Evidence map›Paper›PMID 42415312›Full record

ArticleJournal of applied clinical medical physics2026

Effect of wearing a brassiere during low-dose chest CT for lung cancer screening.

Michal Cech, Eva Kocova, Iva Milerska, Jiri Jandura, Martin Hyrsl, Martina Koziar Vasakova, Pavel Ryska

Abstract readComparative Study
In one paragraph

Article in Journal of applied clinical medical physics, 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

7 authors.

Michal CechFaculty of Medicine, Charles University, Hradec Kralove, Czech Republic.ORCID https://orcid.org/0009-0001-5392-0498
Eva KocovaFaculty of Medicine, Charles University, Hradec Kralove, Czech Republic.
Iva MilerskaThe Czech Institute of Informatics Robotics and Cybernetics, Czech Technical University, Prague, Czech Republic.
Jiri JanduraFaculty of Medicine, Charles University, Hradec Kralove, Czech Republic.
Martin HyrslFaculty of Medicine, Charles University, Hradec Kralove, Czech Republic.
Martina Koziar VasakovaDepartment of Respiratory Medicine, Thomayer Hospital Prague, Prague, Czech Republic.
Pavel RyskaFaculty of Medicine, Charles University, Hradec Kralove, Czech Republic.

Funding

Charles University 260657Cooperatio Program, research area NEUR
6 · The paper itself

Abstract

objectiveTo assess the impact of wearing a brassiere during low-dose chest CT (LDCT) examination on image quality and radiation dose.

methodsA comparative study included 87 patients who underwent paired LDCT examinations at the Hospital from February 2022 to July 2024. Each patient underwent a standard LDCT (SLDCT) without a brassiere and a modified LDCT (MLDCT) with a brassiere. Objective image quality was assessed using the standard deviation (SD) in predefined lung regions. Three experienced radiologists compared the image quality subjectively. For comparison of radiation doses between the protocols, we used standard dose indicators including CTDIvol, DLP, and SSDE. Clinical data were collected between February 2022 and July 2024.

resultsObjectively, no statistically significant differences in SD or radiation dose were observed between MLDCT and SLDCT protocols. Median centering differences between paired scans were minimal (-8.8 mm), ensuring consistent comparisons. Subjective image quality was rated as equivalent or better for MLDCT in most cases, with a high level of interobserver agreement (95.4%).

conclusionWearing a brassiere during LDCT examinations caused no worsening of image quality or increase in radiation dose. It facilitates easier patient centering. These findings suggest that the modified protocol could be safely implemented in routine clinical practice. Further research could extend these observations to other chest imaging protocols.

Indexed as

ClothingEarly Detection of CancerLung NeoplasmsRadiation ProtectionRadiography, ThoracicTomography, X-Ray ComputedAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRadiation DosageRetrospective Studiesimage qualitylow‐dose CT (LDCT)radiation dosescreening programsize‐specific dose estimate (SSDE)

Identifiers

PMID42415312
PMCPMC13341948

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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.