Radiation dose savings for adult pulmonary embolus 64-MDCT using bismuth breast shields, lower peak kilovoltage, and automatic tube current modulation

American Journal of Roentgenology

Volumn 192, Issue 1, 2009, Pages 244-253

  Hurwitz, Lynne M ^a   Yoshizumi, Terry T ^a   Goodman, Philip C ^a   Nelson, Rendon C ^a,b   Toncheva, Greta ^a   Nguyen, Giao B ^a   Lowry, Carolyn ^a   Anderson Evans, Colin ^a  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

^b GE HEALTHCARE   (United Kingdom)

Author keywords

Bismuth breast shields; Chest imaging protocol; MDCT angiography; Pulmonary embolus; Radiation dose

Indexed keywords

BISMUTH;

ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONTROLLED STUDY; DOSIMETRY; HUMAN; IMAGE ANALYSIS; IMAGE QUALITY; LUNG EMBOLISM; MEDICAL EXAMINATION; MULTIDETECTOR COMPUTED TOMOGRAPHY; PRIORITY JOURNAL; RADIATION ABSORPTION; RADIATION DOSE; RADIATION EXPOSURE; SEMICONDUCTOR;

ADULT; BODY BURDEN; FEMALE; HUMANS; MALE; PULMONARY EMBOLISM; RADIATION DOSAGE; RADIATION PROTECTION; RADIOGRAPHIC IMAGE INTERPRETATION, COMPUTER-ASSISTED; RELATIVE BIOLOGICAL EFFECTIVENESS; TOMOGRAPHY, X-RAY COMPUTED;

EID: 58149271097     PISSN: 0361803X     EISSN: None     Source Type: Journal    
DOI: 10.2214/AJR.08.1066     Document Type: Article

References (18)

1. Hurwitz LM, Reiman R, Yoshizumi T, et al. Radiation dose from contemporary cardiothoracic multidetector CT protocols with an anthropomorphic phantom: implications for cancer induction. Radiology 2007; 245:742-750
2. Hurwitz LM, Yoshizumi TT, Goodman PC, et al. Effective dose determination using an anthropomorphic phantom and metal oxide semiconductor field effect transistor technology for clinical adult body multidetector array computed tomography protocols. J Comput Assist Tomogr 2007; 31: 544-549
3. Shueller-Weidekamm C, Schaefer-Prokop CM, Weber M, Herold CJ, Prokop M. CT angiography of pulmonary arteries to detect pulmonary embolism: improvement of vascular enhancement with low kilovoltage settings. Radiology 2006; 241:899-907
4. Heyer CM, Mohr PS, Lemburg SP, Peters SA, Nicolas V. Image quality and radiation exposure at pulmonary CT angiography with 100- or 120-kVp protocol: prospective randomized study. Radiology 2007; 245:577-583
5. Kalra MK, Maher MM, Toth TL, et al. Techniques and applications of automatic tube current modulation for CT. Radiology 2004; 233:649-657
6. Singal-Cinqualbre AB, Hennequin R, Abada HT, Chen X, Paul J-F. Low-kilovoltage multi-detector row chest CT in adults: feasibility and effect on image quality and iodine dose. Radiology 2004; 231:169-174
7. Nakayama Y, Awai K, Funama Y, et al. Lower tube voltage reduces contrast material and radiation doses on 16-MDCT aortography. AJR 2006; 187:1266; [web]W490-W497
8. Abada HT, Larchez C, Daoud B, Sigal-Cinqualbre A, Paul JF. MDCT of the coronary arteries: feasibility of low-dose CT with ECG-pulsed tube current modulation to reduce radiation dose. AJR 2006; 186[6 suppl 2]:S387-S390
9. Yilmaz MH, Albayram S, Yasar D, et al. Female breast radiation exposure during thorax multidetector computed tomography and the effectiveness of bismuth breast shield to reduce breast radiation dose. J Comput Assist Tomogr 2007; 31:138-142
10. Geleijns J, Salvadó Artells M, Veldkamp WJ, López Tortosa M, Calzado Cantera A. Quantitative assessment of selective in-plane shielding of tissues in computed tomography through evaluation of absorbed dose and image quality. Eur Radiol 2006; 16:2334-2340
11. d'Agostino AG, Remy-Jardin M, Khalil C, et al. Low-dose ECG-gated 64-slices helical CT angiography of the chest: evaluation of image quality in 105 patients. Eur Radiol 2006; 16:2137-2146
12. Prasad SR, Wittram C, Shepard JA, McLoud T, Rhea J. Standard-dose and 50%-reduced-dose chest CT: comparing the effect on image quality. AJR 2002; 179:461-465
13. Zhu X, Yu J, Huang Z. Low-dose chest CT: optimizing radiation protection for patients. AJR 2004; 183:809-816
14. Mayo JR, Hartman TE, Lee KS, Primack SL, Vedal S, Müller NL. CT of the chest: minimal tube current required for good image quality with the least radiation dose. AJR 1995; 164:603-607
15. Ravenel JG, Scalzetti EM, Huda W, Garrisi W. Radiation exposure and image quality in chest CT examinations. AJR 2001; 177:279-284
16. Coursey C, Frush DP, Yoshizumi T, Toncheva G, Nguyen G, Greenberg SB. Pediatric chest MDCT using tube current modulation: effect on radiation dose with breast shielding. AJR 2008; 190:244; [web]W54-W61
17. MacKenzie JD, Nazario-Larrieu J, Cai T, et al. Reduced-dose CT: effect on reader evaluation in detection of pulmonary embolism. AJR 2007; 189:1371-1379
18. Tack D, De Maertelaer V, Petit W, et al. Multidetector row CT pulmonary angiography: comparison of standard-dose and simulated low-dose techniques. Radiology 2005; 236:318-325