Evidence map›Paper›PMID 31997621›Full record

ArticleYonsei medical journal2020

Feasibility and Applicability of Wireless Handheld Ultrasound Measurement of Carotid Intima-Media Thickness in Patients with Cardiac Symptoms.

Albert Youngwoo Jang, Jeongwon Ryu, Pyung Chun Oh, Jeonggeun Moon, Wook Jin Chung

Open access · goldAbstract read
In one paragraph

Article in Yonsei medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. 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

5 authors at 1 institution in 2 countries.

Albert Youngwoo JangDepartment of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.ORCID https://orcid.org/0000-0002-8802-268X
Jeongwon RyuGachon Cardiovascular Research Institute, Gachon University, Incheon, Korea.ORCID https://orcid.org/0000-0002-0741-2142
Pyung Chun OhDepartment of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.ORCID https://orcid.org/0000-0002-9955-223X
Jeonggeun MoonDepartment of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.ORCID https://orcid.org/0000-0001-6431-2802
Wook Jin ChungDepartment of Cardiovascular Medicine, Gachon University Gil Medical Center, Incheon, Korea.ORCID https://orcid.org/0000-0002-9767-7098
Gachon University · KR

Funding

Gil Medical Center, Gachon University FDR2015-02Korea Centers for Disease Control & Prevention 2018-ER6304-00Korea Centers for Disease Control & Prevention 2018-ER6304-01Korean Society of Cardiology KSC 200403-17National Research Foundation of Korea 2015M3D5A1066043Research and Development for Regional Industry BT190153
6 · The paper itself

Abstract

purposeRoutine screening for carotid intima-media thickness (CIMT) and cardiovascular (CV) disease in asymptomatic patients has been criticized for the high costs and large number of patients required for detecting one patient with coronary artery disease (CAD). In order to overcome the low cost-effectiveness thereof, we investigated the feasibility of an economic wireless handheld ultrasound (WHUS) device for CIMT measurement in symptomatic patients. MATERIALS AND

methodsA total of 100 consecutive patients with cardiac symptoms were enrolled. CIMT was measured in all patients. Coronary angiography was performed in 75 patients indicated for the exam.

resultsThe mean of maximal CIMT measured from left/right common carotid artery and bulb (max-CIMT) by the WHUS device showed excellent agreement [intraclass correlation coefficient (ICC)=0.960] with a standard ultrasound device and great interobserver repeatability (ICC>0.9 between all observers). Receiver operating characteristic curve analysis showed that the predictive power for CAD was improved when max-CIMT and plaque information (plaque≥2) was added [area under the curve (AUC): 0.838] to the traditional clinical CV risk factors (AUC: 0.769). The cutoff values for CAD prediction with the standard device and the WHUS device were 1.05 mm (AUC: 0.807, sensitivity: 0.78, specificity: 0.53) and 1.10 mm (AUC: 0.725, sensitivity: 0.98, specificity: 0.27), respectively.

conclusionmax-CIMT measured by a WHUS device showed excellent agreement and repeatability, compared with standard ultrasound. Combined max-CIMT and plaque information added predictive power to the traditional clinical CV risk factors in detecting high-risk CAD patients.

Indexed as

Carotid Intima-Media ThicknessUltrasonographyWireless TechnologyAgedArea Under CurveCardiovascular DiseasesCoronary Artery DiseaseFeasibility StudiesFemaleHumansMaleReproducibility of ResultsRisk FactorsROC CurveCarotid intima-media thicknesscoronary artery diseaseultrasonographywireless technology

Identifiers

PMID31997621
PMCPMC6992452
OpenAlexW3003202583

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.