ReviewEuropean radiology2009
Triple rule-out CT in the emergency department: protocols and spectrum of imaging findings.
Review in European radiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.
- Korean guidelines for the appropriate use of cardiac CT.Korean journal of radiologyGuideline
- Triple-rule-out CT angiography using two axial scans with 16 cm wide-detector for radiation dose reduction.European radiology · 2018Trial
- Triple rule-out acute chest pain evaluation using a 320-row-detector volume CT: a comparison of the wide-volume and helical modes.The international journal of cardiovascular imaging · 2012Trial
- Sequential Helical-Axial-Helical Triple-Rule-Out CT Angiography: Technical Feasibility and Territory-Specific Image Quality in the Emergency Department.Journal of clinical medicine · 2026Article
- Relationship between size-specific dose estimates and image quality in coronary computed tomography angiography depending on tube voltage and scan field of view.Quantitative imaging in medicine and surgery · 2026Article
- Computed tomography angiography in the diagnosis of non-ST-elevation myocardial infarction: redefining our first line of defense.International journal of cardiology. Heart & vasculature · 2025Article
- A Review of Factors Affecting Radiation Dose and Image Quality in Coronary CTA Performed with Wide-Detector CT.Tomography (Ann Arbor, Mich.) · 2024Review
- Takotsubo Syndrome in the Emergency Room - Diagnostic Challenges and Suggested Algorithm.Reviews in cardiovascular medicine · 2022Review
- Low-tube-voltage selection for triple-rule-out CTA: relation to patient size.European radiology · 2017Article
- Acute Chest Pain of Coronary Origin in Patients without Diabetes: How Multidetector Computed Tomography (MDCT) Angiography Helps in Diagnosis.Polish journal of radiology · 2017Article
- Coronary computed tomography angiography for the assessment of chest pain: current status and future directions.The international journal of cardiovascular imaging · 2015Review
- A fatal outcome of thoracic aortic aneurysm in a male patient with bicuspid aortic valve.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2013Article
- Coronary CT angiography: current status and continuing challenges.The British journal of radiology · 2012Review
- Economic outcome of cardiac CT-based evaluation and standard of care for suspected acute coronary syndrome in the emergency department: a decision analytic model.Academic radiology · 2012Article
- Low-dose triple-rule-out using 320-row-detector volume MDCT--less contrast medium and lower radiation exposure.European radiology · 2011Article
- Comparison of radiation dose and image quality of triple-rule-out computed tomography angiography between conventional helical scanning and a strategy incorporating sequential scanning.The American journal of cardiology · 2011Article
- High-pitch dual-source CT angiography of the aortic valve-aortic root complex without ECG-synchronization.European radiology · 2011Article
- Current Concepts in Cardiac CT Angiography for Patients With Acute Chest Pain.Korean circulation journal · 2010Article
- Computed tomographic coronary angiography in patients with surgically treated type A aortic dissection: preliminary results.Emergency radiology · 2010Article
- Radiation dose of cardiac CT--what is the evidence?European radiology · 2009Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Triage decisions in patients suffering from acute chest pain remain a challenge. The patient's history, initial cardiac enzyme levels, or initial electrocardiograms (ECG) often do not allow selecting the patients in whom further tests are needed. Numerous vascular and non-vascular chest problems, such as pulmonary embolism (PE), aortic dissection, or acute coronary syndrome, as well as pulmonary, pleural, or osseous lesions, must be taken into account. Nowadays, contrast-enhanced multi-detector-row computed tomography (CT) has replaced previous invasive diagnostic procedures and currently represents the imaging modality of choice when the clinical suspicion of PE or acute aortic syndrome is raised. At the same time, CT is capable of detecting a multitude of non-vascular causes of acute chest pain, such as pneumonia, pericarditis, or fractures. Recent technical advances in CT technology have also shown great advantages for non-invasive imaging of the coronary arteries. In patients with acute chest pain, the optimization of triage decisions and cost-effectiveness using cardiac CT in the emergency department have been repetitively demonstrated. Triple rule-out CT denominates an ECG-gated protocol that allows for the depiction of the pulmonary arteries, thoracic aorta, and coronary arteries within a single examination. This can be accomplished through the use of a dedicated contrast media administration regimen resulting in a simultaneous attenuation of the three vessel territories. This review is intended to demonstrate CT parameters and contrast media administration protocols for performing a triple rule-out CT and discusses radiation dose issues pertinent to the protocol. Typical life-threatening and non-life-threatening diseases causing acute chest pain are illustrated.
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Registered trials
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 OpenQuestion graph.