Evidence map›Paper›PMID 39395203›Full record

ArticleMedical physics2025

Comparing organ and effective dose of various CT localizer acquisition strategies: A Monte Carlo study.

Luuk J Oostveen, Sjoerd Tunissen, Ioannis Sechopoulos

Abstract readComparative Study
In one paragraph

Article in Medical physics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

3 authors.

Luuk J OostveenDepartment of Medical Imaging, Radboud University Medical Center, Nijmegen, The Netherlands.
Sjoerd TunissenDepartment of Medical Imaging, Radboud University Medical Center, Nijmegen, The Netherlands.
Ioannis SechopoulosDepartment of Medical Imaging, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCT examinations commonly start with the acquisition of one or two localizer radiographs (2D localizers). Recently, a manufacturer introduced the option to perform a heavily filtrated low-dose helical scan as a localizer acquisition. To compare the dose of one or two 2D localizer acquisitions to the dose of a 3D localizer acquisition, one cannot simply compare the CTDIs of the different acquisition techniques, because of the use of different geometries and spectra. PURPOSE: To compare the organ and effective dose for various CT localizer acquisition techniques.

methodsA Geant4-based Monte Carlo simulation, replicating a clinical wide-area CT scanner was developed and validated. Various localizer acquisition strategies were simulated: Anterior-posterior (AP) alone, PA alone, combined AP+lateral (LAT), and PA+LAT 2D localizers, and an Ag-filtered 3D localizer acquisition. Validation was performed by measuring and simulating CTDI

resultsCTDI

conclusionsUsing a PA localizer results in a lower or equivalent organ dose in the most radiosensitive organs, and a lower effective dose compared to an AP localizer for both chest and abdomen+pelvis exams. Compared to a two-localizer strategy, the 3D localizer results in a lower effective dose in both the chest and abdomen+pelvis region.

Indexed as

Monte Carlo MethodPhantoms, ImagingRadiation DosageTomography, X-Ray ComputedAdolescentAdultChildFemaleHumansMalecomputed tomographydosimetrylocalizerMonte Carlo dose simulation

Identifiers

PMID39395203
PMCPMC11699993

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.