Evidence map›Paper›PMID 32757052›Full record

ArticleEuropean radiology2021

Accuracy, agreement, and reliability of DECT-derived vBMD measurements: an initial ex vivo study.

Le Qin, Jingjing Huang, Pei Yu, Jing Yan, Yingqian Ge, Yong Lu, Fuhua Yan, Lei Wang, Lianjun Du

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Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Le Qin *Department of Radiology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin 2nd Rd, Shanghai, 200025, China.
Jingjing Huang *Department of Orthopedics, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin 2nd Rd, Shanghai, 200025, China.
Pei YuDepartment of Orthopedics, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin 2nd Rd, Shanghai, 200025, China.
Jing YanSiemens Healthcare Ltd., No. 278 Zhouzhu Road, Shanghai, 201318, China.
Yingqian GeSiemens Healthcare Ltd., No. 278 Zhouzhu Road, Shanghai, 201318, China.
Yong LuDepartment of Radiology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin 2nd Rd, Shanghai, 200025, China.
Fuhua YanDepartment of Radiology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin 2nd Rd, Shanghai, 200025, China.
Lei WangDepartment of Orthopedics, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin 2nd Rd, Shanghai, 200025, China. ray_wangs@hotmail.com.
Lianjun DuDepartment of Radiology, Ruijin Hospital Affiliated to Shanghai Jiaotong University School of Medicine, No. 197 Ruijin 2nd Rd, Shanghai, 200025, China. 13601745690@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the agreement and reliability of DECT (dual-energy CT)-derived vBMD (volumetric bone mineral density) measurements from excised human femoral heads and to compare DECT-derived BMD with that measured by DXA (dual-energy X-ray absorptiometry) and QCT (quantitative CT) to determine its accuracy.

methodsTwenty patients that underwent total hip arthroplasty were enrolled to this study. Femoral heads were excised to rectangles without cortical bones for scanning. A dual-source DECT scanner generated images under 80/Sn140 kVp and 100/Sn140 kVp scanning conditions. Specimens were subsequently scanned by QCT and DXA to produce QCT-derived vBMD (mg/cm

resultsHigher DECT-derived vBMD and BMM were found under 80/Sn140 and 100/Sn140 kVp compared with those for QCT and DXA (p = 0.005). DECT-derived vBMD was highly correlated with QCT-derived vBMD (r = 0.961 ~ 0.993, p < 0.05). Similarly, DECT-derived BMM was strongly correlated with DXA-derived BMM (r = 0.927 ~ 0.943, p < 0.05). Agreement of the inter- and intra-observation of DECT-derived vBMD was excellent. Linear regression was carried out to calibrate DECT-derived vBMD of 80/Sn140 kVp (14 + 0.7 × DECT-derived vBMD) and 100/Sn140 kVp (74 + 0.4 × DECT-derived vBMD) with the reference of QCT-derived vBMD. After calibration, excellent agreement was found for vBMD and BMM within various imaging modalities.

conclusionsOur study showed that DECT-derived vBMD exhibited high agreement and reliability features, and after calibration, it also displayed a high degree of accuracy. However, in vivo studies are needed to extend its potential utility in clinical settings. KEY POINTS: • Measurements of DECT-derived vBMD had high intra- and inter-observer agreement and reliability. • Measurements of DECT-derived vBMD and BMM had a high correlation with those derived from QCT and DXA. • DECT-derived vBMD and BMM were accurate after calibration compared with QCT and DXA.

Indexed as

Bone DensityTomography, X-Ray ComputedAbsorptiometry, PhotonBone and BonesHumansReproducibility of ResultsBone densityCalibrationDual-energy X-ray absorptiometry scanTomography, X-ray computed

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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.