Evidence map›Paper›PMID 34943478›Full record

ArticleDiagnostics (Basel, Switzerland)2021

Importance of Visual Estimation of Coronary Artery Stenoses and Use of Functional Evaluation for Appropriate Guidance of Coronary Revascularization-Multiple Operator Evaluation.

Lucian Calmac, Nicoleta-Monica Popa-Fotea, Vlad Bataila, Vlad Ploscaru, Adrian Turea, Irina Andra Tache, Diana Stoian, Lucian Itu, Elisabeta Badila, Alexandru Scafa-Udriste and 1 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2021. 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
1.5field-weighted citation impact, top 17% 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, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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 5 institutions in 1 country.

Lucian CalmacDepartment of Cardiology, Emergency Clinical Hospital, 8 Calea Floreasca, 014461 Bucharest, Romania.
Nicoleta-Monica Popa-FoteaDepartment of Cardiology, Emergency Clinical Hospital, 8 Calea Floreasca, 014461 Bucharest, Romania.ORCID 0000-0002-8066-5779
Vlad BatailaDepartment of Cardiology, Emergency Clinical Hospital, 8 Calea Floreasca, 014461 Bucharest, Romania.
Vlad PloscaruDepartment of Cardiology, Emergency Clinical Hospital, 8 Calea Floreasca, 014461 Bucharest, Romania.
Adrian TureaDepartment of Image Fusion and Analytics, Siemens SRL, 78 B-dul 15 Noiembrie, 5000978 Brasov, Romania.
Irina Andra TacheDepartment of Image Fusion and Analytics, Siemens SRL, 78 B-dul 15 Noiembrie, 5000978 Brasov, Romania.
Diana StoianDepartment of Image Fusion and Analytics, Siemens SRL, 78 B-dul 15 Noiembrie, 5000978 Brasov, Romania.
Lucian ItuDepartment of Image Fusion and Analytics, Siemens SRL, 78 B-dul 15 Noiembrie, 5000978 Brasov, Romania.
Elisabeta BadilaDepartment of Cardiology, Emergency Clinical Hospital, 8 Calea Floreasca, 014461 Bucharest, Romania.ORCID 0000-0003-2683-3054
Alexandru Scafa-UdristeDepartment of Cardiology, Emergency Clinical Hospital, 8 Calea Floreasca, 014461 Bucharest, Romania.
Maria DorobantuDepartment Cardio-Thoracic, University of Medicine and Pharmacy "Carol Davila", 8 Eroii Sanitari, 050474 Bucharest, Romania.ORCID 0000-0003-1940-5262
Carol Davila University of Medicine and Pharmacy · ROClinical Emergency Hospital Bucharest · ROTransylvania University of Brașov · ROSiemens (Romania) · ROUniversity of Bucharest · RO

Funding

Romanian Ministry of Education and Research, CCCDI - UEFISCDI PN-III-P2-2.1-PED-2019-2434, within PNCDI III
6 · The paper itself

Abstract

backgroundVisual estimation (VE) of coronary stenoses is the first step during invasive coronary angiography. The aim of this study was to evaluate the accuracy of VE together with invasive functional assessment (IFA) in defining the functional significance (FS) of coronary stenoses based on the opinion of multiple operators.

methodsFourteen independent operators visually evaluated 133 coronary lesions which had a previous FFR measurement, indicating the degree of stenosis (DS), FS and IFA intention. We determined the accuracy of FS prediction using several scenarios combining individual and group decision, considering IFA as deemed necessary by the operator or only in intermediate lesions.

resultsThe accuracy of VE in predicting FS was largely variable between operators (average 66.1%); it improved significantly when IFA was used either as per operator's opinion (86.3%;

conclusionsThere are significant inter-observer differences in reporting the degree of DS, while the accuracy of VE prediction of FS is also largely dependent on the operator, and the worst performance is obtained in the evaluation of intermediate DS.

Indexed as

agreementcardiac imagingcoronary artery diseasediameter stenosisfractional flow reservefunctional evaluationgroup decisioninter-observer variabilitymyocardial ischemiavisual estimation

Identifiers

PMID34943478
PMCPMC8700270
OpenAlexW3217426628

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.