Evidence mapPaperPMID 39299952Full record

Trial reportEuropean radiology2025

Deep learning reconstruction algorithm and high-concentration contrast medium: feasibility of a double-low protocol in coronary computed tomography angiography.

Damiano Caruso, Domenico De Santis, Giuseppe Tremamunno, Curzio Santangeli, Tiziano Polidori, Giovanna G Bona, Marta Zerunian, Antonella Del Gaudio, Luca Pugliese, Andrea Laghi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. 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.

Damiano CarusoDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy.
Domenico De SantisDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy.
Giuseppe TremamunnoDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy.
Curzio SantangeliDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy.
Tiziano PolidoriDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy.
Giovanna G BonaDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy.
Marta ZerunianDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy.
Antonella Del GaudioDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy.
Luca PuglieseDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy.
Andrea LaghiDepartment of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy. andrea.laghi@uniroma1.it.ORCID http://orcid.org/0000-0002-3091-7819

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate radiation dose and image quality of a double-low CCTA protocol reconstructed utilizing high-strength deep learning image reconstructions (DLIR-H) compared to standard adaptive statistical iterative reconstruction (ASiR-V) protocol in non-obese patients. MATERIALS AND

methodsFrom June to October 2022, consecutive patients, undergoing clinically indicated CCTA, with BMI < 30 kg/m

resultsThe final population consisted of 255 patients (64 ± 10 years, 161 men), 85 per group. Group B yielded 42% radiation dose reduction (2.36 ± 0.9 mSv) compared to group A (4.07 ± 1.2 mSv; p < 0.001) and achieved a higher signal-to-noise ratio (30.5 ± 11.5), contrast-to-noise-ratio (27.8 ± 11), and subjective image quality (Likert scale score: 4, interquartile range: 3-4) compared to group A and group C (all p ≤ 0.001). Contrast medium dose in group C (44.8 ± 4.4 mL) was lower than group A (57.7 ± 6.2 mL) and B (50.4 ± 4.3 mL), all the comparisons were statistically different (all p < 0.001).

conclusionDLIR-H combined with 80-kVp CCTA with an IDR 1.4 significantly reduces radiation and contrast medium exposure while improving image quality compared to conventional 100-kVp with 1.8 IDR protocol in non-obese patients. CLINICAL RELEVANCE STATEMENT: Low radiation and low contrast medium dose coronary CT angiography protocol is feasible with high-strength deep learning reconstruction and high-concentration contrast medium without compromising image quality. KEY POINTS: Minimizing the radiation and contrast medium dose while maintaining CT image quality is highly desirable. High-strength deep learning iterative reconstruction protocol yielded 42% radiation dose reduction compared to conventional protocol. "Double-low" coronary CTA is feasible with high-strength deep learning reconstruction without compromising image quality in non-obese patients.

Indexed as

Computed Tomography AngiographyContrast MediaCoronary AngiographyCoronary Artery DiseaseDeep LearningRadiographic Image Interpretation, Computer-AssistedAgedAlgorithmsFeasibility StudiesFemaleHumansMaleMiddle AgedProspective StudiesRadiation DosageContrast MediaComputed tomography angiographyContrast mediaDeep learningImage processingRadiation dosage

Identifiers

PMID39299952
PMCPMC11913928

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.