. Additionally, we compared the overall changes in CAC with patients having category 3 and 4 Agatston at baseline and found statistically significant increase in CAC post-chemotherapy. In lymphoma patients, chemotherapy may cause worsening of CCS and this can serve as an early indicator of chemotherapy-induced cardiac toxicity. When present, such CCS deterioration can be detected by the unenhanced CT portion of routine oncologic FDG PET/CT scans.

Indexed as

Atherosclerosiscalcium scorelymphomaPET/CT

Identifiers

PMID30510848
PMCPMC6261876
OpenAlexW2994300286

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.