Evidence map›Paper›PMID 34375023›Full record

Trial reportJournal of applied clinical medical physics2021

Radiation dose for 320-row dose-modulated dynamic coronary CT angiography.

Yukako Izoe, Michinobu Nagao, Mei Tokai, Hiroyuki Hashimoto, Isao Tanaka, Koichi Chida

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of applied clinical medical physics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Radiation dose for 320-row dose-modulated dynamic coronary CT angiography.Journal of applied clinical medical physics · 2021
    Trial
  2. Article
  3. Article
  4. Review
  5. Recent technologies in cardiac imaging.Frontiers in medical technology · 2022
    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

6 authors at 2 institutions in 1 country.

Yukako IzoeGraduate School of Medicine, Health Sciences, Division of Radiological Examination and Technology, Tohoku University, Sendai City, Japan.
Michinobu NagaoDepartment of Diagnostic imaging & Nuclear Medicine, Tokyo Women's Medical University, Tokyo, Japan.ORCID https://orcid.org/0000-0001-6049-8857
Mei TokaiDepartment of Radiological Service, Tokyo Women's Medical University, Tokyo, Japan.
Hiroyuki HashimotoDepartment of Radiological Service, Tokyo Women's Medical University, Tokyo, Japan.
Isao TanakaDepartment of Radiological Service, Tokyo Women's Medical University, Tokyo, Japan.
Koichi ChidaGraduate School of Medicine, Health Sciences, Division of Radiological Examination and Technology, Tohoku University, Sendai City, Japan.
Tokyo Women's Medical University · JPTohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe area detector 320-row CT scanner, which can cover the whole heart in one rotation, can aid in reducing radiation exposure during electrocardiography (ECG)-gated coronary CT angiography (CCTA). Recently, researchers have proposed dose-modulated dynamic CCTA with a 320-row scanner for the detection of functional myocardial ischemia. In the present study, we compared and validated the radiation dose of this method with that of the standard CCTA method and the latest diagnostic reference levels (DRLs). MATERIALS AND

methodsThe study included a total of 164 consecutive patients with suspected or known coronary artery disease (CAD) who underwent CCTA with a 320-row scanner. The patients were randomly divided into dynamic and standard CCTA groups, and the CT dose index (CTDIvol) and dose length product (DLP) calculated by the CT system were compared between the two protocols and with the latest DRL.

resultsStandard and dynamic CCTA scans were performed in 77 and 87 patients, respectively. CTDIvol was significantly higher for standard CCTA than for dynamic CCTA (41 ± 35 mGy vs. 22 ± 7 mGy, p = 0.0014). DLP was also significantly higher for standard CCTA than for dynamic CCTA (864 ± 702 mGy × cm vs. 434 ± 106 mGy × cm, p < .0001). For standard scans, CTDIvol and DLP exceeded the 2020 DRL in Japan in 16% (12/77) and 17% (13/77) of cases, respectively. In contrast, rates for the dynamic scan were only 1% (1/87) for CTDIvol and 0% (0/87) for DLP.

conclusionThe dose of radiation exposure during dynamic CCTA with a 320-row scanner does not exceed that of standard CCTA and is sufficient to meet the latest DRL. Thus, our results suggest that the method is safe from the perspective of radiation exposure.

Indexed as

Computed Tomography AngiographyCoronary Artery DiseaseCoronary AngiographyHumansRadiation DosageTomography, X-Ray Computed320-row scannercoronary artery diseasecoronary CT angiographyradiation exposure

Identifiers

PMID34375023
PMCPMC8425931
OpenAlexW3188474454

What OpenQuestion holds

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LicenceCC BY
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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.