Evidence map›Paper›PMID 39451631›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Image Quality and Lesion Detectability of Low-Concentration Iodine Contrast and Low Radiation Hepatic Multiphase CT Using a Deep-Learning-Based Contrast-Boosting Model in Chronic Liver Disease Patients.

Yewon Lim, Jin Sil Kim, Hyo Jeong Lee, Jeong Kyong Lee, Hye Ah Lee, Chulwoo Park

Abstract read
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Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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4 · The record

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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

6 authors.

Yewon LimDepartment of Radiology, College of Medicine, Ewha Womans University, Seoul 07985, Republic of Korea.
Jin Sil KimDepartment of Radiology, College of Medicine, Ewha Womans University, Seoul 07985, Republic of Korea.ORCID 0000-0002-3321-2507
Hyo Jeong LeeDepartment of Radiology, College of Medicine, Ewha Womans University, Seoul 07985, Republic of Korea.ORCID 0000-0002-6566-9667
Jeong Kyong LeeDepartment of Radiology, College of Medicine, Ewha Womans University, Seoul 07985, Republic of Korea.
Hye Ah LeeClinical Trial Center, Mokdong Hospital, Ewha Womans University, Seoul 07985, Republic of Korea.
Chulwoo ParkSiemens Healthineers Ltd., Seoul 06620, Republic of Korea.

Funding

National Research Foundation of Korea NRF-2021R1G1A1091351
6 · The paper itself

Abstract

backgroundThis study investigated the image quality and detectability of double low-dose hepatic multiphase CT (DLDCT, which targeted about 30% reductions of both the radiation and iodine concentration) using a vendor-agnostic deep-learning-based contrast-boosting model (DL-CB) compared to those of standard-dose CT (SDCT) using hybrid iterative reconstruction.

methodsThe CT images of 73 patients with chronic liver disease who underwent DLDCT between June 2023 and October 2023 and had SDCT were analyzed. Qualitative analysis of the overall image quality, artificial sensation, and liver contour sharpness on the arterial and portal phase, along with the hepatic artery clarity was conducted by two radiologists using a 5-point scale. For quantitative analysis, the image noise, signal-to-noise ratio, and contrast-to-noise ratio were measured. The lesion conspicuity was analyzed using generalized estimating equation analysis. Lesion detection was evaluated using the jackknife free-response receiver operating characteristic figures-of-merit.

resultsCompared with SDCT, a significantly lower effective dose (16.4 ± 7.2 mSv vs. 10.4 ± 6.0 mSv, 36.6% reduction) and iodine amount (350 mg iodine/mL vs. 270 mg iodine/mL, 22.9% reduction) were utilized in DLDCT. The mean overall arterial and portal phase image quality scores of DLDCT were significantly higher than SDCT (arterial phase, 4.77 ± 0.45 vs. 4.93 ± 0.24, AUC

conclusionsIn patients with chronic liver disease, DLDCT using DL-CB can provide acceptable image quality without impairing the detection and evaluation of hepatic focal lesions compared to SDCT.

Indexed as

deep learningimage reconstructionlow iodine concentrationmultidetector computed tomographyradiation

Identifiers

PMID39451631
PMCPMC11507254

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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.