Evidence map›Paper›PMID 32944593›Full record

ArticleEuropean journal of radiology open2020

Iterative metal artifact reduction in aortic CTA after Onyx®-embolization.

Leena Lehti, Marcus Söderberg, Helena Mellander, Johan Wassélius

Open access · goldAbstract read
In one paragraph

Article in European journal of radiology open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

4 citing papers in PubMed, 5 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

4 authors at 2 institutions in 1 country.

Leena LehtiDepartment of Clinical Sciences, Lund University, Lund, Sweden.
Marcus SöderbergDepartment of Translational Medicine, Medical Radiation Physics, Lund University, Malmö, Sweden.
Helena MellanderDepartment of Clinical Sciences, Lund University, Lund, Sweden.
Johan WasséliusDepartment of Clinical Sciences, Lund University, Lund, Sweden.
Lund University · SESkåne University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOnyx® embolization causes severe artifacts on subsequent CT-examinations, thereby seriously limiting the diagnostic quality.The purpose of this work was to compare the diagnostic quality of the tailored metal artifact reducing algorithms iMAR to standard reconstructions of CTA in patients treated with Onyx® embolization.

methodTwelve consecutive patients examined with Dual Energy CTA after Onyx® embolization were included. One standard image dataset without iMAR, and eight image datasets with different iMAR algorithms were reconstructed. Mean attenuation and noise were measured in the aorta or iliac arteries close to the Onyx® glue-cast and compared to the reference level in the diaphragmatic aorta. Mean attenuation and noise were also measured in the psoas muscle close to the Onyx®-glue and compared to the reference level in the psoas muscle at the level of the diaphragm.Subjective image quality and severity of artifacts was assessed by two experienced interventional radiologists blinded to reconstruction details.

resultsAll iMAR reconstructions had less distortion of the attenuation than the standard reconstructions and were also rated significantly better than the standard reconstructions by both interventional radiologists.

conclusionThe iMAR algorithms can significantly reduce metal artifacts and improve the diagnostic quality in CTA in patients treated with Onyx® embolization, in many cases restoring non-diagnostic examinations to acceptable diagnostic quality.

Indexed as

Computed tomographyDECT, Dual Energy Computed TomographyDLP, Dose Length ProductED, Effective DoseFOV, Field of ViewImage qualityiMAR, iterative Metal Artifact ReductionIterative reconstruction algorithmsMetal artifact reductionOnyx® embolizationPACS, Picture Archiving and Communication SystemSD, Standard DeviationVMI, Virtual Monoenergetic Images

Identifiers

PMID32944593
PMCPMC7481136
OpenAlexW3083387598

What OpenQuestion holds

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LicenceCC BY
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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.