Evidence map›Paper›PMID 34169473›Full record

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

Christopher P Primus, Thomas A Clay, Maria S McCue, Kit Wong, Rakesh Uppal, Shirish Ambekar, Satya Das, Sanjeev Bhattacharyya, L Ceri Davies, Simon Woldman and 1 more

Open access · hybridAbstract 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. The Role of theJournal of personalized medicine · 2024
    Article
  11. Article
  12. Patients with Artificial Heart Valves.Deutsches Arzteblatt international · 2023
    Review
  13. 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
  14. 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
  15. Article
  16. Review
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

11 authors at 3 institutions in 1 country.

Christopher P PrimusBarts Heart Centre, St Bartholomew's Hospital, London, UK. christopher.primus@nhs.net.ORCID 0000-0002-7464-5210
Thomas A ClayUniversity College London, London, UK.
Maria S McCueBarts Heart Centre, St Bartholomew's Hospital, London, UK.
Kit WongBarts Heart Centre, St Bartholomew's Hospital, London, UK.
Rakesh UppalBarts Heart Centre, St Bartholomew's Hospital, London, UK.
Shirish AmbekarBarts Heart Centre, St Bartholomew's Hospital, London, UK.
Satya DasBarts Heart Centre, St Bartholomew's Hospital, London, UK.
Sanjeev BhattacharyyaQueen Mary, University of London, London, UK.
L Ceri DaviesBarts Heart Centre, St Bartholomew's Hospital, London, UK.
Simon WoldmanBarts Heart Centre, St Bartholomew's Hospital, London, UK.
Leon J MenezesUniversity College London, London, UK.
St Bartholomew's Hospital · GBUniversity College London · GBQueen Mary University of London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternational guidance recognizes the shortcomings of the modified Duke Criteria (mDC) in diagnosing infective endocarditis (IE) when transoesophageal echocardiography (TOE) is equivocal.

methodsDual-center retrospective study (2010-2018) of patients undergoing myocardial suppression PET for NVE and PVE. Cases were classified by mDC pre- and post-PET, and evaluated against discharge diagnosis. Receiver Operating Characteristic (ROC) analysis and net reclassification index (NRI) assessed diagnostic performance. Valve standardized uptake value (SUV) was recorded.

results69/88 PET studies were evaluated across 668 patients. At discharge, 20/32 had confirmed NVE, 22/37 PVE, and 19/69 patients required surgery. PET accurately re-classified patients from possible, to definite or rejected (NRI: NVE 0.89; PVE 0.90), with significant incremental benefit in both NVE (AUC 0.883 vs 0.750) and PVE (0.877 vs 0.633). Sensitivity and specificity were 75% and 92% in NVE; 87% and 86% in PVE. Duration of antibiotics and C-reactive Protein level did not impact performance. No diagnostic SUV cut-off was identified.

conclusionPET improves diagnostic certainty when combined with mDC in NVE and PVE.

Indexed as

EndocarditisEndocarditis, BacterialHeart Valve ProsthesisProsthesis-Related InfectionsAnti-Bacterial AgentsC-Reactive ProteinFluorodeoxyglucose F18HumansPositron Emission Tomography Computed TomographyRetrospective StudiesAnti-Bacterial AgentsC-Reactive ProteinFluorodeoxyglucose F18Infective endocarditismodified Duke CriterianativePET/CTprosthetic

Identifiers

PMID34169473
PMCPMC9553763
OpenAlexW3177400587

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.