Evidence map›Paper›PMID 28168371›Full record

ArticleEuropean radiology2017

Improvement of image quality and dose management in CT fluoroscopy by iterative 3D image reconstruction.

Oliver S Grosser, Christian Wybranski, Dennis Kupitz, Maciej Powerski, Konrad Mohnike, Maciej Pech, Holger Amthauer, Jens Ricke

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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  7. Radiation dose and image quality of CT fluoroscopy with partial exposure mode.Diagnostic and interventional radiology (Ankara, Turkey) · 2020
    Article
  8. Article
  9. The use of needle holders in CTF guided biopsies as a dose reduction tool.Journal of applied clinical medical physics · 2018
    Article
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

8 authors at 4 institutions in 2 countries.

Oliver S GrosserDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany. oliver.grosser@med.ovgu.de.
Christian WybranskiDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
Dennis KupitzDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
Maciej PowerskiDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
Konrad MohnikeDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
Maciej PechDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
Holger AmthauerDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
Jens RickeDepartment of Radiology and Nuclear Medicine, University Hospital Magdeburg, Leipziger Strasse 44, 39120, Magdeburg, Germany.
University Hospital Magdeburg · DECharité - Universitätsmedizin Berlin · DEGdańsk Medical University · PLUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this study was to assess the influence of an iterative CT reconstruction algorithm (IA), newly available for CT-fluoroscopy (CTF), on image noise, readers' confidence and effective dose compared to filtered back projection (FBP).

methodsData from 165 patients (FBP/IA = 82/74) with CTF in the thorax, abdomen and pelvis were included. Noise was analysed in a large-diameter vessel. The impact of reconstruction and variables (e.g. X-ray tube current I) influencing noise and effective dose were analysed by ANOVA and a pairwise t-test with Bonferroni-Holm correction. Noise and readers' confidence were evaluated by three readers.

resultsNoise was significantly influenced by reconstruction, I, body region and circumference (all p ≤ 0.0002). IA reduced the noise significantly compared to FBP (p = 0.02). The effect varied for body regions and circumferences (p ≤ 0.001). The effective dose was influenced by the reconstruction, body region, interventional procedure and I (all p ≤ 0.02). The inter-rater reliability for noise and readers' confidence was good (W ≥ 0.75, p < 0.0001). Noise and readers' confidence were significantly better in AIDR-3D compared to FBP (p ≤ 0.03). Generally, IA yielded a significant reduction of the median effective dose.

conclusionThe CTF reconstruction by IA showed a significant reduction in noise and effective dose while readers' confidence increased. KEY POINTS: • CTF is performed for image guidance in interventional radiology. • Patient exposure was estimated from DLP documented by the CT. • Iterative CT reconstruction is appropriate to reduce image noise in CTF. • Using iterative CT reconstruction, the effective dose was significantly reduced in abdominal interventions.

Indexed as

AbdomenAdultAgedAged, 80 and overAlgorithmsFemaleFluoroscopyHumansImage Processing, Computer-AssistedImaging, Three-DimensionalMaleMiddle AgedObserver VariationPelvisQuality ImprovementRadiation DosageCT fluoroscopyDose length productEffective doseImage noiseIterative CT reconstruction

Identifiers

PMID28168371
OpenAlexW2587475462

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.