Evidence map›Paper›PMID 39939531›Full record

Observational studyEuropean journal of nuclear medicine and molecular imaging2025

Associations of subclinical microcalcification and inflammation with carotid atheroma development: a dual-tracer PET/CT study.

Shiv Patil, Rithvik Kata, Eric Teichner, Robert Subtirelu, Mohanad Ghonim, Mohamed Ghonim, Omar Al-Daoud, Miraziz Ismoilov, Lancelot Herpin, Cyrus Ayubcha and 3 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in European journal of nuclear medicine and molecular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01724749 (Cardiovascular Molecular Calcification Assessed by 18F-NaF PET CT), 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.

NCT01724749 unknown statusnot on this map

Cardiovascular Molecular Calcification Assessed by 18F-NaF PET CT: The CAMONA Study

TypeobservationalSponsorOdense University HospitalRan2012 to 2016Enrolled144ConditionsCardiovascular Disease, Atherosclerosis, Angina Pectoris
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Preclinical evaluation of high-resolution CT,European journal of nuclear medicine and molecular imaging · 2025
    Article
  4. BMC medical imaging · 2025
    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

13 authors.

Shiv PatilDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Rithvik KataDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Eric TeichnerDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Robert SubtireluDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Mohanad GhonimDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Mohamed GhonimDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Omar Al-DaoudDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Miraziz IsmoilovDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Lancelot HerpinDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Cyrus AyubchaHarvard Medical School, Boston, MA, USA.
Thomas WernerDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Poul Flemming Høilund-CarlsenDepartment of Nuclear Medicine, Odense University Hospital, Odense, Denmark.
Abass AlaviDepartment of Radiology, University of Pennsylvania, Philadelphia, PA, 19104, USA. abass.alavi@uphs.upenn.edu.ORCID 0000-0002-2442-7901

Funding

Medical Scientist Training ProgramT32GM144273 · NIGMS · HARVARD MEDICAL SCHOOL · PI David Shumway Jones, Jacqueline A. Lees · 2022 to 2026
$14.7M
Anna Marie and Christian Rasmussen Memorial Foundation Anna Marie and Christian Rasmussen Memorial FoundationJørgen and Gisela Thrane Philanthropic Research Foundation Jørgen and Gisela Thrane Philanthropic Research FoundationNIGMS NIH HHS T32 GM144273
6 · The paper itself

Abstract

purposeCarotid artery atherosclerosis, a significant manifestation of cardiovascular disease (CVD) and leading cause of stroke, develops through a gradual process of arterial inflammation and calcification. This study explores the relationship between arterial inflammation (18 F-FDG PET/CT) and vascular calcification (18 F-NaF PET/CT) in the left and right common carotid arteries (LCC/RCC) and their association with CVD and thromboembolic risk in patients with subclinical atherosclerosis.

methodsA cohort of 115 subjects (73 healthy volunteers, 42 at-risk for CVD) underwent 18 F-NaF and 18 F-FDG PET/CT imaging. Radiotracer uptake was quantitatively assessed by measuring the average blood-pool-corrected mean standardized uptake value (aSUVmean).

resultsRelative to healthy volunteers, at-risk subjects had greater uptake of NaF and FDG (10-22% and 16-27% higher, respectively, in both arteries, p < 0.05). On multivariate regression, NaF aSUVmean correlated with age and BMI (p < 0.01), and FDG aSUVmean correlated with BMI (p ≤ 0.01), fibrinogen (p < 0.01 in LCC only), and total cholesterol (p = 0.02 in RCC only). NaF aSUVmean increased with elevated 10-year CVD risk (p = 0.003 in LCC only), while no significant trend was seen for FDG. NaF and FDG aSUVmean increased with elevated thromboembolic risk in both arteries (p < 0.05). No correlations between NaF and FDG aSUVmean were observed (p > 0.05).

conclusion18 F-NaF PET/CT may serve as a prognostic tool for carotid microcalcification and subclinical atherosclerosis, while the utility of 18 F-FDG PET/CT remains uncertain. CLINICAL

trial registration"Cardiovascular Molecular Calcification Assessed by 18F-NaF PET CT (CAMONA)", NCT01724749, https://clinicaltrials.gov/study/NCT01724749 .

Indexed as

CalcinosisCarotid Artery DiseasesInflammationPlaque, AtheroscleroticPositron Emission Tomography Computed TomographyAdultAgedFemaleFluorodeoxyglucose F18HumansMaleMiddle AgedRadioactive TracersRadiopharmaceuticalsSodium FluorideFluorodeoxyglucose F18Radioactive TracersRadiopharmaceuticalsSodium Fluoride18F-FDG PET/CT18F-NaF PET/CTCarotid artery atherosclerosisInflammationMicrocalcification

Identifiers

PMID39939531
PMCPMC12119761

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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.