Radiation Dose Optimization during Temporal Bone CT Examination Using One-Shot Axial Volumetric Acquisition

Introduction: The optimization of radiation exposure when exploring small and complex anatomical structures is the most important issue for temporal bone CT. The objective of this study is to use single-shot volume acquisition in order to minimize the dose and compare the obtained image quality to a...

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Main Authors: Youssef Madkouri, Mohammed Aggour, Youssef Bouzekraoui, FARIDA BENTAYEB
Format: Article
Language:English
Published: Mashhad University of Medical Sciences 2023-07-01
Series:Iranian Journal of Medical Physics
Subjects:
Online Access:https://ijmp.mums.ac.ir/article_20680_7c63a578123758b085a195d25dddc04b.pdf
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author Youssef Madkouri
Mohammed Aggour
Youssef Bouzekraoui
FARIDA BENTAYEB
author_facet Youssef Madkouri
Mohammed Aggour
Youssef Bouzekraoui
FARIDA BENTAYEB
author_sort Youssef Madkouri
collection DOAJ
description Introduction: The optimization of radiation exposure when exploring small and complex anatomical structures is the most important issue for temporal bone CT. The objective of this study is to use single-shot volume acquisition in order to minimize the dose and compare the obtained image quality to a conventional helical technique. Material and Methods: Twenty patients (8 males, 12 females) were scanned using the 135kVp single-shot volume mode (VMCT135-kVp) whereas other twenty patients (9 males, 11 females) were examined using the 120kVp helical mode (HMCT120-kVp). A physician-interpreter evaluated the subjective conspicuity of 53 structures in the temporal bone on a 5-point scale using multiplanar reconstruction (MPR). In addition, the image noise in both techniques was quantified by analyzing it in three different regions of interest (ROIs). Radiation dose reduction was noted and compared with literature-based effective dose dosimetry data.Results: The mean dose-length-product (DLP) for the VMCT135-kVp was (69.6±2.5 mGy.cm), which was significantly lower (p<0.001), compared to (186.4±4.3 mGy.cm) for HMCT120-kVp. Similarly, the effective dose (0.15±0.01 mSv) for VMCT135-kVp was reduced by approximately 61.5% relative to (0.39±0.05 mSv) for HMCT120-kVp. In contrast, there was no significant difference in the image noise average between the two protocols (p> 0.05). Indeed, the overall analysis of the 53 anatomic structures revealed no differences between the two protocols, and most anatomic structures were identified.Conclusion: For temporal bone, the VMCT135-kVp scan significantly reduces radiation exposure compared to the HMCT120-kVp. The obtained dose was lower compared to the literature-based protocol while maintaining image visualization quality.
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spelling doaj.art-b6d5b10a28df40558a4ac318e137f4202024-04-14T06:28:23ZengMashhad University of Medical SciencesIranian Journal of Medical Physics2345-36722023-07-0120421522110.22038/ijmp.2022.63627.208720680Radiation Dose Optimization during Temporal Bone CT Examination Using One-Shot Axial Volumetric AcquisitionYoussef Madkouri0Mohammed Aggour1Youssef Bouzekraoui2FARIDA BENTAYEB3Laboratory of Electronic Systems, Information Processing, Mechanics and Energetics, Faculty of Sciences , University Ibn Tofail Kenitra, Kenitra, MoroccoLaboratory of Electronic Systems, Information Processing, Mechanics and Energetics, Faculty of Sciences , University Ibn Tofail Kenitra, Kenitra, MoroccoHassan First University of Settat, High Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Settat, MoroccoDepartement of Physics, Laboratory of High Energy Physics, Modelling and Simulation, Faculty of Science, Mohammed V Agdal University, Rabat, Kingdom of MoroccoIntroduction: The optimization of radiation exposure when exploring small and complex anatomical structures is the most important issue for temporal bone CT. The objective of this study is to use single-shot volume acquisition in order to minimize the dose and compare the obtained image quality to a conventional helical technique. Material and Methods: Twenty patients (8 males, 12 females) were scanned using the 135kVp single-shot volume mode (VMCT135-kVp) whereas other twenty patients (9 males, 11 females) were examined using the 120kVp helical mode (HMCT120-kVp). A physician-interpreter evaluated the subjective conspicuity of 53 structures in the temporal bone on a 5-point scale using multiplanar reconstruction (MPR). In addition, the image noise in both techniques was quantified by analyzing it in three different regions of interest (ROIs). Radiation dose reduction was noted and compared with literature-based effective dose dosimetry data.Results: The mean dose-length-product (DLP) for the VMCT135-kVp was (69.6±2.5 mGy.cm), which was significantly lower (p<0.001), compared to (186.4±4.3 mGy.cm) for HMCT120-kVp. Similarly, the effective dose (0.15±0.01 mSv) for VMCT135-kVp was reduced by approximately 61.5% relative to (0.39±0.05 mSv) for HMCT120-kVp. In contrast, there was no significant difference in the image noise average between the two protocols (p> 0.05). Indeed, the overall analysis of the 53 anatomic structures revealed no differences between the two protocols, and most anatomic structures were identified.Conclusion: For temporal bone, the VMCT135-kVp scan significantly reduces radiation exposure compared to the HMCT120-kVp. The obtained dose was lower compared to the literature-based protocol while maintaining image visualization quality.https://ijmp.mums.ac.ir/article_20680_7c63a578123758b085a195d25dddc04b.pdfcomputed tomographyvolumetrictemporal bone
spellingShingle Youssef Madkouri
Mohammed Aggour
Youssef Bouzekraoui
FARIDA BENTAYEB
Radiation Dose Optimization during Temporal Bone CT Examination Using One-Shot Axial Volumetric Acquisition
Iranian Journal of Medical Physics
computed tomography
volumetric
temporal bone
title Radiation Dose Optimization during Temporal Bone CT Examination Using One-Shot Axial Volumetric Acquisition
title_full Radiation Dose Optimization during Temporal Bone CT Examination Using One-Shot Axial Volumetric Acquisition
title_fullStr Radiation Dose Optimization during Temporal Bone CT Examination Using One-Shot Axial Volumetric Acquisition
title_full_unstemmed Radiation Dose Optimization during Temporal Bone CT Examination Using One-Shot Axial Volumetric Acquisition
title_short Radiation Dose Optimization during Temporal Bone CT Examination Using One-Shot Axial Volumetric Acquisition
title_sort radiation dose optimization during temporal bone ct examination using one shot axial volumetric acquisition
topic computed tomography
volumetric
temporal bone
url https://ijmp.mums.ac.ir/article_20680_7c63a578123758b085a195d25dddc04b.pdf
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AT mohammedaggour radiationdoseoptimizationduringtemporalbonectexaminationusingoneshotaxialvolumetricacquisition
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AT faridabentayeb radiationdoseoptimizationduringtemporalbonectexaminationusingoneshotaxialvolumetricacquisition