Evidence map›Paper›PMID 26359152›Full record

ArticleAJNR. American journal of neuroradiology2016

High-Resolution C-Arm CT and Metal Artifact Reduction Software: A Novel Imaging Modality for Analyzing Aneurysms Treated with Stent-Assisted Coil Embolization.

I Yuki, Y Kambayashi, A Ikemura, Y Abe, I Kan, A Mohamed, C Dahmani, T Suzuki, T Ishibashi, H Takao and 2 more

Abstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

I YukiFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan. ichiroyuki@gmail.com.ORCID http://orcid.org/0000-0002-7673-9085
Y KambayashiFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
A IkemuraFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Y AbeFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
I KanFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0003-4829-4784
A MohamedFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
C DahmaniFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-7505-1211
T SuzukiFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0001-7172-0257
T IshibashiFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0003-1044-5604
H TakaoFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-9285-9642
M UrashimaFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Y MurayamaFrom the Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0003-3490-385X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeCombination of high-resolution C-arm CT and novel metal artifact reduction software may contribute to the assessment of aneurysms treated with stent-assisted coil embolization. This study aimed to evaluate the efficacy of a novel Metal Artifact Reduction prototype software combined with the currently available high spatial-resolution C-arm CT prototype implementation by using an experimental aneurysm model treated with stent-assisted coil embolization. MATERIALS AND

methodsEight experimental aneurysms were created in 6 swine. Coil embolization of each aneurysm was performed by using a stent-assisted technique. High-resolution C-arm CT with intra-arterial contrast injection was performed immediately after the treatment. The obtained images were processed with Metal Artifact Reduction. Five neurointerventional specialists reviewed the image quality before and after Metal Artifact Reduction. Observational and quantitative analyses (via image analysis software) were performed.

resultsEvery aneurysm was successfully created and treated with stent-assisted coil embolization. Before Metal Artifact Reduction, coil loops protruding through the stent lumen were not visualized due to the prominent metal artifacts produced by the coils. These became visible after Metal Artifact Reduction processing. Contrast filling in the residual aneurysm was also visualized after Metal Artifact Reduction in every aneurysm. Both the observational (P < .0001) and quantitative (P < .001) analyses showed significant reduction of the metal artifacts after application of the Metal Artifact Reduction prototype software.

conclusionsThe combination of high-resolution C-arm CT and Metal Artifact Reduction enables differentiation of the coil mass, stent, and contrast material on the same image by significantly reducing the metal artifacts produced by the platinum coils. This novel image technique may improve the assessment of aneurysms treated with stent-assisted coil embolization.

Indexed as

ArtifactsSoftwareAnimalsDisease Models, AnimalEmbolization, TherapeuticImage Processing, Computer-AssistedIntracranial AneurysmStentsSwineTomography, X-Ray Computed

Identifiers

PMID26359152
PMCPMC7959960

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Registered trials

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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.