Evidence map›Paper›PMID 39897310›Full record

ArticleCureus2025

Comparing Peristaltic and Direct-Drive Contrast Injection Systems for Thoracic Computed Tomography (CT): Effects on Dose, Image Quality, and Pathology.

Charbel Saade, Suzanne Saab, Jana El-Sakakini, Lina Karout, Carlos Casillas, Edward Chan, Maria El Homsi, Rida Salman, Carlos Nicolou, Lena Naffaa

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Charbel SaadeMedical Imaging Sciences, American University of Beirut Medical Center, Beirut, LBN.
Suzanne SaabMedical Imaging Sciences, American University of Beirut Medical Center, Beirut, LBN.
Jana El-SakakiniMedical Imaging Sciences, American University of Beirut Medical Center, Beirut, LBN.
Lina KaroutMedical Imaging Sciences, American University of Beirut Medical Center, Beirut, LBN.
Carlos CasillasRadiology, Hospital Vithas Nisa Rey Don Jaime, Castellon, ESP.
Edward ChanRadiology, Liverpool Hospital, New South Wales, AUS.
Maria El HomsiDiagnostic Radiology, American University of Beirut Medical Center, Beirut, LBN.
Rida SalmanDiagnostic Radiology, American University of Beirut Medical Center, Beirut, LBN.
Carlos NicolouRadiology, Hospital Clinic de Barcelona, Barcelona, ESP.
Lena NaffaaRadiology, Nemours Children's Hospital, Orlando, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction To compare thoracic vasculature opacification between the direct-drive and the peristaltic drive contrast injection systems and the effect on quantitative and qualitative image quality during computed tomography. Method A retrospective chart review of 88 patients who underwent chest computed tomography (CT) following a direct-drive injector before 2016 (Group A) or a peristaltic injector after 2016 (Group B). Both protocols employed 80mL of iodinated contrast media volume. Quantitative measurements of the thoracic vascular opacification, contrast-to-noise ratio (CNR), effective radiation dose, and arterial venous contrast ratio (AVCR) for each vessel were computed and compared. The measured values of vascular opacification, CNR, and dose length product (DLP) were assessed utilizing paired t-test and Pearson's correlation. Receiver operating characteristic (ROC), visual grading characteristics (VGC), and Cohen's kappa methodology were measured. Results There was no significant difference in the mean opacification of the chest vasculature (p > 0.05). The CNR in Group B was significantly lower than in Group A (p < 0.05) except for the brachiocephalic artery, proximal descending aorta, and the right pulmonary artery. Arterial venous contrast ratio at all anatomic levels demonstrated no statistical significance between groups. There were no differences in ROC, VGC, or kappa values between groups. Conclusion When comparing two contrast media injection systems in chest CT, there was no qualitative difference in image quality or pathology detection. However, quantitatively, direct-drive injectors provided higher CNR. Direct-drive contrast injectors also provided a superior quantitative image quality of chest vasculature compared to peristaltic injectors.

Indexed as

adultchestcomputed tomographycontrast mediax-ray

Identifiers

PMID39897310
PMCPMC11786968

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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.