Evidence map›Paper›PMID 40366570›Full record

Trial reportJapanese journal of radiology2025

Effect of different breath-holding methods on scanning length and radiation dose of 320-row volumetric coronary CT angiography.

Tian Wang, Boyu Li, Qiuli Han, Li Liao, Renbin Mo, Yufeng Miao, Rulin Xu, Wei Zhang

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Japanese journal of 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

8 authors.

Tian Wang *Department of Radiology, Liuzhou People's Hospital, Affiliated to Guangxi Medical University, Liuzhou, Guangxi, China.
Boyu Li *Department of Radiology, Liuzhou People's Hospital, Affiliated to Guangxi Medical University, Liuzhou, Guangxi, China.
Qiuli HanDepartment of Radiology, Liuzhou People's Hospital, Affiliated to Guangxi Medical University, Liuzhou, Guangxi, China.
Li LiaoDepartment of Radiology, Liuzhou People's Hospital, Affiliated to Guangxi Medical University, Liuzhou, Guangxi, China.
Renbin MoDepartment of Radiology, Liuzhou People's Hospital, Affiliated to Guangxi Medical University, Liuzhou, Guangxi, China.
Yufeng MiaoDepartment of Radiology, Liuzhou People's Hospital, Affiliated to Guangxi Medical University, Liuzhou, Guangxi, China.
Rulin XuResearch Collaboration, Canon Medical Systems(China), Guangzhou, Guangdong, China.
Wei ZhangDepartment of Radiology, Liuzhou People's Hospital, Affiliated to Guangxi Medical University, Liuzhou, Guangxi, China. holly2yang@126.com.ORCID http://orcid.org/0000-0002-0544-786X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to evaluate the impact of different breath-holding techniques on the scanning length and radiation dose during coronary CT angiography (CCTA). MATERIALS AND

methodsA total of 210 patients with suspected coronary artery disease, who were scheduled for CCTA, were prospectively enrolled and randomly assigned to one of three breath-holding groups: Group A (end-inspiratory breath-hold), Group B (breath-holding during calm respiration), and Group C (end-expiratory breath-hold), with 70 patients in each group. The parameters recorded and analyzed included resting heart rate (during calm respiration), scanning heart rate (during breath-holding), scan length, heart rate variability, radiation dose metrics, and patient comfort levels.

resultsFour patients in the end-expiratory breath-hold group (Group C) were unable to maintain breath-hold during scanning, resulting in non-diagnostic images. The remaining 206 patients successfully completed the CCTA. Across all groups, the scanning heart rate was significantly lower than the resting heart rate (P < 0.05). Follow-up assessments revealed that breath-holding during calm respiration provided the highest comfort level. Both the volume scan length and radiation dose were significantly lower in Groups B and C compared to Group A (P < 0.05), with no significant differences observed between Groups B and C (P > 0.05). The image quality in Group C was significantly lower compared to Group A and Group B (P < 0.01).

conclusionBreath-holding during calm respiration in CCTA not only maintains the image quality, but also significantly lowers heart rate, scan length, and radiation dose, while simultaneously enhancing patient comfort and cooperation during the scan.

Indexed as

Breath HoldingComputed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseRadiation DosageAgedFemaleHeart RateHumansMaleMiddle AgedProspective StudiesBreath-holdingCCTARadiation doseScan length

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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.