Evidence map›Paper›PMID 30050782›Full record

ArticleQuantitative imaging in medicine and surgery2018

Lung nodules assessment in ultra-low-dose CT with iterative reconstruction compared to conventional dose CT.

Shiqi Jin, Bo Zhang, Lina Zhang, Shu Li, Songbai Li, Peiling Li

Open access · hybridAbstract read
In one paragraph

Article in Quantitative imaging in medicine and surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 36 citations in OpenAlex.

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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 1 institution in 1 country.

Shiqi JinDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Bo ZhangDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Lina ZhangDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Shu LiDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Songbai LiDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
Peiling LiDepartment of Radiology, The First Affiliated Hospital of China Medical University, Shenyang 110001, China.
China Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo retrospectively assess whether the low-voltage lung CT scan coupled with iterative reconstruction algorithms can be an optimal scanning method for measuring the size and density of lung nodules in cancer patients.

methodsEighty two cancer patients receiving both chest scan with low-voltage (80 kV) and abdomen CT scan with standard voltage (120 kV) were enrolled in this study. Lung nodules were measured manually and semi-automatically by two different computer-aided diagnosis (CAD) systems. The nodules were then divided into large-, medium- and small-size groups based on their largest diameter. Additionally, the nodules were categorized into three different groups according to their density: calcified, solid and partial-solid nodules. The 3D volumes, average diameter and CT value of lung nodules were measured using the two CAD semi-automated systems, and the CT values were compared with regards to the different tube voltages. Furthermore, the accuracy and reliability of CAD systems were validated in the large nodules.

resultsThe scores of subjective evaluation indicated that the quality of lung nodule images yielded optimal clinical diagnostic value for both 80 kV (2.35±0.054) and 120 kV (2.51±0.053) scanning methods, with a strong inter-observer consistency (Kappa =0.848 and 0.829, respectively). Intraclass correlation coefficient (ICC) and Bland-Altman plot revealed that two CAD systems produced the consistent results. Mean CT values of large nodules (n=18) were significantly different between 80 and 120 kV (-28.11±47.39

conclusionsOur study suggests that detection of lung nodules with ultra-low-dose CT can yield an excellent image quality and optimal diagnostic values as compared to the standard dose CT. Therefore, CT scan with low voltage of 80 kV CT scan can be leveraged to improve the diagnosis and surveillance of lung nodules measured less than 30 mm in diameter. Further investigation with a larger sample size is warranted to confirm our findings, particularly the increased CT values of large nodules and the greater volume of solid nodules after exposure to low-dose CT scan.

Indexed as

Computer-aided diagnosis systemlow-voltage CT scanlung nodulesvolume

Identifiers

PMID30050782
PMCPMC6037949
OpenAlexW2811475446

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.