Evidence map›Paper›PMID 30084109›Full record

ArticleLa Radiologia medica2018

Impact of low-kVp scan technique on oral contrast density at abdominopelvic CT.

Douglas H Sheafor, Mark D Kovacs, Philip Burchett, Melissa M Picard, Brenton Davis, Andrew D Hardie

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Article in La Radiologia medica, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
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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.

Douglas H SheaforDepartment of Radiology, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 323, 210 CSB, Charleston, SC, 29425-3230, USA.
Mark D KovacsDepartment of Radiology, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 323, 210 CSB, Charleston, SC, 29425-3230, USA.
Philip BurchettDepartment of Radiology, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 323, 210 CSB, Charleston, SC, 29425-3230, USA.
Melissa M PicardDepartment of Radiology, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 323, 210 CSB, Charleston, SC, 29425-3230, USA.
Brenton DavisDepartment of Radiology, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 323, 210 CSB, Charleston, SC, 29425-3230, USA.
Andrew D HardieDepartment of Radiology, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 323, 210 CSB, Charleston, SC, 29425-3230, USA. andrewdhardie@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess quantitative and qualitative effects of kVp on oral contrast density. MATERIALS AND

methodsThree readers retrospectively reviewed 100 CT scans performed at a range of high- and low-energy settings, independently determining their preferred window and level settings for evaluation of the oral-contrast-opacified bowel. Contrast density was also assessed quantitatively in the stomach, jejunum, and ileum. Subsequently, a range of oral contrast dilutions were imaged at varying kVp's in a commercially available CIRS tissue equivalent phantom model.

resultsIn the retrospective patient study, mean oral contrast density increased significantly in the ileum compared to the jejunum (455.2 and 308.8 HU, respectively, p < 0.01). Similar findings were seen in patients regardless of patients' weight. Mean oral contrast density was higher on lower-energy scans, requiring more window/level adjustment. An oral contrast iodine concentration of 5.82-7.77 mg I/mL most closely approximated a target oral contrast density of 200 HU.

conclusionsOral contrast density is strongly influenced by kVp, supporting use of more dilute oral contrast when using lower-kVp techniques.

Indexed as

Administration, OralContrast MediaFemaleGastrointestinal TractHumansMaleMiddle AgedPhantoms, ImagingRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesTomography, X-Ray ComputedContrast MediaContrastCTDosekVpOral

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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.