Evidence mapPaperPMID 40572649Full record

ReviewMedicina (Kaunas, Lithuania)2025

Epicardial Adipose Tissue: A Multimodal Imaging Diagnostic Perspective.

Giancarlo Trimarchi, Maria Ludovica Carerj, Concetta Zito, Gianluca Di Bella, Giovanni Taverna, Maurizio Cusmà Piccione, Pasquale Crea, Stefania Lo Giudice, Angela Buonpane, Michela Bonanni and 5 more

Abstract readReview
In one paragraph

Review in Medicina (Kaunas, Lithuania), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

15 authors.

Giancarlo TrimarchiInterdisciplinary Center for Health Sciences, Scuola Superiore Sant'Anna, 56127 Pisa, Italy.ORCID 0009-0008-9165-7732
Maria Ludovica CarerjCentro Cardiologico Monzino IRCCS, 20138 Milan, Italy.ORCID 0000-0001-8181-154X
Concetta ZitoDepartment of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy.ORCID 0000-0002-6908-4316
Gianluca Di BellaDepartment of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy.
Giovanni TavernaDepartment of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy.ORCID 0009-0005-3904-8145
Maurizio Cusmà PiccioneDepartment of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy.
Pasquale CreaDepartment of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy.
Stefania Lo GiudiceDepartment of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy.
Angela BuonpaneDepartment of Cardiovascular Sciences, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica Sacro Cuore, Largo Agostino Gemelli, 1, 00168 Roma, Italy.ORCID 0000-0001-8438-1004
Michela BonanniFondazione Toscana G. Monasterio, Ospedale del Cuore G. Pasquinucci, 54100 Massa, Italy.ORCID 0000-0001-8069-592X
Davide RestelliDepartment of Cardio-Thoraco-Vascular Care, Azienda Socio Sanitaria Territoriale Lecco-Ospedale A. Manzoni, 23900 Lecco, Italy.ORCID 0009-0004-9593-0960
Umberto ParadossiFondazione Toscana G. Monasterio, Ospedale del Cuore G. Pasquinucci, 54100 Massa, Italy.ORCID 0000-0002-4100-4732
Angelo MonteleoneFondazione Toscana G. Monasterio, Ospedale del Cuore G. Pasquinucci, 54100 Massa, Italy.
Antonio MicariDepartment of Biomedical and Dental Sciences and of Morphological and Functional Images, University of Messina, 98100 Messina, Italy.
Scipione CarerjDepartment of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epicardial adipose tissue (EAT), strategically located between the myocardium and the visceral pericardial layer, is increasingly recognized as an active player in cardiovascular health rather than a passive fat depot. EAT secretes a notable array of bioactive molecules known as adipokines, which exert critical exocrine and paracrine effects. Recent research has focused on pericoronary adipose tissue (PCAT)-the EAT surrounding coronary arteries-demonstrating its intricate bidirectional relationship with the vascular wall. Under normal physiological conditions, this interaction promotes vascular homeostasis; however, dysfunctional PCAT can release pro-inflammatory adipokines implicated in the pathogenesis of atherogenesis. Notably, PCAT inflammation has emerged as a significant factor associated with the development of coronary artery disease (CAD) and major cardiovascular events. This review seeks to elucidate the imaging methodologies employed to evaluate EAT, emphasizing cardiac computed tomography (CCT) as the preeminent imaging modality. Unlike echocardiography and cardiac magnetic resonance imaging, CCT not only visualizes and quantifies EAT but also concurrently assesses coronary arteries and PCAT. Recent findings have established the potential of CCT-derived PCAT attenuation as a noninvasive biomarker for coronary inflammation, offering prospects for monitoring therapeutic responses to innovative anti-inflammatory interventions in CAD management.

Indexed as

Adipose TissueMultimodal ImagingPericardiumCoronary Artery DiseaseCoronary VesselsEpicardial Adipose TissueHumansMagnetic Resonance ImagingTomography, X-Ray Computedechocardiographyepicardial adipose tissuemultimodality imagingpericoronary adipose tissue

Identifiers

PMID40572649
PMCPMC12195245

What Socratic holds

Textmetadata
LicenceCC BY
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.