Evidence map›Paper›PMID 35836016›Full record

ArticlePediatric radiology2022

Organ-based tube current modulation and bismuth eye shielding in pediatric head computed tomography.

Stefan Markart, Tim S Fischer, Simon Wildermuth, Tobias J Dietrich, Hatem Alkadhi, Sebastian Leschka, Sabine Guesewell, Michael R Ditchfield, Ismail Oezden, Gerd Lutters and 1 more

Abstract read
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In one paragraph

Article in Pediatric radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  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

11 authors.

Stefan MarkartDepartment of Radiology and Nuclear Medicine, Children's Hospital of Eastern Switzerland, Claudiusstrasse 6, 9006, St. Gallen, Switzerland.ORCID 0000-0002-3220-3545
Tim S FischerDepartment of Radiology and Nuclear Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0002-1807-9146
Simon WildermuthDepartment of Radiology and Nuclear Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0002-3278-4335
Tobias J DietrichDepartment of Radiology and Nuclear Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0003-2979-6471
Hatem AlkadhiDepartment of Diagnostic and Interventional Radiology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-2581-2166
Sebastian LeschkaDepartment of Radiology and Nuclear Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0002-7973-0203
Sabine GuesewellClinical Trials Unit, Biostatistics, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0001-8442-8888
Michael R DitchfieldDepartment of Diagnostic Imaging, Monash Children's Hospital, Clayton, Australia.ORCID 0000-0003-1707-3671
Ismail OezdenRadiation Protection and Medical Physics, Cantonal Hospital Aarau, Aarau, Switzerland.
Gerd LuttersRadiation Protection and Medical Physics, Cantonal Hospital Aarau, Aarau, Switzerland.
Stephan L WaeltiDepartment of Radiology and Nuclear Medicine, Children's Hospital of Eastern Switzerland, Claudiusstrasse 6, 9006, St. Gallen, Switzerland. stephan.waelti@kssg.ch.ORCID 0000-0003-4175-0476

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExposure of the eye lens to ionizing radiation results in cataract. Several dose optimization techniques to protect the lens are available for computed tomography (CT).

objectiveThe radiation dose to the eye lens, volume CT dose index (CTDI MATERIALS AND

methodsAn anthropomorphic phantom of a 5-year-old child was scanned with nine protocols: no dose optimization technique and then adding different dose optimization techniques alone and in combination. Dose to the eye, thyroid and breast were estimated using metal oxide semiconductor field effect transistor (MOSFET) dosimetry. CTDI

resultsThe eye shield significantly reduced the eye lens dose when used alone, to a similar degree as when using all software-based techniques together. When used in combination with software-based techniques, the shield reduced the eye lens dose by up to 45% compared to the no dose optimization technique. Noise was significantly increased by the shield, most pronounced in the anterior portion of the eye.

conclusionThe combination of ATCM, ATVS, OBTCM and a bismuth shield, with the shield placed after acquiring the localizer image, should be considered to reduce the radiation dose to the eye lens in pediatric head CT.

Indexed as

BismuthRadiation ProtectionChildChild, PreschoolHeadHumansPhantoms, ImagingRadiation DosageTomography, X-Ray ComputedBismuthBismuthCataractChildrenComputed tomographyEye lensRadiation dosage

Identifiers

What OpenQuestion holds

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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.