Evidence map›Paper›PMID 42145613›Full record

ArticlemedRxiv : the preprint server for health sciences2026

Quantitative imaging of the central lymphatic system with spectral CT iodine mapping: a feasibility study in swine.

Leening P Liu, Alexey Gurevich, George McClung, Maxim Itkin, Peter B Noël

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Leening P LiuDepartment of Radiology, University of Pennsylvania, PA, USA.ORCID 0000-0003-0560-5394
Alexey GurevichDepartment of Radiology, University of Pennsylvania, PA, USA.ORCID 0000-0001-8031-2028
George McClungDepartment of Radiology, University of Pennsylvania, PA, USA.ORCID 0009-0007-2593-8774
Maxim ItkinDepartment of Radiology, University of Pennsylvania, PA, USA.ORCID 0000-0003-1361-7109
Peter B NoëlDepartment of Radiology, University of Pennsylvania, PA, USA.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
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 EB035908
6 · The paper itself

Abstract

Purpose: Imaging of the central lymphatic system enables characterization of patient-specific lymphatic anatomy and accurate localization of leaks. Advancements in CT technology, particularly spectral CT, can enhance CT lymphangiography (CTL) with improved visualization and quantification. This study aimed to assess the feasibility of spectral CTL in both static and dynamic scans. Materials and Methods: 50% diluted iodinated contrast was injected into the bilateral superficial inguinal lymph nodes of a pig. The pig was scanned with a dual-layer spectral CT every 60 seconds for 10 minutes. To optimize contrast and visualize peristalsis, a second animal was injected with 25% and 10% diluted contrast and scanned dynamically 4 and 6.25 minutes after contrast injection. Conventional images and iodine maps were reconstructed to calculate the contrast-to-noise ratio (CNR). Additionally, the iodine density was measured adjacent to the lymphovenous junction to show fluctuations from peristalsis and contrast washout. Results: Iodine maps, compared to conventional images, separated the contrast-filled central lymphatic system from surrounding soft tissue and increased CNR to 895 compared to 43 with conventional images. 25% diluted contrast provided the best balance between visualization and quantification of the central lymphatic system, showing high and low iodine density regions corresponding to peristalsis. Iodine density peaked at 15.4 ± 0.6 mg/mL and decreased to 2.0 ± 0.1 mg/mL at 10.5 minutes. Conclusion: Spectral CTL not only improves visualization of the central lymphatic system compared to CTL but also provides quantitative information for physiological characterization of lymphatic disease that can enhance current subjective assessment.

Indexed as

CT lymphangiographylymphatic imagingquantitative imagingspectral CT

Identifiers

PMID42145613
PMCPMC13174755

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.