Evidence map›Paper›PMID 31326483›Full record

SynthesisJACC. Cardiovascular imaging2020

Diagnostic Accuracy of FDG PET/CT in Suspected LVAD Infections: A Case Series, Systematic Review, and Meta-Analysis.

Marty C Tam, Vaiibhav N Patel, Richard L Weinberg, Edward A Hulten, Keith D Aaronson, Francis D Pagani, James R Corbett, Venkatesh L Murthy

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in JACC. Cardiovascular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
4.1field-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.

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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. EANM/SNMMI guideline/procedure standard for [European journal of nuclear medicine and molecular imaging · 2025
    Guideline
  2. The value ofEuropean journal of nuclear medicine and molecular imaging · 2021
    Pooled it
  3. Article
  4. Infections in mechanical circulatory support.Frontiers in cardiovascular medicine · 2026
    Review
  5. Review
  6. Diagnostics (Basel, Switzerland) · 2025
    Review
  7. Innovations in Imaging:Current cardiology reports · 2024
    Review
  8. Cardiovascular imaging in cardio-oncology.Japanese journal of radiology · 2024
    Review
  9. Infections in Patients with Mechanical Circulatory Support.Infectious disease clinics of North America · 2024
    Review
  10. Article
  11. The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Nuclear Imaging in Infective Endocarditis.Pharmaceuticals (Basel, Switzerland) · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Marty C TamDivision of Cardiovascular Medicine, Department of Medicine, University of Michigan, Ann Arbor, Michigan. Electronic address: mctam@med.umich.edu.
Vaiibhav N PatelDivision of Cardiovascular Medicine, Department of Medicine, University of Michigan, Ann Arbor, Michigan.
Richard L WeinbergDivision of Cardiovascular Medicine, Department of Medicine, University of Michigan, Ann Arbor, Michigan.
Edward A HultenDepartment of Medicine, Fort Belvoir Community Hospital, Fort Belvoir, Virginia; Department of Medicine, Uniformed Services University, Bethesda, Maryland.
Keith D AaronsonDivision of Cardiovascular Medicine, Department of Medicine, University of Michigan, Ann Arbor, Michigan.
Francis D PaganiDepartment of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.
James R CorbettDivision of Cardiovascular Medicine, Department of Medicine, University of Michigan, Ann Arbor, Michigan.
Venkatesh L MurthyDivision of Cardiovascular Medicine, Department of Medicine, University of Michigan, Ann Arbor, Michigan.
Michigan Medicine · USAlexander T. Augusta Military Medical Center · USUniversity of Michigan · US

Funding

Implications of metabolism on healthy aging in African and Caucasian Americans: the Health ABC studyR01AG059729 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MURTHY, VENKATESH LOCHARLA, NEWMAN, ANNE B. · 2018 to 2022
$3.1M
Molecular markers of early cardiometabolic health transitions in the CARDIA studyR01HL136685 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MURTHY, VENKATESH LOCHARLA, SHAH, RAVI · 2017 to 2021
$2.6M
NHLBI NIH HHS R01 HL136685NIA NIH HHS R01 AG059729
6 · The paper itself

Abstract

objectivesThe purpose of this study was to describe our experience with fluorine-18 fluorodeoxyglucose (FDG) positron emission tomography computed tomography (PET/CT) in diagnosing left ventricular assist device (LVAD) infections and perform a meta-analysis of published studies to determine overall diagnostic accuracy.

backgroundDevice-related infections are a common complication of LVADs and are linked to worse outcomes. Diagnosis of LVAD infections remains challenging. FDG PET/CT has demonstrated good diagnostic accuracy in several other infectious conditions.

methodsThis was a single-center, retrospective case series of FDG PET/CT scans in suspected LVAD infection between September 2015 and February 2018. A systematic review of PubMed from database inception through March 2018 was also conducted to identify additional studies.

resultsNineteen FDG PET/CT scans were identified for the retrospective case series. The systematic review identified an additional 3 publications, for a total of 4 studies involving 119 scans assessing diagnostic performance. Axial (n = 36) and centrifugal (n = 83) flow LVADs were represented. Pooled sensitivity was 92% (95% confidence interval [CI]: 82% to 97%) and specificity was 83% (95% CI: 24% to 99%) for FDG PET/CT in diagnosing LVAD infections. Summary receiver-operating characteristic curve analysis demonstrated an AUC of 0.94 (95% CI: 0.91 to 0.95).

conclusionsFDG PET/CT for suspected LVAD infections demonstrates good diagnostic accuracy, with overall high sensitivity but variable specificity.

Indexed as

Positron Emission Tomography Computed TomographyAgedFemaleFluorodeoxyglucose F18Heart-Assist DevicesHumansMaleMiddle AgedPredictive Value of TestsProsthesis-Related InfectionsRadiopharmaceuticalsReproducibility of ResultsRetrospective StudiesFluorodeoxyglucose F18Radiopharmaceuticalsdiagnostic testingheart failureinfectionleft ventricular assist devicemeta-analysispositron emission tomography

Identifiers

PMID31326483
PMCPMC6980257
OpenAlexW2956198191

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.