Evidence map›Paper›PMID 35640248›Full record

ArticleRadiation protection dosimetry2022

THE EFFECTS OF CONE-BEAM COMPUTED TOMOGRAPHY IMAGING GUIDANCE ON PATIENT RADIATION EXPOSURES IN TRANS-ARTERIAL CHEMOEMBOLISATION FOR HEPATOCELLULAR CARCINOMA.

S Y Wong, S Foley, C P Cantwell, R Ryan, J Lucey, P Maher, J P McNulty

Abstract read
In one paragraph

Article in Radiation protection dosimetry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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.

S Y WongRadiography and Diagnostic Imaging, School of Medicine, University College Dublin, Dublin 4, Ireland.
S FoleyRadiography and Diagnostic Imaging, School of Medicine, University College Dublin, Dublin 4, Ireland.
C P CantwellDepartment of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
R RyanDepartment of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
J LuceyDepartment of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
P MaherDepartment of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
J P McNultyRadiography and Diagnostic Imaging, School of Medicine, University College Dublin, Dublin 4, Ireland.ORCID 0000-0002-1365-8747

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigated the effects of cone-beam computed tomography (CBCT) guidance in trans-arterial chemoembolisation (TACE) procedures on the number of digital subtraction angiography (DSA) runs acquired and total patient radiation exposure in patients with hepatocellular carcinoma (HCC). A retrospective, analytical cross-sectional, single institution, study was conducted. Dose data were compared across the control (DSA guidance alone) and study (DSA and CBCT guidance) groups. A total of 122 procedures were included within the study. There was a significant reduction in the number of DSA runs (3 vs 5, p < 0.001) and DSA air kerma-area product (PKA) (3077.3 vs 4276.6 μGym2, p = 0.042) for the study group when compared to the control group. Total procedural PKA and total procedural reference air kerma (Ka,r) were shown to be 50 and 73% higher, respectively, for the study group when compared to the control group. CBCT imaging guidance does reduce the number of DSA runs and DSA PKA required to complete the TACE procedure for patients diagnosed with HCC; however, a substantial increase in total procedural PKA is to be expected and it is thus important that this increased dose is carefully considered and justified.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsRadiation ExposureAngiography, Digital SubtractionCone-Beam Computed TomographyCross-Sectional StudiesHumansRetrospective Studies

Identifiers

PMID35640248
PMCPMC9248773

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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.