Evidence map›Paper›PMID 33178952›Full record

ArticleBJR open2019

Registration accuracy with the low dose kilovoltage cone-beam CT: A phantom study.

Yoshiki Takei, Hajime Monzen, Kenji Matsumoto, Kohei Hanaoka, Mikoto Tamura, Yasumasa Nishimura

Open access · goldAbstract read
In one paragraph

Article in BJR open, 2019. 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
1.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 9 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 2 institutions in 1 country.

Yoshiki Takei
Hajime MonzenGraduate School of Medical Science, Department of Medical Physics, Kindai University, Osaka, Japan.
Kenji MatsumotoGraduate School of Medical Science, Department of Medical Physics, Kindai University, Osaka, Japan.
Kohei HanaokaGraduate School of Medical Science, Department of Medical Physics, Kindai University, Osaka, Japan.
Mikoto TamuraGraduate School of Medical Science, Department of Medical Physics, Kindai University, Osaka, Japan.
Yasumasa NishimuraDepartment of Radiation Oncology, Faculty of Medicine, Kindai University, Osaka, Japan.
Kindai University · JPNara Medical University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate low-dose kilovoltage cone-beam CT (kV-CBCT) for image-guided radiotherapy, with a particular focus on the accuracy of image registration with low-dose protocols.

methodsImaging doses were measured with a NOMEX semiconductor detector positioned at the front of head, thorax, and pelvis human body phantoms while kV-CBCT scans were acquired at different tube currents. Aspects of image quality (spatial resolution, noise, uniformity, contrast, geometric distortion, and Hounsfield unit sensitivity) and image registration accuracy using bone and soft tissue were evaluated.

resultsWith preset and the lowest tube currents, the imaging doses were 0.16 and 0.08 mGy, 5.29 and 2.80 mGy, and 18.23 and 2.69 mGy for head, thorax, and pelvis, respectively. Noise was the only quality aspect directly dependent on tube current, being increased by 1.5 times with a tube current half that of the preset in head and thorax, and by 2.2 times with a tube current 1/8 of the preset in the pelvis. Accurate auto-bone matching was performed within 1 mm at the lowest tube current. The auto-soft tissue matching could not be performed with the lowest tube current; however, manual-soft tissue matching could still be performed within 2 mm or less.

conclusionNoise was the only image quality aspect dependent on the imaging dose. Auto-bone and manual-soft tissue matching could still be performed at the lowest imaging dose. ADVANCES IN KNOWLEDGE: When optimizing kV-CBCT imaging dose, the impact on bone and soft tissue image registration accuracy should be evaluated.

Identifiers

PMID33178952
PMCPMC7592495
OpenAlexW2970627089

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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.