Evidence map›Paper›PMID 40229451›Full record

ArticlePediatric radiology2025

Paediatric high-pitch lung imaging with photon-counting detector computed tomography: a dose reduction phantom study.

Michael Zellner, Thomas Sartoretti, Thomas Flohr, Thomas Frauenfelder, Hatem Alkadhi, Christian J Kellenberger, Victor Mergen

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 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. Review
  3. [Magnetic resonance imaging of the pediatric chest].Radiologie (Heidelberg, Germany) · 2025
    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

7 authors.

Michael ZellnerDepartment of Diagnostic Imaging, University Children's Hospital Zurich, Lenggstrasse 30, Zurich, 8008, Switzerland. michael.zellner@kispi.uzh.ch.
Thomas SartorettiDiagnostic and Interventional Radiology, University Hospital Zurich, University Zurich, Zurich, Switzerland.
Thomas FlohrDiagnostic and Interventional Radiology, University Hospital Zurich, University Zurich, Zurich, Switzerland.
Thomas FrauenfelderDiagnostic and Interventional Radiology, University Hospital Zurich, University Zurich, Zurich, Switzerland.
Hatem AlkadhiDiagnostic and Interventional Radiology, University Hospital Zurich, University Zurich, Zurich, Switzerland.
Christian J KellenbergerDepartment of Diagnostic Imaging, University Children's Hospital Zurich, Lenggstrasse 30, Zurich, 8008, Switzerland.
Victor MergenDiagnostic and Interventional Radiology, University Hospital Zurich, University Zurich, Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhoton-counting detector computed tomography (PCD-CT) can reduce radiation dose in paediatric lung imaging.

objectiveThe aim of this study was to determine the lowest radiation dose maintaining adequate image quality for high-pitch lung imaging using a PCD-CT in a chest phantom replicating the characteristics of a 5-year-old child. MATERIALS AND

methodsThe phantom was imaged on a dual-source PCD-CT with five different volume CT dose indices (CTDI

resultsExposure times were 0.42 s and 0.84 s for standard and ultra-high resolution modes, respectively. Subjective assessments showed no significant differences across scan modes or quantum iterative reconstruction strengths for both readers at all doses (all, P > 0.05). Scans at 0.07 mGy with quantum iterative reconstruction 4 were deemed to maintain adequate image quality at the lowest dose. Global noise index was always lower and global signal-to-noise ratio index always higher in ultra-high resolution compared with standard mode, underscoring noise reduction achieved via ultra-high resolution mode's small pixel effect.

conclusionsPCD-CT enables high-pitch lung imaging while maintaining adequate image quality at a radiation dose as low as 0.07 mGy, with quantum iterative reconstruction 4, in a paediatric phantom representing a 5-year-old child.

Indexed as

LungPhantoms, ImagingRadiation DosageRadiation ProtectionTomography, X-Ray ComputedChild, PreschoolHumansPhotonsRadiographic Image Interpretation, Computer-AssistedReproducibility of ResultsSensitivity and SpecificityPaediatric imagingPaediatric lungPhantom studyPhoton-counting detectorRadiation dose

Identifiers

PMID40229451
PMCPMC12119663

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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.