Image quality and dose evaluation in spiral chest CT examinations of patients with lung carcinoma.

نویسندگان

  • L M Morán
  • R Rodríguez
  • A Calzado
  • A Turrero
  • A Arenas
  • A Cuevas
  • B García-Castaño
  • N Gómez
  • P Morán
چکیده

A study was undertaken to assess the quality of general chest CT examinations for indication of lung carcinoma according to the criteria proposed in the European Commission (EC) Guidelines, and to investigate their usefulness in the optimization of this practice. The criteria were evaluated for a sample of 100 examinations from five radiology departments in the Madrid area featuring single slice helical CT scanners with special emphasis on radiation dose and image quality. To determine the degree of compliance with the image criteria considered, the examinations were independently evaluated twice by five radiologists from the participating centres. A subsequent selection of the observers was made according to the consistency and independence of their readings. Dose measurements carried out in parallel supplied data to estimate the values of the CT dose indices (CTDI), dose-length product (DLP) and effective dose (E). The results show good compliance with the image criteria used - between 93% and 98% on average at the different sites, with variable degrees of internal deviation. 10 out of a total of 16 criteria proposed in the EC guidelines were met by practically all the examinations in the sample. The average weighted CTDI (CTDI(w)) values per site were in the range of 13-19 mGy; those of DLP were between 263 mGy cm and 577 mGy cm, and those of effective dose between 4 mSv and 9 mSv. The highest mean DLP value was below but close to the reference value proposed in the EC Document (650 mGy cm). In general, a weak correlation or no correlation at all was found between image quality scores and patient dose (DLP).

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Assessment and evaluation of patient doses in adult common CT examinations towards establishing national diagnostic reference levels

Background: Patient radiation doses from computed tomography (CT) are increasing due to the number of CT examinations performed every day. The aim of this study was assess and evaluate patient radiation doses for adult’s common CT examinations to derive local diagnostic guidance levels for common CT examinations. Materials and Methods: Volume and weighted computed tomography dose index (C...

متن کامل

Assessment the effect of CT localizer parameter on radiation dose and image quality of GE CT spiral images, A phantom study

Introduction: Using computed tomography (CT) is increasing significantly in Iran and worldwide. Reduction of CT's radiation dose is a critical concern. The aim of this study was evaluating the effect of localizer kVp on spiral CT images when the tube current modulation (TCM) is activated. Materials and Methods: A special wedding cake phantom with circular in...

متن کامل

Conventional and spiral CT dose indices in Yazd general hospitals, Iran

  ABSTRACT   Background: While the benefits of Computed Tomography (CT) are well known in accurate diagnosis, those benefits are not risk free. CT is a device with higher patient dose in comparison with other conventional radiological procedures. Is the reduction of exposures by requiring optimization of CT procedures [a principle concern in radiological protection]? In this study, the radiatio...

متن کامل

Reducing radiation doses in female breast and lung during CT examinations of thorax: A new technique in two scanners

Background: Chest CT is a commonly used examination for the diagnosis of lung diseases, but a breast within the scanned field is nearly never the organ of interest.Objective: The purpose of this study is to compare the female breast and lung doses using split and standard protocols in chest CT scanning.Materials and Methods: The sliced chest and breast female phantoms were used. CT exams were p...

متن کامل

Prospective-triggered high-pitch spiral versus sequential dual-source CT coronary angiography: comparison of image quality and radiation dose

Background: Prospectively electrocardiography (ECG)-triggered high-pitch spiral coronary computed tomography angiography (CCTA) is a unique scan mode for dual-source CT (DSCT). Our reports aim to compare image quality and radiation dose of CCTA using high-pitch spiral or sequential acquisition mode in patients with low and stable heart rates. Materials and Methods: Patients with low and stable ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The British journal of radiology

دوره 77 922  شماره 

صفحات  -

تاریخ انتشار 2004