Evidence map›Paper›PMID 31175414›Full record

ArticleEuropean radiology2019

Wide-volume versus helical acquisition in unenhanced chest CT: prospective intra-patient comparison of diagnostic accuracy and radiation dose in an ultra-low-dose setting.

Elsa Meyer, Aissam Labani, Mickaël Schaeffer, Mi-Young Jeung, Claire Ludes, Alain Meyer, Catherine Roy, Pierre Leyendecker, Mickaël Ohana

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 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

9 authors.

Elsa MeyerRadiology Department, Nouvel Hôpital Civil, 1 place de l'Hôpital, 67000, Strasbourg, France.
Aissam LabaniRadiology Department, Nouvel Hôpital Civil, 1 place de l'Hôpital, 67000, Strasbourg, France.
Mickaël SchaefferRadiology Department, Nouvel Hôpital Civil, 1 place de l'Hôpital, 67000, Strasbourg, France.
Mi-Young JeungRadiology Department, Nouvel Hôpital Civil, 1 place de l'Hôpital, 67000, Strasbourg, France.
Claire LudesRadiology Department, Nouvel Hôpital Civil, 1 place de l'Hôpital, 67000, Strasbourg, France.
Alain MeyerPhysiology Department, Nouvel Hôpital Civil, 1 place de l'Hôpital, 67000, Strasbourg, France.
Catherine RoyRadiology Department, Nouvel Hôpital Civil, 1 place de l'Hôpital, 67000, Strasbourg, France.
Pierre LeyendeckerRadiology Department, Nouvel Hôpital Civil, 1 place de l'Hôpital, 67000, Strasbourg, France.
Mickaël OhanaRadiology Department, Nouvel Hôpital Civil, 1 place de l'Hôpital, 67000, Strasbourg, France. mickael.ohana@gmail.com.ORCID http://orcid.org/0000-0003-0179-5784

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDiagnostic performance and potential radiation dose reduction of wide-area detector CT sequential acquisition ("wide-volume" acquisition (WV)) in unenhanced chest examination are unknown. This study aims to assess the image quality, the diagnostic performance, and the radiation dose reduction of WV mode compared with the classical helical acquisition for lung parenchyma analysis in an ultra-low-dose (ULD) protocol.

methodsAfter Institutional Review Board Approval and written informed consent, 64 patients (72% men; 67.6 ± 9.7 years old; BMI 26.1 ± 5.3 kg/m

resultsSubjective image quality (4.2 ± 0.7 versus 4.2 ± 0.8, p = 0.56), image noise (41.7 ± 8 versus 40.9 ± 8.7, p = 0.3), and diagnostic performance were equivalent between ULD WV and ULD helical. Radiation dose was significantly lower for the ULD WV acquisition (mean dose-length product 14.1 ± 1.3 mGy cm versus 15.8 ± 1.3, p < 0.0001).

conclusionAn additional 11% dose reduction is achieved with the WV mode in ULD chest CT with fixed tube current, with equivalent image quality and diagnostic performance when compared with the helical acquisition. KEY POINTS: • Image quality and diagnostic performance of ultra-low-dose unenhanced chest CT are identical between wide-volume mode and the reference helical acquisition. • Wide-volume mode allows an additional radiation dose reduction of 11% (mean dose-length product 14.1 ± 1.3 mGy cm versus 15.8 ± 1.3, p < 0.0001).

Indexed as

Radiation DosageAdultAgedAged, 80 and overClinical ProtocolsFemaleHumansMaleMiddle AgedProspective StudiesRadiographic Image Interpretation, Computer-AssistedRadiography, ThoracicReproducibility of ResultsTomography, Spiral ComputedTomography, X-Ray ComputedHelical computed tomographyLungMultidetector computed tomographyRadiation dosage

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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.