Evidence map›Paper›PMID 30172714›Full record

ArticleAcademic radiology2019

Contrast-to-Noise Ratio Optimization in Coronary Computed Tomography Angiography: Validation in a Swine Model.

Logan Hubbard, Shant Malkasian, Yixiao Zhao, Pablo Abbona, Sabee Molloi

Abstract readValidation Study
In one paragraph

Article in Academic radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

5 authors.

Logan HubbardDepartment of Radiological Sciences, Medical Sciences I, B-140, University of California, Irvine, Irvine, CA 92697.
Shant MalkasianDepartment of Radiological Sciences, Medical Sciences I, B-140, University of California, Irvine, Irvine, CA 92697.
Yixiao ZhaoDepartment of Radiological Sciences, Medical Sciences I, B-140, University of California, Irvine, Irvine, CA 92697.
Pablo AbbonaDepartment of Radiological Sciences, Medical Sciences I, B-140, University of California, Irvine, Irvine, CA 92697.
Sabee MolloiDepartment of Radiological Sciences, Medical Sciences I, B-140, University of California, Irvine, Irvine, CA 92697. Electronic address: symolloi@uci.edu.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM008620 · NIGMS · UNIVERSITY OF CALIFORNIA-IRVINE · PI GOLDIN, ALAN L · 1999 to 2023
$8.1M
Training Program in Cardiovascular Applied Research and EntrepreneurshipT32HL116270 · NHLBI · UNIVERSITY OF CALIFORNIA-IRVINE · PI HUGHES, CHRISTOPHER C. W. · 2013 to 2022
$1.6M
Anatomical and Functional Assessment of Coronary Artery Disease Using Whole-Heart Dynamic Computed TomographyF30HL137288 · NHLBI · UNIVERSITY OF CALIFORNIA-IRVINE · PI HUBBARD, LOGAN CHARLES · 2018 to 2020
$89k
NHLBI NIH HHS F30 HL137288NHLBI NIH HHS T32 HL116270NIGMS NIH HHS T32 GM008620
6 · The paper itself

Abstract

RATIONALE AND

objectivesThe accuracy of coronary computed tomography (CT) angiography depends upon the degree of coronary enhancement as compared to the background noise. Unfortunately, coronary contrast-to-noise ratio (CNR) optimization is difficult on a patient-specific basis. Hence, the objective of this study was to validate a new combined diluted test bolus and CT angiography protocol for improved coronary enhancement and CNR. MATERIALS AND

methodsThe combined diluted test bolus and CT angiography protocol was validated in six swine (28.9 ± 2.7 kg). Specifically, the aortic and coronary enhancement and CNR of a standard CT angiography protocol, and a new combined diluted test bolus and CT angiography protocol were compared to a reference retrospective CT angiography protocol. Comparisons for all data were made using box plots, t tests, regression, Bland-Altman, root-mean-square error and deviation, as well as Lin's concordance correlation.

resultsThe combined diluted test bolus and CT angiography protocol was found to improve aortic and coronary enhancement by 26% and 13%, respectively, as compared to the standard CT angiography protocol. More importantly, the combined protocol was found to improve aortic and coronary CNR by 29% and 20%, respectively, as compared to the standard protocol.

conclusionA new combined diluted test bolus and CT angiography protocol was shown to improve coronary enhancement and CNR as compared to an existing standard CT angiography protocol.

Indexed as

Contrast MediaIopamidolAnimalsComputed Tomography AngiographyCoronary AngiographyMaleModels, AnimalRadiographic Image EnhancementReproducibility of ResultsRetrospective StudiesSwineContrast MediaIopamidolComputed tomography angiographyContrast-to-noise ratioCoronary artery diseaseTest bolusTime to peak

Identifiers

PMID30172714
PMCPMC6660910

What OpenQuestion holds

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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.