Evidence map›Paper›PMID 36577120›Full record

ArticleDiabetes care2023

Diabetes, Atherosclerosis, and Stenosis by AI.

Rebecca A Jonas, Tami R Crabtree, Robert S Jennings, Hugo Marques, Richard J Katz, Hyuk-Jae Chang, Wijnand J Stuijfzand, Alexander R van Rosendael, Jung Hyun Choi, Joon-Hyung Doh and 32 more

Abstract read
In one paragraph

Article in Diabetes care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
  5. Article
  6. Artificial Intelligence in Coronary Artery Interventions: Preprocedural Planning and Procedural Assistance.Journal of the Society for Cardiovascular Angiography & Interventions · 2025
    Review
  7. Review
  8. Article
  9. 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

42 authors.

Rebecca A JonasDepartment of Internal Medicine, Thomas Jefferson University Medical Center; Philadelphia, PA.ORCID 0000-0003-0203-6210
Tami R CrabtreeCleerly, Inc., New York, NY.
Robert S JenningsCleerly, Inc., New York, NY.
Hugo MarquesFaculdade de Medicina da Universidade Católica Portuguesa, Lisboa, Portugal.
Richard J KatzThe George Washington University School of Medicine & Health Sciences, Washington, DC.
Hyuk-Jae ChangDivision of Cardiology, Severance Cardiovascular Hospital and Severance Biomedical Science Institute, Yonsei University College of Medicine, Yonsei University Health System, Seoul, South Korea.
Wijnand J StuijfzandAmsterdam University Medical Center, VU University Medical Center, Amsterdam, the Netherlands.
Alexander R van RosendaelDepartment of Cardiology, Leiden University Medical Center, Amsterdam, the Netherlands.
Jung Hyun ChoiOntact Health, Inc., Seoul, South Korea.
Joon-Hyung DohDivision of Cardiology, Inje University Ilsan Paik Hospital, Goyang, South Korea.
Ae-Young HerKang Won National University Hospital, Chuncheon, South Korea.
Bon-Kwon KooDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Chang-Wook NamCardiovascular Center, Keimyung University Dongsan Hospital, Daegu, South Korea.
Hyung-Bok ParkDivision of Cardiology, Department of Internal Medicine, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, South Korea.
Sang-Hoon ShinDivision of Cardiology, Department of Internal Medicine, Ewha Women's University Seoul Hospital, Seoul, South Korea.
Jason ColeMobile Cardiology Associates, Mobile, AL.
Alessia GimelliDepartment of Imaging, Fondazione Toscana Gabriele Monasterio, Pisa, Italy.
Muhammad Akram KhanCardiac Center of Texas, McKinney, TX.
Bin LuState Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Beijing, China.
Yang GaoState Key Laboratory of Cardiovascular Disease, Fuwai Hospital, Beijing, China.
Faisal NabiHouston Methodist Hospital, Houston, TX.
Ryo NakazatoCardiovascular Center, St. Luke's International Hospital, Tokyo, Japan.
U Joseph SchoepfMedical University of South Carolina, Charleston, SC.
Roel S DriessenAmsterdam University Medical Center, VU University Medical Center, Amsterdam, the Netherlands.
Michiel J BomAmsterdam University Medical Center, VU University Medical Center, Amsterdam, the Netherlands.
Randall C ThompsonSt. Luke's Mid America Heart Institute, Kansas City, MO.
James J JangKaiser Permanente San Jose Medical Center, San Jose, CA.
Michael RidnerHeart Center Research, LLC, Huntsville, AL.
Chris RowanRenown Heart and Vascular Institute, Reno, NV.
Erick AvelarOconee Heart and Vascular Center at St Mary's Hospital, Athens, GA.
Philippe GénéreuxGagnon Cardiovascular Institute at Morristown Medical Center, Morristown, NJ.
Paul KnaapenAmsterdam University Medical Center, VU University Medical Center, Amsterdam, the Netherlands.
Guus A de WaardAmsterdam University Medical Center, VU University Medical Center, Amsterdam, the Netherlands.
Gianluca PontoneCentro Cardiologico Monzino, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Milan, Italy.
Daniele AndreiniCentro Cardiologico Monzino, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Milan, Italy.
Mouaz H Al-MallahHouston Methodist Hospital, Houston, TX.
Marco GuglielmoCentro Cardiologico Monzino, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Milan, Italy.
Jeroen J BaxDepartment of Cardiology, Leiden University Medical Center, Amsterdam, the Netherlands.
James P EarlsCleerly, Inc., New York, NY.
James K MinCleerly, Inc., New York, NY.
Andrew D ChoiThe George Washington University School of Medicine & Health Sciences, Washington, DC.
Todd C VillinesDivision of Cardiovascular Medicine, University of Virginia Health System, Charlottesville, VA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study evaluates the relationship between atherosclerotic plaque characteristics (APCs) and angiographic stenosis severity in patients with and without diabetes. Whether APCs differ based on lesion severity and diabetes status is unknown. RESEARCH DESIGN AND

methodsWe retrospectively evaluated 303 subjects from the Computed TomogRaphic Evaluation of Atherosclerotic Determinants of Myocardial IsChEmia (CREDENCE) trial referred for invasive coronary angiography with coronary computed tomographic angiography (CCTA) and classified lesions as obstructive (≥50% stenosed) or nonobstructive using blinded core laboratory analysis of quantitative coronary angiography. CCTA quantified APCs, including plaque volume (PV), calcified plaque (CP), noncalcified plaque (NCP), low-density NCP (LD-NCP), lesion length, positive remodeling (PR), high-risk plaque (HRP), and percentage of atheroma volume (PAV; PV normalized for vessel volume). The relationship between APCs, stenosis severity, and diabetes status was assessed.

resultsAmong the 303 patients, 95 (31.4%) had diabetes. There were 117 lesions in the cohort with diabetes, 58.1% of which were obstructive. Patients with diabetes had greater plaque burden (P = 0.004). Patients with diabetes and nonobstructive disease had greater PV (P = 0.02), PAV (P = 0.02), NCP (P = 0.03), PAV NCP (P = 0.02), diseased vessels (P = 0.03), and maximum stenosis (P = 0.02) than patients without diabetes with nonobstructive disease. APCs were similar between patients with diabetes with nonobstructive disease and patients without diabetes with obstructive disease. Diabetes status did not affect HRP or PR. Patients with diabetes had similar APCs in obstructive and nonobstructive lesions.

conclusionsPatients with diabetes and nonobstructive stenosis had an association to similar APCs as patients without diabetes who had obstructive stenosis. Among patients with nonobstructive disease, patients with diabetes had more total PV and NCP.

Indexed as

AtherosclerosisCoronary Artery DiseaseCoronary StenosisDiabetes MellitusPlaque, AtheroscleroticArtificial IntelligenceComputed Tomography AngiographyConstriction, PathologicCoronary AngiographyHumansPredictive Value of TestsRetrospective Studies

Identifiers

PMID36577120
PMCPMC9887618

What OpenQuestion holds

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Registered trials

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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.