Evidence map›Paper›PMID 34402591›Full record

ArticleJournal of medical radiation sciences2022

0° vs. 180° CT localiser: The effect of vertical off-centring, phantom positioning and tube voltage on dose optimisation in multidetector computed tomography.

Yazan Al-Hayek, Xiaoming Zheng, Rob Davidson, Christopher Hayre, Dana Al-Mousa, Campbell Finlay, Kelly Spuur

Open access · goldAbstract read
In one paragraph

Article in Journal of medical radiation sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. 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

7 authors at 5 institutions in 3 countries.

Yazan Al-HayekMedical Radiation Science, School of Dentistry and Health Sciences, Faculty of Science and Health, Charles Sturt University, Wagga Wagga, New South Wales, Australia.ORCID https://orcid.org/0000-0003-3985-1796
Xiaoming ZhengMedical Radiation Science, School of Dentistry and Health Sciences, Faculty of Science and Health, Charles Sturt University, Wagga Wagga, New South Wales, Australia.ORCID https://orcid.org/0000-0003-0918-2624
Rob DavidsonMedical Radiation Science, School of Health Sciences, Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia.ORCID https://orcid.org/0000-0002-6667-9883
Christopher HayreMedical Radiation Science, School of Dentistry and Health Sciences, Faculty of Science and Health, Charles Sturt University, Wagga Wagga, New South Wales, Australia.ORCID https://orcid.org/0000-0001-5979-3613
Dana Al-MousaAllied Medical Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan.ORCID https://orcid.org/0000-0002-1315-7459
Campbell FinlayI-MED Radiology, Wagga Wagga, New South Wales, Australia.
Kelly SpuurMedical Radiation Science, School of Dentistry and Health Sciences, Faculty of Science and Health, Charles Sturt University, Wagga Wagga, New South Wales, Australia.ORCID https://orcid.org/0000-0003-0285-9962
Charles Sturt University · AUJordan University of Science and Technology · JOUniversity of Canberra · AUUniversity of Suffolk · GBWagga Wagga Base Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatient positioning is an essential consideration for the optimisation of radiation dose during CT examinations. The study objectives seek to explore the effects of vertical off-centring, localiser direction (0° and 180°), and phantom positioning (supine and prone) on radiation dose, using three different tube voltages in multidetector computed tomography (MDCT) imaging.

methodsThe trunk of a PBU-60 anthropomorphic phantom was imaged using a Discovery CT750 HD - 128 slice (GE Healthcare). Images employing 0° and 180° localisers were acquired in supine and prone orientation for each combination of vertical off-centring (±100, ±60 and ±30 mm) and different tube voltages (80, 120 and 140 kVp), using the system's automatic tube current modulation (ATCM) function. The displayed volume CT dose index (CTDI

resultsWith incremental table off-centring of ±100 mm, the dose at 120 kVp in the supine position ranged from 63% to 196% (0° localiser) and from 66% to 191% (180° localiser) as compared to iso-centre. While in the prone position, the dose ranged from 62% to 195% (0° localiser); and 62% to 193% (180° localiser), with a notable dose increase at higher tube voltages. Dose variation and vertical off-centring showed a significant relationship for both 0° and 180° localisers (r = 0.94 and 0.96, respectively, P < 0.001). The CTDI

conclusionsPhantom off-centring and localiser direction evidenced large dose variation. It is recommended that the 0° localiser is employed during CT examinations, in order to minimise the potential additional radiation dose which may result from off-centring and the use of lower tube voltages where clinically appropriate.

Indexed as

Multidetector Computed TomographyPatient PositioningHumansPhantoms, ImagingRadiation Dosage

Identifiers

PMID34402591
PMCPMC8892417
OpenAlexW3195739318

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.