Evidence map›Paper›PMID 30975652›Full record

ArticleAJNR. American journal of neuroradiology2019

Comparison of Iterative Model Reconstruction versus Filtered Back-Projection in Pediatric Emergency Head CT: Dose, Image Quality, and Image-Reconstruction Times.

R N Southard, D M E Bardo, M H Temkit, M A Thorkelson, R A Augustyn, C A Martinot

Abstract readComparative Study
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Observational
  5. Review
  6. Article
  7. Deep learning-based reconstruction improves image quality in low-dose head CT angiography.Malawi medical journal : the journal of Medical Association of Malawi · 2025
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  18. A Preliminary Study of Personalized Head CT Scan in Pediatric Patients.Dose-response : a publication of International Hormesis Society
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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.

R N SouthardFrom the Departments of Medical Imaging (R.N.S., D.M.E.B., M.A.T., R.A.A., C.A.M.) rsouthard@phoenixchildrens.com.ORCID 0000-0002-1273-8091
D M E BardoFrom the Departments of Medical Imaging (R.N.S., D.M.E.B., M.A.T., R.A.A., C.A.M.).ORCID 0000-0003-4634-9307
M H TemkitClinical Research (M.H.T.), Phoenix Children's Hospital, Phoenix Arizona.ORCID 0000-0002-0321-7438
M A ThorkelsonFrom the Departments of Medical Imaging (R.N.S., D.M.E.B., M.A.T., R.A.A., C.A.M.).ORCID 0000-0002-6110-0131
R A AugustynFrom the Departments of Medical Imaging (R.N.S., D.M.E.B., M.A.T., R.A.A., C.A.M.).ORCID 0000-0002-0750-3642
C A MartinotFrom the Departments of Medical Imaging (R.N.S., D.M.E.B., M.A.T., R.A.A., C.A.M.).ORCID 0000-0001-5386-9306

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeNoncontrast CT of the head is the initial imaging test for traumatic brain injury, stroke, or suspected nonaccidental trauma. Low-dose head CT protocols using filtered back-projection are susceptible to increased noise and decreased image quality. Iterative reconstruction noise suppression allows the use of lower-dose techniques with maintained image quality. We review our experience with children undergoing emergency head CT examinations reconstructed using knowledge-based iterative model reconstruction versus standard filtered back-projection, comparing reconstruction times, radiation dose, and objective and subjective image quality. MATERIALS AND

methodsThis was a retrospective study comparing 173 children scanned using standard age-based noncontrast head CT protocols reconstructed with filtered back-projection with 190 children scanned using low-dose protocols reconstructed with iterative model reconstruction. ROIs placed on the frontal white matter and thalamus yielded signal-to-noise and contrast-to-noise ratios. Volume CT dose index and study reconstruction times were recorded. Random subgroups of patients were selected for subjective image-quality review.

resultsThe volume CT dose index was significantly reduced in studies reconstructed with iterative model reconstruction compared with filtered back-projection, (mean, 24.4 ± 3.1 mGy versus 31.1 ± 6.0 mGy,

conclusionsIn children referred for emergency noncontrast head CT, optimized low-dose protocols with iterative model reconstruction allowed us to significantly reduce the relative dose, on average, 22% compared with filtered back-projection, with significantly improved objective and subjective image quality.

Indexed as

AdolescentBrain Injuries, TraumaticChildFemaleHeadHumansMaleNeuroimagingRadiation DosageRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID30975652
PMCPMC7053890

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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.