Abstract:
BACKGROUND:The volume of CT examinations has increased with resultant increases in collective dose values over the last decade. OBJECTIVE:To analyze the impact of the tube current and voltage modulation for dose values and image quality of pediatric head CT examinations. MATERIALS AND METHODS:Head CT examinations were performed on anthropomorphic phantoms and four pediatric age categories before and after the introduction of dedicated pediatric curves for tube voltage and current modulation. Local diagnostic reference levels were calculated. Visual grading characteristic image quality evaluation was performed by four pediatric neuroradiologists and image noise comparisons were performed. RESULTS:Pediatric-specific modulation curves demonstrated a 49% decrease in mean radiation dose for phantom examinations. The local diagnostic reference levels (CTDIvol) for clinical examinations decreased by 52%, 41%, 46% and 40% for newborn, 5-, 10- and 15-year-old patients, respectively. Visual grading characteristic image quality was maintained for the majority of age categorizations (area under the curve = 0.5) and image noise measurements did not change (P = 0.693). CONCLUSION:Pediatric-specific dose modulation curves resulted in an overall mean dose reduction of 45% with no significant differences in subjective or objective image quality findings.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Santos J,Foley S,Paulo G,McEntee MF,Rainford Ldoi
10.1007/s00247-015-3398-5subject
Has Abstractpub_date
2015-11-01 00:00:00pages
1814-22issue
12eissn
0301-0449issn
1432-1998pii
10.1007/s00247-015-3398-5journal_volume
45pub_type
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