Evidence map›Paper›PMID 27966043›Full record

ArticleEuropean radiology2017

Radiation dose reduction using 100-kVp and a sinogram-affirmed iterative reconstruction algorithm in adolescent head CT: Impact on grey-white matter contrast and image noise.

Yasunori Nagayama, Takeshi Nakaura, Akinori Tsuji, Joji Urata, Mitsuhiro Furusawa, Hideaki Yuki, Kenichiro Hirarta, Masafumi Kidoh, Seitaro Oda, Daisuke Utsunomiya and 1 more

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Article in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 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

11 authors.

Yasunori NagayamaDepartment of Radiology, Kumamoto City Hospital, 1-1-60, Koto, Higashi-ku, Kumamoto, 862-0909, Japan. y.nagayama1980@gmail.com.ORCID http://orcid.org/0000-0003-3280-7346
Takeshi NakauraDepartment of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan.
Akinori TsujiDepartment of Radiology, Kumamoto City Hospital, 1-1-60, Koto, Higashi-ku, Kumamoto, 862-0909, Japan.
Joji UrataDepartment of Radiology, Kumamoto City Hospital, 1-1-60, Koto, Higashi-ku, Kumamoto, 862-0909, Japan.
Mitsuhiro FurusawaDepartment of Radiology, Kumamoto City Hospital, 1-1-60, Koto, Higashi-ku, Kumamoto, 862-0909, Japan.
Hideaki YukiDepartment of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan.
Kenichiro HirartaDepartment of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan.
Masafumi KidohDepartment of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan.
Seitaro OdaDepartment of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan.
Daisuke UtsunomiyaDepartment of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan.
Yasuyuki YamashitaDepartment of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1, Honjyo, Chuo-ku, Kumamoto, 860-8556, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo retrospectively evaluate the image quality and radiation dose of 100-kVp scans with sinogram-affirmed iterative reconstruction (IR) for unenhanced head CT in adolescents.

methodsSixty-nine patients aged 12-17 years underwent head CT under 120- (n = 34) or 100-kVp (n = 35) protocols. The 120-kVp images were reconstructed with filtered back-projection (FBP), 100-kVp images with FBP (100-kVp-F) and sinogram-affirmed IR (100-kVp-S). We compared the effective dose (ED), grey-white matter (GM-WM) contrast, image noise, and contrast-to-noise ratio (CNR) between protocols in supratentorial (ST) and posterior fossa (PS). We also assessed GM-WM contrast, image noise, sharpness, artifacts, and overall image quality on a four-point scale.

resultsED was 46% lower with 100- than 120-kVp (p < 0.001). GM-WM contrast was higher, and image noise was lower, on 100-kVp-S than 120-kVp at ST (p < 0.001). CNR of 100-kVp-S was higher than of 120-kVp (p < 0.001). GM-WM contrast of 100-kVp-S was subjectively rated as better than of 120-kVp (p < 0.001). There were no significant differences in the other criteria between 100-kVp-S and 120-kVp (p = 0.072-0.966).

conclusionsThe 100-kVp with sinogram-affirmed IR facilitated dramatic radiation reduction and better GM-WM contrast without increasing image noise in adolescent head CT. KEY POINTS: • 100-kVp head CT provides 46% radiation dose reduction compared with 120-kVp. • 100-kVp scanning improves subjective and objective GM-WM contrast. • Sinogram-affirmed IR decreases head CT image noise, especially in supratentorial region. • 100-kVp protocol with sinogram-affirmed IR is suited for adolescent head CT.

Indexed as

Radiation DosageAdolescentAlgorithmsArtifactsChildFemaleGray MatterHumansMaleRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesTomography, X-Ray ComputedWhite MatterComputed tomography X-rayCranial irradiationImage processingPaediatricsRadiation protection

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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.