Evidence map›Paper›PMID 39699679›Full record

ReviewEuropean radiology2025

The clinical applications of dual-layer spectral detector CT in digestive system diseases.

Yidi Chen, Xijiao Liu, Hanjiang Zeng, Jinge Zhang, Zhengyan Li, Bin Wu, Zixing Huang, Bin Song

Abstract readReview
In one paragraph

Review in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

8 authors.

Yidi Chen *Depatment of Radiology, West China Hospital, Sichuan University, Chengdu, China.
Xijiao Liu *Depatment of Radiology, West China Hospital, Sichuan University, Chengdu, China.
Hanjiang ZengDepatment of Radiology, West China Hospital, Sichuan University, Chengdu, China.
Jinge ZhangDepatment of Radiology, West China Hospital, Sichuan University, Chengdu, China.
Zhengyan LiDepatment of Radiology, West China Hospital, Sichuan University, Chengdu, China.
Bin WuDepatment of Radiology, West China Hospital, Sichuan University, Chengdu, China.
Zixing HuangDepatment of Radiology, West China Hospital, Sichuan University, Chengdu, China. zixinghuang@hotmail.com.
Bin SongDepatment of Radiology, West China Hospital, Sichuan University, Chengdu, China. songlab_radiology@163.com.ORCID http://orcid.org/0000-0002-7269-2101

Funding

Hainan Province Clinical Medical Center and Post-doctoral Station Development Project of Sanya 23CZ009National Nature Science Foundations of China 82001810Natural Science Foundation of Sichuan Province 2022NSFSC0840the Science and Technology Department of Hainan Province ZDYF2024SHFZ052
6 · The paper itself

Abstract

objectiveDual-layer spectral detector CT (DLCT) has several advantages in clinical practice, this study aims to reveal the clinical applications of DLCT in digestive system diseases. MATERIALS AND

methodsWe searched PubMed and Cochrane Reviews for articles published from January 1, 2010 to May 31, 2024, using the terms "dual-layer spectral detector CT" or "dual-layer CT" combined with "hepatic fat" or "hepatic fibrosis" "hepatocellular carcinoma" or "pancreatic ductal adenocarcinoma" or "pancreatic neuroendocrine tumors" or "gastric cancer" or "colorectal cancer" or "Crohn's disease" or "bowel ischemia" or "acute abdominal conditions".

resultsDLCT consists of a top layer sensitive to lower-energy photons and a bottom layer sensitive to higher-energy photons. This configuration enables simultaneous acquisition of two energy spectra from a single X-ray beam ensuring consistent spatial alignment and temporal resolution. Spectral raw images allow image post-processing to improve image quality, reduce radiation doses and contrast media doses, and generate multiple quantitative parameters. It has broad potential for early detection, accurate staging, efficacy assessment, and prognosis prediction of liver, pancreatic, and gastrointestinal diseases, as well as for the assessment of digestive system vasculature.

conclusionsDLCT not only provides valuable information for the clinical diagnosis and therapeutic effect evaluation of digestive system diseases but also may play a more important role in the overall management of digestive diseases and in the decision-making of individualized medicine. KEY POINTS: Question What are the advantages of DLCT compared to traditional single-energy CT in the early detection, staging, and therapeutic evaluation of digestive system diseases? Findings DLCT enhances image quality, improves tissue characterization, and allows for multi-parametric analysis, making it superior in detecting and evaluating liver, pancreatic, and gastrointestinal diseases. Clinical relevance DLCT provides high-quality, multi-parametric imaging that improves the accuracy of diagnosing digestive diseases, facilitates more precise treatment planning, and enhances monitoring of treatment response, ultimately contributing to better patient management and prognosis.

Indexed as

Digestive System DiseasesTomography, X-Ray ComputedHumansComputed tomographyDigestive systemGastrointestinal tractLiverMultidetector computed tomography

Identifiers

PMID39699679
PMCPMC12081472

What Socratic holds

Textmetadata
LicenceCC BY
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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.