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Myocardial blood flow and myocardial flow reserve values in 13N–ammonia myocardial perfusion PET/CT using a time-efficient protocol in patients without coronary artery disease

Overview of attention for article published in European Journal of Hybrid Imaging, June 2018
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Title
Myocardial blood flow and myocardial flow reserve values in 13N–ammonia myocardial perfusion PET/CT using a time-efficient protocol in patients without coronary artery disease
Published in
European Journal of Hybrid Imaging, June 2018
DOI 10.1186/s41824-018-0029-z
Pubmed ID
Authors

Opstal TSJ, Knol RJJ, Cornel JH, Wondergem M, van der Zant FM

Abstract

Cardiac imaging by means of myocardial Positron Emission Tomography/Computed Tomography (PET/CT) is being used increasingly to assess coronary artery disease, to guide revascularization decisions with more accuracy, and it allows robust quantitative analysis of both regional myocardial blood flow (MBF) and myocardial flow reserve (MFR).Recently, a more time-efficient protocol has been developed in combination with a residual activity correction algorithm in which a stress acquisition is performed directly after completion of the rest acquisition to subtract remaining myocardial radioactivity.The objective of this study is to define flow values of myocardial blood flow (MBF) and Myocardial Flow Reserve (MFR) with 13N-ammonia (13NH3) myocardial perfusion PET/CT on patients without coronary artery disease using a time-efficient protocol, since reference values for this particular type of study are lacking in literature. In addition, we aim to determine the effect of the residual activity correction algorithm in this time-efficient protocol. A mean MBF in rest of 1.02 ± 0.22 ml/g/min, a mean MBF in stress of 2.54 ± 0.41 ml/g/min with a mean MFR of 2.60 ± 0.61 were measured. Female patients had a significant higher MBF in rest and stress, but lower MFR; a small but significant negative correlation was measured between age and MBF in stress and MFR. Residual activity correction had a significant effect resulting in a difference in global stress MBF before and after correction of 0.39 ± 0.13 ml/g/min. This study established flow values for 13NH3 myocardial PET/CT with a time-efficient protocol, and established that MBF in stress corrected for residual activity is comparable with known reference values in normal studies without temporal overlap. Further validation of the technique could be of value, e.g. by comparison to standard imaging without temporal overlap, or validation against catheterization results.

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Geographical breakdown

Country Count As %
Unknown 29 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 6 21%
Student > Master 3 10%
Student > Bachelor 2 7%
Other 2 7%
Student > Postgraduate 2 7%
Other 5 17%
Unknown 9 31%
Readers by discipline Count As %
Medicine and Dentistry 11 38%
Biochemistry, Genetics and Molecular Biology 3 10%
Physics and Astronomy 2 7%
Computer Science 1 3%
Nursing and Health Professions 1 3%
Other 1 3%
Unknown 10 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 June 2018.
All research outputs
#17,981,442
of 23,092,602 outputs
Outputs from European Journal of Hybrid Imaging
#48
of 71 outputs
Outputs of similar age
#237,125
of 328,272 outputs
Outputs of similar age from European Journal of Hybrid Imaging
#3
of 3 outputs
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So far Altmetric has tracked 71 research outputs from this source. They receive a mean Attention Score of 3.2. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
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