CT radiation dose reduction: How to implement change without sacrifcing diagnostic quality

Radiographics

Volumn 31, Issue 7, 2011, Pages 1823-1832

  Tamm, Eric P ^a   Rong John, X ^a   Cody, Dianna D ^a   Ernst, Randy D ^a   Fitzgerald, Nancy E ^a   Kundra, Vikas ^a  

^a UNIVERSITY OF TEXAS MD ANDERSON CANCER CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BODY BURDEN; COMPUTER ASSISTED TOMOGRAPHY; HEALTH CARE QUALITY; HUMAN; METHODOLOGY; ORGANIZATION AND MANAGEMENT; RADIATION PROTECTION; SAFETY; UNITED STATES;

BODY BURDEN; HUMANS; QUALITY ASSURANCE, HEALTH CARE; RADIATION PROTECTION; SAFETY MANAGEMENT; TOMOGRAPHY, X-RAY COMPUTED; UNITED STATES;

EID: 81255184726     PISSN: 02715333     EISSN: 15271323     Source Type: Journal    
DOI: 10.1148/rg.317115027     Document Type: Article

References (35)

1. Amis ES, Butler PF, Applegate KE, et al. American College of Radiology white paper on radiation dose in medicine. J Am Coll Radiol 2007;4(5): 272-284.
2. Berrington de González A, Mahesh M, Kim KP, et al. Projected cancer risks from computed tomo-graphic scans performed in the United States in 2007. Arch Intern Med 2009;169(22):2071-2077.
3. Cohen BL. Cancer risk from low-level radiation. AJR Am J Roentgenol 2002;179(5):1137-1143.
4. Einstein AJ, Henzlova MJ, Rajagopalan S. Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography. JAMA 2007;298(3):317-323.
5. Hall EJ, Brenner DJ. Cancer risks from diagnostic radiology. Br J Radiol 2008;81(965):362-378.
6. Hall PF. Cancer risks after medical radiation. Med Oncol Tumor Pharmacother 1991;8(3):141-145.
7. Ball CG, Correa-Gallego C, Howard TJ, et al. Radiation dose from computed tomography in patients with necrotizing pancreatitis: how much is too much? J Gastrointest Surg 2010;14(10):1529-1535.
8. National Research Council of the National Academies. Health Risks from Exposure to Low Levels of Ionizing Radiation: BEIR VII Phase 2. Board of Radiation Effects Research Division on Earth and Life Sciences. Washington, DC: National Academies Press, 2006.
9. The ALARA (as low as reasonably achievable) concept in pediatric CT intelligent dose reduction: multidisciplinary conference organized by the Society of Pediatric Radiology. August 18-19, 2001. Pediatr Radiol 2002;32(4):217-313.
10. American College of Radiology. National Radiology Data Registry (NRDR). http://www.acr.org/SecondaryMainMenuCategories/quality_safety/NRDR.aspx.Accessed February 4, 2011.
11. Smith-Bindman R, Lipson J, Marcus R, et al. Radiation dose associated with common computed tomography examinations and the associated lifetime attributable risk of cancer. Arch Intern Med 2009;169(22):2078-2086.
12. Reid J, Gamberoni J, Dong F, Davros W. Optimization of kVp and mAs for pediatric low-dose simulated abdominal CT: is it best to base parameter selection on object circumference? AJR Am J Roentgenol 2010;195(4):1015-1020.
13. Huda W, Mettler FA. Volume CT dose index and dose-length product displayed during CT: what good are they? Radiology 2011;258(1):236-242.
14. Morin RL, Gerber TC, McCollough CH. Radiation dose in computed tomography of the heart. Circulation 2003;107(6):917-922.
15. American Association of Physicists in Medicine. The measurement, reporting, and management of radiation dose in CT. Report No. 96. College Park, Md: American Association of Physicists in Medicine, 2008.
16. Radiation control: health facilities and clinics-records. California Senate Bill 1237. Sponsor: Senator Padilla, Coauthor Senator Alquist. Submitted: February 19, 2010.
17. Brady S, Yoshizumi T, Toncheva G, Frus D. Implementation of radiochromic flm dosimetry protocol for volumetric dose assessments to various organs during diagnostic CT procedures. Med Phys 2010; 37(9):4782-4792.
18. Zhang D, Savandi AS, Demarco JJ, et al. Variability of surface and center position radiation dose in MDCT: Monte Carlo simulations using CTDI and anthropomorphic phantoms. Med Phys 2009; 36(3):1025-1038.
19. Angel E, Yaghmai N, Jude CM, et al. Monte Carlo simulations to assess the effects of tube current modulation on breast dose for multidetector CT. Phys Med Biol 2009;54(3):497-512.
20. University of Pennsylvania. RADIANCE Radiation Dose Intelligent Analytics for CT Examinations. http://www.pennradiology.com/radiance. Accessed September 19, 2011.
21. Cook TS, Zimmerman S, Maidment AD, Kim W, Boonn W W. Automated extraction of radiation dose information for CT examinations. J Am Coll Radiol 2010;7(11):871-877.
22. Kleinerman RA. Cancer risks following diagnostic and therapeutic radiation exposure in children. Pediatr Radiol 2006;36(Suppl 2):121-125.
23. Ghaneh P, Costello E, Neoptolemos JP. Biology and management of pancreatic cancer. Gut 2007; 56(8):1134-1152.
24. Sahani DV, Kadavigere R, Saokar A, Fernandez-del Castillo C, Brugge WR, Hahn PF. Cystic pancreatic lesions: a simple imaging-based classifcation system for guiding management. RadioGraphics 2005;25(6):1471-1484.
25. Herman JM. ACR Appropriateness Criteria. Curr Probl Cancer 2010;34(3):158-161.
26. McCollough CH, Bruesewitz MR, Kofer JM Jr. CT dose reduction and dose management tools: overview of available options. RadioGraphics 2006; 26(2):503-512.
27. Kanal KM, Stewart BK, Kolokythas O, Shuman WP. Impact of operator-selected image noise index and reconstruction slice thickness on patient radiation dose in 64-MDCT. AJR Am J Roentgenol 2007;189(1):219-225.
28. Kalra MK, Maher MM, Kamath RS, et al. Sixteen- detector row CT of abdomen and pelvis: study for optimization of z-axis modulation technique performed in 153 patients. Radiology 2004;233(1): 241-249.
29. Kambadakone AR, Prakash P, Hahn PF, Sahani DV. Low-dose CT examinations in Crohn's disease: impact on image quality, diagnostic performance, and radiation dose. AJR Am J Roentgenol 2010;195(1):78-88.
30. McNitt-Gray MF. AAPM/RSNA physics tutorial for residents: topics in CT. Radiation dose in CT. RadioGraphics 2002;22(6):1541-1553.
31. Primak AN, McCollough CH, Bruesewitz MR, Zhang J, Fletcher JG. Relationship between noise, dose, and pitch in cardiac multi-detector row CT. RadioGraphics 2006;26(6):1785-1794.
32. DeMarco JJ, Cagnon CH, Cody DD, et al. Estimating radiation doses from multidetector CT using Monte Carlo simulations: effects of different size voxelized patient models on magnitudes of organ and effective dose. Phys Med Biol 2007;52(9): 2583-2597.
33. Fleischmann D, Boas FE. Computed tomography- old ideas and new technology. Eur Radiol 2011;21 (3):510-517.
34. Prakash P, Kalra MK, Kambadakone AK, et al. Reducing abdominal CT radiation dose with adaptive statistical iterative reconstruction technique. Invest Radiol 2010;45(4):202-210.
35. Batalden PB, Stoltz PK. A framework for the continual improvement of health care: building and applying professional and improvement knowledge to test changes in daily work. Jt Comm J Qual Im-prov 1993;19(10):424-447; discussion 448-452.