Evidence map›Paper›PMID 32529531›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2022

Observer repeatability and interscan reproducibility of 18F-sodium fluoride coronary microcalcification activity.

Evangelos Tzolos, Jacek Kwiecinski, Martin Lyngby Lassen, Sebastien Cadet, Philip D Adamson, Alastair J Moss, Nikhil Joshi, Michelle C Williams, Edwin J R van Beek, Damini Dey and 4 more

Open access · greenAbstract read
In one paragraph

Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2022. 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
2.9field-weighted citation impact, top 7% 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, 38 citations in OpenAlex.

  1. Vascular medicine (London, England) · 2025
    Pooled it
  2. Trial
  3. Head-to-head comparison ofJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2024
    Trial
  4. Review
  5. From incidental positron emission uptake toFrontiers in cardiovascular medicine · 2026
    Review
  6. Review
  7. Beyond the Lumen: Molecular Imaging to Unmask Vulnerable Coronary Plaques.Journal of cardiovascular development and disease · 2025
    Review
  8. Article
  9. Sex differences in coronary atherosclerotic plaque activity usingEuropean journal of nuclear medicine and molecular imaging · 2024
    Article
  10. Coronary Atherosclerotic Plaque Activity and Risk of Myocardial Infarction.Journal of the American College of Cardiology · 2024
    Article
  11. Review
  12. Temporal Changes in CoronaryJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2023
    Article
  13. Article
  14. Review
  15. Advanced Cardiac Imaging in the Assessment of Aortic Stenosis.Journal of cardiovascular development and disease · 2023
    Review
  16. Review
  17. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  18. Thoracic AorticJACC. Cardiovascular imaging · 2022
    Observational
  19. Article
  20. Respiration-averaged CT versus standard CT attenuation map for correction ofJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 4 countries.

Evangelos Tzolos *Department of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Artificial Intelligence in Medicine Program, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Ste A047N, Los Angeles, CA, 90048, USA.
Jacek Kwiecinski *Department of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Artificial Intelligence in Medicine Program, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Ste A047N, Los Angeles, CA, 90048, USA.
Martin Lyngby LassenDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Artificial Intelligence in Medicine Program, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Ste A047N, Los Angeles, CA, 90048, USA.
Sebastien CadetDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Artificial Intelligence in Medicine Program, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Ste A047N, Los Angeles, CA, 90048, USA.
Philip D AdamsonBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Alastair J MossBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Nikhil JoshiBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Michelle C WilliamsBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Edwin J R van BeekBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Damini DeyDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Artificial Intelligence in Medicine Program, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Ste A047N, Los Angeles, CA, 90048, USA.
Daniel S BermanDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Artificial Intelligence in Medicine Program, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Ste A047N, Los Angeles, CA, 90048, USA.
Marc R DweckBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
David E NewbyBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Piotr J SlomkaDepartment of Imaging (Division of Nuclear Medicine), Medicine, and Biomedical Sciences, Artificial Intelligence in Medicine Program, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Ste A047N, Los Angeles, CA, 90048, USA. piotr.slomka@cshs.org.
University of Edinburgh · GBCedars-Sinai Medical Center · USInstitute of Cardiology · PLUniversity of Leicester · GB

Funding

Integrated analysis of coronary anatomy and biology with 18F-fluoride PET and CT angiographyR01HL135557 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI SLOMKA, PIOTR J · 2017 to 2020
$3.0M
British Heart Foundation CH/09/002/26360British Heart Foundation FS/14/78/31020British Heart Foundation FS/ICRF/20/26002British Heart Foundation RG/16/10/32375Medical Research Council G0701127Medical Research Council MR/T005459/1NHLBI NIH HHS R01 HL135557Wellcome Trust
6 · The paper itself

Abstract

backgroundWe aimed to establish the observer repeatability and interscan reproducibility of coronary

methodsPatients with multivessel coronary artery disease underwent repeated hybrid PET and computed tomography angiography (CTA) imaging (PET/CTA). CMA was defined as the integrated standardized uptake values (SUV) in the entire coronary tree exceeding 2 standard deviations above the background SUV. Coefficients of repeatability between the same observer (intraobserver repeatability), between 2 observers (interobserver repeatability) and coefficient of reproducibility between 2 scans (interscan reproducibility), were determined at vessel and patient level.

resultsIn 19 patients, CMA was assessed twice in 43 coronary vessels on two PET/CT scans performed 12 ± 5 days apart. There was excellent intraclass correlation for intraobserver and interobserver repeatability as well as interscan reproducibility (all ≥ 0.991). There was 100% intraobserver, interobserver and interscan agreement for the presence (CMA > 0) or absence (CMA = 0) of coronary

conclusionsCMA is a repeatable and reproducible global measure of coronary atherosclerotic activity.

Indexed as

CalcinosisSodium FluorideFluorine RadioisotopesHumansObserver VariationPositron Emission Tomography Computed TomographyReproducibility of ResultsSodiumFluorine RadioisotopesSodiumSodium Fluoride18F-NaFcardiac PETcoronary microcalcification activityMotion correctionPET/CTvulnerable plaque

Identifiers

PMID32529531
PMCPMC7728624
OpenAlexW3034455441

What OpenQuestion holds

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Registered trials

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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.