Evidence map›Paper›PMID 31630218›Full record

ArticlePediatric radiology2020

Pediatric head computed tomography with advanced modeled iterative reconstruction: focus on image quality and reduction of radiation dose.

Hyun-Hae Cho, So Mi Lee, Sun Kyoung You

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Article in Pediatric radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

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16citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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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

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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

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

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  15. Can QuickBrain MRI replace CT as first-line imaging for select pediatric head trauma?Journal of the American College of Emergency Physicians open · 2020
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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Hyun-Hae ChoDepartment of Radiology, Ewha Womans University Mokdong Hospital, 1071, Anyangcheon-ro, Yangcheon-gu, Seoul, 07985, Republic of Korea. picoai@yahoo.co.kr.ORCID 0000-0002-4865-2601
So Mi LeeDepartment of Radiology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, South Korea.
Sun Kyoung YouDepartment of Radiology, Chungnam National University Hospital, Daejeon, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIterative reconstruction has become the standard method for reconstructing computed tomography (CT) scans and needs to be verified for adaptation.

objectiveTo assess the image quality after adapting advanced modeled iterative reconstruction (ADMIRE) for pediatric head CT. MATERIALS AND

methodsWe included image sets with filtered back projection reconstruction (the cFBP group, n=105) and both filtered back projection and ADMIRE reconstruction (the lower-dose group, n=109) after dose reduction. All five strength levels of ADMIRE and filtered back projection were adapted for the lower-dose group and compared with the cFBP group. Quantitative parameters including noise, signal-to-noise ratio and contrast-to-noise ratio and qualitative parameters including noise, white matter and gray matter differentiation of the supra- and infratentorial levels, sharpness, artifact, and diagnostic accuracy were also evaluated and compared with interobserver agreement.

resultsThere was a mean dose reduction of 30.6% in CT dose index volume, 32.1% in dose length product, and 32.1% in effective dose after tube current reduction. There was gradual reduction of noise in air, cerebrospinal fluid and white matter with strength levels of ADMIRE from 1 to 5 (P<0.001). Signal-to-noise ratio and contrast-to-noise ratio in all age groups increased among strength levels of ADMIRE, in sequence from 1 to 5, with statistical significance (P<0.001). Gradual reduction of qualitative parameters was noted among strength levels of ADMIRE in sequence from 1 to 5 (P<0.001).

conclusionUse of ADMIRE for pediatric head CT can reduce radiation dose without degrading image quality.

Indexed as

Radiation DosageAdolescentBrainBrain DiseasesChildChild, PreschoolFemaleHumansInfantMaleNeuroimagingObserver VariationRadiographic Image Interpretation, Computer-AssistedReproducibility of ResultsSignal-To-Noise RatioTomography, X-Ray ComputedBrainChildrenComputed tomographyImage qualityIterative reconstructionRadiation dose

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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.