Evidence map›Paper›PMID 39934452›Full record

ArticlePediatric radiology2025

Weight-based determination of administered activity in

Neha Kwatra, P Hendrik Pretorius, S Ted Treves, Reza Vali, Valentina Ferrer Valencia, Weibin Fu, Xinhua Cao, Yongyi Yang, Michael King, Frederic H Fahey

Abstract read
In one paragraph

Article in Pediatric radiology, 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.

Neha KwatraBoston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, USA. neha.kwatra@childrens.harvard.edu.
P Hendrik PretoriusUniversity of Massachusetts Medical Center, Worcester, USA.
S Ted TrevesHarvard Medical School, Boston, USA.
Reza ValiHospital for Sick Children, Toronto, USA.
Valentina Ferrer ValenciaBoston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, USA. valentina.ferrervalencia@childrens.harvard.edu.
Weibin FuIllinois Institute of Technology, Chicago, USA.
Xinhua CaoBoston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, USA.
Yongyi YangIllinois Institute of Technology, Chicago, USA.
Michael KingUniversity of Massachusetts Medical Center, Worcester, USA.
Frederic H FaheyBoston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, USA. frederic.fahey@childrens.harvard.edu.

Funding

Improving Pediatric SPECT Imaging: Enhanced Lesion Detection with Dose Reduction through Advanced Reconstruction and Motion CorrectionR01EB029315 · NIBIB · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI FAHEY, FREDERIC H, KING, MICHAEL A · 2020 to 2023
$3.0M
NIBIB NIH HHS R01 EB029315
6 · The paper itself

Abstract

backgroundThe North American consensus guidelines recommend a weight-based administered activity for renal cortical scintigraphy with

objectiveTo compare the adequacy of image quality of infant DMSA renal SPECT examinations obtained using the minimum administered activity recommended by the consensus guidelines with simulated data utilizing a strict weight-based dosage. MATERIALS AND

methodsPhase 1: Datasets of 55 infants (29 females, 26 males, median age 3.0 months and weight 5.6 kg) undergoing DMSA SPECT from 2016 to 2021 were identified with 7 used for training and 48 used for study analysis. Data from patients receiving the administered activity recommended by the consensus guidelines ("full dosage", group A) were processed using binomial resampling to add Poisson noise to mimic a strict weight-based scheme ("simulated reduced dosage", group A'). Three experienced nuclear medicine physicians, who were blinded to group membership and clinical information, independently evaluated adequacy of image quality for clinical interpretation on a 4-point scale. Student's paired t-test was utilized for group comparisons and inter-rater agreements were calculated using kappa statistics. Phase 2: Group A' simulated data were compared to a second cohort of

resultsObservers' ratings were combined for analysis resulting in n=144 case-pairs (3 observers × 48 case-pairs) in phase 1. In phase 1, the ratings of groups A and A' were identical for 73.6% (106/144) of case-pairs and never differed by more than ±1 level. No significant rating difference was found between the groups (mean (SD) of 1.17 (0.93) versus 1.22 (0.98), P=0.20). Similarly, in phase 2, no significant rating difference was found between groups A' and B (mean (SD) of 0.80 (0.81) versus 0.50 (0.68), P=0.14).

conclusionThere was no significant difference in the adequacy of image quality of

Indexed as

Body WeightKidneyRadiopharmaceuticalsTechnetium Tc 99m Dimercaptosuccinic AcidTomography, Emission-Computed, Single-PhotonFemaleHumansInfantMaleRetrospective StudiesRadiopharmaceuticalsTechnetium Tc 99m Dimercaptosuccinic AcidAdministered activityDMSAImage qualityPediatric nuclear medicineSPECT

Identifiers

PMID39934452
PMCPMC11981824

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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.