Evaluation of image-enhanced paediatric computed tomography brain examinations

Autor: L. M. Wiklund, F. Stålhammar, Anne Thilander-Klang, A. Forsberg, Kerstin Ledenius, C. Fredriksson
Rok vydání: 2010
Předmět:
Zdroj: Radiation Protection Dosimetry. 139:287-292
ISSN: 1742-3406
0144-8420
DOI: 10.1093/rpd/ncq097
Popis: The aim of this study was to evaluate the possibility of reducing the radiation dose to paediatric patients undergoing computed tomography (CT) brain examination by using image-enhancing software. Artificial noise was added to the raw data collected from 20 patients aged between 1 and 10 y to simulate tube current reductions of 20, 40 and 60 mA. All images were created in duplicate; one set of images remained unprocessed whereas the other was processed with image-enhancing software. Three paediatric radiologists assessed the image quality based on their ability to visualise the high- and low-contrast structures and their overall impression of the diagnostic value of the image. For patients aged 6-10 y, it was found that dose reductions from 27 mGy (CTDI(vol)) to 23 mGy (15 %) in the upper brain and from 32 to 28 mGy (13 %) in the lower brain were possible for standard diagnostic CT examinations when using the image-enhancing filter. For patients 1-5 y, the results for standard diagnostics in the upper brain were inconclusive, for the lower brain no dose reductions were found possible.
Databáze: OpenAIRE