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Novel Radiotracer Superior at Diagnosing Coronary Artery Disease in Obese Patients

By MedImaging International staff writers
Posted on 06 Jul 2023

Individuals with obesity often suffer from medical conditions such as diabetes, high cholesterol, and high blood pressure, predisposing them to coronary artery disease (CAD). Therefore, imaging obese patients for CAD is crucial. However, the body shape of obese individuals often complicates the imaging process, resulting in subpar image quality and diagnostic performance, despite requiring a higher radiation dose. Now, new research reveals that a novel PET perfusion radiotracer, 18F-flurpiridaz, can diagnose CAD in obese patients with superior sensitivity and specificity compared to 99mTc-SPECT myocardial perfusion imaging (MPI). In the study, 18F-flurpiridaz PET MPI generated images at a lower radiation dose than 99mTc-SPECT MPI and demonstrated similar performance in both obese and non-obese patients.

The research findings presented by investigators at the Icahn School of Medicine at Mount Sinai (New York, NY, USA) report on a pre-specified subgroup of a phase III multicenter trial of 18F-flurpiridaz. The study enrolled a total of 604 patients with suspected CAD from 48 sites in the United States, Canada, and Europe. Patients underwent either one-day rest-stress 18F-flurpiridaz PET MPI or one- or two-day rest-stress 99mTc-SPECT MPI, followed by invasive coronary angiography. Three experts, blinded to clinical and invasive coronary angiography data, read the MPI images. Sensitivity and specificity for 18F-flurpiridaz PET MPI and 99mTc-SPECT MPI were calculated and then compared between PET and SPECT MPI among both obese and non-obese groups.

Out of the 578 patients with evaluable studies, 298 (51.6%) were classified as obese. 18F-flurpiridaz PET MPI demonstrated a sensitivity of 77% and a specificity of 67% in diagnosing significant CAD, whereas 99mTc-SPECT MPI yielded a sensitivity of 69.2% and specificity of 61.9%. The sensitivity, specificity, and accuracy of 18F-flurpiridaz PET MPI remained similar across both non-obese and obese sub-groups. The researchers also highlighted that 18F-flurpiridaz could substantially increase the availability and accessibility of PET myocardial perfusion imaging worldwide.

“We know that PET perfusion is the best noninvasive imaging modality for CAD; however, thus far, the availability of stress cardiac PET myocardial perfusion imaging is limited across the world, as both significant investment for the generator and large patient volume are required for it to make economic sense,” said Krishna Patel, MD, assistant professor of medicine and cardiology at the Icahn School of Medicine at Mount Sinai. “With availability as a unit dose, 18F-flurpiridaz can disrupt this space, as suddenly now most—if not all—centers that offer PET for oncology can now perform stress perfusion studies.”

Related Links:
Icahn School of Medicine at Mount Sinai

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92 (46.014785766602): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
93 (44.107437133789): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`
94 (524.99771118164): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (180.95970153809): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (922.91831970215): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
105 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1
106 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1
107 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1
108 (!!!!! 2678.8711547852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
109 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
110 (93.221664428711): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (78.916549682617): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
113 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
114 (61.988830566406): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294797793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
115 (684.97657775879): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294797793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
116 (582.93342590332): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
117 (349.99847412109): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
118 (76.770782470703): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
119 (57.220458984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
120 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
121 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
122 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
123 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
124 (287.05596923828): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
125 (!!!!! 135298.96736145): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
126 (!!!!! 7761.9552612305): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
127 (!!!!! 7950.0675201416): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
128 (!!!!! 7797.0027923584): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797793 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797793 AND type='deeppockets_item' AND published='1' LIMIT 1
129 (!!!!! 2044739.9616241): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
130 (!!!!! 1296821.1174011): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
131 (313.99726867676): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1
132 (39.100646972656): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1
133 (206.94732666016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1
134 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1
135 (199.0795135498): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1
136 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1
137 (495.91064453125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
138 (324.96452331543): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
139 (164.03198242188): SELECT name FROM jos_deeppockets WHERE id=213
140 (33.140182495117): SELECT name FROM jos_deeppockets WHERE id=213
141 (429.15344238281): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
142 (418.18618774414): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
143 (!!!!! 1134.1571807861): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
144 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
145 (!!!!! 9357.9292297363): TRUNCATE TABLE jos_trademed_module
146 (!!!!! 1063.1084442139): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
147 (550.98533630371): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294797793 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
148 (362.15782165527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
149 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
150 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
151 (39.815902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
152 (982.99980163574): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
153 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
154 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
155 (514.03045654297): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797793 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797793 AND type='deeppockets_item' AND published='1' LIMIT 1
156 (40.054321289062): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)
157 (26.941299438477): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=213 or channel_id is null)
158 (35.04753112793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
159 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
160 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797793 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797793 AND published='1' LIMIT 1
161 (75.101852416992): select jos_twitters.link from jos_twitters where cat=10
162 (32.901763916016): select jos_facebook.link from jos_facebook where cat=10
163 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10
164 (27.179718017578): select jos_linkedin.link from jos_linkedin where cat=10
165 (242.94853210449): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
166 (979.90036010742): insert into jos_banners_delta values (14615,'2025-04-29 23:45:46','18.220.210.111','view'),(14202,'2025-04-29 23:45:46','18.220.210.111','view'),(14203,'2025-04-29 23:45:46','18.220.210.111','view')