Evidence map›Paper›PMID 30480489›Full record

ArticleRadiology2019

Detection of Colorectal Hepatic Metastases Is Superior at Standard Radiation Dose CT versus Reduced Dose CT.

Corey T Jensen, Nicolaus A Wagner-Bartak, Lan N Vu, Xinming Liu, Bharat Raval, David Martinez, Wei Wei, Yuan Cheng, Ehsan Samei, Shiva Gupta

Open access · greenAbstract read
In one paragraph

Article in Radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 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

10 authors at 1 institution in 1 country.

Corey T JensenFrom the Departments of Diagnostic Radiology (C.T.J., N.A.W., L.N.V., B.R., D.M., S.G.), Biostatistics (W.W.), and Physics (X.L.), University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009; and Duke University Medical Center, Durham, NC (Y.C., E.S.).ORCID 0000-0001-6540-8961
Nicolaus A Wagner-BartakFrom the Departments of Diagnostic Radiology (C.T.J., N.A.W., L.N.V., B.R., D.M., S.G.), Biostatistics (W.W.), and Physics (X.L.), University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009; and Duke University Medical Center, Durham, NC (Y.C., E.S.).
Lan N VuFrom the Departments of Diagnostic Radiology (C.T.J., N.A.W., L.N.V., B.R., D.M., S.G.), Biostatistics (W.W.), and Physics (X.L.), University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009; and Duke University Medical Center, Durham, NC (Y.C., E.S.).
Xinming LiuFrom the Departments of Diagnostic Radiology (C.T.J., N.A.W., L.N.V., B.R., D.M., S.G.), Biostatistics (W.W.), and Physics (X.L.), University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009; and Duke University Medical Center, Durham, NC (Y.C., E.S.).
Bharat RavalFrom the Departments of Diagnostic Radiology (C.T.J., N.A.W., L.N.V., B.R., D.M., S.G.), Biostatistics (W.W.), and Physics (X.L.), University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009; and Duke University Medical Center, Durham, NC (Y.C., E.S.).
David MartinezFrom the Departments of Diagnostic Radiology (C.T.J., N.A.W., L.N.V., B.R., D.M., S.G.), Biostatistics (W.W.), and Physics (X.L.), University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009; and Duke University Medical Center, Durham, NC (Y.C., E.S.).
Wei WeiFrom the Departments of Diagnostic Radiology (C.T.J., N.A.W., L.N.V., B.R., D.M., S.G.), Biostatistics (W.W.), and Physics (X.L.), University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009; and Duke University Medical Center, Durham, NC (Y.C., E.S.).ORCID 0000-0002-0960-7269
Yuan ChengFrom the Departments of Diagnostic Radiology (C.T.J., N.A.W., L.N.V., B.R., D.M., S.G.), Biostatistics (W.W.), and Physics (X.L.), University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009; and Duke University Medical Center, Durham, NC (Y.C., E.S.).
Ehsan SameiFrom the Departments of Diagnostic Radiology (C.T.J., N.A.W., L.N.V., B.R., D.M., S.G.), Biostatistics (W.W.), and Physics (X.L.), University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009; and Duke University Medical Center, Durham, NC (Y.C., E.S.).
Shiva GuptaFrom the Departments of Diagnostic Radiology (C.T.J., N.A.W., L.N.V., B.R., D.M., S.G.), Biostatistics (W.W.), and Physics (X.L.), University of Texas MD Anderson Cancer Center, 1400 Pressler St, Unit 1473, Houston, TX 77030-4009; and Duke University Medical Center, Durham, NC (Y.C., E.S.).
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI DONNA NIEDZWIECKI · 1985 to 2026
$174.8M
NCI NIH HHS P30 CA014236NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Purpose To evaluate colorectal cancer hepatic metastasis detection and characterization between reduced radiation dose (RD) and standard dose (SD) contrast material-enhanced CT of the abdomen and to qualitatively compare between filtered back projection (FBP) and iterative reconstruction algorithms. Materials and Methods In this prospective study (from May 2017 through November 2017), 52 adults with biopsy-proven colorectal cancer and suspected hepatic metastases at baseline CT underwent two portal venous phase CT scans: SD and RD in the same breath hold. Three radiologists, blinded to examination details, performed detection and characterization of 2-15-mm lesions on the SD FBP and RD adaptive statistical iterative reconstruction (ASIR)-V 60% series images. Readers assessed overall image quality and lesions between SD FBP and seven different iterative reconstructions. Two nonblinded consensus reviewers established the reference standard using the picture archiving and communication system lesion marks of each reader, multiple comparison examinations, and clinical data. Results RD CT resulted in a mean dose reduction of 54% compared with SD. Of the 260 lesions (233 metastatic, 27 benign), 212 (82%; 95% confidence interval [CI]: 76%, 86%) were detected with RD CT, whereas 252 (97%; 95% CI: 94%, 99%) were detected with SD (P < .001); per-lesion sensitivity was 79% (95% CI: 74%, 84%) and 94% (95% CI: 90%, 96%) (P < .001), respectively. Mean qualitative scores ranked SD images as higher quality than RD series images, and ASIR-V ranked higher than ASIR and Veo 3.0. Conclusion CT evaluation of colorectal liver metastases is compromised with modest radiation dose reduction, and the use of iterative reconstructions could not maintain observer performance. © RSNA, 2018.

Indexed as

AdultAgedAged, 80 and overColorectal NeoplasmsFemaleHumansLiverLiver NeoplasmsMaleMiddle AgedProspective StudiesRadiation DosageTomography, X-Ray ComputedYoung Adult

Identifiers

PMID30480489
PMCPMC6357984
OpenAlexW2902429977

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.