Evidence map›Paper›PMID 32144637›Full record

Observational studyThe international journal of cardiovascular imaging2020

Ultrasound risk marker variability in symptomatic carotid plaque: impact on risk reclassification and association with temporal variation pattern.

Isak Stenudd, Elias Sjödin, Emma Nyman, Per Wester, Elias Johansson, Christer Grönlund

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The international 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 28% 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, 8 citations in OpenAlex.

  1. Article
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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 1 institution in 1 country.

Isak StenuddDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden. isak.stenudd@umu.se.
Elias SjödinUmeå University, Umeå, Sweden.
Emma NymanDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden.
Per WesterDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden.
Elias JohanssonDepartment of Public Health and Clinical Medicine, Umeå University, 901 87, Umeå, Sweden.
Christer GrönlundDepartment of Radiation Sciences, Biomedical Engineering R&D, Umeå University, Umeå, Sweden.
Umeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUltrasound examinations of atherosclerotic carotid plaques can be used to calculate risk markers associated with plaque vulnerability. Recent studies demonstrate significant inter-frame variability in risk markers. Here, we investigate risk marker variability in symptomatic plaques and its impact on reclassification of plaque vulnerability, as well as its association with the shape of the temporal variation over the cardiac cycle.

methods56 patients with symptomatic carotid stenosis were included in this study. 88 plaques were identified and the plaque risk markers size (area), echogenicity (gray scale median, GSM) and heterogeneity (coarseness) were measured in all frames of ultrasound B-mode image sequences. Inter-frame variability was quantified using the coefficient of variation (CV).

resultsInter-frame variabilities of the risk markers were area CV 5-8%; GSM CV 4-7%; coarseness CV 8-15% and was in general significantly lower in large as compared to smaller plaques. The variability in GSM risk marker caused a reclassification of vulnerability in 30 to 38% of the plaques. Temporal variations in GSM with a heart rate periodic or drift/trending pattern were found in smaller plaques (< 26 mm

conclusionsRisk marker variability causes substantial reclassification of plaque vulnerability in symptomatic patients. Inter-frame variation and its temporal pattern should be considered in the design of future studies related to risk markers.

Indexed as

Plaque, AtheroscleroticUltrasonographyAgedAged, 80 and overCarotid ArteriesCarotid StenosisFemaleHumansMaleMiddle AgedObserver VariationPredictive Value of TestsPrognosisReproducibility of ResultsRetrospective StudiesRisk AssessmentAtherosclerosisPlaqueReclassificationRisk markerVariability

Identifiers

PMID32144637
PMCPMC7228988
OpenAlexW3010153679

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.