Literature DB >> 16837668

Dose reduction in CT while maintaining diagnostic confidence: diagnostic reference levels at routine head, chest, and abdominal CT--IAEA-coordinated research project.

Virginia Tsapaki1, John E Aldrich, Raju Sharma, Maria Anna Staniszewska, Anchali Krisanachinda, Madan Rehani, Alan Hufton, Chariklia Triantopoulou, Petros N Maniatis, John Papailiou, Mathias Prokop.   

Abstract

PURPOSE: To measure radiation doses for computed tomography (CT) of the head, chest, and abdomen and compare them with the diagnostic reference levels, as part of the International Atomic Energy Agency Research coordination project.
MATERIALS AND METHODS: The local ethics committees of all participating institutions approved the study protocol. Written informed consent was obtained from all patients. All scanners were helical single-section or multi-detector row CT systems. Six hundred thirty-three patients undergoing head (n = 97), chest (n = 243), or abdominal (n = 293) CT were included. Collected data included patient height, weight, sex, and age; tube voltage and tube current-time product settings; pitch; section thickness; number of sections; weighted or volumetric CT dose index; and dose-length product (DLP). The effective dose was also estimated and served as collective dose estimation data.
RESULTS: Mean volumetric CT dose index and DLP values were below the European diagnostic reference levels: 39 mGy and 544 mGy . cm, respectively, at head CT; 9.3 mGy and 348 mGy . cm, respectively, at chest CT; and 10.4 mGy and 549 mGy . cm, respectively, at abdominal CT. Estimated effective doses were 1.2, 5.9, and 8.2 mSv, respectively.
CONCLUSION: Comparison of CT results with diagnostic reference levels revealed the need for revisions, partly because the newer scanners have improved technology that facilitates lower patient doses. (c) RSNA, 2006.

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Year:  2006        PMID: 16837668     DOI: 10.1148/radiol.2403050993

Source DB:  PubMed          Journal:  Radiology        ISSN: 0033-8419            Impact factor:   11.105


  27 in total

1.  Iterative reconstruction in head CT: image quality of routine and low-dose protocols in comparison with standard filtered back-projection.

Authors:  A Korn; M Fenchel; B Bender; S Danz; T K Hauser; D Ketelsen; T Flohr; C D Claussen; M Heuschmid; U Ernemann; H Brodoefel
Journal:  AJNR Am J Neuroradiol       Date:  2011-10-27       Impact factor: 3.825

2.  Chest computed tomography using iterative reconstruction vs filtered back projection (Part 2): image quality of low-dose CT examinations in 80 patients.

Authors:  François Pontana; Alain Duhamel; Julien Pagniez; Thomas Flohr; Jean-Baptiste Faivre; Anne-Lise Hachulla; Jacques Remy; Martine Remy-Jardin
Journal:  Eur Radiol       Date:  2010-11-16       Impact factor: 5.315

3.  Multidetector CT radiation dose optimisation in adults: short- and long-term effects of a clinical audit.

Authors:  Denis Tack; Andreas Jahnen; Sarah Kohler; Nico Harpes; Viviane De Maertelaer; Carlo Back; Pierre Alain Gevenois
Journal:  Eur Radiol       Date:  2013-08-29       Impact factor: 5.315

4.  Low-dose helical computed tomography (CT) in the perioperative workup of adolescent idiopathic scoliosis.

Authors:  Kasim Abul-Kasim; Angelica Overgaard; Pavel Maly; Acke Ohlin; Mikael Gunnarsson; Pia C Sundgren
Journal:  Eur Radiol       Date:  2008-09-23       Impact factor: 5.315

5.  Diagnostic CT radiation and cancer induction.

Authors:  Paula J Richards; Jennifer George
Journal:  Skeletal Radiol       Date:  2010-05       Impact factor: 2.199

6.  Soft-tissue imaging with C-arm cone-beam CT using statistical reconstruction.

Authors:  Adam S Wang; J Webster Stayman; Yoshito Otake; Gerhard Kleinszig; Sebastian Vogt; Gary L Gallia; A Jay Khanna; Jeffrey H Siewerdsen
Journal:  Phys Med Biol       Date:  2014-02-07       Impact factor: 3.609

7.  Can a revised paediatric radiation dose reduction CT protocol be applied and still maintain anatomical delineation, diagnostic confidence and overall imaging quality?

Authors:  S Kritsaneepaiboon; P Siriwanarangsun; P Tanaanantarak; A Krisanachinda
Journal:  Br J Radiol       Date:  2014-06-24       Impact factor: 3.039

8.  Dual energy CT allows for improved characterization of response to antiangiogenic treatment in patients with metastatic renal cell cancer.

Authors:  K Hellbach; A Sterzik; W Sommer; M Karpitschka; N Hummel; J Casuscelli; M Ingrisch; M Schlemmer; A Graser; Michael Staehler
Journal:  Eur Radiol       Date:  2016-09-27       Impact factor: 5.315

9.  Soft-Tissue Imaging in Low-Dose, C-Arm Cone-Beam CT Using Statistical Image Reconstruction.

Authors:  Adam S Wang; Sebastian Schafer; J Webster Stayman; Yoshito Otake; Marc S Sussman; A Jay Khanna; Gary L Gallia; Jeffrey H Siewerdsen
Journal:  Proc SPIE Int Soc Opt Eng       Date:  2013-03-19

10.  Comparison of radiation doses using weight-based protocol and dose modulation techniques for patients undergoing biphasic abdominal computed tomography examinations.

Authors:  Roshan S Livingstone; Paul M Dinakaran; Rekha S Cherian; Anu Eapen
Journal:  J Med Phys       Date:  2009-10
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