Comparison of radiation doses using weight-based protocol and dose modulation techniques for patients undergoing biphasic abdominal computed tomography examinations

Computed tomography (CT) of the abdomen contributes a substantial amount of man-made radiation dose to patients and use of this modality is on the increase. This study intends to compare radiation dose and image quality using dose modulation techniques and weight- based protocol exposure parameters...

Full description

Bibliographic Details
Main Authors: Livingstone Roshan, Dinakaran Paul, Cherian Rekha, Eapen Anu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2009-01-01
Series:Journal of Medical Physics
Subjects:
Online Access:http://www.jmp.org.in/article.asp?issn=0971-6203;year=2009;volume=34;issue=4;spage=217;epage=222;aulast=Livingstone
_version_ 1818897290942742528
author Livingstone Roshan
Dinakaran Paul
Cherian Rekha
Eapen Anu
author_facet Livingstone Roshan
Dinakaran Paul
Cherian Rekha
Eapen Anu
author_sort Livingstone Roshan
collection DOAJ
description Computed tomography (CT) of the abdomen contributes a substantial amount of man-made radiation dose to patients and use of this modality is on the increase. This study intends to compare radiation dose and image quality using dose modulation techniques and weight- based protocol exposure parameters for biphasic abdominal CT. Using a six-slice CT scanner, a prospective study of 426 patients who underwent abdominal CT examinations was performed. Constant tube potentials of 90 kV and 120 kV were used for all arterial and portal venous phase respectively. The tube current-time product for weight-based protocol was optimized according to patient′s body weight; this was automatically selected in dose modulations. The effective dose using weight-based protocol, angular and z-axis dose modulation was 11.3 mSv, 9.5 mSv and 8.2 mSv respectively for the patient′s body weight ranging from 40 to 60 kg. For patients of body weights ranging 60 to 80 kg, the effective doses were 13.2 mSv, 11.2 mSv and 10.6 mSv respectively. The use of dose modulation technique resulted in a reduction of 16 to 28% in radiation dose with acceptable diagnostic accuracy in comparison to the use of weight-based protocol settings.
first_indexed 2024-12-19T19:13:50Z
format Article
id doaj.art-82e59579e367409497796639ec341ae2
institution Directory Open Access Journal
issn 0971-6203
1998-3913
language English
last_indexed 2024-12-19T19:13:50Z
publishDate 2009-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Medical Physics
spelling doaj.art-82e59579e367409497796639ec341ae22022-12-21T20:09:12ZengWolters Kluwer Medknow PublicationsJournal of Medical Physics0971-62031998-39132009-01-01344217222Comparison of radiation doses using weight-based protocol and dose modulation techniques for patients undergoing biphasic abdominal computed tomography examinationsLivingstone RoshanDinakaran PaulCherian RekhaEapen AnuComputed tomography (CT) of the abdomen contributes a substantial amount of man-made radiation dose to patients and use of this modality is on the increase. This study intends to compare radiation dose and image quality using dose modulation techniques and weight- based protocol exposure parameters for biphasic abdominal CT. Using a six-slice CT scanner, a prospective study of 426 patients who underwent abdominal CT examinations was performed. Constant tube potentials of 90 kV and 120 kV were used for all arterial and portal venous phase respectively. The tube current-time product for weight-based protocol was optimized according to patient′s body weight; this was automatically selected in dose modulations. The effective dose using weight-based protocol, angular and z-axis dose modulation was 11.3 mSv, 9.5 mSv and 8.2 mSv respectively for the patient′s body weight ranging from 40 to 60 kg. For patients of body weights ranging 60 to 80 kg, the effective doses were 13.2 mSv, 11.2 mSv and 10.6 mSv respectively. The use of dose modulation technique resulted in a reduction of 16 to 28% in radiation dose with acceptable diagnostic accuracy in comparison to the use of weight-based protocol settings.http://www.jmp.org.in/article.asp?issn=0971-6203;year=2009;volume=34;issue=4;spage=217;epage=222;aulast=LivingstoneAbdominal computed tomographydose modulationeffective doseimage quality
spellingShingle Livingstone Roshan
Dinakaran Paul
Cherian Rekha
Eapen Anu
Comparison of radiation doses using weight-based protocol and dose modulation techniques for patients undergoing biphasic abdominal computed tomography examinations
Journal of Medical Physics
Abdominal computed tomography
dose modulation
effective dose
image quality
title Comparison of radiation doses using weight-based protocol and dose modulation techniques for patients undergoing biphasic abdominal computed tomography examinations
title_full Comparison of radiation doses using weight-based protocol and dose modulation techniques for patients undergoing biphasic abdominal computed tomography examinations
title_fullStr Comparison of radiation doses using weight-based protocol and dose modulation techniques for patients undergoing biphasic abdominal computed tomography examinations
title_full_unstemmed Comparison of radiation doses using weight-based protocol and dose modulation techniques for patients undergoing biphasic abdominal computed tomography examinations
title_short Comparison of radiation doses using weight-based protocol and dose modulation techniques for patients undergoing biphasic abdominal computed tomography examinations
title_sort comparison of radiation doses using weight based protocol and dose modulation techniques for patients undergoing biphasic abdominal computed tomography examinations
topic Abdominal computed tomography
dose modulation
effective dose
image quality
url http://www.jmp.org.in/article.asp?issn=0971-6203;year=2009;volume=34;issue=4;spage=217;epage=222;aulast=Livingstone
work_keys_str_mv AT livingstoneroshan comparisonofradiationdosesusingweightbasedprotocolanddosemodulationtechniquesforpatientsundergoingbiphasicabdominalcomputedtomographyexaminations
AT dinakaranpaul comparisonofradiationdosesusingweightbasedprotocolanddosemodulationtechniquesforpatientsundergoingbiphasicabdominalcomputedtomographyexaminations
AT cherianrekha comparisonofradiationdosesusingweightbasedprotocolanddosemodulationtechniquesforpatientsundergoingbiphasicabdominalcomputedtomographyexaminations
AT eapenanu comparisonofradiationdosesusingweightbasedprotocolanddosemodulationtechniquesforpatientsundergoingbiphasicabdominalcomputedtomographyexaminations