Evidence map›Paper›PMID 40507296›Full record

ArticleCancers2025

Radiation Dose Reduction in Cancer Imaging with New-Model CT Scanners: A Quality of Care Evaluation.

Stefania Rizzo, Luca Bellesi, Ebticem Ben Khalifa, Stefano Presilla, Andrea D'Ermo, Francesco Magoga, Matteo Merli, Ermidio Rezzonico, Oriana D'Ecclesiis, Filippo Del Grande

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. A Multi-Centre Study:Saudi medical journal · 2026
    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.

Stefania RizzoClinic of Radiology, Imaging Institute of Southern Switzerland (IIMSI), Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.ORCID 0000-0002-5151-0866
Luca BellesiService of Medical Physics, Imaging Institute of Southern Switzerland (IIMSI), Ente Ospedaliero Cantonale (EOC), 6500 Bellinzona, Switzerland.ORCID 0000-0002-4501-6992
Ebticem Ben KhalifaClinic of Radiology, Imaging Institute of Southern Switzerland (IIMSI), Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.
Stefano PresillaService of Medical Physics, Imaging Institute of Southern Switzerland (IIMSI), Ente Ospedaliero Cantonale (EOC), 6500 Bellinzona, Switzerland.ORCID 0000-0002-4552-4778
Andrea D'ErmoService of Process Organization and Information, Support Area, Ente Ospedaliero Cantonale (EOC), Via Lugano 4D, 6500 Bellinzona, Switzerland.
Francesco MagogaClinic of Radiology, Imaging Institute of Southern Switzerland (IIMSI), Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.ORCID 0000-0002-7264-1072
Matteo MerliClinic of Radiology, Imaging Institute of Southern Switzerland (IIMSI), Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.
Ermidio RezzonicoClinic of Radiology, Imaging Institute of Southern Switzerland (IIMSI), Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.ORCID 0009-0005-4403-1989
Oriana D'EcclesiisIndependent Researcher, 00100 Rome, Italy.
Filippo Del GrandeClinic of Radiology, Imaging Institute of Southern Switzerland (IIMSI), Ente Ospedaliero Cantonale (EOC), 6900 Lugano, Switzerland.ORCID 0000-0003-1106-5830

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThe primary aim of this study was to evaluate whether the replacement of roughly one-decade-old computed tomography (CT) scanners with new-model CT scanners were associated with an additional reduction in the radiation dose delivered to oncological patients, in a radiological setting where the optimization of protocols had already reached very low radiation doses. An exploratory secondary objective was to evaluate the potential differences in the objective image quality between the CT scans obtained before and after the installation of the new-generation CT scanners.

methodsChest and abdominal CT examinations conducted for oncologic purposes were retrospectively selected from two time periods-prior to scanner replacement (2022) and following an upgrade (2024)-after five CT systems in our radiology department were replaced. We extracted and compared the CT dose index (CTDI) and dose length product (DLP) for each CT phase. For the objective image quality evaluation, we calculated the signal-to-noise ratio (SNR) and the contrast-to-noise ratio (CNR) at the center of the liver and the aorta. An appropriate statistical analysis was performed and a

resultsWe included 14,601 CT acquisitions, of which 9013 (61.7%) were performed before and 5588 (38.3%) after the replacement of the CT scanners. There were significantly lower values for the CTDI and DLP with the new CT scanners compared to the old ones. The CTDI with the new CT scanners was significantly lower in all phases (

conclusionsThe transition to new-model CT scanners resulted in a significant reduction in the radiation dose delivered by chest and abdomen CT scans, without compromising the objective image quality.

Indexed as

computed tomographycomputed tomography dose indexdose length productobjective image qualityradiation dosereplacement

Identifiers

PMID40507296
PMCPMC12153870

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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.