Evidence map›Paper›PMID 30848421›Full record

ArticleLa Radiologia medica2019

Patient centring and scan length: how inaccurate practice impacts on radiation dose in CT colonography (CTC).

Sergio Salerno, Giuseppe Lo Re, Davide Bellini, Marco Rengo, Maurizio Marrale, Maria Chiara Terranova, Laura Scopelliti, Andrea Laghi

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Article in La Radiologia medica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 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

8 authors.

Sergio SalernoDepartment of Diagnostic Radiology, University of Palermo, Policlinico Via del Vespro 127, 90127, Palermo, Italy. sergio.salerno@unipa.it.ORCID http://orcid.org/0000-0003-1020-3437
Giuseppe Lo ReDepartment of Diagnostic Radiology, University of Palermo, Policlinico Via del Vespro 127, 90127, Palermo, Italy.
Davide BelliniDipartimento di Scienze Radiologiche, Oncologiche e Anatomo-Patologiche, "Sapienza" - Università di Roma Diagnostica per Immagini - Ospedale I.C.O.T, Via Franco Faggiana n.1668, 04100, Latina, Italy.
Marco RengoDepartment of Surgical and Medical Sciences and Translational Medicine, School of Medicine and Psychology, "Sapienza" - University of Rome, Sant'Andrea University Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Maurizio MarraleDipartimento di Fisica e Chimica, Viale delle Scienze Ed. 17, 90128, Palermo, Italy.
Maria Chiara TerranovaDepartment of Diagnostic Radiology, University of Palermo, Policlinico Via del Vespro 127, 90127, Palermo, Italy.
Laura ScopellitiDepartment of Diagnostic Radiology, University of Palermo, Policlinico Via del Vespro 127, 90127, Palermo, Italy.
Andrea LaghiDepartment of Surgical and Medical Sciences and Translational Medicine, Sapienza-University of Rome, Sant'Andrea University Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.ORCID http://orcid.org/0000-0002-3091-7819

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to acknowledge errors in patients positioning in CT colonography (CTC) and their effect in radiation exposure. MATERIALS AND

methodsCTC studies of a total of 199 patients coming from two different referral hospitals were retrospectively reviewed. Two parameters have been considered for the analysis: patient position in relation to gantry isocentre and scan length related to the area of interest. CTDI vol and DLP were extracted for each patient. In order to evaluate the estimated effective total dose and the dose to various organs, we used the CT-EXPO

resultsAverage value of the patients' position is found to be below the isocentre for 48 ± 25 mm and 29 ± 27 mm in the prone and supine position. It was observed that the increase in CTDI and DLP values for patients in Group 1, due to the inaccurate positioning, was estimated at about 30% and 20% for prone and supine position, respectively, while in Group 2, a decrease in CTDI and DLP values was estimated at about 16% and 18% for prone and supine position, respectively, due to an average position above isocentre. A dose increase ranging from 4 up to 13% was calculated with increasing the over-scanned region below anal orifice.

conclusionRadiographers and radiologists need to be aware of dose variation and noise effects on vertical positioning and over-scanning. More accurate training need to be achieved even so when examination protocol varies from general practice.

Indexed as

Radiation DosageRadiation ExposureAgedCohort StudiesColonography, Computed TomographicFemaleHumansMaleMedical ErrorsMiddle AgedPatient PositioningProne PositionRadiotherapy Setup ErrorsRetrospective StudiesSupine PositionTime FactorsCTCCT colonographyEstimatedIsocentrePositioningScan length

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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.