| Comparison of the image quality of various fixed and dose modulated protocols for soft tissue neck CT on a GE Lightspeed scanner. | |
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MedLine Citation:
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PMID: 18182264 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Up-to-date CT scanners provide high quality soft tissue imaging of the neck, but scanning protocols often are not optimized regarding radiation dose. Thus, we tried to find a dose-optimized protocol for soft tissue imaging of the neck. MATERIAL AND METHODS: 70 patients were scanned with a 16-row CT-scanner (Lightspeed, GE) with seven different protocols. We used four fixed tube current settings (225, 200, 175 and 150 mA; corresponding CTDI(vol)=10.6, 9.5, 8.3 and 7.1 mGy) and three z-axis dose modulations with a relatively high, moderate and low dose (calculated CTDI(vol)=10.5, 9.1, 7.7 mGy). Representative slices of seven anatomical regions (from the nasopharynx to the aortic arch) were subjectively judged by two radiologists with respect to image quality (five-point rating scale for noise and sharpness). For each protocol and for each judged anatomical region we determined and compared mean values regarding image quality and local tube current. For each protocol, mean values regarding the volume CT dose index (CTDI(vol)) and the dose-length product (DLP) were statistically compared. Moreover, using the software CT-Expo the respective effective doses and the cumulative organ doses of the thyroid gland were compared. RESULTS: For a fixed tube current of at least 200 mA (CTDI(vol)=9.5 mGy) and for dose modulations with a moderate or high dose adjustment (calculated CTDI(vol)=9.1 and 10.5 mGy) the image quality was sufficient to excellent. As compared to a fixed tube current of 200 mA, dose modulation with a moderate dose adjustment improved the image quality in regions more vulnerable to noise-related artifacts such as at the level of the shoulder, without a noteworthy difference regarding the DLP. However, the cumulative organ dose of the thyroid gland was 17% lower using dose modulation with a moderate dose adjustment as compared to the fixed tube current of 200 mA. Thus, for a comparison with other scanners, we recommend dose modulation and an averaged CTDI(vol)<9 mGy (or a DLP<250 mGycm). CONCLUSION: A combination of dose modulation and an averaged CTDI(vol)<9 mGy or a DLP<250 mGycm yields sufficient image quality for soft tissue CT-imaging of the neck. |
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Authors:
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J Weidemann; G Stamm; M Galanski; M Keberle |
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Publication Detail:
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Type: Comparative Study; Evaluation Studies; Journal Article Date: 2008-01-07 |
Journal Detail:
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Title: European journal of radiology Volume: 69 ISSN: 1872-7727 ISO Abbreviation: Eur J Radiol Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-03-30 Completed Date: 2009-07-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8106411 Medline TA: Eur J Radiol Country: Ireland |
Other Details:
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Languages: eng Pagination: 473-7 Citation Subset: IM |
Affiliation:
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Diagnostic Radiology, Hannover Medical School, Carl-Neuberg-Street 1, D-30625 Hannover, Germany. j.weidemann@mac.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Equipment Design Equipment Failure Analysis Female Head and Neck Neoplasms / radiography* Humans Male Neck / radiography* Reproducibility of Results Sensitivity and Specificity Soft Tissue Infections / radiography* Soft Tissue Neoplasms / radiography* Tomography, X-Ray Computed / instrumentation*, methods* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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