Evidence map›Paper›PMID 33454897›Full record

Observational studyThe international journal of cardiovascular imaging2021

Diagnostic accuracy of quantitative flow ratio (QFR) and vessel fractional flow reserve (vFFR) estimated retrospectively by conventional radiation saving X-ray angiography.

Chongying Jin, Anantharaman Ramasamy, Hannah Safi, Yakup Kilic, Vincenzo Tufaro, Retesh Bajaj, Guosheng Fu, Anthony Mathur, Christos V Bourantas, Andreas Baumbach

Abstract readObservational Study
In one paragraph

Observational study in The international journal of cardiovascular imaging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

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

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

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Imaging: New Frontiers in Vascular Training.Methodist DeBakey cardiovascular journal · 2022
    Review
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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

10 authors.

Chongying JinDepartment of Cardiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Zhejiang, China.
Anantharaman RamasamyDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Hannah SafiDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Yakup KilicDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Vincenzo TufaroDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Retesh BajajDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Guosheng FuDepartment of Cardiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Zhejiang, China.
Anthony MathurDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Christos V BourantasDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK.
Andreas BaumbachDepartment of Cardiology, Barts Heart Centre, Barts Health NHS Trust, London, UK. a.baumbach@qmul.ac.uk.

Funding

Natural Science Foundation of Zhejiang Province LY17H020007
6 · The paper itself

Abstract

backgroundAngiography derived FFR reveals good performance in assessing intermediate coronary stenosis. However, its performance under contemporary low X-ray frame and pulse rate settings is unknown. We aim to validate the feasibility and performance of quantitative flow ratio (QFR) and vessel fractional flow reserve (vFFR) under such angiograms.

methodsThis was an observational, retrospective, single center cohort study. 134 vessels in 102 patients, with angiograms acquired under 7.5fps and 7pps mode, were enrolled. QFR (fQFR and cQFR) and vFFR were validated with FFR as the gold standard. A conventional manual and a newly developed algorithmic exclusion method (M and A group) were both evaluated for identification of poor-quality angiograms.

resultsGood agreement between QFR/vFFR and FFR were observed in both M and A group, except for vFFR in the M group. The correlation coefficients between fQFR/cQFR/vFFR and FFR were 0.6242, 0.5888, 0.4089 in the M group, with r

conclusionsQFR/vFFR assessment is feasible under 7.5fps and 7pps angiography, where cQFR showed no advantage compared to fQFR. Our newly developed algorithmic exclusion method could be a better method of selecting angiograms with adequate quality for angiography derived FFR assessment.

Indexed as

Coronary StenosisFractional Flow Reserve, MyocardialCohort StudiesCoronary AngiographyCoronary VesselsHumansPredictive Value of TestsRetrospective StudiesSeverity of Illness IndexX-RaysAngiographyFractional flow reserveQFRvFFR

Identifiers

PMID33454897
PMCPMC8105229

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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.