Reducing radiation dose in emergency computed tomography with automatic exposure control techniques

被引:61
作者
Kalra M.K. [1 ]
Rizzo S.M.R. [1 ]
Novelline R.A. [1 ]
机构
[1] Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, Founders 215
关键词
Automatic exposure control; Computed tomography (CT); Radiation dose;
D O I
10.1007/s10140-004-0395-7
中图分类号
学科分类号
摘要
Computed tomography (CT) scanning is being increasingly used for evaluation of trauma, which most commonly involves younger individuals. As younger patients are at higher risk for radiation-induced cancer compared to older patients, radiation dose reduction is an important issue in emergency CT scanning. With automatic exposure control techniques, users select a desired image quality and the system adapts tube current to obtain the desired image quality with greater radiation dose efficiency. These techniques can help in reducing radiation dose by 10-60% in most instances. This review article presents a comprehensive description of fundamentals, clinical applications and radiation dose benefits of automatic exposure control in emergency CT scanning. © ASER 2005.
引用
收藏
页码:267 / 274
页数:7
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共 35 条
  • [11] Kalra M.K., Maher M.M., Prasad S.R., Hayat M.S., Blake M.A., Varghese J., Et al., Correlation of patient weight and cross-sectional dimensions with subjective image quality at standard dose abdominal CT, Korean J Radiol, 4, pp. 234-238, (2003)
  • [12] Frush D.P., Pediatric CT: Practical approach to diminish the radiation dose, Pediatr Radiol, 32, pp. 714-717, (2002)
  • [13] Prasad S.R., Wittram C., Shepard J.A., McLoud T., Rhea J., Standard-dose and 50%-reduced-dose chest CT: Comparing the effect on image quality, AJR Am J Roentgenol, 179, pp. 461-465, (2002)
  • [14] Hagtvedt T., Aalokken T.M., Notthellen J., Kolbenstvedt A., A new low-dose CT examination compared with standard-dose CT in the diagnosis of acute sinusitis, Eur Radiol, 13, pp. 976-980, (2003)
  • [15] Cohnen M., Cohnen B., Koch J.A., Malms J., Teubert G., Ewen K., Possibilities for dose reduction in coronal spiral CT of the mid-face area, Aktuelle Radiol, 8, pp. 34-39, (1998)
  • [16] Blandino A., Minutoli F., Scribano E., Vinci S., Magno C., Pergolizzi S., Et al., Combined magnetic resonance urography and targeted helical CT in patients with renal colic: A new approach to reduce delivered dose, J Magn Reson Imaging, 20, pp. 264-271, (2004)
  • [17] Tack D., Sourtzis S., Delpierre I., De Maertelaer V., Gevenois P.A., Low-dose unenhanced multidetector CT of patients with suspected renal colic, AJR Am J Roentgenol, 180, pp. 305-311, (2003)
  • [18] Keyzer C., Tack D., De Maertelaer V., Bohy P., Gevenois P.A., Van Gansbeke D., Acute appendicitis: Comparison of low-dose and standard-dose unenhanced multi-detector row CT, Radiology, 232, pp. 164-172, (2004)
  • [19] 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, 229, pp. 902-905, (2003)
  • [20] Kalra M.K., Maher M.M., Toth T.L., Schmidt B., Westerman B., Morgan H.P., Et al., Techniques and applications of automatic tube current modulation, Radiology, (2004)