Evidence map›Paper›PMID 31004322›Full record

ArticleLa Radiologia medica2019

Trends in radiation dose and image quality for pediatric patients with a multidetector CT and a third-generation dual-source dual-energy CT.

Andrea Agostini, Alberto Mari, Cecilia Lanza, Nicolo' Schicchi, Alessandra Borgheresi, Stefania Maggi, Andrea Giovagnoni

Abstract read
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In one paragraph

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 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Pooled it
  2. Review
  3. Dual-energy CT applications in musculoskeletal disorders.The British journal of radiology · 2024
    Article
  4. Dual-Energy CT in Oncologic Imaging.Tomography (Ann Arbor, Mich.) · 2024
    Review
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  6. Review
  7. Article
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  11. Article
  12. Diagnostic and interventional radiology: an update.Acta bio-medica : Atenei Parmensis · 2020
    Article
  13. Hepatic tumors: pitfall in diagnostic imaging.Acta bio-medica : Atenei Parmensis · 2020
    Review
  14. Review
  15. Review
  16. Review
  17. Imaging guided percutaneous renal biopsy: do it or not?Acta bio-medica : Atenei Parmensis · 2020
    Article
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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

7 authors.

Andrea AgostiniUniversity Politecnica delle Marche, Via Tronto 10/A, 60126, Ancona, Italy. dott.andrea.agostini@gmail.com.ORCID http://orcid.org/0000-0002-0693-8257
Alberto MariDepartment of Radiological Sciences, Division of Medical Physics, University Hospital Ospedali Riuniti "Umberto I - GM Lancisi - G Salesi", Via Conca 71, 60126, Ancona, Italy.
Cecilia LanzaDepartment of Radiological Sciences, Division of Special and Pediatric Radiology, University Hospital Ospedali Riuniti "Umberto I - GM Lancisi - G Salesi", Via Conca 71, 60126, Ancona, Italy.
Nicolo' SchicchiDepartment of Radiological Sciences, Division of Special and Pediatric Radiology, University Hospital Ospedali Riuniti "Umberto I - GM Lancisi - G Salesi", Via Conca 71, 60126, Ancona, Italy.
Alessandra BorgheresiDepartment of Radiological Sciences, Division of Special and Pediatric Radiology, University Hospital Ospedali Riuniti "Umberto I - GM Lancisi - G Salesi", Via Conca 71, 60126, Ancona, Italy.
Stefania MaggiDepartment of Radiological Sciences, Division of Medical Physics, University Hospital Ospedali Riuniti "Umberto I - GM Lancisi - G Salesi", Via Conca 71, 60126, Ancona, Italy.
Andrea GiovagnoniUniversity Politecnica delle Marche, Via Tronto 10/A, 60126, Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo provide an overview on dose reduction and image quality after the installation of a third-generation dual-source CT (dsCT) in a Pediatric Radiology Department. MATERIALS AND

methodsWe included pediatric patients (< 20 years old) undergoing CT for oncological staging (neck, chest and abdomen) or low-dose chest CT for lung diseases. Each of these two groups were further divided in two age groups (≤ or > 10 years old) including patients scanned in the same period of two consecutive years, in 2017 with a 16-row LightSpeed CT (GE Healthcare) or in 2018 with a Somatom Force dsCT (Siemens Healthineers). Technical parameters such as kVp, mAs, slice thickness, exposure times and dose indicators were retrieved and compared. Image quality was evaluated in consensus by two radiologists on a five-point semiquantitative scale. Nonparametric tests were used.

resultsIn oncological patients, significantly lower kVp and tube current with better image quality were achieved with the dsCT. Radiation dose (total DLP) was 5-6 times lower with dsCT, thanks also to virtual non-contrast images. In low-dose chest CT, the frequent use of tin filter required higher tube current; a total DLP 3 times lower was achieved with dsCT in patients ≤ 10 years old. The image quality was better with the dsCT in low-dose chest CT protocols.

conclusionThe third-generation dsCT provides high-quality images with reduced motion artifacts at lower dose.

Indexed as

Radiation DosageAdolescentAge FactorsArtifactsChildFemaleHumansLung DiseasesMaleMultidetector Computed TomographyNeoplasmsOrgan MotionRadiography, Dual-Energy Scanned ProjectionRadiography, ThoracicYoung AdultDoseDose reductionDual-energy CTDual-source CTPediatric radiology

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Registered trials

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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.