RSS-Feed abonnieren

DOI: 10.4103/0971-3026.63036
Radiation doses during chest examinations using dose modulation techniques in multislice CT scanner

Abstract
Objective: To evaluate the radiation dose and image quality using a manual protocol and dose modulation techniques in a 6-slice CT scanner. Materials and Methods: Two hundred and twenty-one patients who underwent contrast-enhanced CT of the chest were included in the study. For the manual protocol settings, constant tube potential (kV) and tube current-time product (mAs) of 140 kV and 120 mAs, respectively, were used. The angular and z-axis dose modulation techniques utilized a constant tube potential of 140 kV; mAs values were automatically selected by the machine. Effective doses were calculated using dose-length product (DLP) values and the image quality was assessed using the signal-to-noise (SNR) ratio values. Results: Mean effective doses using manual protocol for patients of weights 40-60 kg, 61-80 kg, and 81 kg and above were 8.58 mSv, 8.54 mSv, and 9.07 mSv, respectively. Mean effective doses using z-axis dose modulation for patients of weights 40-60 kg, 61-80 kg, and 81 kg and above were 4.95 mSv, 6.87 mSv, and 10.24 mSv, respectively. The SNR at the region of the liver for patients of body weight of 40-60 kg was 5.1 H, 6.2 H, and 8.8 H for manual, angular, and z-axis dose modulation, respectively. Conclusion: Dose reduction of up to 15% was achieved using angular dose modulation and of up to 42% using z-axis dose modulation, with acceptable diagnostic image quality compared to the manual protocol.
Publikationsverlauf
Artikel online veröffentlicht:
02. August 2021
© 2010. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Brenner DJ, Hall EJ. Computed tomography-an increasing source of radiation exposure. N Engl J Med 2007;357:2277-784.
- 2 Zhu X, Yu J, Huang Z. Low dose chest CT: optimizing radiation protection for patients. AJR Am J Roentgenol 2004;183:809-16.
- 3 Huda W, Scalzetti EM, Roskopf M. Effective doses to patients undergoing thoracic computed tomography examinations. Med Phys 2000;27:838-44.
- 4 McCollough HC, Bruesewitz MR, Kofler JM Jr. CT Dose reduction and dose management tools: overview of available options. Radiographics 2006;26:503-12.
- 5 Kalra MK, Maher MM, Toth TL, Hamberg LM, Blake MA, Jo-Anne S, et al. Strategies for CT radiation dose optimization. Radiology 2004;230:619-28.
- 6 Michael F. McNitt-Gray. AAPM/RSNA physics tutorial for residents: topics in CT. Radiation Dose in CT. Radiographics 2002;22:1541-53.
- 7 Kalra MK, Rizzo S, Maher MM, Halpern EF, Toth TL, Jo Anne S, et al. Chest CT performed with Z-axis modulation: Scanning protocol and radiation dose. Radology 2005;237:303-8.
- 8 Rizzo S, Kalra MK, Schmidt B, Schmidt B, Tejas D, Suess CT, et al. Comparison of angular and combined automatic tube current modulation technique with constant tube current CT of the abdomen and pelvis. AJR Am J Roentgenol 2006;186:673-9.
- 9 European Commission. European guidelines on quality criteria for computed tomography. Brussels, Belgium. Report EUR 16262 EN, 1999.
- 10 Huda W, Nickoloff EL, Boone JM. Overview of patient Dosimetry in diagnostic radiology in the USA for the past 50 years. Med Phys 2008;35:5713-28.
- 11 Prasad SR, Wittram C, Jo Anne S, McLoud T, Rhea J. Standard-dose and 50%-reduced-dose chest CT: comparing the effect on image quality. AJR Am J Roentgenol 2002;179:461-5.
- 12 Mayo JR, Aldrich J, Muller NL. Radiation exposure at chest CT: a statement of the fleischner society. Radiology 2003;228:15-21.
- 13 Huda W, Scalzetti EM, Levin G. Technique factors and image quality as functions of patient weight at abdominal CT. Radiology 2000;217:430-5.
- 14 Greess H, Lutze J, Nomayr A, Wolf H, Hothorn T, Kalender WA, et al. Dose reduction in sub second mulislice spiral CT examination of children by online tube current modulation. Eur Radiol 2004;14:995-9.
- 15 Tack D, Maertelaer VD and Gevenois AP. Dose reduction in multidetector CT using attenuation - based online tube current modulation. AJR Am J Roentgenol 2003;181:331-4.
- 16 Greess H, Wolf H, Baum U, Lell M, Pirkl M, Kalender W, et al. Dose reduction in computed tomography by attenuation-based on-line modulation of the tube current: evaluation of six anatomical regions. Eur Radiol 2000;10:391-4.