scholarly journals Cumulative radiation dose from multiple CT examinations: stronger justification, fewer repeats, or dose reduction technology needed?

2020 ◽  
Vol 30 (4) ◽  
pp. 1837-1838 ◽  
Author(s):  
Denis Remedios
Keyword(s):  
Radiation Dose ◽  
Dose Reduction ◽  
Cumulative Radiation Dose

Radiation Minimisation and Outcome Maximisation in Cardiac Computed Tomograpy

2010 ◽  
Vol 6 (1) ◽  
pp. 15
Author(s):  
James P Earls ◽  
Jonathon A Leipsic ◽  
◽  
Keyword(s):  
Radiation Dose ◽  
Dose Reduction ◽  
New Technologies ◽  
Cardiac Computed Tomography ◽  
Substantial Reduction ◽  
Radiation Doses ◽  
Tube Current ◽  
Prospective Triggering ◽  
Effective Radiation ◽  
Selection Of

Recent reports have raised general awareness that cardiac computed tomography (CT) has the potential for relatively high effective radiation doses. While the actual amount of risk this poses to the patient is controversial, the increasing concern has led to a great deal of research on new CT techniques capable of imaging the heart at substantially lower radiation doses than was available only a few years ago. Methods of dose reduction include optimised selection of user-defined parameters, such as tube current and voltage, as well as use of new technologies, such as prospective triggering and iterative reconstruction. These techniques have each been shown to lead to substantial reduction in radiation dose without loss of diagnostic accuracy. This article will review the most frequently used and widely available methods for radiation dose reduction in cardiac CT and give practical advice on their use and limitations.

scholarly journals Radiation Dose Reduction in the Invasive Cardiovascular Laboratory

2012 ◽  
Vol 5 (8) ◽  
pp. 866-873 ◽  
Author(s):  
Kenneth A. Fetterly ◽  
Verghese Mathew ◽  
Ryan Lennon ◽  
Malcolm R. Bell ◽  
David R. Holmes ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Dose Reduction ◽  
Radiation Dose Reduction

scholarly journals Effects of exposure to low-dose ionizing radiation on changing platelets: a prospective cohort study

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Ning Liu ◽  
Yang Peng ◽  
Xinguang Zhong ◽  
Zheng Ma ◽  
Suiping He ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Ionizing Radiation ◽  
Dose Response ◽  
Low Dose ◽  
Linear Trend ◽  
Hematological Parameters ◽  
Response Relationship ◽  
Dose Response Relationship ◽  
Spline Models ◽  
Cumulative Radiation Dose

Abstract Background Numerous studies have concentrated on high-dose radiation exposed accidentally or through therapy, and few involve low-dose occupational exposure, to investigate the correlation between low-dose ionizing radiation and changing hematological parameters among medical workers. Methods Using a prospective cohort study design, we collected health examination reports and personal dose monitoring data from medical workers and used Poisson regression and restricted cubic spline models to assess the correlation between changing hematological parameters and cumulative radiation dose and determine the dose-response relationship. Results We observed that changing platelet of 1265 medical workers followed up was statistically different among the cumulative dose groups (P = 0.010). Although the linear trend tested was not statistically significant (Ptrend = 0.258), the non-linear trend tested was statistically significant (Pnon-linear = 0.007). Overall, there was a correlation between changing platelets and cumulative radiation dose (a change of βa 0.008 × 109/L during biennially after adjusting for gender, age at baseline, service at baseline, occupation, medical level, and smoking habits; 95% confidence interval [CI] = 0.003,0.014 × 109/L). Moreover, we also found positive first and then negative dose-response relationships between cumulative radiation dose and changing platelets by restricted cubic spline models, while there were negative patterns of the baseline service not less than 10 years (− 0.015 × 109/L, 95% CI = − 0.024, − 0.007 × 109/L) and radiation nurses(− 0.033 × 109/L, 95% CI = − 0.049, − 0.016 × 109/L). Conclusion We concluded that although the exposure dose was below the limit, medical workers exposed to low-dose ionizing radiation for a short period of time might have increased first and then decreased platelets, and there was a dose-response relationship between the cumulative radiation dose and platelets changing.

Radiation dose reduction with the wide-volume scan mode for interstitial lung diseases

2021 ◽  
Author(s):  
Alain Abdo ◽  
Elige Karam ◽  
Théophraste Henry ◽  
Sébastien Leygnac ◽  
Karim Haioun ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Dose Reduction ◽  
Lung Diseases ◽  
Interstitial Lung Diseases ◽  
Radiation Dose Reduction

scholarly journals Simulated Radiation Dose Reduction in Whole-Body CT on a 3rd Generation Dual-Source Scanner: An Intraindividual Comparison

Diagnostics ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 118
Author(s):  
Andreas S. Brendlin ◽  
Moritz T. Winkelmann ◽  
Phuong Linh Do ◽  
Vincent Schwarze ◽  
Felix Peisen ◽  
...  
Keyword(s):  
Image Quality ◽  
Radiation Dose ◽  
Dose Reduction ◽  
Whole Body ◽  
Reference Standard ◽  
Diagnostic Confidence ◽  
Effective Radiation Dose ◽  
Intraindividual Comparison ◽  
Dual Source ◽  
Effective Radiation

To evaluate the effect of radiation dose reduction on image quality and diagnostic confidence in contrast-enhanced whole-body computed tomography (WBCT) staging. We randomly selected March 2016 for retrospective inclusion of 18 consecutive patients (14 female, 60 ± 15 years) with clinically indicated WBCT staging on the same 3rd generation dual-source CT. Using low-dose simulations, we created data sets with 100, 80, 60, 40, and 20% of the original radiation dose. Each set was reconstructed using filtered back projection (FBP) and Advanced Modeled Iterative Reconstruction (ADMIRE®, Siemens Healthineers, Forchheim, Germany) strength 1–5, resulting in 540 datasets total. ADMIRE 2 was the reference standard for intraindividual comparison. The effective radiation dose was calculated using commercially available software. For comparison of objective image quality, noise assessments of subcutaneous adipose tissue regions were performed automatically using the software. Three radiologists blinded to the study evaluated image quality and diagnostic confidence independently on an equidistant 5-point Likert scale (1 = poor to 5 = excellent). At 100%, the effective radiation dose in our population was 13.3 ± 9.1 mSv. At 20% radiation dose, it was possible to obtain comparably low noise levels when using ADMIRE 5 (p = 1.000, r = 0.29). We identified ADMIRE 3 at 40% radiation dose (5.3 ± 3.6 mSv) as the lowest achievable radiation dose with image quality and diagnostic confidence equal to our reference standard (p = 1.000, r > 0.4). The inter-rater agreement for this result was almost perfect (ICC ≥ 0.958, 95% CI 0.909–0.983). On a 3rd generation scanner, it is feasible to maintain good subjective image quality, diagnostic confidence, and image noise in single-energy WBCT staging at dose levels as low as 40% of the original dose (5.3 ± 3.6 mSv), when using ADMIRE 3.

scholarly journals A Radiation Dose Reduction Technology to Improve Patient Safety During Cardiac Catheterization Interventions

2015 ◽  
Vol 28 (5) ◽  
pp. 493-497 ◽  
Author(s):  
John A. Bracken ◽  
Maria Mauti ◽  
Michael S. Kim ◽  
John C. Messenger ◽  
John D. Carroll
Keyword(s):  
Patient Safety ◽  
Radiation Dose ◽  
Dose Reduction ◽  
Cardiac Catheterization ◽  
Improve Patient Safety ◽  
Radiation Dose Reduction ◽  
Improve Patient
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