Multidetector computed tomography angiography for assessment of in-stent restenosis: meta-analysis of diagnostic performance

<p>Abstract</p> <p>Background</p> <p>Multi-detector computed tomography angiography (MDCTA)of the coronary arteries after stenting has been evaluated in multiple studies.</p> <p>The purpose of this study was to perform a structured review and meta-analysis of the diagnostic performance of MDCTA for the detection of in-stent restenosis in the coronary arteries.</p> <p>Methods</p> <p>A Pubmed and manual search of the literature on in-stent restenosis (ISR) detected on MDCTA compared with conventional coronary angiography (CA) was performed. Bivariate summary receiver operating curve (SROC) analysis, with calculation of summary estimates was done on a stent and patient basis. In addition, the influence of study characteristics on diagnostic performance and number of non-assessable segments (NAP) was investigated with logistic meta-regression.</p> <p>Results</p> <p>Fourteen studies were included. On a stent basis, Pooled sensitivity and specificity were 0.82(0.72–0.89) and 0.91 (0.83–0.96). Pooled negative likelihood ratio and positive likelihood ratio were 0.20 (0.13–0.32) and 9.34 (4.68–18.62) respectively. The exclusion of non-assessable stents and the strut thickness of the stents had an influence on the diagnostic performance. The proportion of non-assessable stents was influenced by the number of detectors, stent diameter, strut thickness and the use of an edge-enhancing kernel.</p> <p>Conclusion</p> <p>The sensitivity of MDTCA for the detection of in-stent stenosis is insufficient to use this test to select patients for further invasive testing as with this strategy around 20% of the patients with in-stent stenosis would be missed. Further improvement of scanner technology is needed before it can be recommended as a triage instrument in practice. In addition, the number of non-assessable stents is also high.</p

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Stability of nanostructured Pt-based electrocatalysts for oxygen reduction reaction

International audienceDue to strain and ligand effects, the simultaneous presence of concave and convex surfaces and their highly-defective nanostructure (atomic vacancies, grain boundaries), highly defective hollow PtNi/C electrocatalysts have proven to enhance remarkably the oxygen reduction reaction (ORR) kinetics [1,2]. Likewise, PtNi aerogel [3], jagged PtNi nanowires [4,5] feature both high concentration of structural defects and enhanced ORR activity. On the other hand, and inspired from single crystal approach, nanostructured octahedral-shaped PtNi/C electrocatalysts exhibiting only Pt(111) facets are among the most active ORR electrocatalysts [6,7]. This presentation will show how structure-activity-stability relationships of these two classes of materials can be unified via two descriptors derived from structural and electrochemical parameters respectively [8,9]. A special emphasis will be given on the stability trends of these two families of ORR electrocatalysts

Stability of nanostructured Pt-based electrocatalysts for oxygen reduction reaction

International audienceDue to strain and ligand effects, the simultaneous presence of concave and convex surfaces and their highly-defective nanostructure (atomic vacancies, grain boundaries), highly defective hollow PtNi/C electrocatalysts have proven to enhance remarkably the oxygen reduction reaction (ORR) kinetics [1,2]. Likewise, PtNi aerogel [3], jagged PtNi nanowires [4,5] feature both high concentration of structural defects and enhanced ORR activity. On the other hand, and inspired from single crystal approach, nanostructured octahedral-shaped PtNi/C electrocatalysts exhibiting only Pt(111) facets are among the most active ORR electrocatalysts [6,7]. This presentation will show how structure-activity-stability relationships of these two classes of materials can be unified via two descriptors derived from structural and electrochemical parameters respectively [8,9]. A special emphasis will be given on the stability trends of these two families of ORR electrocatalysts