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Volumn 51, Issue 3, 2010, Pages 260-270

Using 100- instead of 120-kVp computed tomography to diagnose pulmonary embolism almost halves the radiation dose with preserved diagnostic quality

Author keywords

Adults; Arteries; CT angiography; Embolism thrombosis; Thorax

Indexed keywords

CHEST PHANTOM; COMPUTED TOMOGRAPHY; CONTRAST MEDIUM; CONTRAST TO NOISE RATIO; CT ANGIOGRAPHY; DIAGNOSTIC QUALITY; DOSE-LENGTH PRODUCTS; EFFECTIVE DOSE; IMAGE NOISE; INJECTION DURATIONS; MEAN VALUES; MULTICHANNEL DETECTORS; PULMONARY ARTERY; PULMONARY EMBOLISM; RADIATION DOSE; RADIATION-INDUCED CANCER; SCANNING PARAMETERS; STANDARD DEVIATION; SUBJECTIVE IMAGE QUALITY;

EID: 77749304526     PISSN: 02841851     EISSN: 16000455     Source Type: Journal    
DOI: 10.3109/02841850903505222     Document Type: Article
Times cited : (33)

References (42)
  • 1
    • 35349026173 scopus 로고    scopus 로고
    • Management of suspected acute pulmonary embolism in the era of CT angiography: A statement from the Fleischner Society
    • Remy-Jardin M, Pistolesi M, Goodman LR, Gefter WB, Gottschalk A, Mayo JR, et al. Management of suspected acute pulmonary embolism in the era of CT angiography: a statement from the Fleischner Society. Radiology 2007;245:315-29.
    • (2007) Radiology , vol.245 , pp. 315-329
    • Remy-Jardin, M.1    Pistolesi, M.2    Goodman, L.R.3    Gefter, W.B.4    Gottschalk, A.5    Mayo, J.R.6
  • 2
    • 40049109570 scopus 로고    scopus 로고
    • Managing patient dose in multi-detector computed tomography (MDCT). ICRP Publication 102
    • iii
    • Valentin J. Managing patient dose in multi-detector computed tomography (MDCT). ICRP Publication 102. Ann ICRP 2007;37:1-79, iii.
    • (2007) Ann ICRP , vol.37 , pp. 1-79
    • Valentin, J.1
  • 3
    • 36549007486 scopus 로고    scopus 로고
    • Computed tomography - an increasing source of radiation exposure
    • Brenner DJ, Hall EJ. Computed tomography - an increasing source of radiation exposure. N Engl J Med 2007;357: 2277-84.
    • (2007) N Engl J Med , vol.357 , pp. 2277-2284
    • Brenner, D.J.1    Hall, E.J.2
  • 4
    • 77749302647 scopus 로고    scopus 로고
    • Leitz W, Almén A. Patientstråldoser vid ro̊ ntgendiagnostik i Sverige - 1999 och 2006 (Radiation doses to patients from x-ray examinations in Sweden - 1999 and 2006. SSI Rapport (SSI Report) 2008:02. Available at URL: www. stralsakerhetsmyndigheten.se (accessed October 16, 2009).
    • Leitz W, Almén A. Patientstråldoser vid ro̊ ntgendiagnostik i Sverige - 1999 och 2006 (Radiation doses to patients from x-ray examinations in Sweden - 1999 and 2006. SSI Rapport (SSI Report) 2008:02. Available at URL: www. stralsakerhetsmyndigheten.se (accessed October 16, 2009).
  • 5
    • 40949104442 scopus 로고    scopus 로고
    • The 2007 recommendations of the International Commission on Radiological Protection. ICRP publication 103
    • Valentin J. The 2007 recommendations of the International Commission on Radiological Protection. ICRP publication 103. Ann ICRP 2007;37:1-332.
    • (2007) Ann ICRP , vol.37 , pp. 1-332
    • Valentin, J.1
  • 6
    • 20744455342 scopus 로고    scopus 로고
    • Multi-detector row CT pulmonary angiography: Comparison of standard-dose and simulated low-dose techniques
    • Tack D, De Maertelaer V, Petit W, Scillia P, Muller P, Suess C, et al. Multi-detector row CT pulmonary angiography: comparison of standard-dose and simulated low-dose techniques. Radiology 2005;236:318-25.
    • (2005) Radiology , vol.236 , pp. 318-325
    • Tack, D.1    De Maertelaer, V.2    Petit, W.3    Scillia, P.4    Muller, P.5    Suess, C.6
  • 8
    • 33748454831 scopus 로고    scopus 로고
    • Quantitative assessment of selective in-plane shielding of tissues in computed tomography through evaluation of absorbed dose and image quality
    • Geleijns J, Salvado Artells M, Veldkamp WJ, Lopez 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;16:2334-40.
    • (2006) Eur Radiol , vol.16 , pp. 2334-2340
    • Geleijns, J.1    Salvado Artells, M.2    Veldkamp, W.J.3    Lopez Tortosa, M.4    Calzado Cantera, A.5
  • 9
    • 58149271097 scopus 로고    scopus 로고
    • Radiation dose savings for adult pulmonary embolus 64-MDCT using bismuth breast shields, lower peak kilovoltage, and automatic tube current modulation
    • Hurwitz LM, Yoshizumi TT, Goodman PC, Nelson RC, Toncheva G, Nguyen GB, et al. Radiation dose savings for adult pulmonary embolus 64-MDCT using bismuth breast shields, lower peak kilovoltage, and automatic tube current modulation. Am J Roentgenol 2009;192:244-53.
    • (2009) Am J Roentgenol , vol.192 , pp. 244-253
    • Hurwitz, L.M.1    Yoshizumi, T.T.2    Goodman, P.C.3    Nelson, R.C.4    Toncheva, G.5    Nguyen, G.B.6
  • 10
    • 33846814922 scopus 로고    scopus 로고
    • MDCT for suspected pulmonary embolism: Multi-institutional survey of 16-MDCT data acquisition protocols
    • Johnson PT, Naidich D, Fishman EK. MDCT for suspected pulmonary embolism: multi-institutional survey of 16-MDCT data acquisition protocols. Emerg Radiol 2007;13:243-9.
    • (2007) Emerg Radiol , vol.13 , pp. 243-249
    • Johnson, P.T.1    Naidich, D.2    Fishman, E.K.3
  • 12
    • 12544253582 scopus 로고    scopus 로고
    • Aorto-iliac multidetector-row CT angiography with low kV settings: Improved vessel enhancement and simultaneous reduction of radiation dose
    • Wintersperger B, Jakobs T, Herzog P, Schaller S, Nikolaou K, Suess C, et al. Aorto-iliac multidetector-row CT angiography with low kV settings: improved vessel enhancement and simultaneous reduction of radiation dose. Eur Radiol 2005;15:334-41.
    • (2005) Eur Radiol , vol.15 , pp. 334-341
    • Wintersperger, B.1    Jakobs, T.2    Herzog, P.3    Schaller, S.4    Nikolaou, K.5    Suess, C.6
  • 13
    • 35348977748 scopus 로고    scopus 로고
    • Image quality and radiation exposure at pulmonary CT angiography with 100- or 120-kVp protocol: Prospective randomized study
    • 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;245:577-83.
    • (2007) Radiology , vol.245 , pp. 577-583
    • Heyer, C.M.1    Mohr, P.S.2    Lemburg, S.P.3    Peters, S.A.4    Nicolas, V.5
  • 14
    • 33846695725 scopus 로고    scopus 로고
    • CT angiography of pulmonary arteries to detect pulmonary embolism: Improvement of vascular enhancement with low kilovoltage settings
    • Schueller-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.
    • (2006) Radiology , vol.241 , pp. 899-907
    • Schueller-Weidekamm, C.1    Schaefer-Prokop, C.M.2    Weber, M.3    Herold, C.J.4    Prokop, M.5
  • 16
    • 61349187579 scopus 로고    scopus 로고
    • Application- and patient size-dependent optimization of x-ray spectra for CT
    • Kalender WA, Deak P, Kellermeier M, van Straten M, Vollmar SV. Application- and patient size-dependent optimization of x-ray spectra for CT. Med Phys 2009;36: 993-1007.
    • (2009) Med Phys , vol.36 , pp. 993-1007
    • Kalender, W.A.1    Deak, P.2    Kellermeier, M.3    van Straten, M.4    Vollmar, S.V.5
  • 17
    • 33846420993 scopus 로고    scopus 로고
    • Effect of patient weight and scanning duration on contrast enhancement during pulmonary multidetector CT angiography
    • Bae KT, Tao C, Gurel S, Hong C, Zhu F, Gebke TA, et al. Effect of patient weight and scanning duration on contrast enhancement during pulmonary multidetector CT angiography. Radiology 2007;242:582-9.
    • (2007) Radiology , vol.242 , pp. 582-589
    • Bae, K.T.1    Tao, C.2    Gurel, S.3    Hong, C.4    Zhu, F.5    Gebke, T.A.6
  • 18
    • 0017084917 scopus 로고
    • Attenuation measurements of whole blood and blood fractions in computed tomography
    • New PF, Aronow S. Attenuation measurements of whole blood and blood fractions in computed tomography. Radiology 1976;121:635-40.
    • (1976) Radiology , vol.121 , pp. 635-640
    • New, P.F.1    Aronow, S.2
  • 19
    • 0017333115 scopus 로고
    • Quantitative aspects of computed tomography of the blood and cerebrospinal fl uid
    • Norman D, Price D, Boyd D, Fishman R, Newton TH. Quantitative aspects of computed tomography of the blood and cerebrospinal fl uid. Radiology 1977;123:335-8.
    • (1977) Radiology , vol.123 , pp. 335-338
    • Norman, D.1    Price, D.2    Boyd, D.3    Fishman, R.4    Newton, T.H.5
  • 20
    • 61449268221 scopus 로고    scopus 로고
    • Minimizing contrast medium doses to diagnose pulmonary embolism with 80-kVp multidetector computed tomography in azotemic patients
    • Holmquist F, Hansson K, Pasquariello F, Bjork J, Nyman U. Minimizing contrast medium doses to diagnose pulmonary embolism with 80-kVp multidetector computed tomography in azotemic patients. Acta Radiol 2009; 50:181-93.
    • (2009) Acta Radiol , vol.50 , pp. 181-193
    • Holmquist, F.1    Hansson, K.2    Pasquariello, F.3    Bjork, J.4    Nyman, U.5
  • 21
    • 77952090916 scopus 로고    scopus 로고
    • Ultralow contrast medium doses at CT to diagnose pulmonary embolism in patients with moderate to severe renal impairment: A feasibility study
    • DOI 10.1007/s00330-009-1691-0
    • Kristiansson M, Holmquist F, Nyman U. Ultralow contrast medium doses at CT to diagnose pulmonary embolism in patients with moderate to severe renal impairment: a feasibility study. Eur Radiol 2009, DOI 10.1007/s00330-009-1691-0.
    • (2009) Eur Radiol
    • Kristiansson, M.1    Holmquist, F.2    Nyman, U.3
  • 22
    • 33749012540 scopus 로고    scopus 로고
    • Standardization of p-creatinine assays and use of lean body mass allow improved prediction of calculated glomerular filtration rate in adults: A new equation
    • Nyman U, Bjo̊rk J, Sterner G, Bäck SE, Carlson J, Lindström V, et al. Standardization of p-creatinine assays and use of lean body mass allow improved prediction of calculated glomerular filtration rate in adults: a new equation. Scand J Clin Lab Invest 2006;66:451-68.
    • (2006) Scand J Clin Lab Invest , vol.66 , pp. 451-468
    • Nyman, U.1    Bjo̊rk, J.2    Sterner, G.3    Bäck, S.E.4    Carlson, J.5    Lindström, V.6
  • 23
    • 0033735138 scopus 로고    scopus 로고
    • Technique factors and image quality as functions of patient weight at abdominal CT
    • Huda W, Scalzetti EM, Levin G. Technique factors and image quality as functions of patient weight at abdominal CT. Radiology 2000;217:430-5.
    • (2000) Radiology , vol.217 , pp. 430-435
    • Huda, W.1    Scalzetti, E.M.2    Levin, G.3
  • 24
    • 51549088875 scopus 로고    scopus 로고
    • Converting dose-length product to effective dose at CT
    • Huda W, Ogden KM, Khorasani MR. Converting dose-length product to effective dose at CT. Radiology 2008;248: 995-1003.
    • (2008) Radiology , vol.248 , pp. 995-1003
    • Huda, W.1    Ogden, K.M.2    Khorasani, M.R.3
  • 25
    • 59649088090 scopus 로고    scopus 로고
    • Patient exposure and image quality of low-dose pulmonary computed tomography angiography: Comparison of 100- and 80-kVp protocols
    • Szucs-Farkas Z, Kurmann L, Strautz T, Patak MA, Vock P, Schindera ST. Patient exposure and image quality of low-dose pulmonary computed tomography angiography: comparison of 100- and 80-kVp protocols. Invest Radiol 2008;43:871-6.
    • (2008) Invest Radiol , vol.43 , pp. 871-876
    • Szucs-Farkas, Z.1    Kurmann, L.2    Strautz, T.3    Patak, M.A.4    Vock, P.5    Schindera, S.T.6
  • 26
    • 0035552879 scopus 로고    scopus 로고
    • Fitzgerald R. Error in radiology. Clin Radiol 2001;56: 938-46.
    • Fitzgerald R. Error in radiology. Clin Radiol 2001;56: 938-46.
  • 27
    • 33644591714 scopus 로고    scopus 로고
    • Scan and contrast administration principles of MDCT
    • Bae KT, Heiken JP. Scan and contrast administration principles of MDCT. Eur Radiol 2005;15 Suppl 5:E46-59.
    • (2005) Eur Radiol , vol.15 , Issue.SUPPL. 5
    • Bae, K.T.1    Heiken, J.P.2
  • 28
    • 0031813548 scopus 로고    scopus 로고
    • Aortic and hepatic contrast medium enhancement at CT. Part II. Effect of reduced cardiac output in a porcine model
    • Bae KT, Heiken JP, Brink JA. Aortic and hepatic contrast medium enhancement at CT. Part II. Effect of reduced cardiac output in a porcine model. Radiology 1998;207:657-62.
    • (1998) Radiology , vol.207 , pp. 657-662
    • Bae, K.T.1    Heiken, J.P.2    Brink, J.A.3
  • 29
    • 0020503344 scopus 로고
    • Dynamic contrast enhancement of the upper abdomen: Effect of contrast medium and body weight
    • Kormano M, Partanen K, Soimakallio S, Kivimaki T. Dynamic contrast enhancement of the upper abdomen: effect of contrast medium and body weight. Invest Radiol 1983;18:364-7.
    • (1983) Invest Radiol , vol.18 , pp. 364-367
    • Kormano, M.1    Partanen, K.2    Soimakallio, S.3    Kivimaki, T.4
  • 30
    • 0346218104 scopus 로고    scopus 로고
    • Effect of contrast material injection duration and rate on aortic peak time and peak enhancement at dynamic CT involving injection protocol with dose tailored to patient weight
    • Awai K, Hiraishi K, Hori S. Effect of contrast material injection duration and rate on aortic peak time and peak enhancement at dynamic CT involving injection protocol with dose tailored to patient weight. Radiology 2004; 230:142-50.
    • (2004) Radiology , vol.230 , pp. 142-150
    • Awai, K.1    Hiraishi, K.2    Hori, S.3
  • 31
    • 0028281786 scopus 로고
    • Lean body mass as a predictor of drug dosage. Implications for drug therapy
    • Morgan DJ, Bray KM. Lean body mass as a predictor of drug dosage. Implications for drug therapy. Clin Pharmacokinet 1994;26:292-307.
    • (1994) Clin Pharmacokinet , vol.26 , pp. 292-307
    • Morgan, D.J.1    Bray, K.M.2
  • 32
    • 77749302640 scopus 로고    scopus 로고
    • Kalra M, Brady T. Care Dose4D. New technique for radiation dose reduction. Somatom Sessions 2006;19:28-31. Available at URL: http://www.medical.siemens.com/siemens/en-INT/gg-ct-FBAs/files/somatomworld/ somatom-sessions/ SOMATOM-Sessions-19.pdf (accessed October 16, 2009).
    • Kalra M, Brady T. Care Dose4D. New technique for radiation dose reduction. Somatom Sessions 2006;19:28-31. Available at URL: http://www.medical.siemens.com/siemens/en-INT/gg-ct-FBAs/files/somatomworld/ somatom-sessions/ SOMATOM-Sessions-19.pdf (accessed October 16, 2009).
  • 33
    • 44449089365 scopus 로고    scopus 로고
    • Effect of X-ray tube parameters, iodine concentration, and patient size on image quality in pulmonary computed tomography angiography: A chest-phantom-study
    • Szucs-Farkas Z, Verdun FR, von Allmen G, Mini RL, Vock P. Effect of X-ray tube parameters, iodine concentration, and patient size on image quality in pulmonary computed tomography angiography: a chest-phantom-study. Invest Radiol 2008;43:374-81.
    • (2008) Invest Radiol , vol.43 , pp. 374-381
    • Szucs-Farkas, Z.1    Verdun, F.R.2    von Allmen, G.3    Mini, R.L.4    Vock, P.5
  • 34
    • 47249166093 scopus 로고    scopus 로고
    • Effective doses in radiology and diagnostic nuclear medicine: A catalog
    • Mettler FA Jr, Huda W, Yoshizumi TT, Mahesh M. Effective doses in radiology and diagnostic nuclear medicine: a catalog. Radiology 2008;248:254-63.
    • (2008) Radiology , vol.248 , pp. 254-263
    • Mettler Jr, F.A.1    Huda, W.2    Yoshizumi, T.T.3    Mahesh, M.4
  • 35
    • 77749302638 scopus 로고    scopus 로고
    • Does 80 kVp pulmonary CT angiography deliver sufficient image quality in patients weighing up to 100 kg
    • Szucs-Farkas Z, Strautz T, Kurmann L, Patak MA, Vock P, Schindera ST. Does 80 kVp pulmonary CT angiography deliver sufficient image quality in patients weighing up to 100 kg. Eur Radiol 2009;19 Suppl 1:S190.
    • (2009) Eur Radiol , vol.19 , Issue.SUPPL. 1
    • Szucs-Farkas, Z.1    Strautz, T.2    Kurmann, L.3    Patak, M.A.4    Vock, P.5    Schindera, S.T.6
  • 36
    • 0037406918 scopus 로고    scopus 로고
    • Pulmonary embolism: Optimization of small pulmonary artery visualization at multi-detector row CT
    • Patel S, Kazerooni EA, Cascade PN. Pulmonary embolism: optimization of small pulmonary artery visualization at multi-detector row CT. Radiology 2003;227: 455-60.
    • (2003) Radiology , vol.227 , pp. 455-460
    • Patel, S.1    Kazerooni, E.A.2    Cascade, P.N.3
  • 37
    • 0036153994 scopus 로고    scopus 로고
    • Subsegmental pulmonary emboli: Improved detection with thin-collimation multi-detector row spiral CT
    • Schoepf UJ, Holzknecht N, Helmberger TK, Crispin A, Hong C, Becker CR, et al. Subsegmental pulmonary emboli: improved detection with thin-collimation multi-detector row spiral CT. Radiology 2002;222:483-90.
    • (2002) Radiology , vol.222 , pp. 483-490
    • Schoepf, U.J.1    Holzknecht, N.2    Helmberger, T.K.3    Crispin, A.4    Hong, C.5    Becker, C.R.6
  • 38
    • 13844299395 scopus 로고    scopus 로고
    • Small pulmonary emboli: What do we know?
    • Goodman LR. Small pulmonary emboli: what do we know? Radiology 2005;234:654-8.
    • (2005) Radiology , vol.234 , pp. 654-658
    • Goodman, L.R.1
  • 39
    • 0035480744 scopus 로고    scopus 로고
    • Clinical validity of a normal pulmonary angiogram in patients with suspected pulmonary embolism--a critical review
    • van Beek EJ, Brouwerst EM, Song B, Stein PD, Oudkerk M. Clinical validity of a normal pulmonary angiogram in patients with suspected pulmonary embolism--a critical review. Clin Radiol 2001;56:838-42.
    • (2001) Clin Radiol , vol.56 , pp. 838-842
    • van Beek, E.J.1    Brouwerst, E.M.2    Song, B.3    Stein, P.D.4    Oudkerk, M.5
  • 40
    • 37349096405 scopus 로고    scopus 로고
    • Computed tomographic pulmonary angiography vs ventilation-perfusion lung scanning in patients with suspected pulmonary embolism: A randomized controlled trial
    • Anderson DR, Kahn SR, Rodger MA, Kovacs MJ, Morris T, Hirsch A, et al. Computed tomographic pulmonary angiography vs ventilation-perfusion lung scanning in patients with suspected pulmonary embolism: a randomized controlled trial. JAMA 2007;298:2743-53.
    • (2007) JAMA , vol.298 , pp. 2743-2753
    • Anderson, D.R.1    Kahn, S.R.2    Rodger, M.A.3    Kovacs, M.J.4    Morris, T.5    Hirsch, A.6
  • 41
    • 42049095662 scopus 로고    scopus 로고
    • Diagnosis of pulmonary embolism by multidetector CT alone or combined with venous ultrasonography of the leg: A randomised non-inferiority trial
    • Righini M, Le Gal G, Aujesky D, Roy PM, Sanchez O, Verschuren F, et al. Diagnosis of pulmonary embolism by multidetector CT alone or combined with venous ultrasonography of the leg: a randomised non-inferiority trial. Lancet 2008;371:1343-52.
    • (2008) Lancet , vol.371 , pp. 1343-1352
    • Righini, M.1    Le Gal, G.2    Aujesky, D.3    Roy, P.M.4    Sanchez, O.5    Verschuren, F.6
  • 42
    • 30444431617 scopus 로고    scopus 로고
    • Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography
    • van Belle A, Buller HR, Huisman MV, Huisman PM, Kaasjager K, Kamphuisen PW, et al. Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography. JAMA 2006;295:172-9.
    • (2006) JAMA , vol.295 , pp. 172-179
    • van Belle, A.1    Buller, H.R.2    Huisman, M.V.3    Huisman, P.M.4    Kaasjager, K.5    Kamphuisen, P.W.6


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