Evidence map›Paper›PMID 35666823›Full record

Trial reportEuropean heart journal. Cardiovascular Imaging2022

Vascular biomechanics and molecular disease activity in the thoracic aorta: a novel imaging method.

Savine C S Minderhoud, Alexander J Fletcher, Gillian MacNaught, Sebastien Cadet, Suze-Anne Korteland, Isabella Kardys, Dimitris Rizopoulos, Piotr Slomka, David E Newby, Jolien W Roos-Hesselink and 5 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Vascular medicine (London, England) · 2025
    Pooled it
  2. Review
  3. 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

15 authors at 5 institutions in 3 countries.

Savine C S MinderhoudDepartment of Cardiology, Erasmus Medical Center, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.ORCID 0000-0001-9249-229X
Alexander J FletcherBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh EH16 4SB, UK.
Gillian MacNaughtEdinburgh Imaging Facility, Queens Medical Research Institute, University of Edinburgh, EH16 4TJ Edinburgh, UK.
Sebastien CadetDepartment of Imaging (Division of Nuclear Cardiology), Cedars-Sinai Medical Centre, CA 90048 Los Angeles, CA, USA.
Suze-Anne KortelandDepartment of Cardiology, Erasmus Medical Center, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.
Isabella KardysDepartment of Cardiology, Erasmus Medical Center, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.ORCID 0000-0002-2115-9745
Dimitris RizopoulosDepartment of Biostatistics, Erasmus Medical Center, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.ORCID 0000-0001-9397-0900
Piotr SlomkaDepartment of Imaging (Division of Nuclear Cardiology), Cedars-Sinai Medical Centre, CA 90048 Los Angeles, CA, USA.
David E NewbyBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh EH16 4SB, UK.ORCID 0000-0001-7971-4628
Jolien W Roos-HesselinkDepartment of Cardiology, Erasmus Medical Center, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.
Niki L WalkerScottish Adult Congenital Cardiac Service, Golden Jubilee National Hospital, G81 4DY Clydebank, UK.
Scott SempleEdinburgh Imaging Facility, Queens Medical Research Institute, University of Edinburgh, EH16 4TJ Edinburgh, UK.
Alexander HirschDepartment of Cardiology, Erasmus Medical Center, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.ORCID 0000-0002-3315-2006
Marc R DweckBritish Heart Foundation Centre for Cardiovascular Science, University of Edinburgh, Chancellor's Building, 49 Little France Crescent, Edinburgh EH16 4SB, UK.ORCID 0000-0001-9847-5917
Jolanda J WentzelDepartment of Cardiology, Erasmus Medical Center, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.
Erasmus MC · NLBritish Heart Foundation · GBCedars-Sinai Medical Center · USThe Queen's Medical Research Institute · GBGolden Jubilee National Hospital · GB

Funding

British Heart Foundation CH/09/002British Heart Foundation FS/14/78/31020British Heart Foundation FS/19/15/34155British Heart Foundation RE/18/5/34216British Heart Foundation RG/16/10/32375Wellcome Trust
6 · The paper itself

Abstract

aimsThe influence haemodynamics have on vessel wall pathobiology in aortic disease is incomplete. This aim of this study was to develop a repeatable method for assessing the relationship between aortic wall shear stress (WSS) and disease activity by fusing 4D flow cardiovascular magnetic resonance (CMR) with hybrid positron emission tomography (PET). METHODS AND

resultsAs part of an ongoing clinical trial, patients with bicuspid aortic valve (BAV) were prospectively imaged with both 18F-sodium fluoride (18F-NaF) PET, a marker of calcification activity, and 4D flow CMR. We developed novel software allowing accurate 3D co-registration and high-resolution comparison of aortic peak systolic WSS and 18F-NaF PET uptake (maximum tissue-to-background ratio). Intra-observer repeatability of both measurements was determined using Bland-Altman plots and intra-class correlation coefficients (ICCs). The relationship between localized WSS and 18F-NaF uptake was analysed using linear mixed-effect models. Twenty-three patients with BAV (median age 50 [44-55] years, 22% female) were included. Intra-observer repeatability for WSS (ICC = 0.92) and 18F-NaF (ICC = 0.91) measurements obtained within 1.4 ± 0.6 cm2 regions of interest was excellent. On multivariable analysis, 18F-NaF PET uptake was independently and negatively associated with WSS as well as diastolic blood pressure (both P < 0.05), adjusted for age.

conclusionFused assessment of WSS and 18F-NaF PET uptake is feasible and repeatable, demonstrating a clear association between these two factors. This high spatial resolution approach has major potential to advance our understanding of the relationship between vascular haemodynamics and disease activity.

Indexed as

Aorta, ThoracicBicuspid Aortic Valve DiseaseAortaAortic ValveBiomechanical PhenomenaBlood Flow VelocityFemaleHumansMaleMiddle AgedProspective Studies4D flow cardiovascular magnetic resonancecalcificationpositron emission tomographywall shear stress

Identifiers

PMID35666823
PMCPMC9671295
OpenAlexW4282942887

What OpenQuestion holds

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LicenceCC BY-NC
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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.