[Individualized dose requirement for spiral-CT analysis of the abdomen].
OBJECTIVE
To search for individualized scan protocols that provide adequate diagnostic information with minimal radiation exposure for abdominal CT in adults.


METHODS
Beginning with standard settings (120 kVp, 200 mA, 0.75 s, CTDI (w = 11.7 mGy)), which are in the lowest quartile of the actual German radiation dose survey, 119 adults were examined using a single-row detector helical CT with 8 mm collimation and a pitch of 1.5. The individualized scan protocol was defined by repeating the reference scan up to 3 times with different radiation doses following a predefined iteration scheme. The image qualities with standard dose and with individualized dose were assessed independently by 3 radiologists blinded to the exposure parameters. The individualized dose was correlated with the diameter of the patients.


RESULTS
The patient diameters varied from 16 to 35 cm and correlated with individualized radiation doses CTDI (w) from 6.4 to 17.6 mGy. We found an exponential correlation (y = 52.3 x e (0.05 x); r(2) = 0.48; p < 0.001) between required tube current (mA) and a. p. diameter (cm) in the epigastric region in adults.


CONCLUSIONS
Maintaining constant exposure parameters results in unnecessary radiation exposure in patients with a diameter of less than 27 cm measured in anterior-posterior direction in the epigastric area. The radiation exposure in adult abdominal CT can be reduced up to 45 % by individualized selection of the tube current without adversely affecting diagnostic performance.
Tschammler
A
A
Institut für Röntgendiagnostik der Universität Würzburg. tschammler@roentgen.uni-wuerzburg.de
Kenn
W
W
Dinkel
H P
HP
Sandstede
J
J
Keberle
M
M
Tschammler
S
S
D000328:Adult; D004307:Dose-Response Relationship, Radiation; D005260:Female; D006801:Humans; D008297:Male; D011785:Quality Assurance, Health Care / Q000379:methods*; D011829:Radiation Dosage; D011832:Radiation Injuries / Q000209:etiology / Q000517:prevention & control; D011835:Radiation Protection / Q000379:methods*; D011856:Radiographic Image Enhancement / Q000379:methods*; D011860:Radiography, Abdominal / Q000379:methods*; D011874:Radiometry / Q000379:methods*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D036542:Tomography, Spiral Computed / Q000009:adverse effects / Q000379:methods*