Evidence map›Paper›PMID 32964326›Full record

SynthesisLa Radiologia medica2020

The current landscape of imaging recommendations in cardiovascular clinical guidelines: toward an imaging-guided precision medicine.

Antonio Esposito, Guglielmo Gallone, Anna Palmisano, Livia Marchitelli, Federica Catapano, Marco Francone

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in La Radiologia medica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05346094 (A Multicenter Investigation of Cardiac Normal Values of Morphology, Function and Tissue Characteristics by Magnetic Resonance Imaging), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–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.

NCT05346094 recruitingnot on this mapstarted 2022, after this paper: background citation

A Multicenter Investigation of Cardiac Normal Values of Morphology, Function and Tissue Characteristics by Magnetic Resonance Imaging

TypeobservationalSponsorChinese Academy of Medical Sciences, Fuwai HospitalRan2022 to 2027Enrolled938ConditionsHealthy Participants, Reference ValuesArmsNo intervention
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Comprehensive review of artifacts in cardiac MRI and their mitigation.The international journal of cardiovascular imaging · 2024
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Cardiac MRI at Low Field Strengths.Journal of magnetic resonance imaging : JMRI · 2024
    Review
  10. Regional variability of cardiovascular magnetic resonance access and utilization in the United States.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2024
    Observational
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. 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

6 authors.

Antonio EspositoExperimental Imaging Center, Radiology Unit, IRCCS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
Guglielmo GalloneDivision of Cardiology, Department of Internal Medicine, Città della Salute e della Scienza, University of Turin, Turin, Italy.
Anna PalmisanoExperimental Imaging Center, Radiology Unit, IRCCS Ospedale San Raffaele, Via Olgettina 60, 20132, Milan, Italy.
Livia MarchitelliDepartment of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.
Federica CatapanoDepartment of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.
Marco FranconeDepartment of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy. marco.francone@uniroma1.it.ORCID http://orcid.org/0000-0002-7906-3420

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this article is to provide an overview on the role of CT scan and MRI according to selected guidelines by the European Society of Cardiology (ESC) and the American College of Cardiology/American Heart Association (ACC/AHA). ESC and ACC/AHA guidelines were systematically reviewed for recommendations to CT and MRI use in specific cardiovascular (CV) clinical categories. All recommendations were collected in a dataset, including the class of recommendation, the level of evidence (LOE), the specific imaging technique, the clinical purpose of the recommendation and the recommending Society. Among the 43 included guidelines (ESC: n = 18, ACC/AHA: n = 25), 26 (60.4%) contained recommendations for CT scan or MRI (146 recommendations: 62 for CT and 84 for MRI). Class of recommendation IIa (32.9%) was the most represented, followed by I (28.1%), IIb (24%) and III (11.9%). MRI recommendations more frequently being of higher class (I: 36.9%, IIa: 29.8%, IIb: 21.4%, III: 11.9%) as compared to CT (I: 16.1%, IIa: 37.1%, IIb: 27.4%, III: 19.4%). Most of recommendation (55.5%) were based on expert opinion (LOE C). The use of cardiac CT and cardiac MR in the risk assessment, diagnosis, therapeutic and procedural planning is in continuous development, driven by an increasing need to evolve toward an imaging-guided precision medicine, combined with cost-effectiveness and healthcare sustainability. These developments must be accompanied by an increased availability of high-performance scanners in healthcare facilities and should emphasize the need of increasing the number of radiologists fully trained in cardiac imaging.

Indexed as

Computed Tomography AngiographyMagnetic Resonance ImagingPractice Guidelines as TopicCardiologyCardiovascular DiseasesCoronary AngiographyCoronary VesselsEuropeHeartHumansPrecision MedicinePrimary PreventionSocieties, MedicalUnited StatesAHA/ACC guidelinesCardiac computed tomography angiographyCardiovascular magnetic resonanceESC guidelines

Identifiers

PMID32964326
PMCPMC7593299

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.