Evidence map›Paper›PMID 38673515›Full record

ReviewJournal of clinical medicine2024

Virtual Hemodynamic Assessment of Coronary Lesions: The Advent of Functional Angiography and Coronary Imaging.

Sotirios Nikopoulos, Michail I Papafaklis, Panagiota Tsompou, Antonis Sakellarios, Panagiotis Siogkas, Spyros Sioros, Dimitrios I Fotiadis, Christos S Katsouras, Katerina K Naka, Dimitrios Nikas and 1 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
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.

Sotirios NikopoulosDepartment of Cardiology, Medical School, University of Ioannina, 45110 Ioannina, Greece.ORCID 0009-0003-3338-9462
Michail I PapafaklisCardiology Division, Medical School, University of Patras, 26504 Patras, Greece.ORCID 0000-0002-5646-0378
Panagiota TsompouDepartment of Biomedical Research, Institute of Molecular Biology and Biotechnology-FORTH, University Campus of Ioannina, 45115 Ioannina, Greece.
Antonis SakellariosDepartment of Mechanical Engineering and Aeronautics, University of Patras, 26504 Rio, Greece.ORCID 0000-0002-2272-9543
Panagiotis SiogkasDepartment of Biomedical Research, Institute of Molecular Biology and Biotechnology-FORTH, University Campus of Ioannina, 45115 Ioannina, Greece.ORCID 0000-0002-0343-0984
Spyros SiorosDepartment of Cardiology, Medical School, University of Ioannina, 45110 Ioannina, Greece.
Dimitrios I FotiadisDepartment of Biomedical Research, Institute of Molecular Biology and Biotechnology-FORTH, University Campus of Ioannina, 45115 Ioannina, Greece.ORCID 0000-0002-7362-5082
Christos S KatsourasDepartment of Cardiology, Medical School, University of Ioannina, 45110 Ioannina, Greece.
Katerina K NakaDepartment of Cardiology, Medical School, University of Ioannina, 45110 Ioannina, Greece.ORCID 0000-0002-9900-9659
Dimitrios NikasDepartment of Cardiology, Medical School, University of Ioannina, 45110 Ioannina, Greece.ORCID 0000-0002-8333-4879
Lampros MichalisDepartment of Cardiology, Medical School, University of Ioannina, 45110 Ioannina, Greece.ORCID 0000-0001-8834-4462

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The fractional flow reserve (FFR) is well recognized as a gold standard measure for the estimation of functional coronary stenosis. Technological progressions in image processing have empowered the reconstruction of three-dimensional models of the coronary arteries via both non-invasive and invasive imaging modalities. The application of computational fluid dynamics (CFD) techniques to coronary 3D anatomical models allows the virtual evaluation of the hemodynamic significance of a coronary lesion with high diagnostic accuracy.

methodsSearch of the bibliographic database for articles published from 2011 to 2023 using the following search terms: invasive FFR and non-invasive FFR. Pooled analysis of the sensitivity and specificity, with the corresponding confidence intervals from 32% to 94%. In addition, the summary processing times were determined.

resultsIn total, 24 studies published between 2011 and 2023 were included, with a total of 13,591 patients and 3345 vessels. The diagnostic accuracy of the invasive and non-invasive techniques at the per-patient level was 89% (95% CI, 85-92%) and 76% (95% CI, 61-80%), respectively, while on the per-vessel basis, it was 92% (95% CI, 82-88%) and 81% (95% CI, 75-87%), respectively.

conclusionThese opportunities providing hemodynamic information based on anatomy have given rise to a new era of functional angiography and coronary imaging. However, further validations are needed to overcome several scientific and computational challenges before these methods are applied in everyday clinical practice.

Indexed as

angiographycardiovascular diseasecomputational fluid dynamicsmedical imagingthree-dimensional reconstructionvirtual functional assessment

Identifiers

PMID38673515
PMCPMC11050877

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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.