Evidence map›Paper›PMID 34586900›Full record

ArticleThe British journal of radiology2021

Diagnostic performance and image quality of low-tube voltage and low-contrast medium dose protocol with hybrid iterative reconstruction for hepatic dynamic CT.

Shintaro Ichikawa, Utaroh Motosugi, Tatsuya Shimizu, Marie Luise Kromrey, Yoshihito Aikawa, Daiki Tamada, Hiroshi Onishi

Registry-linked trialAbstract read
In one paragraph

Article in The British journal of radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05831943 (Low Tube Voltage Kidney Computed Tomography Using Low Concentration Iodine Contrast Agent), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT05831943 unknown statusnot on this mapstarted 2023, after this paper: background citation

Low Tube Voltage Kidney Computed Tomography Using Low Concentration Iodine Contrast Agent: A Comparison Study With Conventional CT Protocol

Typeobservational_patient_registrySponsorSeoul National University HospitalRan2023 to 2023Enrolled88ConditionsRenal DiseaseArmsContrast enhanced Kidney CT
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Quantum iterative reconstruction on a photon-counting detector CT improves the quality of hepatocellular carcinoma imaging.Cancer imaging : the official publication of the International Cancer Imaging Society · 2023
    Article
  5. Article
  6. 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.

Shintaro IchikawaDepartment of Radiology, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, Japan.ORCID 0000-0001-8043-8472
Utaroh MotosugiDepartment of Radiology, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, Japan.
Tatsuya ShimizuDepartment of Radiology, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, Japan.
Marie Luise KromreyDepartment of Radiology, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, Japan.
Yoshihito AikawaDivision of Radiology, University of Yamanashi Hospital, 1110 Shimokato, Chuo, Yamanashi, Japan.
Daiki TamadaDepartment of Radiology, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, Japan.
Hiroshi OnishiDepartment of Radiology, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the diagnostic performance and image quality of the low-tube voltage and low-contrast medium dose protocol for hepatic dynamic CT.

methodsThis retrospective study was conducted between January and May 2018. All patients underwent hepatic dynamic CT using one of the two protocols: tube voltage, 80 kVp and contrast dose, 370   mgI/kg with hybrid iterative reconstruction or tube voltage, 120 kVp and contrast dose, 600  mgI/kg with filtered back projection. Two radiologists independently scored lesion conspicuity and image quality. Another radiologist measured the CT numbers of abdominal organs, muscles, and hepatocellular carcinoma (HCC) in each phase. Lesion detectability, HCC diagnostic ability, and image quality of the arterial phase were compared between the two protocols using the non-inferiority test. CT numbers and HCC-to-liver contrast were compared between the protocols using the Mann-Whitney

results424 patients (70.5 ± 10.1 years) were evaluated. The 80-kVp protocol showed non-inferiority in lesion detectability and diagnostic ability for HCC (sensitivity, 85.7-89.3%; specificity, 96.3-98.6%) compared with the 120-kVp protocol (sensitivity, 91.0-93.3%; specificity, 93.6-97.3%) (

conclusionThe 80-kVp protocol with hybrid iterative reconstruction for hepatic dynamic CT can decrease iodine doses while maintaining diagnostic performance and image quality compared with the 120-kVp protocol. ADVANCES IN KNOWLEDGE: The 80- and 120-kVp protocols showed equivalent hepatic lesion detectability, diagnostic ability for HCC, image quality, and HCC-to-liver contrast.The 80-kVp protocol showed a 38.3% reduction in iodine dose compared with the 120-kVp protocol.

Indexed as

Contrast MediaAdultAgedAged, 80 and overCarcinoma, HepatocellularFemaleHumansLiverLiver NeoplasmsMaleMiddle AgedRadiographic Image EnhancementRadiographic Image Interpretation, Computer-AssistedRetrospective StudiesTomography, X-Ray ComputedContrast Media

Identifiers

PMID34586900
PMCPMC8631019

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Registered trials

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