Evidence map›Paper›PMID 37951725›Full record

Observational studyJournal of cardiovascular computed tomography

Rationale and design of the CONFIRM2 (Quantitative COroNary CT Angiography Evaluation For Evaluation of Clinical Outcomes: An InteRnational, Multicenter Registry) study.

Alexander R van Rosendael, Tami Crabtree, Jeroen J Bax, Rine Nakanishi, Saima Mushtaq, Gianluca Pontone, Daniele Andreini, Ronny R Buechel, Christoph Gräni, Gudrun Feuchtner and 22 more

Open access · hybridAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Journal of cardiovascular computed tomography. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 13 citations in OpenAlex.

  1. Inpatient cardiac computed tomography angiography in Germany between 2005 and 2023: a nationwide registry study.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
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  12. Coronary risk stratification by cardiac CT assessment of atherosclerosis and flow.The international journal of cardiovascular imaging · 2024
    Article
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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

32 authors at 20 institutions in 11 countries.

Alexander R van RosendaelDepartment of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Tami CrabtreeCleerly, Inc, Denver, CO, United States of America.
Jeroen J BaxDepartment of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Rine NakanishiDepartment of Cardiovascular Medicine, Toho University Graduate School of Medicine, Tokyo, Japan.
Saima MushtaqDepartment of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, Milan, Italy.
Gianluca PontoneDepartment of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, Milan, Italy; Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.
Daniele AndreiniDivision of University Cardiology, IRCCS Galeazzi Sant'Ambrogio, Department of Biomedical and Clinical Sciences, University of Milan, Italy.
Ronny R BuechelDepartment of Nuclear Medicine, Cardiac Imaging, University Hospital and University of Zurich, Zurich, Switzerland.
Christoph GräniDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Gudrun FeuchtnerDepartment of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
Toral R PatelCardiology at Stroobants Heart and Vascular Institute and UVA Cardiology, Lynchburg, VA, United States of America.
Andrew D ChoiCardiology and Radiology, George Washington University, Washington, DC, United States of America.
Mouaz Al-MallahDepartment of Cardiology, Houston Methodist, Houston, TX, United States of America.
Faisal NabiDepartment of Cardiology, Houston Methodist, Houston, TX, United States of America.
Ronald P KarlsbergCardiovascular Research Foundation of Southern California, Cedars Sinai Heart Institute, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States of America.
Carlos E RochitteHeart Institute, InCor, University of São Paulo Medical School, São Paulo, Brazil.
Mirvat AlasnagCardiac Center, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia.
Ashraf HamdanDepartment of Cardiology, Rabin Medical Center, Petah Tikva, Israel.
Filippo CademartiriDepartment of Imaging, Fondazione Monasterio/CNR, Pisa, Italy & SYNLAB IRCCS SDN, Naples, Italy.
Hugo MarquesUNICA, Unit of Cardiovascular Imaging, Hospital da Luz, Lisboa and Católica Medical School, Portugal.
Dinesh KalraDivision of Cardiology, Department of Medicine, University of Louisville School of Medicine, Louisville, KY, United States of America.
David M GermanKnight Cardiovascular Institute, Oregon Health & Science University, Portland, OR, United States of America.
Himanshu GuptaCardiac Imaging, Heart and Vascular Institute, Valley Health System, Ridgewood, NJ, United States of America.
Martin HadamitzkyDepartment of Radiology and Nuclear Medicine, German Heart Center Munich, Munich, Germany.
Roderick C DeañoDepartment of Medicine, Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States of America.
Omar KhaliqueDivision of Cardiovascular Imaging, St. Francis Hospital & Heart Center, Roslyn, NY, United States of America.
Paul KnaapenDepartment of Cardiology, Amsterdam University Medical Center, Location VUMC, Amsterdam, The Netherlands.
Udo HoffmannCleerly, Inc, Denver, CO, United States of America.
James EarlsCleerly, Inc, Denver, CO, United States of America.
James K MinCleerly, Inc, Denver, CO, United States of America.
Ibrahim DanadDepartment of Cardiology, Amsterdam University Medical Center, Location VUMC, Amsterdam, The Netherlands; Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands. Electronic address: i.danad@amsterdamumc.nl.
CONFIRM 2 investigators
University of Denver · USCentro Cardiologico Monzino · ITLeiden University Medical Center · NLMethodist Hospital · USAlaska Heart and Vascular Institute · USAmsterdam UMC Location Vrije Universiteit Amsterdam · NLAmsterdam University Medical Centers · NLDeutsches Herzzentrum München · DEFondazione Toscana Gabriele Monasterio · ITGeorge Washington University · USHospital da Luz · PTInnsbruck Medical University · ATKing Fahd Armed Forces Hospital · SAOregon Health & Science University · USRabin Medical Center · ILSt. Francis Hospital · USToho University · JPUniversidade de São Paulo · BRUniversity of Bern · CHUniversity of California, Los Angeles · US

Funding

Training in Cardiovascular Imaging ResearchT32EB003841 · NIBIB · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Jonathan R Lindner · 2004 to 2026
$4.4M
NIBIB NIH HHS T32 EB003841
6 · The paper itself

Abstract

backgroundIn the last 15 years, large registries and several randomized clinical trials have demonstrated the diagnostic and prognostic value of coronary computed tomography angiography (CCTA). Advances in CT scanner technology and developments of analytic tools now enable accurate quantification of coronary artery disease (CAD), including total coronary plaque volume and low attenuation plaque volume. The primary aim of CONFIRM2, (Quantitative COroNary CT Angiography Evaluation For Evaluation of Clinical Outcomes: An InteRnational, Multicenter Registry) is to perform comprehensive quantification of CCTA findings, including coronary, non-coronary cardiac, non-cardiac vascular, non-cardiac findings, and relate them to clinical variables and cardiovascular clinical outcomes.

designCONFIRM2 is a multicenter, international observational cohort study designed to evaluate multidimensional associations between quantitative phenotype of cardiovascular disease and future adverse clinical outcomes in subjects undergoing clinically indicated CCTA. The targeted population is heterogenous and includes patients undergoing CCTA for atherosclerotic evaluation, valvular heart disease, congenital heart disease or pre-procedural evaluation. Automated software will be utilized for quantification of coronary plaque, stenosis, vascular morphology and cardiac structures for rapid and reproducible tissue characterization. Up to 30,000 patients will be included from up to 50 international multi-continental clinical CCTA sites and followed for 3-4 years. SUMMARY: CONFIRM2 is one of the largest CCTA studies to establish the clinical value of a multiparametric approach to quantify the phenotype of cardiovascular disease by CCTA using automated imaging solutions.

Indexed as

Coronary Artery DiseaseCoronary StenosisPlaque, AtheroscleroticComputed Tomography AngiographyCoronary AngiographyHumansPredictive Value of TestsPrognosisRegistriesArtificial intelligenceAtherosclerosisComputed tomography angiographyCoronary artery diseaseMachine-learningPrognosis

Identifiers

PMID37951725
PMCPMC10923095
OpenAlexW4388572826

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.