Evidence map›Paper›PMID 30987906›Full record

ArticleArthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association2019

Low-Dose Computed Tomography Reduces Radiation Exposure by 90% Compared With Traditional Computed Tomography Among Patients Undergoing Hip-Preservation Surgery.

Alvin W Su, Travis J Hillen, Eric P Eutsler, Asheesh Bedi, James R Ross, Christopher M Larson, John C Clohisy, Jeffrey J Nepple

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06975306 (Radiographic Findings and Clinical Outcomes After Bone Grafting Patellar Defect in ACL Reconstruction), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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.

NCT06975306 narecruitingnot on this mapstarted 2025, after this paper: background citation

Radiographic Findings and Clinical Outcomes After Bone Grafting Patellar Defect in ACL Reconstruction

TypeinterventionalSponsorUniversity of ArizonaRan2025 to 2027Enrolled75ConditionsBone Graft, Complications, ACL InjuriesArmsautologous bone grafts, Demineralized bone matrix (DBM)
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Best Practices: Hip Femoroacetabular Impingement.AJR. American journal of roentgenology · 2021
    Pooled it
  2. Review
  3. The Treatment of Hip Dysplasia in Adolescent Patients.Current reviews in musculoskeletal medicine · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Radiographic evaluation of the painful adolescent and young adult hip.Journal of the Pediatric Orthopaedic Society of North America · 2024
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. MRI-based synthetic CT shows equivalence to conventional CT for the morphological assessment of the hip joint.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Alvin W SuDepartment of Orthopaedic Surgery, Washington University in St Louis, St Louis, Missouri, U.S.A.
Travis J HillenMallinckrodt Institute of Radiology, Washington University in St Louis, St Louis, Missouri, U.S.A.
Eric P EutslerMallinckrodt Institute of Radiology, Washington University in St Louis, St Louis, Missouri, U.S.A.
Asheesh BediDepartment of Orthopedic Surgery, University of Michigan, Ann Arbor, Michigan, U.S.A.
James R RossBocaCare Orthopedics, College of Medicine, Florida Atlantic University, Boca Raton, Florida, U.S.A.
Christopher M LarsonMinnesota Orthopedic Sports Medicine Institute at Twin City Orthopedics, Edina, Minnesota, U.S.A.
John C ClohisyDepartment of Orthopaedic Surgery, Washington University in St Louis, St Louis, Missouri, U.S.A.
Jeffrey J NeppleDepartment of Orthopaedic Surgery, Washington University in St Louis, St Louis, Missouri, U.S.A.. Electronic address: nepplej@wudosis.wustl.edu.
Washington University in St. Louis · USMallinckrodt (United States) · USFlorida Atlantic University · USMinnesota Orthopedic Sports Medicine Institute · USUniversity of Michigan · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345
6 · The paper itself

Abstract

purposeTo compare the delivered radiation dose between a low-dose hip computed tomography (CT) scan protocol and traditional hip CT scan protocols (i.e., "traditional CT").

methodsThis was a retrospective comparative cohort study. Patients who underwent hip-preservation surgery (including arthroscopy, surgical hip dislocation, or periacetabular osteotomy procedures) at our institution between 2016 and 2017 were identified. Patients were excluded if they had a body mass index (BMI) greater than 35, they underwent previous surgery, or a radiation dose report was absent. The low-dose group included patients who underwent hip CT at our institution using a standardized protocol of 100 kV (peak), 100 milliampere-seconds (mAs), and a limited scanning field. The traditional CT group included patients who had hip CT scans performed at outside institutions. The total effective dose (E

resultsThe study included 41 consecutive patients in the low-dose group and 18 consecutive patients in the traditional CT group. Low-dose CT resulted in a 90% reduction in radiation exposure compared with traditional CT (E

conclusionsA low-dose hip CT protocol for the purpose of hip-preservation surgical planning resulted in a 90% reduction in radiation exposure compared with traditional CT. LEVEL OF EVIDENCE: Level II, diagnostic study.

Indexed as

ArthroscopyOsteotomyRadiation ExposureAdolescentAdultAgedBody Mass IndexFemaleHipHip DislocationHumansMaleMiddle AgedRadiation DosageRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID30987906
PMCPMC6500754
OpenAlexW2939010532

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.