Comparison of Image Quality and Radiation Dose between High-Pitch Mode and Low-Pitch Mode Spiral Chest CT in Small Uncooperative Children: The Effect of Respiratory Rate

2015 ◽  
Vol 26 (4) ◽  
pp. 1149-1158 ◽  
Author(s):  
Seong Ho Kim ◽  
Young Hun Choi ◽  
Hyun-Hae Cho ◽  
So Mi Lee ◽  
Su-Mi Shin ◽  
...  
Keyword(s):  
Image Quality ◽  
Radiation Dose ◽  
Respiratory Rate ◽  
Chest Ct ◽  
High Pitch ◽  
Pitch Mode

scholarly journals Radiation Dose Optimization in Pediatric Chest CT: Major Indicators of Dose Exposure in 1695 CT Scans over Seven Years

2018 ◽  
Vol 190 (12) ◽  
pp. 1131-1140 ◽  
Author(s):  
Michael Esser ◽  
Sabine Hess ◽  
Matthias Teufel ◽  
Mareen Kraus ◽  
Sven Schneeweiß ◽  
...  
Keyword(s):  
Image Quality ◽  
Radiation Dose ◽  
Low Dose ◽  
Chest Ct ◽  
Dose Optimization ◽  
High Dose ◽  
High Pitch ◽  
Pediatric Chest ◽  
Radiation Dose Optimization

Purpose To analyze possible influencing factors on radiation exposure in pediatric chest CT using different approaches for radiation dose optimization and to determine major indicators for dose development. Materials and Methods In this retrospective study at a clinic with maximum care facilities including pediatric radiology, 1695 chest CT examinations in 768 patients (median age: 10 years; range: 2 days to 17.9 years) were analyzed. Volume CT dose indices, effective dose, size-specific dose estimate, automatic dose modulation (AEC), and high-pitch protocols (pitch ≥ 3.0) were evaluated by univariate analysis. The image quality of low-dose examinations was compared to higher dose protocols by non-inferiority testing. Results Median dose-specific values annually decreased by an average of 12 %. High-pitch mode (n = 414) resulted in lower dose parameters (p < 0.001). In unenhanced CT, AEC delivered higher dose values compared to scans with fixed parameters (p < 0.001). In contrast-enhanced CT, the use of AEC yielded a significantly lower radiation dose only in patients older than 16 years (p = 0.04). In the age group 6 to 15 years, the values were higher (p < 0.001). The diagnostic image quality of low-dose scans was non-inferior to high-dose scans (2.18 vs. 2.14). Conclusion Radiation dose of chest CT was reduced without loss of image quality in the last decade. High-pitch scanning was an independent factor in this context. Dose reduction by AEC was limited and only relevant for patients over 16 years. Key Points Citation Format

scholarly journals Evaluation of Radiation Dose and Image Quality using High-Pitch 70-kV Chest CT in Immunosuppressed Patients

2018 ◽  
Vol 191 (02) ◽  
pp. 122-129 ◽  
Author(s):  
Ibrahim Yel ◽  
Simon Martin ◽  
Julian Wichmann ◽  
Lukas Lenga ◽  
Moritz Albrecht ◽  
...  
Keyword(s):  
Image Quality ◽  
Radiation Dose ◽  
Image Data ◽  
Ct Imaging ◽  
Chest Ct ◽  
Control Group ◽  
High Pitch ◽  
Dose Length Product ◽  
Subjective Image Quality ◽  
Immunosuppressed Patients

Purpose The aim of the study was to evaluate high-pitch 70-kV CT examinations of the thorax in immunosuppressed patients regarding radiation dose and image quality in comparison with 120-kV acquisition. Materials and Methods The image data from 40 patients (14 women and 26 men; mean age: 40.9 ± 15.4 years) who received high-pitch 70-kV CT chest examinations were retrospectively included in this study. A control group (n = 40), matched by age, gender, BMI, and clinical inclusion criteria, had undergone standard 120-kV chest CT imaging. All CT scans were performed on a third-generation dual-source CT unit. For an evaluation of the radiation dose, the CT dose index (CTDIvol), dose-length product (DLP), effective dose (ED), and size-specific dose estimates (SSDE) were analyzed in each group. The objective image quality was evaluated using signal-to-noise (SNR) and contrast-to-noise ratios (CNR). Three blinded and independent radiologists evaluated subjective image quality and diagnostic confidence using 5-point Likert scales. Results The mean dose parameters were significantly lower for high-pitch 70-kV CT examinations (CTDIvol, 2.9 ± 0.9 mGy; DLP, 99.9 ± 31.0 mGyxcm; ED, 1.5 ± 0.6 mSv; SSDE, 3.8 ± 1.2 mGy) compared to standard 120-kV CT imaging (CTDIvol, 8.8 ± 3.7mGy; DLP, 296.6 ± 119.3 mGyxcm; ED, 4.4 ± 2.1 mSv; SSDE, 11.6 ± 4.4 mGy) (P≤ 0.001). The objective image parameters (SNR: 7.8 ± 2.1 vs. 8.4 ± 1.8; CNR: 7.7 ± 2.4 vs. 8.3 ± 2.8) (P≥ 0.065) and the cumulative subjective image quality (4.5 ± 0.4 vs. 4.7 ± 0.3) (p = 0.052) showed no significant differences between the two protocols. Conclusion High-pitch 70-kV thoracic CT examinations in immunosuppressed patients resulted in a significantly reduced radiation exposure compared to standard 120-kV CT acquisition without a decrease in image quality. Key Points:  Citation Format

scholarly journals Image Quality and Radiation Dose of Lower Extremity CT Angiography in 128 Slice Dual-Source CT: Comparison of High Pitch and Low Pitch

2014 ◽  
Vol 71 (3) ◽  
pp. 120 ◽  
Author(s):  
Jung Hwan Park ◽  
Ki Seok Choo ◽  
Ung Bae Jeon ◽  
Seung Kug Baik ◽  
Yong Woo Kim ◽  
...  
Keyword(s):  
Image Quality ◽  
Radiation Dose ◽  
Lower Extremity ◽  
Ct Angiography ◽  
Dual Source Ct ◽  
High Pitch ◽  
Dual Source

scholarly journals Radiation dose and image quality of high-pitch emergency abdominal CT in obese patients using third-generation dual-source CT (DSCT)

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Robert Forbrig ◽  
Michael Ingrisch ◽  
Robert Stahl ◽  
Katharina Stella Winter ◽  
Maximilian Reiser ◽  
...  
Keyword(s):  
Image Quality ◽  
Radiation Dose ◽  
Third Generation ◽  
Obese Patients ◽  
Dual Source Ct ◽  
High Pitch ◽  
Subjective Image Quality ◽  
Dual Source ◽  
Group A

Abstract In this third-generation dual-source CT (DSCT) study, we retrospectively investigated radiation dose and image quality of portal-venous high-pitch emergency CT in 60 patients (28 female, mean age 56 years) with a body mass index (BMI) ≥ 30 kg/m2. Patients were dichotomized in groups A (median BMI 31.5 kg/m2; n = 33) and B (36.8 kg/m2; n = 27). Volumetric CT dose index (CTDIvol), size-specific dose estimate (SSDE), dose length product (DLP) and effective dose (ED) were assessed. Contrast-to-noise ratio (CNR) and dose-independent figure-of-merit (FOM) CNR were calculated. Subjective image quality was assessed using a five-point scale. Mean values of CTDIvol, SSDE as well as normalized DLP and ED were 7.6 ± 1.8 mGy, 8.0 ± 1.8 mGy, 304 ± 74 mGy * cm and 5.2 ± 1.3 mSv for group A, and 12.6 ± 3.7 mGy, 11.0 ± 2.6 mGy, 521 ± 157 mGy * cm and 8.9 ± 2.7 mSv for group B (p < 0.001). CNR of the liver and spleen as well as each calculated FOM CNR were significantly higher in group A (p < 0.001). Subjective image quality was good in both groups. In conclusion, third-generation abdominal high-pitch emergency DSCT yields good image quality in obese patients. Radiation dose increases in patients with a BMI > 36.8 kg/m2.

Radiation Dose and Image Quality at High-Pitch CT Angiography of the Aorta: Intraindividual and Interindividual Comparisons With Conventional CT Angiography

2012 ◽  
Vol 199 (6) ◽  
pp. 1402-1409 ◽  
Author(s):  
Paul Apfaltrer ◽  
E. Lexworth Hanna ◽  
U. Joseph Schoepf ◽  
J. Reid Spears ◽  
Stefan O. Schoenberg ◽  
...  
Keyword(s):  
Image Quality ◽  
Radiation Dose ◽  
Ct Angiography ◽  
High Pitch ◽  
Conventional Ct
Sign in / Sign up

Export Citation Format

Share Document