Influence of spectral shaping and tube voltage modulation in ultralow-dose computed tomography of the abdomen

Autor: Philipp Feldle, Jan-Peter Grunz, Andreas Steven Kunz, Pauline Pannenbecker, Theresa Sophie Patzer, Svenja Pichlmeier, Stephanie Tina Sauer, Robin Hendel, Süleyman Ergün, Thorsten Alexander Bley, Henner Huflage
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Medical Imaging, Vol 24, Iss 1, Pp 1-8 (2024)
Druh dokumentu: article
ISSN: 1471-2342
DOI: 10.1186/s12880-024-01228-1
Popis: Abstract Purpose Unenhanced abdominal CT constitutes the diagnostic standard of care in suspected urolithiasis. Aiming to identify potential for radiation dose reduction in this frequent imaging task, this experimental study compares the effect of spectral shaping and tube voltage modulation on image quality. Methods Using a third-generation dual-source CT, eight cadaveric specimens were scanned with varying tube voltage settings with and without tin filter application (Sn 150, Sn 100, 120, 100, and 80 kVp) at three dose levels (3 mGy: standard; 1 mGy: low; 0.5 mGy: ultralow). Image quality was assessed quantitatively by calculation of signal-to-noise ratios (SNR) for various tissues (spleen, kidney, trabecular bone, fat) and subjectively by three independent radiologists based on a seven-point rating scale (7 = excellent; 1 = very poor). Results Irrespective of dose level, Sn 100 kVp resulted in the highest SNR of all tube voltage settings. In direct comparison to Sn 150 kVp, superior SNR was ascertained for spleen (p ≤ 0.004) and kidney tissue (p ≤ 0.009). In ultralow-dose scans, subjective image quality of Sn 100 kVp (median score 3; interquartile range 3–3) was higher compared with conventional imaging at 120 kVp (2; 2–2), 100 kVp (1; 1–2), and 80 kVp (1; 1–1) (all p
Databáze: Directory of Open Access Journals