Evidence map›Paper›PMID 30815833›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2021

FDG-PET in possible cardiac sarcoidosis: Right ventricular uptake and high total cardiac metabolic activity predict cardiovascular events.

Heikki Tuominen, Atte Haarala, Antti Tikkakoski, Mika Kähönen, Kjell Nikus, Kalle Sipilä

Open access · hybridAbstract read
In one paragraph

Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. The prognostic role of cardiac positron emission tomography imaging in patients with sarcoidosis: A systematic review.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Pooled it
  2. Revisiting Perfusion in the Forgotten Right Ventricle: Artificial Intelligence-Enhanced Quantification on PET/CT.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  3. Article
  4. Article
  5. Beyond the Biopsy: Imaging Frontiers in Cardiac Sarcoidosis.Cardiology research and practice · 2026
    Review
  6. The Role of Imaging in Ventricular Tachycardia Ablation.Diagnostics (Basel, Switzerland) · 2025
    Review
  7. Article
  8. AI-enabled CT-guided end-to-end quantification of total cardiac activity in 18FDG cardiac PET/CT for detection of cardiac sarcoidosis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2025
    Article
  9. Article
  10. Machine learning approach usingJapanese journal of radiology · 2024
    Article
  11. Sarcoid heart disease and imaging.Heart rhythm O2 · 2024
    Review
  12. Article
  13. FDG uptake patterns in isolated and systemic cardiac sarcoidosis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  14. Hot spot imaging in cardiovascular diseases: an information statement from SNMMI, ASNC, and EANM.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  15. Article
  16. Article
  17. Enhancement ofDiagnostics (Basel, Switzerland) · 2022
    Article
  18. Article
  19. The role of PET in the management of sarcoidosis.Current opinion in pulmonary medicine · 2022
    Review
  20. Potential roles ofJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Heikki TuominenDepartment of Clinical Physiology and Nuclear Medicine, Tampere University Hospital, 33520, Tampere, Finland. heikki.tuominen@pshp.fi.
Atte HaaralaDepartment of Clinical Physiology and Nuclear Medicine, Tampere University Hospital, 33520, Tampere, Finland.
Antti TikkakoskiDepartment of Clinical Physiology and Nuclear Medicine, Tampere University Hospital, 33520, Tampere, Finland.
Mika KähönenDepartment of Clinical Physiology and Nuclear Medicine, Tampere University Hospital, 33520, Tampere, Finland.
Kjell NikusFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Kalle SipiläDepartment of Clinical Physiology and Nuclear Medicine, Tampere University Hospital, 33520, Tampere, Finland.
Tampere University · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac involvement accounts for the majority of morbidity and mortality in sarcoidosis. Pathological myocardial fluorodeoxyglucose (FDG)-uptake in positron emission tomography (PET) has been associated with cardiovascular events and quantitative metabolic parameters have been shown to add prognostic value. Our aim was to study whether the pattern of pathological cardiac FDG-uptake and quantitative parameters are able to predict cardiovascular events in patients with suspected cardiac sarcoidosis (CS).

methods137 FDG-PET examinations performed in Tampere University Hospital were retrospectively analyzed visually and quantitatively. Location of pathological uptake was noted and pathological metabolic volume, average standardized uptake value (SUV), and total cardiac metabolic activity (tCMA) were calculated. Patients were followed for ventricular tachycardia, decrease in left ventricular ejection fraction, and death.

resultsEleven patients had one or more cardiovascular events during the follow-up. Five patients out of 12 with uptake in both ventricles had an event during follow-up. Eight patients had high tCMA (> 900 MBq) and three of them had a cardiovascular event. Right ventricular uptake and tCMA were significantly associated with cardiovascular events during follow-up (P-value .001 and .018, respectively).

conclusionsHigh tCMA and right ventricular uptake were significant risk markers for cardiac events among patient with suspected CS.

Indexed as

Positron-Emission TomographyAdultCardiomyopathiesFemaleFluorodeoxyglucose F18Heart VentriclesHumansMaleMiddle AgedPredictive Value of TestsRadiopharmaceuticalsRetrospective StudiesSarcoidosisFluorodeoxyglucose F18Radiopharmaceuticalsinflammationmetabolism imaging agentsPETSarcoid heart dusease

Identifiers

PMID30815833
PMCPMC7920884
OpenAlexW2920592740

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.