Evidence map›Paper›PMID 24553783›Full record

ArticleLa Radiologia medica2014

Assessment of dose exposure and image quality in coronary angiography performed by 640-slice CT: a comparison between adaptive iterative and filtered back-projection algorithm by propensity analysis.

Ernesto Di Cesare, Antonio Gennarelli, Alessandra Di Sibio, Valentina Felli, Alessandra Splendiani, Giovanni Luca Gravina, Antonio Barile, Carlo Masciocchi

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in La Radiologia medica, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ernesto Di CesareDivision of Cardiac Radiology, Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Via Vetoio 1, 67100, L'Aquila, Italy, ernesto.dicesare@cc.univaq.it.
Antonio Gennarelli
Alessandra Di Sibio
Valentina Felli
Alessandra Splendiani
Giovanni Luca Gravina
Antonio Barile
Carlo Masciocchi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was performed to confirm, by propensity score matching, whether the use of adaptive-iterative dose reduction (AIDR 3D) with a built-in automatic exposure control system provides clinical and dosimetric advantages with respect to the traditional filtered back-projection (FBP) algorithm without automatic exposure modulation. MATERIALS AND

methodsA total of 200 consecutive patients undergoing coronary computed tomography (CT) angiography on a 640-slice CT scanner were studied. A protocol with exposure parameters based on patient body mass index (BMI) and with images reconstructed using FBP (group A) was compared with a protocol with images acquired using tube current decided by an automatic exposure control system and reconstructed using AIDR (group B). Mean effective dose and image quality with both objective and subjective measurements were assessed.

resultsMean effective dose was 23.6 % lower in group B than in group A (2.56 versus 3.34 mSv; p < 0.0001). Noise was significantly lower in group B with consequent higher signal-to-noise (SNR) and contrast-to-noise (CNR) (p < 0.0001) compared with group A. Subjective quality parameters were also significantly higher in group B.

conclusionsComparative analysis by propensity score matching confirms that AIDR 3D with automatic exposure control is able to reduce significantly the mean radiation dose and improve the image quality compared with traditional FBP without exposure modulation.

Indexed as

AlgorithmsRadiographic Image Interpretation, Computer-AssistedTomography, X-Ray ComputedAgedCoronary AngiographyFemaleHumansMaleMiddle AgedPropensity ScoreProspective StudiesRadiation Dosage

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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.