Evidence map›Paper›PMID 39293786›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2024

Image navigator-based, automated coronary magnetic resonance angiography for the detection of coronary artery stenosis.

Gregory Wood, Reza Hajhosseiny, Alexandra Uglebjerg Pedersen, Simon Littlewood, Tina Juul Hansen, Radhouene Neji, Karl P Kunze, Jens Wetzl, Bjarne Linde Nørgaard, Jesper Møller Jensen and 6 more

Registry-linked trialAbstract readMulticenter StudyClinical Trial Protocol
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05473117 (iNav-based, Automated Coronary Magnetic Resonance Angiography for the Detection of Coronary Artery Stenosis), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT05473117 not yet recruitingnot on this map

iNav-based, Automated Coronary Magnetic Resonance Angiography for the Detection of Coronary Artery Stenosis (iNav-AUTO CMRA)

TypeobservationalSponsorAarhus University HospitalRan2024 to 2026Enrolled160ConditionsCoronary Artery StenosisArmsCoronary Magnetic Resonance Angiography (CMRA)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

16 authors.

Gregory WoodDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Reza HajhosseinyNational Heart and Lung Institute, Imperial College London, London, United Kingdom; School of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Alexandra Uglebjerg PedersenDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Simon LittlewoodSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Tina Juul HansenDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
Radhouene NejiSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom.
Karl P KunzeSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom; MR Research Collaborations, Siemens Healthcare Limited, Camberley, United Kingdom.
Jens WetzlMagnetic Resonance, Siemens Healthcare GmbH, Erlangen, Germany.
Bjarne Linde NørgaardDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Jesper Møller JensenDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Michael MaengDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Per Lav MadsenDepartment of Cardiology, Herlev-Gentofte Hospital, Copenhagen University Hospital, Copenhagen, Denmark; Department of Clinical Medicine, University of Copenhagen, Herlev, Herlev, Denmark; The August Krogh Institute (NEXS), University of Copenhagen, Copenhagen, Denmark.
Niels VejlstrupDepartment of Cardiology, University Hospital Copenhagen - Rigshospitalet, Copenhagen, Denmark.
Claudia PrietoSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom; Escuela de Ingeniería and Instituto de Ingeniería Biológica y Médica, Pontificia Universidad Católica de Chile, Santiago, Chile; Millenium Institute for Intelligent Healthcare Engineering, Santiago, Chile.
René M BotnarSchool of Biomedical Engineering and Imaging Sciences, King's College London, London, United Kingdom; BHF Centre of Research Excellence, Cardiovascular Division, King's College London, London, United Kingdom; Escuela de Ingeniería and Instituto de Ingeniería Biológica y Médica, Pontificia Universidad Católica de Chile, Santiago, Chile; Millenium Institute for Intelligent Healthcare Engineering, Santiago, Chile; Institute for Advanced Study, Technical University of Munich, Garching, Germany. Electronic address: rene.botnar@kcl.ac.uk.
Won Yong KimDepartment of Cardiology, Aarhus University Hospital, Aarhus, Denmark; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary computed tomography angiography (CCTA) is recommended as the first-line diagnostic imaging modality in low-to-intermediate-risk individuals suspected of stable coronary artery disease (CAD). However, CCTA exposes patients to ionizing radiation and potentially nephrotoxic contrast agents. Invasive coronary angiography is the gold-standard investigation to guide coronary revascularisation strategy; however, invasive procedures incur an inherent risk to the patient. Coronary magnetic resonance angiography (CMRA) avoids these issues. Nevertheless, clinical implementation is currently limited due to extended scanning durations, inconsistent image quality, and consequent lack of diagnostic accuracy. Several technical CMRA innovations, including advanced respiratory motion correction with 100% scan efficiency (no data rejection), fast image acquisition with motion-corrected undersampled image reconstruction, and deep-learning-based automated planning, have been implemented and now await clinical validation in multi-center trials.

methodsThe objective of the image navigator-based, automated CMRA prospective multi-center study is to evaluate the diagnostic accuracy of a newly developed, state-of-the-art, standardized, and automated CMRA framework compared to CCTA in 201 patients undergoing clinical investigation for CAD. The study protocol mandates the administration of oral beta-blockers to decrease heart rate to below 60 bpm and the use of sublingual nitroglycerine spray to induce vasodilation. Additionally, the study incorporates the utilization of standardized postprocessing with sliding-thin-slab multiplanar reformatting, in combination with evaluation of the source images, to optimize the visualization of coronary artery stenosis. DISCUSSION: If proven effective, CMRA could provide a non-invasive, needle-free, yet also clinically viable, alternative to CCTA.

trial registrationThis study is registered at ClinicalTrials.gov (NCT05473117).

Indexed as

Coronary AngiographyCoronary StenosisCoronary VesselsAutomationFemaleHumansImage Interpretation, Computer-AssistedMagnetic Resonance AngiographyMaleMiddle AgedNitroglycerinPredictive Value of TestsProspective StudiesReproducibility of ResultsSeverity of Illness IndexVasodilator AgentsNitroglycerinVasodilator AgentsCoronary artery diseaseCoronary magnetic resonance angiography

Identifiers

PMID39293786
PMCPMC11647470

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Registered trials

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.