Evidence map›Paper›PMID 29164383›Full record

ArticleEuropean radiology2018

Image quality and radiation dose of coronary CT angiography performed with whole-heart coverage CT scanner with intra-cycle motion correction algorithm in patients with atrial fibrillation.

Daniele Andreini, Gianluca Pontone, Saima Mushtaq, Maria Elisabetta Mancini, Edoardo Conte, Marco Guglielmo, Valentina Volpato, Andrea Annoni, Andrea Baggiano, Alberto Formenti and 5 more

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Article in European radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 61 citations in OpenAlex.

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  11. How to perform and evaluate a myocardial perfusion imaging by computed tomography.European heart journal. Imaging methods and practice · 2025
    Review
  12. [The challenging patient-recommendations and solutions].Radiologie (Heidelberg, Germany) · 2024
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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

15 authors at 4 institutions in 1 country.

Daniele AndreiniCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy. daniele.andreini@ccfm.it.
Gianluca PontoneCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Saima MushtaqCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Maria Elisabetta ManciniCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Edoardo ConteCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Marco GuglielmoCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Valentina VolpatoCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Andrea AnnoniCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Andrea BaggianoCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Alberto FormentiCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Valentina DitaliCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Marco PerchinunnoUniversity of Piemonte Orientale Amedeo Avogadro, Novara, Italy.
Cesare FiorentiniCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Antonio L BartorelliCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Mauro PepiCentro Cardiologico Monzino, IRCCS, Via C. Parea 4, 20138, Milan, Italy.
Centro Cardiologico Monzino · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITLuigi Sacco Hospital · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate image quality, coronary evaluability and radiation exposure of coronary CT angiography (CCTA) performed with whole-heart coverage cardiac-CT in patients with atrial fibrillation (AF). MATERIALS AND

methodsWe prospectively enrolled 164 patients with AF who underwent a clinically indicated CCTA with a 16-cm z-axis coverage scanner. In all patients CCTA was performed using prospective ECG-triggering with targeted RR interval. We evaluated image quality, coronary evaluability and effective dose (ED). Patients were divided in two subgroups based on heart rate (HR) during imaging. Group 1: 64 patients with low HR (<75 bpm), group 2: 100 patients with high HR (≥75 bpm). Written informed consent was obtained from all patients and the institutional ethics committee approved the study protocol.

resultsIn a segment-based analysis, coronary evaluability was 98.4 % (2,577/2,620 segments) in the whole population, without significant differences between groups (1,013/1,024 (98.9 %) and 1,565/1,596 (98.1 %), for groups 1 and 2, respectively, p=0.15). Mean ED was similar in both groups (3.8±1.9 mSv and 3.9±2.1 mSv in groups 1 and 2, respectively, p=0.75)

conclusionsThe whole-heart-coverage scanner could evaluate coronary arteries with high image quality and without increase in radiation exposure in AF patients, even in the high HR group. KEY POINTS: • Last-generation CT scanner improves coronary artery assessment in AF patients. • The new CT scanner enables low radiation exposure in AF patients. • Diagnostic ICA maybe avoided in AF patients with suspected CAD. • Whole-heart coverage CT scanner enables low radiation exposure in AF patients.

Indexed as

AlgorithmsRadiation DosageAgedArtifactsAtrial FibrillationComputed Tomography AngiographyCoronary AngiographyFemaleHeartHumansImage Processing, Computer-AssistedMaleMotionProspective StudiesAtrial fibrillationCoronary CT angiographyCoronary evaluabilityImage qualityRadiation dose

Identifiers

PMID29164383
OpenAlexW2769729462

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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.