Evidence map›Paper›PMID 36477896›Full record

ArticleJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology2023

Dose-consistent dynamic SPECT.

A Krakovich, E Gelbart, I Moalem, A Naimushin, E Rozen, M Scheinowitz, R Goldkorn

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Article in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Review
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

7 authors.

A KrakovichDepartment of Biomedical Engineering, Tel-Aviv University, Tel Aviv, Israel. krakovich@mail.tau.ac.il.
E GelbartSackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
I MoalemNuclear Cardiology Center, Leviev Heart Institute, Sheba Medical Center, Ramat Gan, Israel.
A NaimushinNuclear Cardiology Center, Leviev Heart Institute, Sheba Medical Center, Ramat Gan, Israel.
E RozenNuclear Cardiology Center, Leviev Heart Institute, Sheba Medical Center, Ramat Gan, Israel.
M ScheinowitzDepartment of Biomedical Engineering, Tel-Aviv University, Tel Aviv, Israel.
R GoldkornSackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronary flow reserve (CFR) values measured by dynamic SPECT systems are typically consistent with other modalities (e.g., PET). However, large discrepancies are often observed for individual patients. Positioning of the region-of-interest (ROI), representing the arterial input function (AIF) could explain some of these discrepancies. We explored the possibility of positioning the ROI in a manner that evaluates its consistency with patient-based injected radiotracer doses.

methodsDose-consistent dynamic SPECT methodology was introduced, and its application was demonstrated in a twenty-patient clinical study. The effect of various ROI positions was investigated and comparison to myocardial perfusion imaging was performed.

resultsMean AIF ratios were consistent with the injected dose ratios for all examined ROI positions. Good agreement (> 80%) between total perfusion deficit and CFR was found in the detection of obstructive CAD patients for all ROIs considered. However, for individual patients, significant dependence on ROI position was observed (altering CFR by typically 30%). The proposed methodology's uncertainty was evaluated (~ 7%) and found to be smaller than the variability due to choice of ROI position.

conclusionDose-consistent dynamic SPECT may contribute to evaluating uncertainty of CFR measurements and may potentially decrease uncertainty by allowing improved ROI positioning for individual patients.

Indexed as

Coronary Artery DiseaseFractional Flow Reserve, MyocardialMyocardial Perfusion ImagingCoronary CirculationHumansTomography, Emission-Computed, Single-PhotonCADcoronary flow reserve (CFR)myocardial blood flow (MBF)myocardial flow reserveSPECT

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Registered trials

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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 Socratic graph.