Reducing Radiation Dose in Body CT: A Primer on Dose Metrics and Key CT Technical Parameters

2013 ◽  
Vol 200 (4) ◽  
pp. 741-747 ◽  
Author(s):  
Pierre D. Maldjian ◽  
Alice R. Goldman
2015 ◽  
Vol 88 (1047) ◽  
pp. 20140616 ◽  
Author(s):  
S Gordic ◽  
H Alkadhi ◽  
S Hodel ◽  
H-P Simmen ◽  
M Brueesch ◽  
...  

2013 ◽  
Vol 201 (1) ◽  
pp. 33-40 ◽  
Author(s):  
Amy K. Hara ◽  
Clinton V. Wellnitz ◽  
Robert G. Paden ◽  
William Pavlicek ◽  
Dushyant V. Sahani
Keyword(s):  

Author(s):  
Jemal Edris Dawd ◽  
Dilber Uzun Ozsahin ◽  
Ilker Ozsahin

: Computed tomography (CT) scanning generate 3-D images of the inside structures of the body by delivering comparatively radiation dose to the patient. This requires high concern of optimization via establishing diagnostic reference level (DRL). DRL values can be estimated based on reference patient percentiles (such as 90th, 75th and 50th) dose distribution. DRL has significant uses in professional judgments by generating harmonized evidence about the radiation dose received by the patient. The primary goal of this review is to assess the practical application of DRL in CT procedures internationally. The main objective of establishing DRLs is to optimize the patient dose and without compromising the image quality in order to obtain adequate diagnostic information. That means inescapability of DRL for a country in medical diagnosis is to reduce the limitation of dose dispersion, to harmonize and expand good practice, to narrow large dispersion of doses, and to create systematic supervision for unwanted radiological doses. The review presents that international records have a wide-range of mean dose distributions due to the variation of exam protocols and technical parameters in use. Hence, this review recommends that each CT health facilities are required exercising careful dose reduction strategies by accounting adequate image quality with sufficient diagnostic information via through follow up of concerned bodies.


2015 ◽  
Vol 205 (5) ◽  
pp. 1026-1037 ◽  
Author(s):  
Lifeng Yu ◽  
Joel G. Fletcher ◽  
Maria Shiung ◽  
Kristen B. Thomas ◽  
Jane M. Matsumoto ◽  
...  

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Paula Vosiak ◽  
Hugo Reuters Schelin ◽  
Ana Paula Bunick ◽  
Akemi Yagui ◽  
Adriano Legnani

Abstract Background Pediatric patients are in a phase of high anatomical and physiological development, whose characteristics make them more radiosensitive to certain radiation exposures. Exposure to doses of radiation can lead to the occurrence of biological effects, including cancer. Objectives To analyze radiation exposures resulting from pediatric radiological examinations and to perform an optimization process, with the purpose to adequate use of the principles of radiological protection. Methods The analysis of radiation doses was performed using the technical parameters of the tests (voltage, current, exposure time and focus-skin distance), the patient's parameters (age, weight and thickness), the calculation of the radiation dose, using the output of the X-ray tube, all recorded at the time of the examination. The results were classified into 4 age groups and 5 weight groups. Results The results were classified according to the patient's age and weight, taking into account the radiation dose received. The data were also separated by gender, as the analysis showed that female patients are slightly smaller than male patients, and as a consequence, the doses received by this gender were lower. Examinations of the chest, abdomen, pelvis, skull and sinuses were analyzed and some groups received higher doses compared to other studies and international dose reference levels (DRL). Conclusions An optimization study must be carried out to verify the possible cause of such values, readjusting the values of the technical parameters and performing a new radiation dose analysis.


2013 ◽  
Vol 200 (4) ◽  
pp. 748-754 ◽  
Author(s):  
Alice R. Goldman ◽  
Pierre D. Maldjian

2020 ◽  
pp. 153857442097526
Author(s):  
Federico Pedersoli ◽  
Lea Hitpass ◽  
Peter Isfort ◽  
Markus Zimmermann ◽  
Maximilian Schulze-Hagen ◽  
...  

Purpose: To compare technical parameters and success of recanalization of celiac (CA) or superior mesenteric artery (SMA) with usage of steerable vs not steerable introducer sheaths. Methods: A retrospective analysis was performed on all consecutive patients who underwent recanalization with stent implantation of CA or SMA between 2015 and 2019. Data regarding technical success (successful stent placement with restoration of sufficient blood flow by the first attempt without changing kind of introducer sheath or access site), indication for treatment, vascular access, kind of introducer sheath, fluoroscopy time and radiation dose were collected. Preinterventional CT were analyzed to classify the difficulty of catheterization of target vessels. Technical parameters were compared with independent t-test (p ≤ 0.05). Results: 66 patients underwent recanalization of CA or SMA. Usage of steerable introducer sheaths was associated with higher technical success compared to not steerable introducer sheaths with transfemoral approach respectively of 8/8 vs 15/19 for the CA and 11/11 vs 17/20 for the SMA. Steerable introducer sheaths were used in recanalization considered more technically difficult compared to not steerable introducer sheaths (58% vs 33%). Usage of steerable introducer sheath showed a statistically significant reduction of radiation dose in the recanalization of the SMA (respectively 32035 ± 15716 cGy cm2 vs 60102 ± 28432 cGy cm2; p = 0.005). Conclusion: Even if used in more difficult interventions, steerable introducer sheaths showed a higher technical success compared to not steerable introducer sheaths with transfemoral access.


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