Evidence map›Paper›PMID 33846898›Full record

ArticleMolecular imaging and biology2021

Reducing Radiation Exposure to Paediatric Patients Undergoing [18F]FDG-PET/CT Imaging.

Hunor Kertész, Thomas Beyer, Kevin London, Hamda Saleh, David Chung, Ivo Rausch, Jacobo Cal-Gonzalez, Theo Kitsos, Peter L Kench

Open access · hybridAbstract read
In one paragraph

Article in Molecular imaging and biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 33 citations in OpenAlex.

  1. How can children benefit from total-body PET?The British journal of radiology · 2026
    Review
  2. Total-body [European journal of nuclear medicine and molecular imaging · 2026
    Article
  3. Article
  4. Assessment of reducedAnnals of nuclear medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Reduced count pediatric whole-bodyPediatric radiology · 2024
    Article
  9. Article
  10. EANM procedural recommendations for managing the paediatric patient in diagnostic nuclear medicine.European journal of nuclear medicine and molecular imaging · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Evaluation of pediatric malignancies using total-body PET/CT with half-dose [European journal of nuclear medicine and molecular imaging · 2022
    Article
  16. The effect of modern PET technology and techniques on the EANM paediatric dosage card.European journal of nuclear medicine and molecular imaging · 2022
    Article
  17. A dedicated paediatric [EJNMMI research · 2021
    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

9 authors at 3 institutions in 2 countries.

Hunor KertészQIMP Team, Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria. hunor.kertesz@meduniwien.ac.at.ORCID 0000-0002-4626-930X
Thomas BeyerQIMP Team, Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Kevin LondonDepartment of Nuclear Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Hamda SalehDepartment of Nuclear Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
David ChungDepartment of Nuclear Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Ivo RauschQIMP Team, Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Jacobo Cal-GonzalezQIMP Team, Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Theo KitsosDepartment of Nuclear Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Peter L KenchDiscipline of Medical Imaging Science and Brain and Mind Centre, Faculty Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Children's Hospital at Westmead · AUMedical University of Vienna · ATThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the possibility of reducing the injected activity for whole-body [18F]FDG-PET/CT studies of paediatric oncology patients and to assess the usefulness of time-of-flight (TOF) acquisition on PET image quality at reduced count levels. PROCEDURES: Twenty-nine paediatric oncology patients (12F/17M, 3-18 years old (median age 13y), weight 45±20 kg, BMI 19±4 kg/m

resultsThe visual inspection of the reconstructed images did not reveal significant differences in image quality between 75 and 100% count levels for PSF+TOF. The improvements in SNR and CNR were the greatest for TOF reconstruction and PSF combined. Both SNR and CNR gains did increase linearly with the patients BMI for both OSEM only and PSF reconstruction. These benefits were observed until reducing the counts to 50 and 35% for SNR and CNR, respectively.

conclusionsThe benefit of using TOF was noticeable when using 50% or greater of the counts when evaluating the CNR and SNR. For [18F]FDG-PET/CT, whole-body paediatric imaging the injected activity can be reduced to 75% of the original dose without compromising PET image quality.

Indexed as

Fluorodeoxyglucose F18Positron Emission Tomography Computed TomographyRadiation DosageAdolescentChild, PreschoolFemaleHumansImage Processing, Computer-AssistedMaleNeoplasmsSignal-To-Noise RatioFluorodeoxyglucose F18Image reconstructionLow count imagingPaediatric imagingPET/CTRadiation exposure

Identifiers

PMID33846898
PMCPMC8410733
OpenAlexW3153935869

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.