Evidence map›Paper›PMID 27418333›Full record

Trial reportTrials2016

Comparison of coronary computed tomography angiography image quality with high- and low-concentration contrast agents (CONCENTRATE): study protocol for a randomized controlled trial.

Dong Jin Im, Yun-Hyeon Kim, Ki Seok Choo, Joon-Won Kang, Jung Im Jung, Yoodong Won, Hyo Rim Kim, Myung Hee Chung, Kyunghwa Han, Byoung Wook Choi

Registry-linked trialAbstract readComparative StudyEquivalence TrialMulticenter Study
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02549794 (Comparison of Image Quality of Coronary Computed Tomography Angiography bEtweeN High concenTRATion and Low concEntration Contrast Agents), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT02549794 nacompletednot on this map

Comparison of Image Quality of Coronary Computed Tomography Angiography bEtweeN High concenTRATion and Low concEntration Contrast Agents(CONCENTRATE Trial)

TypeinterventionalSponsorYonsei UniversityRan2015 to 2017Enrolled80ConditionsCoronary Artery DiseaseArmsCT angiography with high concentration contrast agent, CT angiography with low concentration contrast agent (320), CT angiography with low concentration contrast agent (270)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

10 authors.

Dong Jin ImDepartment of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Yun-Hyeon KimDepartment of Radiology, Chonnam National University Hospital, Chonnam University Medical School, Gwangju, Republic of Korea.
Ki Seok ChooDepartment of Radiology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Pusan, Republic of Korea.
Joon-Won KangDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Jung Im JungDepartment of Radiology, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
Yoodong WonDepartment of Radiology, Uijeongbu St. Mary's Hospital, Catholic University of Korea, Uijeongbu, Republic of Korea.
Hyo Rim KimDepartment of Radiology, Yeouido St. Mary's Hospital, Catholic University of Korea, Seoul, Republic of Korea.
Myung Hee ChungDepartment of Radiology, Bucheon St. Mary's Hospital, Catholic University of Korea, Bucheon, Republic of Korea.
Kyunghwa HanDepartment of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Byoung Wook ChoiDepartment of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea. bchoi@yuhs.ac.ORCID 0000-0002-8873-5444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the development of computed tomography (CT) technology, coronary CT angiography can be acquired with low doses of radiation and contrast agent without a loss of diagnostic performance. The primary objective of the CONCENTRATE study is to prove the noninferiority of the enhancement effect of low-concentration contrast agents compared to a high-concentration contrast agent of the coronary artery and myocardium with coronary CT angiography. METHODS/

designThe CONCENTRATE study is a prospective, multicenter, noninferiority, randomized trial evaluating the enhancement effect of low-concentration contrast agents (270 and 320 mg iodine/ml) compared with a high-concentration contrast agent (370 mg iodine/ml) in the coronary artery and myocardium of coronary artery CT angiography. The primary efficacy measurement is the enhancement of coronary arteries as measured in Hounsfield units. The target population comprises 318 patients with suspected coronary artery disease who have been referred for clinically indicated nonemergent coronary CT angiography. Eligible participants are randomized for three different concentrations of the contrast agent in a 1:1:1 allocation ratio to one of three arms. The CONCENTRATE trial is a double-blind study, where the subjects and the outcome assessor are blinded to the concentration of the contrast agent used for coronary the CT angiography. Eight clinical sites in Korea are participating in this trial. DISCUSSION: The CONCENTRATE study will determine whether low-concentration contrast agents are able to provide diagnostic image quality in coronary CT angiography.

trial registrationNCT02549794 . Registered on 14 September 2015.

Indexed as

Clinical ProtocolsComputed Tomography AngiographyContrast MediaCoronary AngiographyCoronary CirculationCoronary VesselsDouble-Blind MethodHeart DiseasesHumansIopamidolMultidetector Computed TomographyMyocardial Perfusion ImagingPredictive Value of TestsProspective StudiesRadiographic Image Interpretation, Computer-AssistedRepublic of KoreaContrast MediaiodixanolIopamidolTriiodobenzoic AcidsCADCCTAComputed tomographyContrast agentCoronary artery diseaseCoronary computed tomography angiographyRadiation

Identifiers

PMID27418333
PMCPMC4946231

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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.