Åse A Johnsson1, Jenny Vikgren2, Magnus Båth3. 1. Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Radiology, Institute of Clinical Sciences, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. Electronic address: ase.johnsson@vgregion.se. 2. Department of Radiology, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Radiology, Institute of Clinical Sciences, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. 3. Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Radiation Physics, Institute of Clinical Sciences, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Abstract
RATIONALE AND OBJECTIVES: To investigate potential benefits and drawbacks of the clinical use of chest tomosynthesis (CTS), to what extent CTS obviates the need for chest computed tomography (CT), and what reduction in radiation dose thereby can be achieved. MATERIALS AND METHODS: The Regional Ethical Review Board approved the follow-up study of patients examined with CTS as part of clinical routine. For each case, two radiologists in consensus determined whether CT would have been performed, had CTS not been an option, and whether CTS was an adequate examination. Thereafter, it was determined whether the use of CTS instead of CT in retrospect was beneficial, neutral, or detrimental for the radiological work-up. The radiation dose to the patient population was determined both for the actual clinical situation and for the alternative scenario that would result, had CTS not been available. RESULTS: During 1 month 3.5 years before the survey, 149 patients (74 women, age 18-91 years) had undergone CTS for clinical purposes. It was judged that CT would have been performed in 100 cases, had CTS not been available, and that CTS obviated the need for CT in 80 cases. CTS was judged as beneficial, neutral, and detrimental for the radiological work-up in 85, 13, and two cases, respectively. For the entire study population, the use of CTS decreased the average effective dose from 2.7 to 0.7 mSv. CONCLUSIONS: The present study indicates that CTS may have benefits for the radiological work-up as it has the potential to both optimize the use of CT resources and reduce the effective dose to the patient population. A drawback is that CTS examinations may fail to reveal pathology visible with CT and in clinically doubtful cases further investigations including other imaging procedures should be considered.
RATIONALE AND OBJECTIVES: To investigate potential benefits and drawbacks of the clinical use of chest tomosynthesis (CTS), to what extent CTS obviates the need for chest computed tomography (CT), and what reduction in radiation dose thereby can be achieved. MATERIALS AND METHODS: The Regional Ethical Review Board approved the follow-up study of patients examined with CTS as part of clinical routine. For each case, two radiologists in consensus determined whether CT would have been performed, had CTS not been an option, and whether CTS was an adequate examination. Thereafter, it was determined whether the use of CTS instead of CT in retrospect was beneficial, neutral, or detrimental for the radiological work-up. The radiation dose to the patient population was determined both for the actual clinical situation and for the alternative scenario that would result, had CTS not been available. RESULTS: During 1 month 3.5 years before the survey, 149 patients (74 women, age 18-91 years) had undergone CTS for clinical purposes. It was judged that CT would have been performed in 100 cases, had CTS not been available, and that CTS obviated the need for CT in 80 cases. CTS was judged as beneficial, neutral, and detrimental for the radiological work-up in 85, 13, and two cases, respectively. For the entire study population, the use of CTS decreased the average effective dose from 2.7 to 0.7 mSv. CONCLUSIONS: The present study indicates that CTS may have benefits for the radiological work-up as it has the potential to both optimize the use of CT resources and reduce the effective dose to the patient population. A drawback is that CTS examinations may fail to reveal pathology visible with CT and in clinically doubtful cases further investigations including other imaging procedures should be considered.
Authors: Elias Taylor Gunnell; Dora K Franceschi; Christina R Inscoe; Allison Hartman; Jennifer L Goralski; Agathe Ceppe; Brian Handly; Cassandra Sams; Lynn Ansley Fordham; Jianping Lu; Otto Zhou; Yueh Z Lee Journal: Eur Radiol Date: 2018-09-25 Impact factor: 5.315
Authors: Allen Cole Burks; Jason Akulian; Christina R MacRosty; Sohini Ghosh; Adam Belanger; Muthu Sakthivel; Thad S Benefield; Christina R Inscoe; Otto Zhou; Jianping Lu; Yueh Z Lee Journal: J Thorac Dis Date: 2022-02 Impact factor: 2.895