Evidence map›Paper›PMID 32269920›Full record

ArticleQuantitative imaging in medicine and surgery2020

The optimal monoenergetic spectral image level of coronary computed tomography (CT) angiography on a dual-layer spectral detector CT with half-dose contrast media.

Xin Huang, Sizhe Gao, Yue Ma, Xiaomei Lu, Zheng Jia, Yang Hou

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Article in Quantitative imaging in medicine and surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

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24citing papers in PubMed
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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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3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

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  16. Dual-Energy CT of the Heart: A Review.Journal of imaging · 2022
    Review
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Xin HuangDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China.
Sizhe GaoDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China.
Yue MaDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China.
Xiaomei LuCT Clinical Science, Philips Healthcare, Shenyang 110016, China.
Zheng JiaCT Clinical Science, Philips Healthcare, Shenyang 110016, China.
Yang HouDepartment of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo investigate the optimal monoenergetic level of spectral reconstructions in coronary computed tomography angiography (coronary CTA) on a dual-layer spectral detector computed tomography (SDCT) with half-dose contrast media.

methodsTwo hundred patients with suspected coronary artery disease (CAD) were enrolled in this prospective coronary CTA study and randomly divided into a routine-dose contrast media group and a half-dose contrast media group (each n=100). Coronary CTA was performed using SDCT with prospective electrocardiogram (ECG)-gated mode. A tube voltage of 120 kVp was used, along with an automated tube current modulation. A dose of iodixanol 270 mgI/mL of 0.8 and 0.4 mL/kg was administered to the routine and half-dose groups, respectively. For the routine-dose group, 120 kVp polychromatic images with a model-based iterative reconstruction (IMR) (Group A) were reconstructed. For the half-dose group, three monoenergetic levels of images were reconstructed (Group B, 45 keV; Group C, 50 keV; and Group D, 55 keV). Objective indicators [mean CT values; noise; signal-to-noise ratio (SNR); and contrast-to-noise ratio (CNR)] and subjective indicators (contrast, sharpness, subjective noise, and acceptability) in each group were compared.

resultsThere were no significant differences in demographics or radiation dose (1.83±0.51

conclusionsCompared to routine polychromatic images, 50 keV monoenergetic images can provide equivalent or improved coronary image quality in coronary CTA performed on SDCT with half the amount of contrast media.

Indexed as

Contrast mediacoronary computed tomography angiography (coronary CTA)dual-layer spectral detector computed tomography (dual-layer SDCT)image qualityvirtual monoenergetic image (VMI)

Identifiers

PMID32269920
PMCPMC7136738

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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.