Authors:
B. Kovacs Department of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland

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P.T. Siegrist Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland

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B.E. Stähli Department of Cardiology, University Heart Center, University Hospital Zurich, Zurich, Switzerland

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R.R. Buechel Department of Nuclear Medicine, Cardiac Imaging, University Hospital Zurich, Zurich, Switzerland

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https://orcid.org/0000-0001-8064-8904
Open access

A 71-year old male patient with prior coronary artery bypass grafting was referred for 13N-ammonia positron emission tomography myocardial perfusion imaging (PET-MPI) for evaluation of stable angina (CCS II). A rest/stress protocol was performed, using adenosine. Unfortunately, quantitative analysis revealed the absence of myocardial blood flow increase with a calculated myocardial flow reserve of 1.01, suggesting a complete lack of adenosine response. A small inferobasal perfusion defect (figure, white arrowhead) was interpreted as a small scar, but no statement could be made regarding ischemia. Hence, decision was made to repeat the exam. Repeat PET-MPI performed 6 weeks later had to be interrupted after the acquisition of rest datasets but prior to initiation of pharmacological stress because of resting angina. In retrospect, the patient reported an increase of symptoms' intensity and frequency over several days before PET-MPI, corresponding to typical angina CCS III-IV. He was urgently transferred to the chest pain unit with suspicion of acute coronary syndrome, where the diagnosis of NSTEMI was confirmed. Meanwhile, analysis of resting images revealed the inferobasal perfusion defect increasing in size (figure, white arrow) as compared to the resting images from the initial exam six weeks earlier, indicating ischemia at rest. In line with the results from PET-MPI, coronary angiography showed a subtotal stenosis of the distal anastomosis of the graft to the obtuse marginal branch providing collaterals (Rentrop I-II) to the chronically occluded right coronary artery (figure, asterisk). The lesion was successfully treated with a zotarolimus-eluting stent (figure, cross).

Conflicts of interest

RB reports personal fees from GE Healthcare, personal fees from Pfizer, outside the submitted work; and The University Hospital Zurich holds a research agreement with GE Healthcare. BK, PS and BS have nothing to disclose.

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Chair of the Editorial Board:
Béla MERKELY (Semmelweis University, Budapest, Hungary)

Editor-in-Chief:
Pál MAUROVICH-HORVAT (Semmelweis University, Budapest, Hungary)

Deputy Editor-in-Chief:
Viktor BÉRCZI (Semmelweis University, Budapest, Hungary)

Executive Editor:
Charles S. WHITE (University of Maryland, USA)

Deputy Editors:
Gianluca PONTONE (Department of Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, Milan, Italy)
Michelle WILLIAMS (University of Edinburgh, UK)

Senior Associate Editors:
Tamás Zsigmond KINCSES (University of Szeged, Hungary)
Hildo LAMB (Leiden University, The Netherlands)
Denisa MURARU (Istituto Auxologico Italiano, IRCCS, Milan, Italy)
Ronak RAJANI (Guy’s and St Thomas’ NHS Foundation Trust, London, UK)

Associate Editors:
Andrea BAGGIANO (Department of Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, Milan, Italy)
Fabian BAMBERG (Department of Radiology, University Hospital Freiburg, Germany)
Péter BARSI (Semmelweis University, Budapest, Hungary)
Theodora BENEDEK (University of Medicine, Pharmacy, Sciences and Technology, Targu Mures, Romania)
Ronny BÜCHEL (University Hospital Zürich, Switzerland)
Filippo CADEMARTIRI (SDN IRCCS, Naples, Italy) Matteo CAMELI (University of Siena, Italy)
Csilla CELENG (University of Utrecht, The Netherlands)
Edit DÓSA (Semmelweis University, Budapest, Hungary)
Marco FRANCONE (La Sapienza University of Rome, Italy)
Viktor GÁL (OrthoPred Ltd., Győr, Hungary)
Alessia GIMELLI (Fondazione Toscana Gabriele Monasterio, Pisa, Italy)
Tamás GYÖRKE (Semmelweis Unversity, Budapest)
Fabian HYAFIL (European Hospital Georges Pompidou, Paris, France)
György JERMENDY (Bajcsy-Zsilinszky Hospital, Budapest, Hungary)
Pál KAPOSI (Semmelweis University, Budapest, Hungary)
Mihaly KÁROLYI (University of Zürich, Switzerland)
Lajos KOZÁK (Semmelweis University, Budapest, Hungary)
Mariusz KRUK (Institute of Cardiology, Warsaw, Poland)
Zsuzsa LÉNARD (Semmelweis University, Budapest, Hungary)
Erica MAFFEI (ASUR Marche, Urbino, Marche, Italy)
Robert MANKA (University Hospital, Zürich, Switzerland)
Saima MUSHTAQ (Cardiology Center Monzino (IRCCS), Milan, Italy)
Gábor RUDAS (Semmelweis University, Budapest, Hungary)
Balázs RUZSICS (Royal Liverpool and Broadgreen University Hospital, UK)
Christopher L SCHLETT (Unievrsity Hospital Freiburg, Germany)
Bálint SZILVESZTER (Semmelweis University, Budapest, Hungary)
Richard TAKX (University Medical Centre, Utrecht, The Netherlands)
Ádám TÁRNOKI (National Institute of Oncology, Budapest, Hungary)
Dávid TÁRNOKI (National Institute of Oncology, Budapest, Hungary)
Ákos VARGA-SZEMES (Medical University of South Carolina, USA)
Hajnalka VÁGÓ (Semmelweis University, Budapest, Hungary)
Jiayin ZHANG (Department of Radiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China)

International Editorial Board:

Gergely ÁGOSTON (University of Szeged, Hungary)
Anna BARITUSSIO (University of Padova, Italy)
Bostjan BERLOT (University Medical Centre, Ljubljana, Slovenia)
Edoardo CONTE (Centro Cardiologico Monzino IRCCS, Milan)
Réka FALUDI (University of Szeged, Hungary)
Andrea Igoren GUARICCI (University of Bari, Italy)
Marco GUGLIELMO (Department of Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, Milan, Italy)
Kristóf HISRCHBERG (University of Heidelberg, Germany)
Dénes HORVÁTHY (Semmelweis University, Budapest, Hungary)
Julia KARADY (Harvard Unversity, MA, USA)
Attila KOVÁCS (Semmelweis University, Budapest, Hungary)
Riccardo LIGA (Cardiothoracic and Vascular Department, Università di Pisa, Pisa, Italy)
Máté MAGYAR (Semmelweis University, Budapest, Hungary)
Giuseppe MUSCOGIURI (Centro Cardiologico Monzino IRCCS, Milan, Italy)
Anikó I NAGY (Semmelweis University, Budapest, Hungary)
Liliána SZABÓ (Semmelweis University, Budapest, Hungary)
Özge TOK (Memorial Bahcelievler Hospital, Istanbul, Turkey)
Márton TOKODI (Semmelweis University, Budapest, Hungary)

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Pál Maurovich-Horvat, MD, PhD, MPH, Editor-in-Chief

Semmelweis University, Medical Imaging Centre
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Tel: +36-20-663-2485
E-mail: maurovich-horvat.pal@med.semmelweis-univ.hu

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2022  
Web of Science  
Total Cites
WoS
65
Journal Impact Factor 0.4
Rank by Impact Factor

n/a

Impact Factor
without
Journal Self Cites
0.3
5 Year
Impact Factor
0.8
Journal Citation Indicator 0.06
Rank by Journal Citation Indicator

Medicine, General & Internal (Q4)

Scimago  
Scimago
H-index
18
Scimago
Journal Rank
0.171
Scimago Quartile Score

Medicine (miscellanous) (Q4)
Radiological and Ultrasound Technology (Q4)
Radiology, Nuclear Medicine and Imaging (Q4)

Scopus  
Scopus
Cite Score
1.0
Scopus
CIte Score Rank
Medicine (miscellaneous) 221/309 (28th PCTL)
Radiological and Ultrasound Technology 45/58 (23rd PCTL)
Radiology, Nuclear Medicine and Imaging 242/312 (22nd PCTL)
Scopus
SNIP
0.354

2021  
Web of Science  
Total Cites
WoS
56
Journal Impact Factor not applicable
Rank by Impact Factor

not applicable

Impact Factor
without
Journal Self Cites
not applicable
5 Year
Impact Factor
not applicable
Journal Citation Indicator 0,10
Rank by Journal Citation Indicator

Medicine, General & Internal 236/329

Scimago  
Scimago
H-index
16
Scimago
Journal Rank
0,226
Scimago Quartile Score Medicine (miscellaneous) (Q4)
Radiological and Ultrasound Technology (Q4)
Radiology, Nuclear Medicine and Imaging (Q4)
Scopus  
Scopus
Cite Score
1,6
Scopus
CIte Score Rank
Medicine (miscellaneous) 175/276 (Q3)
Radiology, Nuclear Medicine and Imaging 209/308 (Q3)
Radiological and Ultrasound Technology 42/60 (Q3)
Scopus
SNIP
0,451

2020  
CrossRef Documents 7
CrossRef Cites 0
CrossRef H-index 1
Days from submission to acceptance 17
Days from acceptance to publication 70
Acceptance Rate 43%

Imaging
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Imaging
Language English
Size A4
Year of
Foundation
2020 (2009)
Volumes
per Year
1
Issues
per Year
2
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
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Address
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Responsible
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ISSN 2732-0960 (Online)

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