Evidence map›Paper›PMID 32052606›Full record

ArticleJournal of cardiovascular imaging2020

Diagnostic Value of Lesion-specific Measurement of Myocardial Blood Flow Using Hybrid PET/CT.

Sang Geon Cho, Hyeon Sik Kim, Jae Yeong Cho, Ju Han Kim, Hee Seung Bom

Abstract read
In one paragraph

Article in Journal of cardiovascular imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Trial
  2. Association between myocardial ischemia and plaque characteristics in chronic total occlusion.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Article
  3. 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

5 authors.

Sang Geon ChoDepartment of Nuclear Medicine, Chonnam National University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-1373-1887
Hyeon Sik KimMedical Photonics Research Center, Korea Photonics Technology Institute, Gwangju, Korea.ORCID https://orcid.org/0000-0001-9199-022X
Jae Yeong ChoDepartment of Cardiovascular Medicine, Chonnam National University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-9393-2821
Ju Han KimDepartment of Cardiovascular Medicine, Chonnam National University Hospital, Gwangju, Korea.ORCID https://orcid.org/0000-0002-3186-0770
Hee Seung BomDepartment of Nuclear Medicine, Chonnam National University Hwasun Hospital, Jeollanam-do, Korea. hsbom@jnu.ac.kr.ORCID https://orcid.org/0000-0002-5570-7375

Funding

National Research Foundation of Korea NRF-2016R1D1A3B01006631
6 · The paper itself

Abstract

backgroundWe evaluated whether lesion-specific measurement of myocardial blood flow (MBF) and flow reserve (MFR) by hybrid imaging of myocardial perfusion positron emission tomography (PET) and coronary computed tomography (CT) can provide additional diagnostic value.

methodsForty-three patients with stable angina underwent N-13 ammonia PET and coronary CT before invasive coronary angiography (CAG). The lesion-specific MBF was calculated from the average MBF of the myocardial segments downstream of a coronary stenosis using hybrid PET/CT images. The hyperemic MBF, resting MBF, and MFR were measured for the left anterior descending artery (LAD) using conventional and lesion-specific methods. The diagnostic accuracy was compared between the two methods for significant LAD stenoses (≥ 70% reference diameter on CAG).

resultsThere were 19 significant LAD stenoses. The sensitivity, specificity, negative predictive value, positive predictive value, and accuracy were 71%, 68%, 74%, 65%, and 70% for conventional hyperemic MBF (optimal cutoff = 2.15 mL/min/g), 79%, 63%, 74%, 65%, and 70% for conventional MFR (optimal cutoff = 1.82), 83%, 74%, 80%, 78%, and 80% for lesion-specific hyperemic MBF (optimal cutoff = 1.75 mL/min/g), and 79%, 79%, 83%, 75%, and 79% for lesion-specific MFR (optimal cutoff = 1.86), respectively. The lesion-specific measurement was more accurate and had a better linear correlation with anatomical stenosis severity for both hyperemic MBF and MFR.

conclusionsLesion-specific measurement using hybrid PET/CT imaging showed significant improvement in the diagnostic accuracy of PET-measured hyperemic MBF and MFR.

Indexed as

Computed tomographyCoronary artery diseaseHybrid imagingLesion-specific myocardial blood flowPositron emission tomography

Identifiers

PMID32052606
PMCPMC7114456

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.