title: Comparison of radiation dose estimates, image noise, and scan duration in pediatric body imaging for volumetric and helical modes on 320-detector CT and helical mode on 64-detector CT.
abstract: BACKGROUND
  Advanced multidetector CT systems facilitate volumetric image acquisition, which offers theoretic dose savings over helical acquisition with shorter scan times.
  
  
  OBJECTIVE
  Compare effective dose (ED), scan duration and image noise using 320- and 64-detector CT scanners in various acquisition modes for clinical chest, abdomen and pelvis protocols.
  
  
  METHODS
  ED and scan durations were determined for 64-detector helical, 160-detector helical and volume modes under chest, abdomen and pelvis protocols on 320-detector CT with adaptive collimation and 64-detector helical mode on 64-detector CT without adaptive collimation in a phantom representing a 5-year-old child. Noise was measured as standard deviation of Hounsfield units.
  
  
  RESULTS
  Compared to 64-detector helical CT, all acquisition modes on 320-detector CT resulted in lower ED and scan durations. Dose savings were greater for chest (27-46%) than abdomen/pelvis (18-28%) and chest/abdomen/pelvis imaging (8-14%). Noise was similar across scanning modes, although some protocols on 320-detector CT produced slightly higher noise.
  
  
  CONCLUSIONS
  Dose savings can be achieved for chest, abdomen/pelvis and chest/abdomen/pelvis examinations on 320-detector CT compared to helical acquisition on 64-detector CT, with shorter scan durations. Although noise differences between some modes reached statistical significance, this is of doubtful diagnostic significance and will be studied further in a clinical setting.
authors: The University of Texas Medical School, Houston, TX, USA. jennifer.h.johnston@uth.tmc.edu
authors: Jennifer H
authors: JH
authors: Johnston
authors: Daniel J
authors: DJ
authors: Podberesky
authors: Terry T
authors: TT
authors: Yoshizumi
authors: Erin
authors: E
authors: Angel
authors: Greta
authors: G
authors: Toncheva
authors: David B
authors: DB
authors: Larson
authors: John C
authors: JC
authors: Egelhoff
authors: Colin
authors: C
authors: Anderson-Evans
authors: Giao B
authors: GB
authors: Nguyen
authors: Alessandra
authors: A
authors: Barelli
authors: Christopher
authors: C
authors: Alsip
authors: Shelia R
authors: SR
authors: Salisbury
authors: Donald P
authors: DP
authors: Frush
mesh_terms: D016477:Artifacts; D002648:Child; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000295:instrumentation*; D019047:Phantoms, Imaging; D011829:Radiation Dosage; D011874:Radiometry; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013997:Time Factors; D036542:Tomography, Spiral Computed / Q000295:instrumentation*; D051598:Whole Body Imaging / Q000295:instrumentation*
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