Impact of operator-selected image noise index and reconstruction slice thickness on patient radiation dose in 64-MDCT

OBJECTIVE. Our objective was to develop a better understanding of the complex interrelationship between image noise, reconstruction slice thickness, and patient radiation dose on a 64-MDCT scanner that uses automated tube current modulation. MATERIALS AND METHODS. We reviewed physics theory and performed phantom dose measurements on a 64-MDCT scanner while altering operator-selectable image noise and reconstruction slice thickness. RESULTS. Using phantom dose measurements to adjust theoretic predictions, we constructed both a spreadsheet and a graph that visually display the interrelationships between operator-selected image noise and reconstruction slice thickness and the resulting patient dose. CONCLUSION. This table and graph may help operators understand the trade-offs when prospectively trying to minimize dose and optimize image noise for selected reconstruction slice thicknesses on this type of 64-MDCT scanner.