메뉴 건너뛰기




Volumn 50, Issue 1, 2012, Pages 1-14

Strategies for Reducing Radiation Exposure in Multi-Detector Row CT

Author keywords

Computed tomography; CTDIvol; DLP; Protocols; Radiation exposure; Strategies

Indexed keywords

AORTA DISSECTION; CLINICAL PROTOCOL; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONTRAST ENHANCEMENT; DIAGNOSTIC IMAGING; HUMAN; IMAGE ANALYSIS; IMAGE DISPLAY; IMAGE PROCESSING; IMAGE QUALITY; IMAGE RECONSTRUCTION; MULTIDETECTOR COMPUTED TOMOGRAPHY; PATIENT SAFETY; PRIORITY JOURNAL; PROCESS OPTIMIZATION; RADIATION DOSE; RADIATION EXPOSURE; RADIATION MEASUREMENT; RADIATION MONITORING; RADIATION SAFETY; RADIATION SHIELD; REVIEW; SIGNAL NOISE RATIO;

EID: 81455139639     PISSN: 00338389     EISSN: 15578275     Source Type: Journal    
DOI: 10.1016/j.rcl.2011.08.006     Document Type: Review
Times cited : (54)

References (57)
  • 1
    • 79956307016 scopus 로고    scopus 로고
    • IMV Medical Information Division, IMV Medical Information Division, Des Plaines (IL)
    • Benchmark report CT 2007 2007, IMV Medical Information Division, IMV Medical Information Division, Des Plaines (IL).
    • (2007) Benchmark report CT 2007
  • 2
    • 36549007486 scopus 로고    scopus 로고
    • Computed tomography-an increasing source of radiation exposure
    • Brenner D.J., Hall E.J. Computed tomography-an increasing source of radiation exposure. N Engl J Med 2007, 357(22):2277-2284.
    • (2007) N Engl J Med , vol.357 , Issue.22 , pp. 2277-2284
    • Brenner, D.J.1    Hall, E.J.2
  • 3
    • 64949151537 scopus 로고    scopus 로고
    • Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults
    • Sodickson A., Baeyens P.F., Andriole K.P., et al. Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults. Radiology 2009, 251(1):175-184.
    • (2009) Radiology , vol.251 , Issue.1 , pp. 175-184
    • Sodickson, A.1    Baeyens, P.F.2    Andriole, K.P.3
  • 4
    • 73149113560 scopus 로고    scopus 로고
    • Projected cancer risks from computed tomographic scans performed in the United States in 2007
    • Berrington de Gonzalez A., Mahesh M., Kim K.P., et al. Projected cancer risks from computed tomographic scans performed in the United States in 2007. Arch Intern Med 2009, 169(22):2071-2077.
    • (2009) Arch Intern Med , vol.169 , Issue.22 , pp. 2071-2077
    • Berrington de Gonzalez, A.1    Mahesh, M.2    Kim, K.P.3
  • 5
    • 77949419896 scopus 로고    scopus 로고
    • Radiologic and nuclear medicine studies in the United States and worldwide: frequency, radiation dose, and comparison with other radiation sources-1950-2007
    • Mettler F.A., Bhargavan M., Faulkner K., et al. Radiologic and nuclear medicine studies in the United States and worldwide: frequency, radiation dose, and comparison with other radiation sources-1950-2007. Radiology 2009, 253(2):520-531.
    • (2009) Radiology , vol.253 , Issue.2 , pp. 520-531
    • Mettler, F.A.1    Bhargavan, M.2    Faulkner, K.3
  • 6
    • 69349096036 scopus 로고    scopus 로고
    • Exposure to low-dose ionizing radiation from medical imaging procedures
    • Fazel R., Krumholz H.M., Wang Y., et al. Exposure to low-dose ionizing radiation from medical imaging procedures. N Engl J Med 2009, 361(9):849-857.
    • (2009) N Engl J Med , vol.361 , Issue.9 , pp. 849-857
    • Fazel, R.1    Krumholz, H.M.2    Wang, Y.3
  • 7
    • 34247624184 scopus 로고    scopus 로고
    • American College of Radiology white paper on radiation dose in medicine
    • Amis E.S., Butler P.F., Applegate K.E., et al. American College of Radiology white paper on radiation dose in medicine. J Am Coll Radiol 2007, 4(5):272-284.
    • (2007) J Am Coll Radiol , vol.4 , Issue.5 , pp. 272-284
    • Amis, E.S.1    Butler, P.F.2    Applegate, K.E.3
  • 8
    • 0035902631 scopus 로고    scopus 로고
    • Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer
    • Wells P.S., Anderson D.R., Rodger M., et al. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer. Ann Intern Med 2001, 135(2):98-107.
    • (2001) Ann Intern Med , vol.135 , Issue.2 , pp. 98-107
    • Wells, P.S.1    Anderson, D.R.2    Rodger, M.3
  • 9
    • 0035810589 scopus 로고    scopus 로고
    • The Canadian CT head rule for patients with minor head injury
    • Stiell I.G., Wells G.A., Vandemheen K., et al. The Canadian CT head rule for patients with minor head injury. Lancet 2001, 357(9266):1391-1396.
    • (2001) Lancet , vol.357 , Issue.9266 , pp. 1391-1396
    • Stiell, I.G.1    Wells, G.A.2    Vandemheen, K.3
  • 10
    • 0035904362 scopus 로고    scopus 로고
    • The Canadian C-spine rule for radiography in alert and stable trauma patients
    • Stiell I.G., Wells G.A., Vandemheen K.L., et al. The Canadian C-spine rule for radiography in alert and stable trauma patients. JAMA 2001, 286(15):1841.
    • (2001) JAMA , vol.286 , Issue.15 , pp. 1841
    • Stiell, I.G.1    Wells, G.A.2    Vandemheen, K.L.3
  • 11
    • 84928095964 scopus 로고    scopus 로고
    • Can radiology professional society guidelines be converted to effective decision support?
    • Khorasani R. Can radiology professional society guidelines be converted to effective decision support?. J Am Coll Radiol 2010, 7(8):561-562.
    • (2010) J Am Coll Radiol , vol.7 , Issue.8 , pp. 561-562
    • Khorasani, R.1
  • 12
    • 84856544933 scopus 로고    scopus 로고
    • American College of Radiology. ACR appropriateness criteria. Available at: Accessed June 8, 2011.
    • American College of Radiology. ACR appropriateness criteria. Available at: Accessed June 8, 2011. http://www.acr.org/secondarymainmenucategories/quality_safety/app_criteria.aspx.
  • 13
    • 63849157519 scopus 로고    scopus 로고
    • Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT
    • Griffey R.T., Sodickson A. Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT. AJR Am J Roentgenol 2009, 192(4):887-892.
    • (2009) AJR Am J Roentgenol , vol.192 , Issue.4 , pp. 887-892
    • Griffey, R.T.1    Sodickson, A.2
  • 14
    • 44349176789 scopus 로고    scopus 로고
    • Radiation safety in the era of helical CT: a patient-based protection program currently in place in two community hospitals in New Hampshire
    • Birnbaum S. Radiation safety in the era of helical CT: a patient-based protection program currently in place in two community hospitals in New Hampshire. J Am Coll Radiol 2008, 5(6):714-718.e5.
    • (2008) J Am Coll Radiol , vol.5 , Issue.6
    • Birnbaum, S.1
  • 15
    • 79960689293 scopus 로고    scopus 로고
    • Outside imaging in emergency department transfer patients: CD import reduces rates of subsequent imaging utilization
    • Sodickson A., Opraseuth J., Ledbetter S. Outside imaging in emergency department transfer patients: CD import reduces rates of subsequent imaging utilization. Radiology 2011, 260(2):408-413.
    • (2011) Radiology , vol.260 , Issue.2 , pp. 408-413
    • Sodickson, A.1    Opraseuth, J.2    Ledbetter, S.3
  • 17
    • 79957830946 scopus 로고    scopus 로고
    • The effect of self-referral on utilization of advanced diagnostic imaging
    • Levin D.C., Rao V.M. The effect of self-referral on utilization of advanced diagnostic imaging. AJR Am J Roentgenol 2011, 196(4):848-852.
    • (2011) AJR Am J Roentgenol , vol.196 , Issue.4 , pp. 848-852
    • Levin, D.C.1    Rao, V.M.2
  • 18
    • 0036831529 scopus 로고    scopus 로고
    • AAPM/RSNA physics tutorial for residents: topics in CT. Radiation dose in CT
    • McNitt-Gray M.F. AAPM/RSNA physics tutorial for residents: topics in CT. Radiation dose in CT. Radiographics 2002, 22(6):1541-1553.
    • (2002) Radiographics , vol.22 , Issue.6 , pp. 1541-1553
    • McNitt-Gray, M.F.1
  • 20
    • 79955015001 scopus 로고    scopus 로고
    • CT dose index and patient dose: they are not the same thing
    • McCollough C.H., Leng S., Yu L., et al. CT dose index and patient dose: they are not the same thing. Radiology 2011, 259(2):311-316.
    • (2011) Radiology , vol.259 , Issue.2 , pp. 311-316
    • McCollough, C.H.1    Leng, S.2    Yu, L.3
  • 21
    • 79551676578 scopus 로고    scopus 로고
    • The feasibility of patient size-corrected, scanner-independent organ dose estimates for abdominal CT exams
    • Turner A.C., Zhang D., Khatonabadi M., et al. The feasibility of patient size-corrected, scanner-independent organ dose estimates for abdominal CT exams. Med Phys 2011, 38(2):820-829.
    • (2011) Med Phys , vol.38 , Issue.2 , pp. 820-829
    • Turner, A.C.1    Zhang, D.2    Khatonabadi, M.3
  • 22
    • 33846471867 scopus 로고    scopus 로고
    • Patient radiation doses from adult and pediatric CT
    • Huda W., Vance A. Patient radiation doses from adult and pediatric CT. AJR Am J Roentgenol 2007, 188(2):540.
    • (2007) AJR Am J Roentgenol , vol.188 , Issue.2 , pp. 540
    • Huda, W.1    Vance, A.2
  • 24
    • 81455158646 scopus 로고    scopus 로고
    • Assessment of patient dose in CT. Chilton, NRPB-PE/1/2004,
    • Shrimpton P. Assessment of patient dose in CT. Chilton, NRPB-PE/1/2004, 2004.
    • (2004)
    • Shrimpton, P.1
  • 26
    • 77950600954 scopus 로고    scopus 로고
    • How effective is effective dose as a predictor of radiation risk?
    • McCollough C.H., Christner J.A., Kofler J.M. How effective is effective dose as a predictor of radiation risk?. AJR Am J Roentgenol 2010, 194(4):890-896.
    • (2010) AJR Am J Roentgenol , vol.194 , Issue.4 , pp. 890-896
    • McCollough, C.H.1    Christner, J.A.2    Kofler, J.M.3
  • 27
    • 84856553013 scopus 로고    scopus 로고
    • Available at:, Accessed September 9, 2011
    • Padilla A., Alquist E.K. California senate bill 1237 Available at:, Accessed September 9, 2011. http://info.sen.ca.gov/pub/09-10/bill/sen/sb_1201-1250/sb_1237_bill_20100929_chaptered.html.
    • California senate bill 1237
    • Padilla, A.1    Alquist, E.K.2
  • 28
    • 84856553109 scopus 로고    scopus 로고
    • Center for Drug Evaluation and Research. Radiation dose reduction - white paper: initiative to reduce unnecessary radiation exposure from medical imaging
    • Accessed December 24, 2010.
    • Center for Drug Evaluation and Research. Radiation dose reduction - white paper: initiative to reduce unnecessary radiation exposure from medical imaging. Available at: Accessed December 24, 2010. http://www.fda.gov/Radiation-EmittingProducts/RadiationSafety/RadiationDoseReduction/ucm199994.htm.
  • 30
    • 44349094357 scopus 로고    scopus 로고
    • Available at:, Accessed September 9, 2011, The American College Of Radiology
    • The American College Of Radiology ACR Practice Guideline for Diagnostic Reference Levels in Medical X-Ray Imaging Available at:, Accessed September 9, 2011. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/guidelines/med_phys/reference_levels.aspx.
    • ACR Practice Guideline for Diagnostic Reference Levels in Medical X-Ray Imaging
  • 31
    • 1342266221 scopus 로고    scopus 로고
    • Strategies for CT radiation dose optimization
    • Kalra M.K., Maher M.M., Toth T.L., et al. Strategies for CT radiation dose optimization. Radiology 2004, 230(3):619.
    • (2004) Radiology , vol.230 , Issue.3 , pp. 619
    • Kalra, M.K.1    Maher, M.M.2    Toth, T.L.3
  • 32
  • 33
    • 84856540398 scopus 로고    scopus 로고
    • The alliance for radiation safety in pediatric imaging. Image gently. Available at: Accessed May 26, 2011.
    • The alliance for radiation safety in pediatric imaging. Image gently. Available at: Accessed May 26, 2011. http://www.pedrad.org/associations/5364/ig/index.cfm%3fpage%3d614.
  • 34
    • 77950614409 scopus 로고    scopus 로고
    • Image gently: ten steps you can take to optimize image quality and lower CT dose for pediatric patients
    • Strauss K.J., Goske M.J., Kaste S.C., et al. Image gently: ten steps you can take to optimize image quality and lower CT dose for pediatric patients. AJR Am J Roentgenol 2010, 194(4):868.
    • (2010) AJR Am J Roentgenol , vol.194 , Issue.4 , pp. 868
    • Strauss, K.J.1    Goske, M.J.2    Kaste, S.C.3
  • 35
    • 0004234405 scopus 로고    scopus 로고
    • Publicis Publishing, Erlangen (Germany)
    • Kalendar W.A. Computed tomography 2011, Publicis Publishing, Erlangen (Germany). 3rd edition.
    • (2011) Computed tomography
    • Kalendar, W.A.1
  • 36
    • 33645562681 scopus 로고    scopus 로고
    • CT dose reduction and dose management tools: overview of available options
    • McCollough C.H., Bruesewitz M.R., Kofler J.M., et al. CT dose reduction and dose management tools: overview of available options. Radiographics 2006, 26(2):503-512.
    • (2006) Radiographics , vol.26 , Issue.2 , pp. 503-512
    • McCollough, C.H.1    Bruesewitz, M.R.2    Kofler, J.M.3
  • 37
    • 81455141169 scopus 로고    scopus 로고
    • Variation in organ dose from abdomen-pelvis CT exams performed with tube current modulation (TCM): evaluation of patient size effects
    • Radiographic Society of North America 2010 annual meeting. Chicago (IL).
    • Sodickson A, Turner AC, McGlamery K, et al. Variation in organ dose from abdomen-pelvis CT exams performed with tube current modulation (TCM): evaluation of patient size effects. Radiographic Society of North America 2010 annual meeting. Chicago (IL).
    • Sodickson, A.1    Turner, A.C.2    McGlamery, K.3
  • 38
    • 78649740074 scopus 로고    scopus 로고
    • Patient size and radiation exposure in thoracic, pelvic, and abdominal CT examinations performed with automatic exposure control
    • Israel G.M., Cicchiello L., Brink J., et al. Patient size and radiation exposure in thoracic, pelvic, and abdominal CT examinations performed with automatic exposure control. AJR Am J Roentgenol 2010, 195(6):1342.
    • (2010) AJR Am J Roentgenol , vol.195 , Issue.6 , pp. 1342
    • Israel, G.M.1    Cicchiello, L.2    Brink, J.3
  • 40
    • 34547583507 scopus 로고    scopus 로고
    • Split-bolus MDCT urography with synchronous nephrographic and excretory phase enhancement
    • Chow L.C., Kwan S.W., Olcott E.W., et al. Split-bolus MDCT urography with synchronous nephrographic and excretory phase enhancement. AJR Am J Roentgenol 2007, 189(2):314.
    • (2007) AJR Am J Roentgenol , vol.189 , Issue.2 , pp. 314
    • Chow, L.C.1    Kwan, S.W.2    Olcott, E.W.3
  • 41
    • 67650067593 scopus 로고    scopus 로고
    • Effects of adaptive section collimation on patient radiation dose in multisection spiral CT
    • Deak P.D., Langner O., Lell M., et al. Effects of adaptive section collimation on patient radiation dose in multisection spiral CT. Radiology 2009, 252(1):140.
    • (2009) Radiology , vol.252 , Issue.1 , pp. 140
    • Deak, P.D.1    Langner, O.2    Lell, M.3
  • 42
    • 0345015508 scopus 로고    scopus 로고
    • Radiation dose is reduced with a single-pass whole-body multi-detector row CT trauma protocol compared with a conventional segmented method: initial experience
    • Ptak T., Rhea J.T., Novelline R.A. Radiation dose is reduced with a single-pass whole-body multi-detector row CT trauma protocol compared with a conventional segmented method: initial experience. Radiology 2003, 229(3):902.
    • (2003) Radiology , vol.229 , Issue.3 , pp. 902
    • Ptak, T.1    Rhea, J.T.2    Novelline, R.A.3
  • 43
    • 58149263158 scopus 로고    scopus 로고
    • Evaluation of a single-pass continuous whole-body 16-MDCT protocol for patients with polytrauma
    • Nguyen D., Platon A., Shanmuganathan K., et al. Evaluation of a single-pass continuous whole-body 16-MDCT protocol for patients with polytrauma. AJR Am J Roentgenol 2009, 192(1):3.
    • (2009) AJR Am J Roentgenol , vol.192 , Issue.1 , pp. 3
    • Nguyen, D.1    Platon, A.2    Shanmuganathan, K.3
  • 44
    • 33947704171 scopus 로고    scopus 로고
    • Low-dose versus standard-dose CT protocol in patients with clinically suspected renal colic
    • Poletti P.A., Platon A., Rutschmann O.T., et al. Low-dose versus standard-dose CT protocol in patients with clinically suspected renal colic. AJR Am J Roentgenol 2007, 188(4):927.
    • (2007) AJR Am J Roentgenol , vol.188 , Issue.4 , pp. 927
    • Poletti, P.A.1    Platon, A.2    Rutschmann, O.T.3
  • 45
    • 77953948373 scopus 로고    scopus 로고
    • Intravenous contrast medium administration and scan timing at CT: considerations and approaches
    • Bae K.T. Intravenous contrast medium administration and scan timing at CT: considerations and approaches. Radiology 2010, 256(1):32.
    • (2010) Radiology , vol.256 , Issue.1 , pp. 32
    • Bae, K.T.1
  • 46
    • 22544435185 scopus 로고    scopus 로고
    • Comparison of different body size parameters for individual dose adaptation in body CT of adults
    • Menke J. Comparison of different body size parameters for individual dose adaptation in body CT of adults. Radiology 2005, 236(2):565.
    • (2005) Radiology , vol.236 , Issue.2 , pp. 565
    • Menke, J.1
  • 47
    • 67849094250 scopus 로고    scopus 로고
    • Low kVp imaging for dose reduction in dual-source cardiac CT
    • Luaces M., Akers S., Litt H. Low kVp imaging for dose reduction in dual-source cardiac CT. Int J Cardiovasc Imaging 2009, 25(S2):165-175.
    • (2009) Int J Cardiovasc Imaging , vol.25 , Issue.S2 , pp. 165-175
    • Luaces, M.1    Akers, S.2    Litt, H.3
  • 49
    • 73649148717 scopus 로고    scopus 로고
    • Automatic selection of tube potential for radiation dose reduction in CT: a general strategy
    • Yu L., Li H., Fletcher J.G., et al. Automatic selection of tube potential for radiation dose reduction in CT: a general strategy. Med Phys 2010, 37(1):234-243.
    • (2010) Med Phys , vol.37 , Issue.1 , pp. 234-243
    • Yu, L.1    Li, H.2    Fletcher, J.G.3
  • 50
    • 84859112557 scopus 로고    scopus 로고
    • Accessed June 9, 2011, RSNA News
    • RSNA News Research fuels debate over bismuth breast shields Available at:, Accessed June 9, 2011. http://www.rsna.org/Publications/rsnanews/May-2011/breast_shields_feature.cfm.
    • Research fuels debate over bismuth breast shields
  • 51
    • 79958042280 scopus 로고    scopus 로고
    • The obese emergency patient: imaging challenges and solutions
    • Modica M.J., Kanal K.M., Gunn M.L. The obese emergency patient: imaging challenges and solutions. Radiographics 2011, 31(3):811-823.
    • (2011) Radiographics , vol.31 , Issue.3 , pp. 811-823
    • Modica, M.J.1    Kanal, K.M.2    Gunn, M.L.3
  • 52
    • 84856540861 scopus 로고    scopus 로고
    • White Paper, Available at:, Accessed September 9, 2011
    • Grant K., Flohr T. Iterative reconstruction in image space (IRIS) 2010, White Paper, Available at:, Accessed September 9, 2011. http://www.medical.siemens.com/siemens/en_US/gg_ct_FBAs/files/brochures/IRIS_WhitePaper_v3.pdf.
    • (2010) Iterative reconstruction in image space (IRIS)
    • Grant, K.1    Flohr, T.2
  • 53
    • 69949096664 scopus 로고    scopus 로고
    • Iterative reconstruction technique for reducing body radiation dose at CT: feasibility study
    • Hara A.K., Paden R.G., Silva A.C., et al. Iterative reconstruction technique for reducing body radiation dose at CT: feasibility study. AJR Am J Roentgenol 2009, 193(3):764.
    • (2009) AJR Am J Roentgenol , vol.193 , Issue.3 , pp. 764
    • Hara, A.K.1    Paden, R.G.2    Silva, A.C.3
  • 54
    • 84928096642 scopus 로고    scopus 로고
    • Patient-centric radiation dose monitoring in the electronic health record: what are some of the barriers and key next steps?
    • Sodickson A., Khorasani R. Patient-centric radiation dose monitoring in the electronic health record: what are some of the barriers and key next steps?. J Am Coll Radiol 2010, 7(10):752-753.
    • (2010) J Am Coll Radiol , vol.7 , Issue.10 , pp. 752-753
    • Sodickson, A.1    Khorasani, R.2
  • 56
    • 84856513921 scopus 로고    scopus 로고
    • Integrating the Healthcare Enterprise, Accessed September 9, 2011
    • Integrating the Healthcare Enterprise IHE Radiology, Technical Framework Supplement: Radiation Exposure Monitoring (REM) Available at:, Accessed September 9, 2011. http://www.ihe.net/Technical_Framework/upload/IHE_RAD_Suppl_REM_Rev2-1_TI_2010-11-16.pdf.
    • IHE Radiology, Technical Framework Supplement: Radiation Exposure Monitoring (REM)
  • 57
    • 84928096446 scopus 로고    scopus 로고
    • Automated extraction of radiation dose information for CT examinations
    • Cook T.S., Zimmerman S., Maidment A.D., et al. Automated extraction of radiation dose information for CT examinations. J Am Coll Radiol 2010, 7(11):871-877.
    • (2010) J Am Coll Radiol , vol.7 , Issue.11 , pp. 871-877
    • Cook, T.S.1    Zimmerman, S.2    Maidment, A.D.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.