Evidence map›Paper›PMID 34179941›Full record

ArticleEuropean heart journal. Cardiovascular Imaging2022

2D high resolution vs. 3D whole heart myocardial perfusion cardiovascular magnetic resonance.

Muhummad Sohaib Nazir, Joy Shome, Adriana D M Villa, Matthew Ryan, Ziyan Kassam, Reza Razavi, Sebastian Kozerke, Tevfik F Ismail, Divaka Perera, Amedeo Chiribiri and 1 more

Open access · hybridAbstract read
In one paragraph

Article in European heart journal. Cardiovascular Imaging, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

11 authors at 4 institutions in 2 countries.

Muhummad Sohaib NazirSchool of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 4th Floor Lambeth Wing, St Thomas' Hospital, Westminster Bridge Road, London SW1 7EH, UK.ORCID 0000-0003-2749-1033
Joy ShomeSchool of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 4th Floor Lambeth Wing, St Thomas' Hospital, Westminster Bridge Road, London SW1 7EH, UK.
Adriana D M VillaSchool of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 4th Floor Lambeth Wing, St Thomas' Hospital, Westminster Bridge Road, London SW1 7EH, UK.
Matthew RyanBritish Heart Foundation Centre of Excellence and National Institute for Health Research Biomedical Research Centre at the School of Cardiovascular Medicine and Sciences, Kings College London, London, UK.
Ziyan KassamSchool of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 4th Floor Lambeth Wing, St Thomas' Hospital, Westminster Bridge Road, London SW1 7EH, UK.
Reza RazaviSchool of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 4th Floor Lambeth Wing, St Thomas' Hospital, Westminster Bridge Road, London SW1 7EH, UK.
Sebastian KozerkeInstitute for Biomedical Engineering, University and ETH Zurich, Zurich, Switzerland.
Tevfik F IsmailSchool of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 4th Floor Lambeth Wing, St Thomas' Hospital, Westminster Bridge Road, London SW1 7EH, UK.
Divaka PereraBritish Heart Foundation Centre of Excellence and National Institute for Health Research Biomedical Research Centre at the School of Cardiovascular Medicine and Sciences, Kings College London, London, UK.
Amedeo ChiribiriSchool of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 4th Floor Lambeth Wing, St Thomas' Hospital, Westminster Bridge Road, London SW1 7EH, UK.
Sven PleinSchool of Biomedical Engineering and Imaging Sciences, King's College London, St Thomas' Hospital, 4th Floor Lambeth Wing, St Thomas' Hospital, Westminster Bridge Road, London SW1 7EH, UK.
St Thomas' Hospital · GBKing's College London · GBETH Zurich · CHUniversity of Leeds · GB

Funding

British Heart Foundation PG/13/97/30487Wellcome Trust
6 · The paper itself

Abstract

aimsDevelopments in myocardial perfusion cardiovascular magnetic resonance (CMR) allow improvements in spatial resolution and/or myocardial coverage. Whole heart coverage may provide the most accurate assessment of myocardial ischaemic burden, while high spatial resolution is expected to improve detection of subendocardial ischaemia. The objective of this study was to compare myocardial ischaemic burden as depicted by 2D high resolution and 3D whole heart stress myocardial perfusion in patients with coronary artery disease. METHODS AND

resultsThirty-eight patients [age 61 ± 8 (21% female)] underwent 2D high resolution (spatial resolution 1.2 mm2) and 3D whole heart (in-plane spatial resolution 2.3 mm2) stress CMR at 3-T in randomized order. Myocardial ischaemic burden (%) was visually quantified as perfusion defect at peak stress perfusion subtracted from subendocardial myocardial scar and expressed as a percentage of the myocardium. Median myocardial ischaemic burden was significantly higher with 2D high resolution compared with 3D whole heart [16.1 (2.0-30.6) vs. 13.4 (5.2-23.2), P = 0.004]. There was excellent agreement between myocardial ischaemic burden (intraclass correlation coefficient 0.81; P < 0.0001), with mean ratio difference between 2D high resolution vs. 3D whole heart 1.28 ± 0.67 (95% limits of agreement -0.03 to 2.59). When using a 10% threshold for a dichotomous result for presence or absence of significant ischaemia, there was moderate agreement between the methods (κ = 0.58, P < 0.0001).

conclusion2D high resolution and 3D whole heart myocardial perfusion stress CMR are comparable for detection of ischaemia. 2D high resolution gives higher values for myocardial ischaemic burden compared with 3D whole heart, suggesting that 2D high resolution is more sensitive for detection of ischaemia.

Indexed as

Imaging, Three-DimensionalMyocardial Perfusion ImagingAgedFemaleHeartHumansMagnetic Resonance ImagingMagnetic Resonance SpectroscopyMaleMiddle AgedPerfusioncoronary artery diseasemyocardial ischaemic burdenmyocardial perfusion

Identifiers

PMID34179941
PMCPMC9159745
OpenAlexW3174434873

What OpenQuestion holds

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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.