Personalization of thoracoabdominal CT examinations using scanner integrated clinical decision support systems – Impact on the acquisition technique, scan range, and reconstruction type
OBJECTIVESThis study evaluates the impact of a scanner-integrated, customized clinical decision support system (CDSS) on the acquisition technique, scan range, and reconstruction in thoracoabdominal CT. MATERIALS AND METHODSWe applied CDSS in contrast-enhanced examinations of the trunk with various...
Saved in:
Published in | European journal of radiology Vol. 167; p. 111078 |
---|---|
Main Authors | , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
01.10.2023
|
Online Access | Get full text |
Cover
Loading…
Abstract | OBJECTIVESThis study evaluates the impact of a scanner-integrated, customized clinical decision support system (CDSS) on the acquisition technique, scan range, and reconstruction in thoracoabdominal CT. MATERIALS AND METHODSWe applied CDSS in contrast-enhanced examinations of the trunk with various clinical indications on a recent scanner with the capability of dual-energy CT (DECT), anatomic landmark detection (ALD), and iterative metal-artifact reduction (MAR). Simple and comprehensive questions about the patient's breath hold capability, the anatomical region of interest, and metal implants can be answered after the localizer. The acquisition technique (single energy, SECT, or dual energy), scan range (chest-abdomen-pelvis or chest-abdomen), and reconstruction technique (with or without MAR) were then automatically adapted in the examination protocols in coherence with these selections. Retrospectively, we compared the usage rates for these techniques in 624 examinations on the study scanner with 740 examinations on a comparable scanner without CDSS. Subgroup analysis of effective dose (ED), scan duration, and image quality (IQ) was performed in the study group. RESULTSCDSS leads to an increased usage rate of DECT (64.4% vs. 2.8%) and MAR (75.4% vs. 44.0%). All scan range adaptations by ALD were successful. The resulting subjective IQ between single energy and DECT acquisitions was comparable (all p > 0.05). Scan duration was significantly longer in DECT than in SECT (16.9 s vs. 6.5 s; p < 0.001). However, the objective IQ was significantly higher in DECT (CNRD 2.1 vs. 1.8; p < 0.01), and the ED significantly lower (6.7 mSv vs. 7.6 mSv; p = 0.004). CONCLUSIONCDSS for thoracoabdominal CT leads to a substantially increased usage rate of innovative techniques during acquisition and reconstruction. Patients with adapted protocols benefit from improved image quality and increased post-processing options at lower radiation doses. |
---|---|
AbstractList | OBJECTIVESThis study evaluates the impact of a scanner-integrated, customized clinical decision support system (CDSS) on the acquisition technique, scan range, and reconstruction in thoracoabdominal CT. MATERIALS AND METHODSWe applied CDSS in contrast-enhanced examinations of the trunk with various clinical indications on a recent scanner with the capability of dual-energy CT (DECT), anatomic landmark detection (ALD), and iterative metal-artifact reduction (MAR). Simple and comprehensive questions about the patient's breath hold capability, the anatomical region of interest, and metal implants can be answered after the localizer. The acquisition technique (single energy, SECT, or dual energy), scan range (chest-abdomen-pelvis or chest-abdomen), and reconstruction technique (with or without MAR) were then automatically adapted in the examination protocols in coherence with these selections. Retrospectively, we compared the usage rates for these techniques in 624 examinations on the study scanner with 740 examinations on a comparable scanner without CDSS. Subgroup analysis of effective dose (ED), scan duration, and image quality (IQ) was performed in the study group. RESULTSCDSS leads to an increased usage rate of DECT (64.4% vs. 2.8%) and MAR (75.4% vs. 44.0%). All scan range adaptations by ALD were successful. The resulting subjective IQ between single energy and DECT acquisitions was comparable (all p > 0.05). Scan duration was significantly longer in DECT than in SECT (16.9 s vs. 6.5 s; p < 0.001). However, the objective IQ was significantly higher in DECT (CNRD 2.1 vs. 1.8; p < 0.01), and the ED significantly lower (6.7 mSv vs. 7.6 mSv; p = 0.004). CONCLUSIONCDSS for thoracoabdominal CT leads to a substantially increased usage rate of innovative techniques during acquisition and reconstruction. Patients with adapted protocols benefit from improved image quality and increased post-processing options at lower radiation doses. |
ArticleNumber | 111078 |
Author | Kopp, Markus Muttke, Armin May, Matthias S. Fitz, Tim Vollbrecht, Thomas Daniel, Sascha Zeilinger, Martin Uder, Michael Feuerlein, Ute |
Author_xml | – sequence: 1 givenname: Sascha orcidid: 0009-0005-3628-7300 surname: Daniel fullname: Daniel, Sascha – sequence: 2 givenname: Markus surname: Kopp fullname: Kopp, Markus – sequence: 3 givenname: Thomas surname: Vollbrecht fullname: Vollbrecht, Thomas – sequence: 4 givenname: Martin surname: Zeilinger fullname: Zeilinger, Martin – sequence: 5 givenname: Tim surname: Fitz fullname: Fitz, Tim – sequence: 6 givenname: Armin surname: Muttke fullname: Muttke, Armin – sequence: 7 givenname: Ute surname: Feuerlein fullname: Feuerlein, Ute – sequence: 8 givenname: Michael surname: Uder fullname: Uder, Michael – sequence: 9 givenname: Matthias S. surname: May fullname: May, Matthias S. |
BookMark | eNotkU1u2zAQhYkiBeqkPUE3XHYRufyRRGlZGEkawEC7SIHuiDE1smlIpEJSQJxV79Dj9DY9SSm7q3nAfPNmMO-aXDnvkJCPnK054_Xn4xqPAbq1YEKuOedMNW_IijdKFEoJdUVWTAlWsLL5-Y5cx3hkjFVlK1bkz3cM0TsY7Csk6x31PU0HH8B42HV-tLlFN08UX2DRCxLpHK3b02jAOQzUuoT7AAk7agbrrMkTHRobF7s4T5MPicZTTDhG-vfXb_o4TmASzd10QArmec7seXlCc3D2ecbbszsN4PZZg-toQJNXpzCbC3ma8D1528MQ8cP_ekN-3N89bb4W228Pj5sv28JIyVPBe4RdI6tW9WXfykp0bd0KWdesh16UlRESKyGF5KJExXCXn6g6QC6xQzRK3pBPF98p-HxbTHq00eAwgEM_Ry2aWopWsbrJqLygJvgYA_Z6CnaEcNKc6SUqfdTnqPQSlb5EJf8BE1KRgQ |
Cites_doi | 10.1016/j.acra.2018.10.010 10.2214/AJR.19.21881 10.1038/s41598-020-66366-2 10.1177/02841851211052993 10.2214/AJR.18.20413 10.1378/chest.118.2_suppl.47S 10.1148/rg.2019180087 10.2307/2529310 10.1016/j.jemermed.2019.08.026 10.1148/rg.2021200102 10.1016/j.cmpb.2020.105565 10.2214/AJR.21.26636 10.1007/s00330-018-5338-x 10.3174/ajnr.A4386 10.1118/1.3075901 10.1016/j.ejrad.2013.02.024 10.1007/s00261-022-03682-3 10.1371/journal.pone.0204794 10.2214/AJR.18.20574 10.1016/j.ejrad.2020.108913 10.37206/97 10.1016/j.radi.2017.08.011 10.3390/diagnostics11111989 10.1118/1.4959554 10.3390/tomography9010017 10.1177/0284185121995799 10.5152/dir.2017.16617 10.1007/s00330-022-08689-4 10.1097/RLI.0000000000000682 10.1055/a-1253-8558 10.1259/bjr.20150993 10.1177/0284185117732806 10.1259/bjr.20160778 10.2214/AJR.11.7316 10.1259/bjr.20200340 10.1038/s41746-020-0221-y 10.1258/ar.2011.100295 10.1001/jama.2013.281053 10.2214/AJR.19.22231 |
ContentType | Journal Article |
DBID | AAYXX CITATION 7X8 |
DOI | 10.1016/j.ejrad.2023.111078 |
DatabaseName | CrossRef MEDLINE - Academic |
DatabaseTitle | CrossRef MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1872-7727 |
EndPage | 111078 |
ExternalDocumentID | 10_1016_j_ejrad_2023_111078 |
GroupedDBID | --- --K --M .1- .FO .GJ .~1 0R~ 1B1 1P~ 1RT 1~. 1~5 29G 4.4 457 4CK 4G. 53G 5GY 5RE 5VS 6PF 7-5 71M 8P~ 9JM AABNK AACTN AAEDT AAEDW AAIKJ AAKOC AALRI AAOAW AAQFI AAQXK AAWTL AAXKI AAXUO AAYXX ABBQC ABFNM ABJNI ABLJU ABMAC ABMZM ABXDB ACDAQ ACIUM ACRLP ADBBV ADEZE ADMUD AEBSH AEKER AENEX AEVXI AFCTW AFJKZ AFKWA AFRHN AFTJW AFXIZ AGHFR AGUBO AGYEJ AHHHB AIEXJ AIKHN AITUG AJOXV AJRQY AJUYK AKRWK ALMA_UNASSIGNED_HOLDINGS AMFUW AMRAJ ANZVX ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV CITATION CS3 EBS EFJIC EJD EO8 EO9 EP2 EP3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-2 G-Q GBLVA HEI HMK HMO HVGLF HZ~ IHE J1W KOM M29 M41 MO0 N9A O-L O9- OAUVE OI~ OU0 OZT P-8 P-9 P2P PC. Q38 R2- RIG ROL RPZ SAE SDF SDG SEL SES SEW SPCBC SSH SSZ T5K UV1 WUQ Z5R ZGI ~G- 7X8 |
ID | FETCH-LOGICAL-c331t-1feab83597f4f9352d96923660faf245c23e52323124e70eb0237dae13edeec73 |
ISSN | 0720-048X |
IngestDate | Sat Oct 05 06:10:05 EDT 2024 Thu Sep 26 17:48:18 EDT 2024 |
IsDoiOpenAccess | false |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c331t-1feab83597f4f9352d96923660faf245c23e52323124e70eb0237dae13edeec73 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ORCID | 0009-0005-3628-7300 |
OpenAccessLink | http://www.ejradiology.com/article/S0720048X23003923/pdf |
PQID | 2863297068 |
PQPubID | 23479 |
PageCount | 1 |
ParticipantIDs | proquest_miscellaneous_2863297068 crossref_primary_10_1016_j_ejrad_2023_111078 |
PublicationCentury | 2000 |
PublicationDate | 2023-10-00 20231001 |
PublicationDateYYYYMMDD | 2023-10-01 |
PublicationDate_xml | – month: 10 year: 2023 text: 2023-10-00 |
PublicationDecade | 2020 |
PublicationTitle | European journal of radiology |
PublicationYear | 2023 |
References | L'Hostis (10.1016/j.ejrad.2023.111078_b0135) 2019; 213 Eichler (10.1016/j.ejrad.2023.111078_b0030) 2020; 126 Yao (10.1016/j.ejrad.2023.111078_b0160) 2016; 43 Ho (10.1016/j.ejrad.2023.111078_b0130) 2012; 198 Cha (10.1016/j.ejrad.2023.111078_b0080) 2019; 26 Murray (10.1016/j.ejrad.2023.111078_b0045) 2019; 39 Bedernik (10.1016/j.ejrad.2023.111078_b0165) 2022; 32 Perrin (10.1016/j.ejrad.2023.111078_b0100) 2018; 24 Manna (10.1016/j.ejrad.2023.111078_b0025) 2017; 23 10.1016/j.ejrad.2023.111078_b0110 Praël (10.1016/j.ejrad.2023.111078_b0145) 2021; 11 Martens (10.1016/j.ejrad.2023.111078_b0105) 2020; 55 World Medical Association Declaration of Helsinki (10.1016/j.ejrad.2023.111078_b0095) 2013; 310 Tabari (10.1016/j.ejrad.2023.111078_b0185) 2020; 214 10.1016/j.ejrad.2023.111078_b0010 Aissa (10.1016/j.ejrad.2023.111078_b0060) 2017; 90 Landis (10.1016/j.ejrad.2023.111078_b0120) 1977; 33 Meyer (10.1016/j.ejrad.2023.111078_b0140) 2022; 218 Lee (10.1016/j.ejrad.2023.111078_b0015) 2011; 52 Hojreh (10.1016/j.ejrad.2023.111078_b0020) 2018; 13 Wang (10.1016/j.ejrad.2023.111078_b0200) 2013; 82 Kim (10.1016/j.ejrad.2023.111078_b0195) 2019; 212 Kopp (10.1016/j.ejrad.2023.111078_b0005) 2020; 10 Schmidt (10.1016/j.ejrad.2023.111078_b0055) 2018; 59 Voss (10.1016/j.ejrad.2023.111078_b0050) 2022; 63 Parakh (10.1016/j.ejrad.2023.111078_b0040) 2021; 41 Geissler (10.1016/j.ejrad.2023.111078_b0170) 2021; 193 Wuest (10.1016/j.ejrad.2023.111078_b0035) 2015; 36 Timmer (10.1016/j.ejrad.2023.111078_b0150) 2020; 214 Euler (10.1016/j.ejrad.2023.111078_b0175) 2016; 51 Martin (10.1016/j.ejrad.2023.111078_b0085) 2022; 63 Andersson (10.1016/j.ejrad.2023.111078_b0190) 2016; 89 Lennartz (10.1016/j.ejrad.2023.111078_b0180) 2020; 93 Wichtmann (10.1016/j.ejrad.2023.111078_b0205) 2023; 48 Sutton (10.1016/j.ejrad.2023.111078_b0075) 2020; 3 Borges (10.1016/j.ejrad.2023.111078_b0125) 2023; 9 Kalender (10.1016/j.ejrad.2023.111078_b0115) 2009; 36 Royuela (10.1016/j.ejrad.2023.111078_b0090) 2019; 57 Payne (10.1016/j.ejrad.2023.111078_b0065) 2000; 118 Souza-Pereira (10.1016/j.ejrad.2023.111078_b0070) 2020; 195 Euler (10.1016/j.ejrad.2023.111078_b0155) 2018; 28 |
References_xml | – volume: 26 start-page: 1137 issue: 9 year: 2019 ident: 10.1016/j.ejrad.2023.111078_b0080 article-title: Diagnostic Accuracy of CT for Prediction of Bladder Cancer Treatment Response with and without Computerized Decision Support publication-title: Acad. Radiol. doi: 10.1016/j.acra.2018.10.010 contributor: fullname: Cha – volume: 214 start-page: 893 issue: 4 year: 2020 ident: 10.1016/j.ejrad.2023.111078_b0150 article-title: Detection of Bone Marrow Edema in the Head and Neck With Dual-Energy CT: Ready for Clinical Use? publication-title: AJR. American Journal of Roentgenology doi: 10.2214/AJR.19.21881 contributor: fullname: Timmer – volume: 10 start-page: 9475 issue: 1 year: 2020 ident: 10.1016/j.ejrad.2023.111078_b0005 article-title: Individual Calculation of Effective Dose and Risk of Malignancy Based on Monte Carlo Simulations after Whole Body Computed Tomography publication-title: Sci. Rep. doi: 10.1038/s41598-020-66366-2 contributor: fullname: Kopp – volume: 63 start-page: 1443 issue: 11 year: 2022 ident: 10.1016/j.ejrad.2023.111078_b0050 article-title: Impact of dual-energy 50-keV virtual monoenergetic images on radiologist confidence in detection of key imaging findings of small hepatocellular carcinomas using multiphase liver CT publication-title: Acta Radiologica doi: 10.1177/02841851211052993 contributor: fullname: Voss – volume: 212 start-page: 1106 issue: 5 year: 2019 ident: 10.1016/j.ejrad.2023.111078_b0195 article-title: Dual-Energy and Iterative Metal Artifact Reduction for Reducing Artifacts Due to Metallic Hardware: A Loosening Hip Phantom Study publication-title: AJR. American Journal of Roentgenology doi: 10.2214/AJR.18.20413 contributor: fullname: Kim – volume: 118 start-page: 47s issue: 2 Suppl year: 2000 ident: 10.1016/j.ejrad.2023.111078_b0065 article-title: Computer decision support systems publication-title: Chest doi: 10.1378/chest.118.2_suppl.47S contributor: fullname: Payne – volume: 39 start-page: 264 issue: 1 year: 2019 ident: 10.1016/j.ejrad.2023.111078_b0045 article-title: Dual-Energy CT in Evaluation of the Acute Abdomen publication-title: Radiographics doi: 10.1148/rg.2019180087 contributor: fullname: Murray – volume: 33 start-page: 159 issue: 1 year: 1977 ident: 10.1016/j.ejrad.2023.111078_b0120 article-title: The measurement of observer agreement for categorical data publication-title: Biometrics doi: 10.2307/2529310 contributor: fullname: Landis – volume: 57 start-page: 780 issue: 6 year: 2019 ident: 10.1016/j.ejrad.2023.111078_b0090 article-title: Implementation of a Computerized Decision Support System for Computed Tomography Scan Requests for Nontraumatic Headache in the Emergency Department publication-title: J. Emerg. Med. doi: 10.1016/j.jemermed.2019.08.026 contributor: fullname: Royuela – volume: 41 start-page: 98 issue: 1 year: 2021 ident: 10.1016/j.ejrad.2023.111078_b0040 article-title: Dual-Energy CT Images: Pearls and Pitfalls publication-title: Radiographics doi: 10.1148/rg.2021200102 contributor: fullname: Parakh – volume: 195 start-page: 105565 year: 2020 ident: 10.1016/j.ejrad.2023.111078_b0070 article-title: Clinical decision support systems for chronic diseases: A Systematic literature review publication-title: Comput. Methods Programs Biomed. doi: 10.1016/j.cmpb.2020.105565 contributor: fullname: Souza-Pereira – volume: 218 start-page: 659 issue: 4 year: 2022 ident: 10.1016/j.ejrad.2023.111078_b0140 article-title: Dual-Energy CT Vital Iodine Tumor Burden for Response Assessment in Patients With Metastatic GIST Undergoing TKI Therapy: Comparison With Standard CT and FDG PET/CT Criteria publication-title: AJR. American Journal of Roentgenology doi: 10.2214/AJR.21.26636 contributor: fullname: Meyer – volume: 28 start-page: 3405 issue: 8 year: 2018 ident: 10.1016/j.ejrad.2023.111078_b0155 article-title: Comparison of image quality and radiation dose between split-filter dual-energy images and single-energy images in single-source abdominal CT publication-title: Eur. Radiol. doi: 10.1007/s00330-018-5338-x contributor: fullname: Euler – volume: 36 start-page: 1988 issue: 10 year: 2015 ident: 10.1016/j.ejrad.2023.111078_b0035 article-title: Improved Image Quality in Head and Neck CT Using a 3D Iterative Approach to Reduce Metal Artifact publication-title: Am. J. Neuroradiol. doi: 10.3174/ajnr.A4386 contributor: fullname: Wuest – volume: 36 start-page: 993 issue: 3 year: 2009 ident: 10.1016/j.ejrad.2023.111078_b0115 article-title: Application- and patient size-dependent optimization of x-ray spectra for CT publication-title: Med. Phys. doi: 10.1118/1.3075901 contributor: fullname: Kalender – volume: 82 start-page: e360 issue: 8 year: 2013 ident: 10.1016/j.ejrad.2023.111078_b0200 article-title: Metal artifacts reduction using monochromatic images from spectral CT: evaluation of pedicle screws in patients with scoliosis publication-title: Eur. J. Radiol. doi: 10.1016/j.ejrad.2013.02.024 contributor: fullname: Wang – volume: 48 start-page: 424 issue: 1 year: 2023 ident: 10.1016/j.ejrad.2023.111078_b0205 article-title: Metal implants on abdominal CT: does split-filter dual-energy CT provide additional value over iterative metal artifact reduction? publication-title: Abdom Radiol (NY) doi: 10.1007/s00261-022-03682-3 contributor: fullname: Wichtmann – volume: 13 start-page: e0204794 issue: 10 year: 2018 ident: 10.1016/j.ejrad.2023.111078_b0020 article-title: Automated tube voltage selection in pediatric non-contrast chest CT publication-title: PLoS One1 doi: 10.1371/journal.pone.0204794 contributor: fullname: Hojreh – volume: 213 start-page: 115 issue: 1 year: 2019 ident: 10.1016/j.ejrad.2023.111078_b0135 article-title: Detection and Characterization of Atypical Renal Cysts and Solid Renal Masses in Kidney Transplant Patients by Use of Dual-Energy CT Iodine Maps publication-title: AJR. American Journal of Roentgenology doi: 10.2214/AJR.18.20574 contributor: fullname: L'Hostis – volume: 126 year: 2020 ident: 10.1016/j.ejrad.2023.111078_b0030 article-title: Single source split filter dual energy: Image quality and liver lesion detection in abdominal CT publication-title: Eur. J. Radiol. doi: 10.1016/j.ejrad.2020.108913 contributor: fullname: Eichler – ident: 10.1016/j.ejrad.2023.111078_b0110 doi: 10.37206/97 – volume: 24 start-page: 22 issue: 1 year: 2018 ident: 10.1016/j.ejrad.2023.111078_b0100 article-title: Weight-adapted iodinated contrast media administration in abdomino-pelvic CT: Can image quality be maintained? publication-title: Radiography doi: 10.1016/j.radi.2017.08.011 contributor: fullname: Perrin – volume: 11 start-page: 1989 issue: 11 year: 2021 ident: 10.1016/j.ejrad.2023.111078_b0145 article-title: Dual-Energy Lung Perfusion in Portal Venous Phase CT-A Comparison with the Pulmonary Arterial Phase publication-title: Diagnostics (Basel) doi: 10.3390/diagnostics11111989 contributor: fullname: Praël – ident: 10.1016/j.ejrad.2023.111078_b0010 – volume: 43 start-page: 4877 issue: 8Part1 year: 2016 ident: 10.1016/j.ejrad.2023.111078_b0160 article-title: Image quality comparison between single energy and dual energy CT protocols for hepatic imaging publication-title: Med. Phys. doi: 10.1118/1.4959554 contributor: fullname: Yao – volume: 9 start-page: 195 issue: 1 year: 2023 ident: 10.1016/j.ejrad.2023.111078_b0125 article-title: Pros and Cons of Dual-Energy CT Systems: “One Does Not Fit All” publication-title: Tomography doi: 10.3390/tomography9010017 contributor: fullname: Borges – volume: 63 start-page: 328 issue: 3 year: 2022 ident: 10.1016/j.ejrad.2023.111078_b0085 article-title: Development and evaluation of a computer-based decision support system for diffuse lung diseases at high-resolution computed tomography publication-title: Acta Radiologica doi: 10.1177/0284185121995799 contributor: fullname: Martin – volume: 23 start-page: 293 issue: 4 year: 2017 ident: 10.1016/j.ejrad.2023.111078_b0025 article-title: High-pitch dual-source CT angiography without ECG-gating for imaging the whole aorta: intraindividual comparison with standard pitch single-source technique without ECG gating publication-title: Diagn. Interv. Radiol. doi: 10.5152/dir.2017.16617 contributor: fullname: Manna – volume: 32 start-page: 7700 issue: 11 year: 2022 ident: 10.1016/j.ejrad.2023.111078_b0165 article-title: Image quality comparison of single-energy and dual-energy computed tomography for head and neck patients: a prospective randomized study publication-title: Eur. Radiol. doi: 10.1007/s00330-022-08689-4 contributor: fullname: Bedernik – volume: 55 start-page: 673 issue: 10 year: 2020 ident: 10.1016/j.ejrad.2023.111078_b0105 article-title: Tailoring Contrast Media Protocols to Varying Tube Voltages in Vascular and Parenchymal CT Imaging: The 10-to-10 Rule publication-title: Invest. Radiol. doi: 10.1097/RLI.0000000000000682 contributor: fullname: Martens – volume: 193 start-page: 437 issue: 4 year: 2021 ident: 10.1016/j.ejrad.2023.111078_b0170 article-title: Personalized computed tomography - Automated estimation of height and weight of a simulated digital twin using a 3D camera and artificial intelligence publication-title: Rofo doi: 10.1055/a-1253-8558 contributor: fullname: Geissler – volume: 89 start-page: 20150993 issue: 1063 year: 2016 ident: 10.1016/j.ejrad.2023.111078_b0190 article-title: Visual grading evaluation of commercially available metal artefact reduction techniques in hip prosthesis computed tomography publication-title: Br. J. Radiol. doi: 10.1259/bjr.20150993 contributor: fullname: Andersson – volume: 59 start-page: 845 issue: 7 year: 2018 ident: 10.1016/j.ejrad.2023.111078_b0055 article-title: Evaluation of image quality and radiation dose of abdominal dual-energy CT publication-title: Acta Radiologica doi: 10.1177/0284185117732806 contributor: fullname: Schmidt – volume: 90 start-page: 20160778 issue: 1079 year: 2017 ident: 10.1016/j.ejrad.2023.111078_b0060 article-title: Iterative metal artefact reduction (MAR) in postsurgical chest CT: comparison of three iMAR-algorithms publication-title: Br. J. Radiol. doi: 10.1259/bjr.20160778 contributor: fullname: Aissa – volume: 198 start-page: 840 issue: 4 year: 2012 ident: 10.1016/j.ejrad.2023.111078_b0130 article-title: Characterization of adrenal nodules with dual-energy CT: can virtual unenhanced attenuation values replace true unenhanced attenuation values? publication-title: AJR. American Journal of Roentgenology doi: 10.2214/AJR.11.7316 contributor: fullname: Ho – volume: 93 start-page: 20200340 issue: 1113 year: 2020 ident: 10.1016/j.ejrad.2023.111078_b0180 article-title: Virtual monoenergetic images preserve diagnostic assessability in contrast media reduced abdominal spectral detector CT publication-title: Br. J. Radiol. doi: 10.1259/bjr.20200340 contributor: fullname: Lennartz – volume: 3 start-page: 17 year: 2020 ident: 10.1016/j.ejrad.2023.111078_b0075 article-title: An overview of clinical decision support systems: benefits, risks, and strategies for success publication-title: NPJ Digit Med doi: 10.1038/s41746-020-0221-y contributor: fullname: Sutton – volume: 51 start-page: 491 issue: 8 year: 2016 ident: 10.1016/j.ejrad.2023.111078_b0175 article-title: Initial Results of a Single-Source Dual-Energy Computed Tomography Technique Using a Split-Filter: Assessment of Image Quality publication-title: Radiation Dose, and Accuracy of Dual-Energy Applications in an In Vitro and In Vivo Study, Invest Radiol contributor: fullname: Euler – volume: 52 start-page: 1101 issue: 10 year: 2011 ident: 10.1016/j.ejrad.2023.111078_b0015 article-title: Comparison of image quality and radiation dose between combined automatic tube current modulation and fixed tube current technique in CT of abdomen and pelvis publication-title: Acta Radiologica doi: 10.1258/ar.2011.100295 contributor: fullname: Lee – volume: 310 start-page: 2191 issue: 20 year: 2013 ident: 10.1016/j.ejrad.2023.111078_b0095 article-title: ethical principles for medical research involving human subjects publication-title: J. Am. Med. Assoc. doi: 10.1001/jama.2013.281053 contributor: fullname: World Medical Association Declaration of Helsinki – volume: 214 start-page: 1199 issue: 6 year: 2020 ident: 10.1016/j.ejrad.2023.111078_b0185 article-title: Reducing Radiation Dose and Contrast Medium Volume With Application of Dual-Energy CT in Children and Young Adults publication-title: AJR. American Journal of Roentgenology doi: 10.2214/AJR.19.22231 contributor: fullname: Tabari |
SSID | ssj0005492 |
Score | 2.442203 |
Snippet | OBJECTIVESThis study evaluates the impact of a scanner-integrated, customized clinical decision support system (CDSS) on the acquisition technique, scan range,... |
SourceID | proquest crossref |
SourceType | Aggregation Database |
StartPage | 111078 |
Title | Personalization of thoracoabdominal CT examinations using scanner integrated clinical decision support systems – Impact on the acquisition technique, scan range, and reconstruction type |
URI | https://search.proquest.com/docview/2863297068 |
Volume | 167 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3LattAFB3cFEo3oU-avriF7mQJefQYaVlMQmiTtAu5eCc00ojaBMm1LQhZ9L-66q_1zkOvpIW0GyFka4x1DjP3XJ17h5D3Uc5nPvO57Zahb_vCo3acSTMVD6nwBS1cJguczy_C04X_cRksJ5NfA9dSs-dOfv3HupL_QRWvIa6ySvYfkO0GxQt4jvjiERHG450w_tJG0tdd4Lf_hpjmdcaLWm_XNU8scZXJc-15a1RyYIdPtBLbvltE0ddIFmbbHWvXbGR0bro97yxb9hJWNZXaG5nl35uV9nxZXS9YiZkc3drKsoXWHKp0d9erViV-__pOwMTH26xYjXL-uhpep7FRk3fryad6s2nLjppOInxFgku5r1MPAx-UzJKL1aVKZ5rb2vbjJvtBex8dLl56xo6YkghsNKXrLT7MpDyTGjcaLPH9hVsLiM5lrB2xxn_pyF90hrcP23VffE5PFmdnaXK8TO6R-5TFgfSUOj8GHiM_pm2rK2UqvDXsOBwaRwMqxEkekUOjTeCDJtpjMhHVE_Lg3LgvnpKfN_gGdQk3-QbzBIZ8A8U3MHyDnm_Q8g1avoHhGxi-gQ2ab4CfId9gwDfo-DZVY4Ni2xSQazDmGkiuPSOLk-NkfmqbrT_s3PNme3tWioyjOIhZ6ZcxioQiDlGKhKFbZiX1g5x6IkAx4GF4KpgrOD5RVmRi5olCiJx5z8lBVVfiBQEaUhaWQR7nKL59XmS8lEkELrtURbkojsi0RSDd6A4vaWt9XKcKsFQClmrAjsi7FqUUZ2L5ei2rRN3sUhqFHo2ZG0Yv7_CdV-Rhz-fX5ACfiniD8e2ev1Uc-g1mBLWc |
link.rule.ids | 315,786,790,27955,27956 |
linkProvider | Elsevier |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Personalization+of+thoracoabdominal+CT+examinations+using+scanner+integrated+clinical+decision+support+systems+-+Impact+on+the+acquisition+technique%2C+scan+range%2C+and+reconstruction+type&rft.jtitle=European+journal+of+radiology&rft.au=Daniel%2C+Sascha&rft.au=Kopp%2C+Markus&rft.au=Vollbrecht%2C+Thomas&rft.au=Zeilinger%2C+Martin&rft.date=2023-10-01&rft.eissn=1872-7727&rft.volume=167&rft.spage=111078&rft.epage=111078&rft_id=info:doi/10.1016%2Fj.ejrad.2023.111078&rft.externalDBID=NO_FULL_TEXT |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0720-048X&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0720-048X&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0720-048X&client=summon |