Evidence map›Paper›PMID 29080918›Full record

ArticleNeuroradiology2018

Ultra-high-resolution CT angiography of the artery of Adamkiewicz: a feasibility study.

Kunihiro Yoshioka, Ryoichi Tanaka, Hidenobu Takagi, Yuta Ueyama, Kei Kikuchi, Takuya Chiba, Kazumasa Arakita, Joanne D Schuijf, Yasuo Saito

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Article in Neuroradiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

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37citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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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.

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3 · Its place in the literature

Who cites it

37 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Kunihiro YoshiokaDivision of Cardiovascular Radiology, Department of Radiology, Iwate Medical University, 19-1 Uchimaru, Morioka, 020-8505, Japan. kyoshi@iwate-med.ac.jp.ORCID http://orcid.org/0000-0002-0100-042X
Ryoichi TanakaDivision of Cardiovascular Radiology, Department of Radiology, Iwate Medical University, 19-1 Uchimaru, Morioka, 020-8505, Japan.
Hidenobu TakagiDivision of Cardiovascular Radiology, Department of Radiology, Iwate Medical University, 19-1 Uchimaru, Morioka, 020-8505, Japan.
Yuta UeyamaCenter for Radiological Science, Iwate Medical University Hospital, 19-1 Uchimaru, Morioka, 020-8505, Japan.
Kei KikuchiCenter for Radiological Science, Iwate Medical University Hospital, 19-1 Uchimaru, Morioka, 020-8505, Japan.
Takuya ChibaCenter for Radiological Science, Iwate Medical University Hospital, 19-1 Uchimaru, Morioka, 020-8505, Japan.
Kazumasa ArakitaCenter for Medical Research and Development, Toshiba Medical Systems Corporation, 1385 Shimoishigami, Otawara, 323-0036, Japan.
Joanne D SchuijfCenter for Medical Research and Development Europe, Toshiba Medical Systems Europe, Zoetermeer, The Netherlands.
Yasuo SaitoCT Systems Development Department, Toshiba Medical Systems Corporation, 1385 Shimoishigami, Otawara, 323-0036, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePreoperative identification of the artery of Adamkiewicz can help prevent postoperative spinal cord injury following thoracic and thoracoabdominal aortic repair. Several studies have demonstrated the feasibility of evaluating the artery of Adamkiewicz using multi-detector row computed tomography (CT), but precise visualization remains a challenge. The present study was conducted to evaluate the usefulness of ultra-high-resolution CT for visualizing the artery of Adamkiewicz with a slice thickness of 0.25 versus 0.5 mm in patients with aortic aneurysms.

methodsOur institutional review board approved this study. Twenty-four patients with thoracic and thoracoabdominal aneurysms were scanned with beam collimation of 0.25 mm × 128. Images were reconstructed with slice thicknesses of 0.25 and 0.5 mm. The signal-to-noise ratio (SNR) of the aorta and contrast-to-noise ratio (CNR) between the anterior spinal artery and spinal cord were measured. Two independent observers evaluated visualization of the artery of Adamkiewicz and its continuity between the anterior spinal artery and the aorta using a four-point scale.

resultsNo significant differences in the SNR of the aorta or CNR of the anterior spinal artery were observed between 0.25- and 0.5-mm slices. The average visualization score was significantly higher for 0.25-mm slices (3.58 ± 0.78) than for 0.5-mm slices (3.13 ± 0.99) (p = 0.01). The percentage of patients with nondiagnostic image quality was significantly lower for 0.25-mm slices (8.3%) than for 0.5-mm slices (33.3%) (p = 0.03).

conclusionIn patients with aortic aneurysms, ultra-high-resolution CT with 0.25-mm slices significantly improves visualization of the artery of Adamkiewicz compared to 0.5-mm slices.

Indexed as

AdultAgedAged, 80 and overAortic Aneurysm, AbdominalAortic Aneurysm, ThoracicComputed Tomography AngiographyFeasibility StudiesFemaleHumansMaleMiddle AgedRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesSignal-To-Noise RatioSpineAortic aneurysmArtery of AdamkiewiczComputed tomographySpinal cordUltra-high-resolution

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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.