Evidence map›Paper›PMID 33495889›Full record

ArticleEuropean radiology experimental2021

Whole-body x-ray dark-field radiography of a human cadaver.

Jana Andrejewski, Fabio De Marco, Konstantin Willer, Wolfgang Noichl, Alex Gustschin, Thomas Koehler, Pascal Meyer, Fabian Kriner, Florian Fischer, Christian Braun and 4 more

Open access · goldAbstract read
In one paragraph

Article in European radiology experimental, 2021. 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
3.0field-weighted citation impact, top 9% 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, 12 citations in OpenAlex.

  1. Article
  2. Robust Bottom-Up Gold Filling of Deep Trenches and Gratings.Journal of the Electrochemical Society · 2022
    Article
  3. Mechanism of Bismuth Stimulated Bottom-up Gold Feature Filling.Journal of the Electrochemical Society · 2022
    Article
  4. Edge-illumination x-ray phase-contrast imaging.Journal of physics. Condensed matter : an Institute of Physics journal · 2021
    Review
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

14 authors at 4 institutions in 1 country.

Jana AndrejewskiChair of Biomedical Physics, Department of Physics and Munich School of BioEngineering, Technical University of Munich, 85748, Garching, Germany. jana.andrejewski@tum.de.
Fabio De MarcoChair of Biomedical Physics, Department of Physics and Munich School of BioEngineering, Technical University of Munich, 85748, Garching, Germany.
Konstantin WillerChair of Biomedical Physics, Department of Physics and Munich School of BioEngineering, Technical University of Munich, 85748, Garching, Germany.
Wolfgang NoichlChair of Biomedical Physics, Department of Physics and Munich School of BioEngineering, Technical University of Munich, 85748, Garching, Germany.
Alex GustschinChair of Biomedical Physics, Department of Physics and Munich School of BioEngineering, Technical University of Munich, 85748, Garching, Germany.
Thomas KoehlerPhilips Research, 22335, Hamburg, Germany.
Pascal MeyerInstitute of Microstructure Technology, Karlsruhe Institute of Technology, 76344, Eggenstein-Leopoldshafen, Germany.
Fabian KrinerInstitut für Rechtsmedizin, Ludwig-Maximilians-Universität München, 80336, Munich, Germany.
Florian FischerInstitut für Rechtsmedizin, Ludwig-Maximilians-Universität München, 80336, Munich, Germany.
Christian BraunInstitut für Rechtsmedizin, Ludwig-Maximilians-Universität München, 80336, Munich, Germany.
Alexander A FingerleDepartment of Diagnostic and Interventional Radiology, Technical University of Munich, 81675, Munich, Germany.
Julia HerzenChair of Biomedical Physics, Department of Physics and Munich School of BioEngineering, Technical University of Munich, 85748, Garching, Germany.
Franz PfeifferChair of Biomedical Physics, Department of Physics and Munich School of BioEngineering, Technical University of Munich, 85748, Garching, Germany.
Daniela PfeifferDepartment of Diagnostic and Interventional Radiology, Technical University of Munich, 81675, Munich, Germany.
Technical University of Munich · DELudwig-Maximilians-Universität München · DEKarlsruhe Institute of Technology · DEPhilips (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGrating-based x-ray dark-field and phase-contrast imaging allow extracting information about refraction and small-angle scatter, beyond conventional attenuation. A step towards clinical translation has recently been achieved, allowing further investigation on humans.

methodsAfter the ethics committee approval, we scanned the full body of a human cadaver in anterior-posterior orientation. Six measurements were stitched together to form the whole-body image. All radiographs were taken at a three-grating large-object x-ray dark-field scanner, each lasting about 40 s. Signal intensities of different anatomical regions were assessed. The magnitude of visibility reduction caused by beam hardening instead of small-angle scatter was analysed using different phantom materials. Maximal effective dose was 0.3 mSv for the abdomen.

resultsCombined attenuation and dark-field radiography are technically possible throughout a whole human body. High signal levels were found in several bony structures, foreign materials, and the lung. Signal levels were 0.25 ± 0.13 (mean ± standard deviation) for the lungs, 0.08 ± 0.06 for the bones, 0.023 ± 0.019 for soft tissue, and 0.30 ± 0.02 for an antibiotic bead chain. We found that phantom materials, which do not produce small-angle scatter, can generate a strong visibility reduction signal.

conclusionWe acquired a whole-body x-ray dark-field radiograph of a human body in few minutes with an effective dose in a clinical acceptable range. Our findings suggest that the observed visibility reduction in the bone and metal is dominated by beam hardening and that the true dark-field signal in the lung is therefore much higher than that of the bone.

Indexed as

LungCadaverHumansPhantoms, ImagingRadiographyX-RaysDark-field imagingHuman bodyRadiographyWhole-body imagingX-rays

Identifiers

PMID33495889
PMCPMC7835263
OpenAlexW3124090835

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.