Extra Z-axis coverage at CT imaging resulting in excess radiation dose: frequency, degree, and contributory factors.

Abstract:

OBJECTIVE:To assess the degree of extra scanning beyond the prescribed anatomic boundaries for thoracic and body computed tomographic (CT) scans and to identify associated factors. METHODS:For 442 consecutive chest, abdomen, and/or pelvis CT examinations, the length of extra scanning beyond the prescribed anatomic boundaries was determined. Examinations were grouped according to the locations/types of the prescribed boundaries and compared with regard to length of extra scanning. RESULTS:Of 442 CT examinations, 438 (99%) included extraneous imaging, showing a mean excess scanning length of 43.2 mm per examination (range, 0-180 mm). Significantly more extraneous imaging was performed when soft tissue or vascular structures defined anatomic boundaries compared to when osseous (P < 0.001) or air/soft tissue interfaces (P < 0.0001) defined the boundaries. The average percent of total scan dose attributable to extra imaging was 8.64% to 10.38%. CONCLUSIONS:Computed tomographic scanning beyond the prescribed anatomic boundaries occurs commonly, resulting in moderate extra radiation dose.

journal_name

J Comput Assist Tomogr

authors

Liao EA,Quint LE,Goodsitt MM,Francis IR,Khalatbari S,Myles JD

doi

10.1097/RCT.0b013e3181f5a652

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

50-6

issue

1

eissn

0363-8715

issn

1532-3145

pii

00004728-201101000-00012

journal_volume

35

pub_type

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