CHEST CT USAGE IN COVID-19 PNEUMONIA: MULTICENTER STUDY ON RADIATION DOSES AND DIAGNOSTIC QUALITY IN BRAZIL.

Autor: Bernardo, Monica, Homayounieh, Fatemeh, Cuter, Maria Cristina Rodel, Bellegard, Luiz Mário, Junior, Homero Medeiros Oliveira, Buril, Gabriela Oliveira, Tapajós, Juliana Santana de Melo, Sales, Danilo Moulin, Carvalho, Luiz Claudio de Moura, Pinto, Débora Alves, Varella, Ricardo, Tapajós, Luciano Leitão, Ebrahimian, Shadi, Vassileva, Jenia, Kalra, Mannudeep K, Khoury, Helen Jamil
Předmět:
Zdroj: Radiation Protection Dosimetry; Dec2021, Vol. 197 Issue 3/4, p135-145, 11p
Abstrakt: We assessed variations in chest CT usage, radiation dose and image quality in COVID-19 pneumonia. Our study included all chest CT exams performed in 533 patients from 6 healthcare sites from Brazil. We recorded patients' age, gender and body weight and the information number of CT exams per patient, scan parameters and radiation doses (volume CT dose index—CTDIvol and dose length product—DLP). Six radiologists assessed all chest CT exams for the type of pulmonary findings and classified CT appearance of COVID-19 pneumonia as typical, indeterminate, atypical or negative. In addition, each CT was assessed for diagnostic quality (optimal or suboptimal) and presence of artefacts. Artefacts were frequent (367/841), often related to respiratory motion (344/367 chest CT exams with artefacts) and resulted in suboptimal evaluation in mid-to-lower lungs (176/344) or the entire lung (31/344). There were substantial differences in CT usage, patient weight, CTDIvol and DLP across the participating sites. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index