ArticleEuropean radiology2016
Automated tube voltage selection for radiation dose and contrast medium reduction at coronary CT angiography using 3(rd) generation dual-source CT.
Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses 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
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Guideline on the use of iodinated contrast media in patients with kidney disease 2018.Clinical and experimental nephrology · 2020Guideline
- Low tube voltage prospectively ECG-triggered coronary CT angiography: a systematic review of image quality and radiation dose.The British journal of radiology · 2018Pooled it
- Ladder-Like Low Iodine Delivery Rate Injection Protocols Based on BMI at 70 KV by Automated Tube Voltage Selection in Coronary CTA.Contrast media & molecular imaging · 2022Trial
- Reduction of cardiac motion artifact in step-and-shoot coronary CT angiography with third-generation as compared with second-generation dual-source CT scanners.Diagnostic and interventional radiology (Ankara, Turkey) · 2021Trial
- Comparative assessment of image quality for coronary CT angiography with iobitridol and two contrast agents with higher iodine concentrations: iopromide and iomeprol. A multicentre randomized double-blind trial.European radiology · 2017Trial
- Radiation and Contrast Medium Dosage Optimization of Coronary CT Angiography While Combining Personalized Patient Protocol Technology and Automated Tube Voltage Selection Technology.Diagnostics (Basel, Switzerland) · 2026Article
- Application of one heartbeat acquisition with motion correction algorithm in CCTA of patients with atrial fibrillation: evaluation of coronary artery stenoses using artificial intelligence assisted diagnostic system.Frontiers in radiology · 2025Article
- Ultra-low-dose coronary computed tomography angiography using photon-counting detector computed tomography.European heart journal. Imaging methods and practice · 2024Article
- Dedicated CCTA Followed by High-Pitch Scanning versus TRO-CT for Contrast Media and Radiation Dose Reduction: A Retrospective Study.Diagnostics (Basel, Switzerland) · 2022Article
- Image quality and diagnostic performance evaluation in transcatheter aortic valve implantation candidates with atrial fibrillation using a whole-heart coverage CT scanner.European radiology · 2022Article
- AI Denoising Significantly Improves Image Quality in Whole-Body Low-Dose Computed Tomography Staging.Diagnostics (Basel, Switzerland) · 2022Article
- Application of full-field organ dose modulation on cervical- thoraco-abdominopelvic contrast-enhanced computed tomography.Japanese journal of radiology · 2021Article
- Simulated Radiation Dose Reduction in Whole-Body CT on a 3rd Generation Dual-Source Scanner: An Intraindividual Comparison.Diagnostics (Basel, Switzerland) · 2021Article
- Influence of a novel deep-learning based reconstruction software on the objective and subjective image quality in low-dose abdominal computed tomography.The British journal of radiology · 2021Article
- Individualized coronary calcium scoring at any tube voltage using a kV-independent reconstruction algorithm.European radiology · 2020Article
- The sub-millisievert era in CTCA: the technical basis of the new radiation dose approach.La Radiologia medica · 2020Review
- Tube Voltage, DNA Double-Strand Breaks, and Image Quality in Coronary CT Angiography.Korean journal of radiology · 2020Article
- Personalized application of three different concentrations of iodinated contrast media in coronary computed tomography angiography.Journal of cellular and molecular medicine · 2020Article
- Application of Low Tube Potentials in CCTA: Results From the PROTECTION VI Study.JACC. Cardiovascular imaging · 2020Article
- Guideline on the use of iodinated contrast media in patients with kidney disease 2018.Japanese journal of radiology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the relationship between automated tube voltage selection (ATVS) and body mass index (BMI) and its effect on image quality and radiation dose of coronary CT angiography (CCTA).
methodsWe evaluated 272 patients who underwent CCTA with 3(rd) generation dual-source CT (DSCT). Prospectively ECG-triggered spiral acquisition was performed with automated tube current selection and advanced iterative reconstruction. Tube voltages were selected by ATVS (70-120 kV). BMI, effective dose (ED), and vascular attenuation in the coronary arteries were recorded. Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were calculated. Five-point scales were used for subjective image quality analysis.
resultsImage quality was rated good to excellent in 98.9 % of examinations without significant differences for proximal and distal attenuation (all p ≥ .0516), whereas image noise was rated significantly higher at 70 kV compared to ≥100 kV (all p < .0266). However, no significant differences were observed in SNR or CNR at 70-120 kV (all p ≥ .0829). Mean ED at 70-120 kV was 1.5 ± 1.2 mSv, 2.4 ± 1.5 mSv, 3.6 ± 2.7 mSv, 5.9 ± 4.0 mSv, 7.9 ± 4.2 mSv, and 10.7 ± 4.1 mSv, respectively (all p ≤ .0414). Correlation analysis showed a moderate association between tube voltage and BMI (r = .639).
conclusionATVS allows individual tube voltage adaptation for CCTA performed with 3(rd) generation DSCT, resulting in significantly decreased radiation exposure while maintaining image quality. KEY POINTS: • Automated tube voltage selection allows an individual tube voltage adaption in CCTA. • A tube voltage-based reduction of contrast medium volume is feasible. • Image quality was maintained while radiation exposure was significantly decreased. • A moderate association between tube voltage and body mass index was found.
Indexed as
Identifiers
26847044What OpenQuestion holds
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.