Evidence map›Paper›PMID 39738873›Full record

Trial reportLa Radiologia medica2025

Lean body weight-based contrast injection protocol in liver CT: optimization of contrast medium dose.

Damiano Caruso, Domenico De Santis, Antonella Del Gaudio, Daniela Valanzuolo, Dominga Pugliese, Marta Zerunian, Michela Polici, Giuseppe Tremamunno, Benedetta Masci, Andrea Laghi

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in La Radiologia medica, 2025. 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. Article
  2. Article
  3. Review
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

10 authors.

Damiano CarusoDepartment of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome - Radiology Unit - Sant'Andrea University Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.ORCID https://orcid.org/0000-0001-9285-4764
Domenico De SantisDepartment of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome - Radiology Unit - Sant'Andrea University Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.ORCID https://orcid.org/0000-0002-1197-456X
Antonella Del GaudioDepartment of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome - Radiology Unit - Sant'Andrea University Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.ORCID https://orcid.org/0000-0001-6017-8976
Daniela ValanzuoloDepartment of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome - Radiology Unit - Sant'Andrea University Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.ORCID https://orcid.org/0009-0005-2761-9609
Dominga PuglieseDepartment of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome - Radiology Unit - Sant'Andrea University Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.ORCID https://orcid.org/0009-0008-2138-3537
Marta ZerunianDepartment of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome - Radiology Unit - Sant'Andrea University Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.ORCID https://orcid.org/0000-0003-4635-7999
Michela PoliciDepartment of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome - Radiology Unit - Sant'Andrea University Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.ORCID https://orcid.org/0000-0001-7331-6901
Giuseppe TremamunnoDepartment of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome - Radiology Unit - Sant'Andrea University Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.ORCID https://orcid.org/0000-0001-6484-9765
Benedetta MasciDepartment of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome - Radiology Unit - Sant'Andrea University Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy.ORCID https://orcid.org/0000-0003-0935-6364
Andrea LaghiDepartment of Medical-Surgical Sciences and Translational Medicine, Sapienza University of Rome - Radiology Unit - Sant'Andrea University Hospital, Via Di Grottarossa, 1035-1039, 00189, Rome, Italy. andrea.laghi@uniroma1.it.ORCID http://orcid.org/0000-0002-3091-7819

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate liver enhancement and image quality of abdominal CECT examinations acquired with multiple LBW-based contrast medium injection protocols. MATERIAL &

methodsOne hundred fifty patients who underwent a clinically indicated CECT examination were prospectively and randomly assigned to one of the following contrast medium injection protocol groups: A, 700 mg iodine(I)/kg of LBW; B, 650 mgI/kg of LBW; and C, 600 mgI/kg of LBW. Liver signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and magnitude of contrast enhancement (ΔHU) were calculated. Subjective image quality was assessed with 5-point Likert scale.

resultsThe final population included 145 patients (64 females), with 50, 48, and 47 in group A, B, and C, respectively. Group A showed significantly higher SNR, CNR and ΔHU than group B (p = .018, p = .004, and p = .031, respectively) and group C (p = .024, p = .043, and p = .004). Group B had similar SNR, CNR, and ΔHU to group C (all p = 1). ΔHU was < 50 HU in 2, 7, and 11 patients in group A (48.2 ± 0.1), B (43.7 ± 5), and C (44.4 ± 5), respectively. Group A achieved the highest scores in terms of overall image quality, artifacts, and diagnostic confidence (both scores: 4; IQRs: 4-5) compared to group B (both scores: 3; IQRs: 3-5; p ≥ .037) and group C (overall image quality score: 3; IQR: 2-5; p = .011. Artifact and diagnostic confidence score: 3; IQR: 1-4; p ≥ .009).

conclusionsA dosage of 700 mgI/kg of LBW yields optimal liver enhancement and grants higher image quality compared to lower contrast medium dosages.

Indexed as

Body WeightContrast MediaLiverLiver DiseasesTomography, X-Ray ComputedAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesSignal-To-Noise RatioContrast MediaAbdomenContrast mediumCTLiver

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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.