Radiation Dose during Transarterial Radioembolization: A Dosimetric Comparison of Cone-Beam CT and Angio-CT Technologies.

Autor:	Marshall EL; Department of Radiology, University of Chicago, Chicago, IL 60637. Electronic address: Emilymarshall@uchicago.edu., Guajardo S; Department of Radiology, University of Chicago, Chicago, IL 60637., Sellers E; Department of Radiology, University of Chicago, Chicago, IL 60637., Gayed M; Department of Radiology, University of Chicago, Chicago, IL 60637., Lu ZF; Department of Radiology, University of Chicago, Chicago, IL 60637., Owen J; Department of Medicine, University of Minnesota, Minneapolis, Minnesota., Funaki B; Department of Radiology, University of Chicago, Chicago, IL 60637., Ahmed O; Department of Radiology, University of Chicago, Chicago, IL 60637.
Jazyk:	angličtina
Zdroj:	Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2021 Mar; Vol. 32 (3), pp. 429-438. Date of Electronic Publication: 2020 Dec 24.
DOI:	10.1016/j.jvir.2020.10.021
Abstrakt:	Purpose: To evaluate the radiation dose differences for intraprocedural computed tomography (CT) imaging between cone-beam CT and angio-CT acquired during transarterial radioembolization (TARE) therapies for hepatocellular carcinoma. Materials and Methods: A retrospective cohort of 22 patients who underwent 23 TARE procedures were selected. Patients were imaged in both cone-beam CT and angio-CT rooms as a part of their conventional treatment plan. Effective dose contributions from individual CT acquisitions as well as the cumulative dose contributions from procedural 3D imaging were evaluated. Angiography dose contributions were omitted. Cone-beam CT images were acquired on a C-arm Philips Allura system. Effective doses were evaluated by coupling previously published conversion factors (effective dose per dose-area product) to patient's dose-area product meter readings after the procedure. Angio-CT images were acquired on a hybrid Canon Infinix-i Aquilion PRIME system. Effective doses from angio-CT scans were estimated using Radimetrics. Comparisons of a single patient's dose differential between the 2 technologies were made. Results: The mean effective dose from a single CT scan was 6.42 mSv and 5.99 mSv in the cone-beam CT room and the angio-CT room, respectively (P = .3224), despite the greater field of view and average craniocaudal scan coverage in angio-CT. The mean effective dose summed across all CTs in a procedure was 12.89 mSv and 34.35 mSv in the cone-beam CT room and the angio-CT room, respectively (P = .0018). Conclusions: The mean effective dose per CT scan is comparable between cone-beam CT and angio-CT when considered in direct comparison for a single patient. (Copyright © 2020 SIR. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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