Evidence map›Paper›PMID 32915405›Full record

ArticleEuropean radiology experimental2020

Impact of iodine concentration and scan parameters on image quality, contrast enhancement and radiation dose in thoracic CT.

Marian S Solbak, Mette K Henning, Andrew England, Anne C Martinsen, Trond M Aaløkken, Safora Johansen

Open access · goldAbstract readComparative Study
In one paragraph

Article in European radiology experimental, 2020. 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
1.8field-weighted citation impact, top 12% of its field
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, 35 citations in OpenAlex.

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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

6 authors at 3 institutions in 3 countries.

Marian S SolbakFaculty of Health Sciences, Oslo Metropolitan University, Pilestredet 48, 0130, Oslo, Norway.
Mette K HenningDepartment of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway.
Andrew EnglandSchool of Allied Health Professions, Keele University, Staffordshire, England.
Anne C MartinsenFaculty of Health Sciences, Oslo Metropolitan University, Pilestredet 48, 0130, Oslo, Norway.
Trond M AaløkkenDepartment of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway.
Safora JohansenFaculty of Health Sciences, Oslo Metropolitan University, Pilestredet 48, 0130, Oslo, Norway. Safora.johansen@oslomet.no.ORCID 0000-0003-2307-4179
Oslo University Hospital · NOKeele University · GBOsloMet – Oslo Metropolitan University · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated the impact of varying contrast medium (CM) densities and x-ray tube potentials on contrast enhancement (CE), image quality and radiation dose in thoracic computed tomography (CT) using two different scanning techniques.

methodsSeven plastic tubes containing seven different CM densities ranging from of 0 to 600 HU were positioned inside a commercial chest phantom with padding, representing three different patient sizes. Helical scans of the phantom in single-source mode were obtained with varying tube potentials from 70 to 140 kVp. A constant volume CT dose index (CTDIvol) depending on phantom size and automatic dose modulation was tested. CE (HU) and image quality (contrast-to-noise ratio, CNR) were measured for all combinations of CM density and tube potential. A reference threshold of CE and kVp was defined as ≥ 200 HU and 120 kVp.

resultsFor the medium-sized phantom, with a specific CE of 100-600 HU, the diagnostic CE (200 HU) at 70 kVp was ~ 90% higher than at 120 kVp, for both scan techniques (p < 0.001). Changes in CM density/specific HU together with lower kVp resulted in significantly higher CE and CNR (p < 0.001). When changing only the kVp, no statistically significant differences were observed in CE or CNR (p ≥ 0.094), using both dose modulation and constant CTDIvol.

conclusionsFor thoracic CT, diagnostic CE (≥ 200 HU) and maintained CNR were achieved by using lower CM density in combination with lower tube potential (< 120 kVp), independently of phantom size.

Indexed as

Contrast MediaHumansIohexolPhantoms, ImagingRadiation DosageRadiographic Image Interpretation, Computer-AssistedRadiography, ThoracicTomography, X-Ray ComputedContrast MediaIohexolContrast mediaPhantoms (imaging)Radiation dosageThoraxTomography (x-ray computed)

Identifiers

PMID32915405
PMCPMC7486352
OpenAlexW3086007407

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.