Evidence map›Paper›PMID 34036525›Full record

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

New criteria for the diagnosis of infective endocarditis using 18F-FDG PET/CT imaging.

Maria Gazzilli, Domenico Albano, Silvia Lucchini, Alessia Peli, Elisabetta Cerudelli, Francesco Bertagna, Raffaele Giubbini

Erratum issuedAbstract read
PubMed Publisher
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. An erratum has been issued. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
  2. Article
  3. Diagnostic Utility ofMicroorganisms · 2025
    Article
  4. Article
  5. Review
  6. Review of cardiovascular imaging in the Journal of Nuclear Cardiology 2022: positron emission tomography, computed tomography, and magnetic resonance.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2023
    Review
  7. Review
  8. Response to JNC-22-024-LE.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  9. New criteria to diagnose infective endocarditis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  10. Review
  11. FDG PET in infective endocarditis: There are still horizons to conquer.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  12. Frontiers in cardiovascular medicine · 2021
    Article
  13. Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Maria GazzilliNuclear Medicine, Spedali Civili, Brescia, Italy. marinagazzilli@msn.com.
Domenico AlbanoNuclear Medicine, University of Brescia and Spedali Civili Brescia, Brescia, Italy.
Silvia LucchiniNuclear Medicine, Spedali Civili, Brescia, Italy.
Alessia PeliNuclear Medicine, Spedali Civili, Brescia, Italy.
Elisabetta CerudelliNuclear Medicine, Spedali Civili, Brescia, Italy.
Francesco BertagnaNuclear Medicine, University of Brescia and Spedali Civili Brescia, Brescia, Italy.
Raffaele GiubbiniNuclear Medicine, University of Brescia and Spedali Civili Brescia, Brescia, Italy.
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITUniversity of Brescia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this study was to examine a qualitative scoring system and a semi-quantitative method of FDG-PET/CT imaging in the diagnosis of infective endocarditis (IE).

methodsWe retrospectively included 108 patients who underwent 18F-FDG-PET/CT for suspected IE. PET/CT scans were interpreted using a 4-point score (0 = no uptake; 1 = cardiac uptake < blood-pool activity; 2 = blood-pool < uptake < liver activity; 3 = uptake > liver) and semi-quantitatively using SUVmax and SUVmean of the suspected valve lesion, liver, spleen, and of the bone marrow (BM). BM and spleen SUVmean were normalized to the liver, and hypermetabolism (HSBM) was defined as a BM or spleen-to-liver ratio > 1.

resultsComparing the score criteria results with the clinical final diagnosis, the sensitivity, specificity, positive predictive value, negative predictive value, and accuracy of qualitative criteria were 93%, 81%, 84%, 91%, and 87%, respectively. A definite IE was documented in 83% of patients showing HSBM and abnormal cardiac uptake, 44% with abnormal cardiac uptake, 28% with HSBM, and 10% with neither one.

conclusionThe qualitative scoring system is helpful in the diagnosis of IE. The HSBM is an additional, reliable indirect sign of IE.

Indexed as

EndocarditisEndocarditis, BacterialFluorodeoxyglucose F18HumansPositron Emission Tomography Computed TomographyRadiopharmaceuticalsRetrospective StudiesFluorodeoxyglucose F18RadiopharmaceuticalsInfectionInflammationPET

Identifiers

PMID34036525
OpenAlexW3164132108

What OpenQuestion holds

Textmetadata
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.