EFFECT OF PATIENT SIZE, ANATOMICAL LOCATION AND MODULATION STRENGTH ON DOSE DELIVERED AND IMAGE-QUALITY ON CT EXAMINATION.

Abstract:

:To study the effect of patient size, anatomical location and modulation strength (MS) on image-quality and delivered dose of CT scans acquired with automatic-exposure-control system (AEC). Four anthropomorphic phantoms (three paediatric and one thin adult) were studied, and normal and obese adults were simulated by placing bolus plates around the adult phantom. Thorax and abdomen-pelvis CT were performed using an AEC system equipped with five possible MS. Modulated tube current (mAsmod) was compared to Reference mAs and image-noise was assessed. Effective-mAs were lower than Reference-mAs for all but the obese phantom. However, reversal points were estimated for an effective diameter of 27.8 cm in thorax and 26.9 cm in abdomen-pelvis scans, beyond which the patterns of MS were inversed. mAsmod were dependent on attenuation differences among distinct anatomical location. Finally, dose delivered was associated to the mAsmod and patient's size, with both affecting image-quality.

journal_name

Radiat Prot Dosimetry

authors

Greffier J,Larbi A,Macri F,Beregi JP,Pereira F

doi

10.1093/rpd/ncx055

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

373-381

issue

4

eissn

0144-8420

issn

1742-3406

pii

3769471

journal_volume

177

pub_type

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