Evidence map›Paper›PMID 40774620›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2025

The REgistry of Flow and Perfusion Imaging for Artificial Intelligence with positron emission tomography (REFINE PET):Rationale and design.

Giselle Ramirez, Mark Lemley, Aakash Shanbhag, Jacek Kwiecinski, Robert J H Miller, Paul B Kavanagh, Joanna X Liang, Damini Dey, Leandro Slipczuk, Mark I Travin and 19 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2025. 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
–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

13 citing papers in PubMed.

  1. Transient ischemic dilation withJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2026
    Trial
  2. Article
  3. Revisiting Perfusion in the Forgotten Right Ventricle: Artificial Intelligence-Enhanced Quantification on PET/CT.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Ejection fraction quantification from ungated chest CT by AI.medRxiv : the preprint server for health sciences · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors.

Giselle RamirezDepartments of Medicine (Division of Artificial Intelligence in Medicine), Imaging, Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Mark LemleyDepartments of Medicine (Division of Artificial Intelligence in Medicine), Imaging, Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Aakash ShanbhagDepartments of Medicine (Division of Artificial Intelligence in Medicine), Imaging, Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Signal and Image Processing Institute, Ming Hsieh Department of Electrical and Computer Engineering, University of Southern California, Los Angeles, CA, USA.
Jacek KwiecinskiDepartments of Medicine (Division of Artificial Intelligence in Medicine), Imaging, Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Department of Interventional Cardiology and Angiology, Institute of Cardiology, Warsaw, Poland.
Robert J H MillerDepartments of Medicine (Division of Artificial Intelligence in Medicine), Imaging, Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Department of Cardiac Sciences, University of Calgary, Calgary, AB, Canada.
Paul B KavanaghDepartments of Medicine (Division of Artificial Intelligence in Medicine), Imaging, Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Joanna X LiangDepartments of Medicine (Division of Artificial Intelligence in Medicine), Imaging, Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Damini DeyDepartments of Medicine (Division of Artificial Intelligence in Medicine), Imaging, Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Leandro SlipczukCardiology Division, Montefiore Health System/Albert Einstein College of Medicine, Bronx, NY, USA.
Mark I TravinDepartment of Radiology (Nuclear Medicine), Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA.
Erick AlexandersonDepartment of Nuclear Cardiology, Ignacio Chavez National Institute of Cardiology, Mexico City, Mexico; Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
Isabel Carvajal-JuarezDepartment of Nuclear Cardiology, Ignacio Chavez National Institute of Cardiology, Mexico City, Mexico.
René R S PackardDivision of Cardiology, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA; West Los Angeles Veterans Affairs Medical Center, Los Angeles, CA, USA.
Mouaz Al-MallahHouston Methodist DeBakey Heart & Vascular Center, Houston Methodist Academic Institute, Houston, TX, USA.
Andrew J EinsteinDivision of Cardiology, Department of Medicine, and Department of Radiology, Columbia University Irving Medical Center and New York-Presbyterian Hospital, New York, NY, USA.
Attila FeherSection of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
Wanda AcampaDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Stacey KnightIntermountain Medical Center Heart Institute, Intermountain Healthcare, Murray, UT, USA; Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA.
Viet T LeIntermountain Medical Center Heart Institute, Intermountain Healthcare, Murray, UT, USA.
Steve MasonIntermountain Medical Center Heart Institute, Intermountain Healthcare, Murray, UT, USA.
Rupa SanghaniSection of Cardiology, Department of Medicine, Rush University Medical Center, Chicago, IL, USA.
Samuel WoppererDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Panithaya ChareonthaitaweeDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Ronny R BuechelDepartment of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland.
Thomas L RosamondDepartment of Cardiovascular Medicine, The University of Kansas Medical Center, Kansas City, KS, USA.
Robert A deKempDivision of Cardiology, Department of Medicine, University of Ottawa Heart Institute, ON, Canada.
Daniel S BermanDepartments of Medicine (Division of Artificial Intelligence in Medicine), Imaging, Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Marcelo F Di CarliCardiovascular Imaging Program, Departments of Radiology and Medicine, Brigham and Women's Hospital, Boston, MA, USA; Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA; Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Piotr J SlomkaDepartments of Medicine (Division of Artificial Intelligence in Medicine), Imaging, Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Electronic address: Piotr.Slomka@cshs.org.

Funding

Patient-specific Outcome Prediction from Cardiovascular Multimodality Imaging by Artificial IntelligenceR35HL161195 · NHLBI · CEDARS-SINAI MEDICAL CENTER · PI Piotr J Slomka · 2022 to 2026
$5.0M
Integrating Artificial Intelligence for Optimal Analysis of CardiacPET/CTR01EB034586 · NIBIB · CEDARS-SINAI MEDICAL CENTER · PI DI CARLI, MARCELO F, SLOMKA, PIOTR J · 2022 to 2025
$2.9M
NHLBI NIH HHS R35 HL161195NIBIB NIH HHS R01 EB034586
6 · The paper itself

Abstract

backgroundThe REgistry of Flow and Perfusion Imaging for Artificial Intelligence with positron emission tomography (REFINE PET) was established to collect multicenter PET and associated computed tomography (CT) images, together with clinical data and outcomes, into a comprehensive research resource. REFINE-PET will enable validation and development of both standard and novel cardiac PET/CT processing methods.

methodsREFINE-PET is a multicenter, international registry that contains both clinical and imaging data. The PET scans were processed using QPET software (Cedars-Sinai Medical Center, Los Angeles, CA), while the CT scans were processed using deep learning (DL) to detect coronary artery calcium (CAC). Patients were followed up for the occurrence of major adverse cardiovascular events (MACE), which include death, myocardial infarction, unstable angina, and late revascularization (>90 days from PET).

resultsThe REFINE-PET registry currently contains data for 35595 patients from 14 sites, with additional patient data and sites anticipated. Comprehensive clinical data (including demographics, medical history, and stress test results) were integrated with more than 2100 imaging variables across 34 categories. The registry is poised to address a broad range of clinical questions, supported by correlating invasive angiography (within 6 months of PET myocardial perfusion imaging [MPI]) in 5955 patients and a total of 9278 major adverse cardiovascular events during a median follow-up of 4.2 years.

conclusionsThe REFINE-PET registry leverages the integration of clinical, multimodality imaging, and novel quantitative and AI tools to advance the role of PET/CT MPI in diagnosis and risk stratification.

Indexed as

Artificial IntelligenceCoronary Artery DiseaseMyocardial Perfusion ImagingPositron-Emission TomographyPositron Emission Tomography Computed TomographyRegistriesAgedDeep LearningFemaleHumansMaleMiddle AgedArtificial intelligenceCoronary artery diseaseMyocardial perfusion imagingPETQuantitative analysis

Identifiers

PMID40774620
PMCPMC13175774

What OpenQuestion holds

Textmetadata
LicenceTDM
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.