Evidence map›Paper›PMID 31836909›Full record

ArticleEuropean journal of nuclear medicine and molecular imaging2020

Combined evaluation of regional coronary artery calcium and myocardial perfusion by

Emilia Zampella, Wanda Acampa, Roberta Assante, Valeria Gaudieri, Carmela Nappi, Teresa Mannarino, Ciro Gabriele Mainolfi, Parthiban Arumugam, Mario Petretta, Alberto Cuocolo

Abstract read
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In one paragraph

Article in European journal of nuclear medicine and molecular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.2field-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

22 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Prognostic Value of Coronary Flow Capacity byCirculation. Cardiovascular imaging · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Combined evaluation of CAC score and myocardial perfusion imaging in patients at risk of cardiovascular disease: where are we and what do the data say.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Review
  10. Including myocardial flow reserve by PET in prediction models: Ready to fly?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  11. Article
  12. Prediction of outcome byJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  13. Low-dose coronary calcium scoring tarnishes power of zero.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  14. The addition of coronary artery calcium to myocardial perfusion: Double or nothing?Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  15. Article
  16. Cardiac imaging for the assessment of patients being evaluated for liver transplantation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Review
  17. Diagnostic value of clinical risk scores for predicting normal stress myocardial perfusion imaging in subjects without coronary artery calcium.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  18. Vasodilators and myocardial blood flow by CZT cameras: Make us see further.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  19. Prognostic values of coronary artery calcium score andThe international journal of cardiovascular imaging · 2021
    Article
  20. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021
    Article
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

10 authors at 2 institutions in 2 countries.

Emilia ZampellaDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Wanda AcampaDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.ORCID 0000-0003-2187-4076
Roberta AssanteDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy. roberta.assante@unina.it.
Valeria GaudieriDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Carmela NappiDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Teresa MannarinoDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Ciro Gabriele MainolfiDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Parthiban ArumugamDepartment of Nuclear Medicine, Central Manchester Foundation Trust, Manchester, UK.
Mario PetrettaDepartment of Translational Medical Sciences, University Federico II, Naples, Italy.
Alberto CuocoloDepartment of Advanced Biomedical Sciences, University Federico II, Naples, Italy.
Federico II University Hospital · ITManchester University NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCardiac imaging with positron emission tomography/computed tomography (PET/CT) allows measurement of coronary artery calcium (CAC), stress-induced myocardial ischemia and myocardial perfusion reserve (MPR). We evaluated the prognostic role of the combined assessment of regional CAC score, ischemic total perfusion defect (ITPD) and MPR in predicting lesion-related outcome in patients with suspected coronary artery disease (CAD).

methodsWe studied 206 patients with suspected CAD referred to

resultsCompared to vessels without event, those with event showed higher CAC score and ITPD, and lower hyperemic myocardial blood flow and MPR (all p < 0.001). At Cox regression multivariable analysis, significant CAD (≥50% stenosis) (p < 0.001), CAC score ≥ 300 (p < 0.01) and MPR <2 (p < 0.01) were independent predictors of events. The decision trees analysis for the identification of events produced five terminal nodes. The initial split was on CAC score values. For vessels with CAC <300 and MPR ≥2, no further split was performed, while vessels with CAC <300 and MPR <2 were further stratified by ITPD. For vessels with CAC ≥300 a further stratification was performed only by MPR. The worst prognosis was observed in vessels with CAC ≥300 and MPR <2 and in vessels with CAC <300, MPR <2 and ITPD ≥5%.

conclusionThe combination of CAC score and MPR is useful to predict the lesion-related outcome in the presence of significant CAD.

Indexed as

Coronary Artery DiseaseMyocardial Perfusion ImagingPositron Emission Tomography Computed TomographyAgedCalciumFemaleHumansMaleMiddle AgedPerfusionPrognosisCalciumCoronary artery calciumCoronary artery diseaseHybrid PET/CTMyocardial perfusion reservePrognosis

Identifiers

PMID31836909
OpenAlexW2994904662

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.