CT dose management for neurologic events in patients with cardiac devices: Radiation exposure variation in patients with cardiac devices
PURPOSE:To compare the inter-center cranial computed tomography (CT) acquisition rates, CT findings, CT related radiation dose, and variability of CT acquisition parameters for neurologic events among patients with implantable cardioverter-defibrillator (ICD) or left ventricular assist device (LVAD)...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2022-01-01
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| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/ct-dose-management-for-neurologic-events-in-patien/53788
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| _version_ | 1827823558956417024 |
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| author | Gokcen Coban Safak Parlak Mehmet Ruhi Onur Egemen Cifci Cenk Erarslan Ugur Canpolat Ergun Barıs Kaya Kudret Aytemir Kader K. Oguz |
| author_facet | Gokcen Coban Safak Parlak Mehmet Ruhi Onur Egemen Cifci Cenk Erarslan Ugur Canpolat Ergun Barıs Kaya Kudret Aytemir Kader K. Oguz |
| author_sort | Gokcen Coban |
| collection | DOAJ |
| description | PURPOSE:To compare the inter-center cranial computed tomography (CT) acquisition rates, CT findings, CT related radiation dose, and variability of CT acquisition parameters for neurologic events among patients with implantable cardioverter-defibrillator (ICD) or left ventricular assist device (LVAD).METHODS:A total of 224 patients [ICD group (n = 155) and LVAD group (n = 69)] who had at least one cranial CT scan were enrolled from three medical centers. The variability and effect of the number, indication, and findings of cranial CT scans as well as CT acquisition parameters including tube potential, tube current, tube rotation time (TI), slice collimation (cSL), and spiral or sequential scanning techniques on CT dose index volume (CTDIvol), total dose length product (DLP) were analyzed.RESULTS:The mean DLP value of Center A and mean CTDIvol values of Center A and C were significantly lower than Center B (p < 0.001). The mean CTDIvol and DLP values in the ICD group were substantially lower than the LVAD group (p<0.001). The most potent parameters causing the changes in CTDIvol and DLP were kV, mAs values, and CT scanning technique as sequential or spiral according to multivariate linear regression analysis.CONCLUSION:Cranial CT acquisition parameters and radiation doses vary significantly between centers, which necessitates optimization of cranial CT protocols to overcome the cumulative radiation dose burden in patients with neurologic events. |
| first_indexed | 2024-03-12T02:13:27Z |
| format | Article |
| id | doaj.art-ba3dda430a574677bbc0335c93d3cbb9 |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:13:27Z |
| publishDate | 2022-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-ba3dda430a574677bbc0335c93d3cbb92023-09-06T12:11:54ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122022-01-012819810210.5152/dir.2021.2067313049054CT dose management for neurologic events in patients with cardiac devices: Radiation exposure variation in patients with cardiac devicesGokcen Coban0Safak Parlak1Mehmet Ruhi Onur2Egemen Cifci3Cenk Erarslan4Ugur Canpolat5Ergun Barıs Kaya6Kudret Aytemir7Kader K. Oguz8 Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey Department of Radiology, Ministry of Health, Ankara City Hospital, Ankara, Turkey Department of Radiology, Faculty of Medicine, Ege University, Izmir, Turkey Department of Cardiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey Department of Cardiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey Department of Cardiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey PURPOSE:To compare the inter-center cranial computed tomography (CT) acquisition rates, CT findings, CT related radiation dose, and variability of CT acquisition parameters for neurologic events among patients with implantable cardioverter-defibrillator (ICD) or left ventricular assist device (LVAD).METHODS:A total of 224 patients [ICD group (n = 155) and LVAD group (n = 69)] who had at least one cranial CT scan were enrolled from three medical centers. The variability and effect of the number, indication, and findings of cranial CT scans as well as CT acquisition parameters including tube potential, tube current, tube rotation time (TI), slice collimation (cSL), and spiral or sequential scanning techniques on CT dose index volume (CTDIvol), total dose length product (DLP) were analyzed.RESULTS:The mean DLP value of Center A and mean CTDIvol values of Center A and C were significantly lower than Center B (p < 0.001). The mean CTDIvol and DLP values in the ICD group were substantially lower than the LVAD group (p<0.001). The most potent parameters causing the changes in CTDIvol and DLP were kV, mAs values, and CT scanning technique as sequential or spiral according to multivariate linear regression analysis.CONCLUSION:Cranial CT acquisition parameters and radiation doses vary significantly between centers, which necessitates optimization of cranial CT protocols to overcome the cumulative radiation dose burden in patients with neurologic events. http://www.dirjournal.org/archives/archive-detail/article-preview/ct-dose-management-for-neurologic-events-in-patien/53788 |
| spellingShingle | Gokcen Coban Safak Parlak Mehmet Ruhi Onur Egemen Cifci Cenk Erarslan Ugur Canpolat Ergun Barıs Kaya Kudret Aytemir Kader K. Oguz CT dose management for neurologic events in patients with cardiac devices: Radiation exposure variation in patients with cardiac devices Diagnostic and Interventional Radiology |
| title | CT dose management for neurologic events in patients with cardiac devices: Radiation exposure variation in patients with cardiac devices |
| title_full | CT dose management for neurologic events in patients with cardiac devices: Radiation exposure variation in patients with cardiac devices |
| title_fullStr | CT dose management for neurologic events in patients with cardiac devices: Radiation exposure variation in patients with cardiac devices |
| title_full_unstemmed | CT dose management for neurologic events in patients with cardiac devices: Radiation exposure variation in patients with cardiac devices |
| title_short | CT dose management for neurologic events in patients with cardiac devices: Radiation exposure variation in patients with cardiac devices |
| title_sort | ct dose management for neurologic events in patients with cardiac devices radiation exposure variation in patients with cardiac devices |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/ct-dose-management-for-neurologic-events-in-patien/53788
|
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