Evidence map›Paper›PMID 40737438›Full record

ArticleThe British journal of radiology2025

Impact of vessel size, dose levels, and body habitus on iodine quantification in cardiovascular photon-counting computed tomography.

Martin V Rybertt, Leening P Liu, Manoj Mathew, Pooyan Sahbaee, Harold I Litt, Peter B Noël

Abstract read
In one paragraph

Article in The British 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. 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

6 authors.

Martin V RyberttDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States.ORCID 0009-0007-6692-1311
Leening P LiuDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States.ORCID 0000-0003-0560-5394
Manoj MathewDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States.
Pooyan SahbaeeSiemens Healthineers, Malvern, PA 19355, United States.
Harold I LittDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States.
Peter B NoëlDepartment of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States.ORCID 0000-0002-9671-6171

Funding

Patient-specific, high-sensitivity spectral CT for assessment of pancreatic cancerR01EB030494 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI GANG, JIANAN GRACE, NOËL, PETER B · 2021 to 2024
$2.4M
PixelPrint: a 3D printing platform for creating lifelike patient-based CT phantomsR01EB035092 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI Peter B Noel · 2024 to 2026
$1.8M
Ultra-high spatial resolution photon-counting CT with multiple focal spotsR01EB035908 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI Peter B Noel, JOSEPH Webster STAYMAN · 2025 to 2026
$1.2M
NIBIB NIH HHS R01 EB030494NIBIB NIH HHS R01 EB035092NIBIB NIH HHS R01 EB035908NIH HHS R01EB030494NIH HHS R01EB035092NIH HHS R01EB035908Siemens Healthineers
6 · The paper itself

Abstract

objectivesThis study evaluates the performance of a clinical dual-source photon-counting computed tomography (PCCT) system in quantifying iodine within calcified vessels, using 3D-printed phantoms with vascular-like structures lined with calcium.

methodsParameters assessed include lumen diameters (4, 6, 8, 10, and 12 mm), phantom sizes (S: 20 × 20 cm, M: 25 × 25 cm, L: 30 × 40 cm), and iodine concentrations (2, 5, and 10 mg/mL). Scans were performed with a cardiac high-pitch acquisition protocol at radiation dose levels of 5 and 10 mGy to systematically evaluate iodine quantification accuracy and spectral imaging performance.

resultsThe results indicate that for lumen diameters ≥6 mm, iodine quantification remains stable across all dose levels and smaller phantom sizes, where error remained consistently below 0.9 mg/mL. Furthermore, iodine quantification revealed a significant dependence on phantom size while selected radiation dose levels were insignificant. Virtual monoenergetic imaging at 70 keV showed stable performance for larger lumens (≥6 mm) with variations of 20.3 ± 13.2 HU across all conditions, while smaller lumens remained stable in medium to small phantoms.

conclusionsThese findings highlight the influence of lumen diameter, patient size, and radiation dose in optimizing PCCT protocols for spectral imaging. Results indicate that PCCT maintains stable and precise imaging performance across diverse patient anatomies, with robust differentiation of iodine and calcium in adjacent regions. ADVANCES IN KNOWLEDGE: This study demonstrates PCCT's potential to enhance spectral imaging in vascular applications, characterizing iodine quantification at relevant lesion sizes for vascular imaging.

Indexed as

IodineTomography, X-Ray ComputedVascular CalcificationHumansPhantoms, ImagingPhotonsRadiation DosageIodinecalcified plaquecoronary CTiodine quantificationlumen sizepatient habitusphoton-counting CT

Identifiers

PMID40737438
PMCPMC12326146

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LicenceCC BY
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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.