Evidence map›Paper›PMID 33392038›Full record

ArticleQuantitative imaging in medicine and surgery2021

Deep learning reconstruction versus iterative reconstruction for cardiac CT angiography in a stroke imaging protocol: reduced radiation dose and improved image quality.

Angélique Bernard, Pierre-Olivier Comby, Brivaël Lemogne, Karim Haioun, Frédéric Ricolfi, Olivier Chevallier, Romaric Loffroy

Open access · diamondAbstract read
In one paragraph

Article in Quantitative imaging in medicine and surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 78 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

7 authors at 2 institutions in 1 country.

Angélique BernardDepartment of Neuroradiology and Emergency Radiology, François-Mitterrand University Hospital, Dijon, France.
Pierre-Olivier CombyDepartment of Neuroradiology and Emergency Radiology, François-Mitterrand University Hospital, Dijon, France.
Brivaël LemogneDepartment of Neuroradiology and Emergency Radiology, François-Mitterrand University Hospital, Dijon, France.
Karim HaiounComputed Tomography Division, Canon Medical Systems France, Suresnes, France.
Frédéric RicolfiDepartment of Neuroradiology and Emergency Radiology, François-Mitterrand University Hospital, Dijon, France.
Olivier ChevallierDepartment of Cardiovascular and Interventional Radiology, ImViA Laboratory-EA 7535, François-Mitterrand University Hospital, Dijon, France.
Romaric LoffroyDepartment of Cardiovascular and Interventional Radiology, ImViA Laboratory-EA 7535, François-Mitterrand University Hospital, Dijon, France.
Maison des Sciences de l’Homme de Dijon · FRCanon (France) · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess the radiation dose and image quality of cardiac computed tomography angiography (CCTA) in an acute stroke imaging protocol using a deep learning reconstruction (DLR) method compared to a hybrid iterative reconstruction algorithm.

methodsRetrospective analysis of 296 consecutive patients admitted to the emergency department for stroke suspicion. All patients underwent a stroke CT imaging protocol including a non-enhanced brain CT, a brain perfusion CT imaging if necessary, a CT angiography (CTA) of the supra-aortic vessels, a CCTA and a post-contrast brain CT. The CCTA was performed with a prospectively ECG-gated volume acquisition. Among all CT scans performed, 143 were reconstructed with an iterative reconstruction algorithm (AIDR 3D, adaptive iterative dose reduction three dimensional) and 146 with a DLR algorithm (AiCE, advanced intelligent clear-IQ engine). Image noise, signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and subjective image quality (IQ) scored from 1 to 4 were assessed. Dose-length product (DLP), volume CT dose index (CTDIvol) and effective dose (ED) were obtained.

resultsThe radiation dose was significantly lower with AiCE than with AIDR 3D (DLP =106.4±50.0

conclusionsThe use of a DLR algorithm for cardiac CTA in an acute stroke imaging protocol reduced the radiation dose by about 40% and improved the image quality by about 50% compared to an iterative reconstruction algorithm.

Indexed as

artificial intelligencecardiac imagingComputed tomography angiography (CTA)deep learningimage reconstruction

Identifiers

PMID33392038
PMCPMC7719916
OpenAlexW3092674630

What OpenQuestion holds

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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.