Radiation dose reduction at low tube voltage with coronary artery bypass graft computed tomography angiography based on the contrast noise ratio index

被引:1
作者
Masuda, Takanori [1 ]
Nakaura, Takeshi [2 ]
Funama, Yoshinori [3 ]
Sato, Tomoyasu [4 ]
Masuda, Shouko [5 ]
Gotanda, Rumi [1 ]
Arao, Keiko [1 ]
Imaizumi, Hiromasa [1 ]
Arao, Shinichi [1 ]
Ono, Atsushi [1 ]
Hiratsuka, Junichi [1 ]
Awai, Kazuo [6 ]
机构
[1] Kawasaki Univ Med Welf, Dept Radiol Technol, 288 Matsushima, Kurashiki, Okayama 7010193, Japan
[2] Kumamoto Univ, Dept Diagnost Radiol, 1 1 1 Honjo, Kumamoto 8608556, Japan
[3] Kumamoto Univ, Dept Med Phys, Kumamoto, Japan
[4] Tsuchiya Gen Hosp, Dept Diagnost Radiol, Nakajima cho 3 30 Naka ku, Hiroshima 7308655, Japan
[5] Kawamura Clin Otemachi, Dept Radiol Technol, Naka-ku, Hiroshima 7300051, Japan
[6] Hiroshima Univ, Dept Diagnost Radiol, Hiroshima, Japan
关键词
IMAGE QUALITY; CURRENT MODULATION; CT ANGIOGRAPHY; CHEST CT; SELECTION; SURGERY;
D O I
10.1093/rpd/ncad049
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
To compare the radiation dose and diagnostic ability of the 100-kVp protocol, based on the contrast noise ratio (CNR) index, during coronary artery bypass graft (CABG) vessels with those of the 120-kVp protocol. For the 120-kVp scans (150 patients), the targeted image level was set at 25 Hounsfield units (HU) (CNR120 = iodine contrast/25 HU). For the 100-kVp scans (150 patients), the targeted noise level was set at 30 HU to obtain the same CNR as in the 120-kVp scans (i.e. using 1.2-fold higher iodine contrast, CNR100 = 1.2 x iodine contrast/(1.2 x 25 HU) = CNR120). We compared the CNRs, radiation doses, detection of CABG vessels and visualisation scores of the scans acquired at 120 and 100 kVp, respectively. At the same CNR, the 100-kVp protocol may help reduce the radiation dose by similar to 30% compared with the 120-kVp protocol, without degradation of diagnostic ability during CABG.
引用
收藏
页码:527 / 532
页数:6
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