Evidence map›Paper›PMID 28707527›Full record

ArticleThe British journal of radiology2017

Diagnostic usefulness  of low-dose lumbar multi-detector CT with iterative reconstruction in trauma patients: acomparison with standard-dose CT.

Sun Hwa Lee, Seong Jong Yun, Dong Hyeon Kim, Hyeon Hwan Jo, Jae Gwang Song, Yong Sung Park

Open access · greenAbstract readComparative Study
In one paragraph

Article in The British journal of radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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

6 authors at 3 institutions in 1 country.

Sun Hwa Lee1 Department of Emergency Medicine, Sanggye Paik Hospital, Inje University College of Medicine , Seoul , Republic of Korea.
Seong Jong Yun2 Department of Radiology, Aerospace Medical Center, Republic of Korea Air Force , Cheongwon-gun , Republic of Korea.
Dong Hyeon Kim2 Department of Radiology, Aerospace Medical Center, Republic of Korea Air Force , Cheongwon-gun , Republic of Korea.
Hyeon Hwan Jo2 Department of Radiology, Aerospace Medical Center, Republic of Korea Air Force , Cheongwon-gun , Republic of Korea.
Jae Gwang Song3 Department of Orthopedic Surgery, Aerospace Medical Center, Republic of Korea Air Force , Cheongwon-gun , Republic of Korea.
Yong Sung Park4 Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine , Seoul , Republic of Korea.
Korea Air Force Academy · KRInje University Sanggye Paik Hospital · KRKyung Hee University Hospital at Gangdong · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the image quality (IQ), radiation dose and diagnostic reliability of standard-dose and low-dose lumbar spine (L-spine) multi-detector CT (SDCT and LDCT, respectively) with iterative reconstruction (IR) in trauma patients.

methodsWe retrospectively analysed the data of 263 consecutive patients (male:female, 133:130; mean age, 44.3 years) who underwent SDCT (200-300mAs; 120 kVp) with IR (n = 126) or LDCT (80-150mAs; 120kVp) with IR (n = 137) for suspected L-spine fractures between November 2015 and September 2016. Patients were categorized according to their body mass index, as follows: Group 1,~22.9 kg m

resultsOverall, SDCT exhibited slightly better diagnostic performance than did LDCT (sensitivity, 96.7-100%vs94-98.5%; specificity, 95.6-97.0%vs both 95.7%; accuracy, 96.0-98.4%vs94.9-97.1%). However, none of these parameters was significantly different between SDCT and LDCT, either in the whole cohort (p ≥ 0.50) or among the three body mass index groups (p ≥ 0.49). All interobserver agreements were excellent or good (range, 0.776-0.985).

conclusionsThe diagnostic performance of LDCT with IR for L-spine fractures was comparable to that of SDCT with IR, with a 47-69% reduction in the radiation dose. Advances in knowledge: LDCT scan can be used as a diagnostic imaging tool for evaluating trauma patients with suspected L-spine fractures.

Indexed as

Radiation DosageAdultAlgorithmsFemaleHumansImage Processing, Computer-AssistedLumbar VertebraeMaleMultidetector Computed TomographyRadiographic Image Interpretation, Computer-AssistedReproducibility of ResultsRetrospective StudiesSensitivity and SpecificitySignal-To-Noise RatioSpinal Fractures

Identifiers

PMID28707527
PMCPMC5858793
OpenAlexW2735934097

What OpenQuestion holds

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Registered trials

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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.