Evidence map›Paper›PMID 32948903›Full record

ArticleSkeletal radiology2021

Dual-energy CT arthrography: a feasibility study.

Rashpal Sandhu, Mercan Aslan, Nancy Obuchowski, Andrew Primak, Wadih Karim, Naveen Subhas

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Article in Skeletal radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. New imaging techniques and trends in radiology.Diagnostic and interventional radiology (Ankara, Turkey) · 2025
    Review
  2. Review
  3. Dual-Energy CT in Oncologic Imaging.Tomography (Ann Arbor, Mich.) · 2024
    Review
  4. Article
  5. Review
  6. Article
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.

Rashpal SandhuImaging Institute, Cleveland Clinic, Cleveland, OH, 44195, USA.
Mercan AslanImaging Institute, Cleveland Clinic, Cleveland, OH, 44195, USA.
Nancy ObuchowskiDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, 44195, USA.
Andrew PrimakSiemens Medical Solutions USA, Inc., Malvern, PA, 19355, USA.
Wadih KarimImaging Institute, Cleveland Clinic, Cleveland, OH, 44195, USA.
Naveen SubhasImaging Institute, Cleveland Clinic, Cleveland, OH, 44195, USA. subhasn@ccf.org.ORCID http://orcid.org/0000-0002-0502-6280

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the feasibility of producing 2-dimensional (2D) virtual noncontrast images and 3-dimensional (3D) bone models from dual-energy computed tomography (DECT) arthrograms and to determine whether this is best accomplished using 190 keV virtual monoenergetic images (VMI) or virtual unenhanced (VUE) images. MATERIALS AND

methodsVMI and VUE images were retrospectively reconstructed from patients with internal derangement of the shoulder or knee joint who underwent DECT arthrography between September 2017 and August 2019. A region of interest was placed in the area of brightest contrast, and the mean attenuation (in Hounsfield units [HUs]) was recorded. Two blinded musculoskeletal radiologists qualitatively graded the 2D images and 3D models using scores ranging from 0 to 3 (0 considered optimal).

resultsTwenty-six patients (mean age ± SD, 57.5 ± 16.8 years; 6 women) were included in the study. The contrast attenuation on VUE images (overall mean ± SD, 10.5 ± 16.4 HU; knee, 19.3 ± 10.7 HU; shoulder, 5.0 ± 17.2 HU) was significantly lower (p < 0.001 for all comparisons) than on VMI (overall mean ± SD, 107.7 ± 43.8 HU; knee, 104.6 ± 31.1 HU; shoulder, 109.6 ± 51.0 HU). The proportion of cases with optimal scores (0 or 1) was significantly higher with VUE than with VMI for both 2D and 3D images (p < 0.001).

conclusionsDECT arthrography can be used to produce 2D virtual noncontrast images and to generate 3D bone models. The VUE technique is superior to VMI in producing virtual noncontrast images.

Indexed as

ArthrographyRadiography, Dual-Energy Scanned ProjectionFeasibility StudiesFemaleHumansRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesSignal-To-Noise RatioTomography, X-Ray ComputedCT arthrographyCT techniqueDual-energy CTVirtual monoenergeticVirtual noncontrast

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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.