Evidence map›Paper›PMID 27436027›Full record

Trial reportEuropean radiology2017

Endoleak detection using single-acquisition split-bolus dual-energy computer tomography (DECT).

D Javor, A Wressnegger, S Unterhumer, K Kollndorfer, R Nolz, D Beitzke, C Loewe

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
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

19 citing papers in PubMed, 43 citations in OpenAlex.

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  13. Contemporary imaging methods for the follow-up after endovascular abdominal aneurysm repair: a review.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
    Review
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  16. Noninvasive aortic imaging.Cardiovascular diagnosis and therapy · 2018
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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

7 authors at 1 institution in 1 country.

D JavorDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Währingergürtel 18-20, A-1090, Vienna, Austria. domagoj.javor@meduniwien.ac.at.
A WressneggerDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Währingergürtel 18-20, A-1090, Vienna, Austria.
S UnterhumerDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Währingergürtel 18-20, A-1090, Vienna, Austria.
K KollndorferDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Währingergürtel 18-20, A-1090, Vienna, Austria.
R NolzDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Währingergürtel 18-20, A-1090, Vienna, Austria.
D BeitzkeDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Währingergürtel 18-20, A-1090, Vienna, Austria.
C LoeweDepartment of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Währingergürtel 18-20, A-1090, Vienna, Austria.
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess a single-phase, dual-energy computed tomography (DECT) with a split-bolus technique and reconstruction of virtual non-enhanced images for the detection of endoleaks after endovascular aneurysm repair (EVAR).

methodsFifty patients referred for routine follow-up post-EVAR CT and a history of at least one post-EVAR follow-up CT examination using our standard biphasic (arterial and venous phase) routine protocol (which was used as the reference standard) were included in this prospective trial. An in-patient comparison and an analysis of the split-bolus protocol and the previously used double-phase protocol were performed with regard to differences in diagnostic accuracy, radiation dose, and image quality.

resultsThe analysis showed a significant reduction of radiation dose of up to 42 %, using the single-acquisition split-bolus protocol, while maintaining a comparable diagnostic accuracy (primary endoleak detection rate of 96 %). Image quality between the two protocols was comparable and only slightly inferior for the split-bolus scan (2.5 vs. 2.4).

conclusionsUsing the single-acquisition, split-bolus approach allows for a significant dose reduction while maintaining high image quality, resulting in effective endoleak identification. KEY POINTS: • A single-acquisition, split-bolus approach allows for a significant dose reduction. • Endoleak development is the most common complication after endovascular aortic repair (EVAR). • CT angiography is the imaging modality of choice for aortic aneurysm evaluation.

Indexed as

AgedAged, 80 and overAortic Aneurysm, AbdominalContrast MediaDrug Administration ScheduleEndoleakEndovascular ProceduresFemaleHumansMagnetic Resonance AngiographyMaleMiddle AgedProspective StudiesRadiation DosageRetrospective StudiesTomography, X-Ray ComputedContrast MediaAneurysmAngiographyAortaComputed tomographyEndoleak

Identifiers

PMID27436027
PMCPMC5334388
OpenAlexW2483653041

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.