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Comparison of doses received from non-contrast enhanced brain CT examinations between two CT scanners.
Zatkuliaková, Veronika; Stevík, Martin; Vorcák, Martin; Sýkora, Ján; Trabalková, Zuzana; Broocks, Gabriel; Meyer, Lukas; Fiehler, Jens; Zelenák, Kamil.
Afiliación
  • Zatkuliaková V; Clinic of Radiology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin University Hospital, Martin, Slovakia.
  • Stevík M; Clinic of Radiology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin University Hospital, Martin, Slovakia.
  • Vorcák M; Clinic of Radiology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin University Hospital, Martin, Slovakia.
  • Sýkora J; Clinic of Radiology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin University Hospital, Martin, Slovakia.
  • Trabalková Z; Clinic of Radiology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin University Hospital, Martin, Slovakia.
  • Broocks G; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Meyer L; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Fiehler J; Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
  • Zelenák K; Clinic of Radiology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin University Hospital, Martin, Slovakia.
Heliyon ; 10(17): e37043, 2024 Sep 15.
Article en En | MEDLINE | ID: mdl-39295996
ABSTRACT

Objectives:

Medical devices based on X-ray imaging, such as computed tomography, are considered notable sources of artificial radiation. The aim of this study was to compare the computed tomography dose volume index, the dose length product, and the effective dose of the brain non-contrast enhanced examination on two CT scanners to determine the current state in terms of radiation doses, compare doses to the reference values, and possibly optimize the examination. Materials and

methods:

Data from January 2020 to the second half of 2021 were retrospectively obtained by accessing dose reports from the Picture Archiving and Communication System (PACS). Data were collected and analyzed in Microsoft Excel. The effective dose was estimated using the dose-length product parameter and the normalized conversion factor for a given anatomical region. For statistical analysis, a two-sample t-test was used.

Results:

The first data set consists of 200 patients (100 and 100 for older and newer CT scanners) regardless of the scan technique; the average CTDIvol and DLP for the older CT scanner were 57.61 ± 2.89 mGy and 993.28 ± 146.18 mGy cm, and for the newer CT scanner, 43.66 ± 11.15 mGy and 828.14 ± 130.06 mGy cm. The second data set consists of 100 patients (50 for the older CT scanner and 50 for the newer CT scanner) for a sequential scan; the average CTDIvol and DLP for the older CT scanner were 58.63 ± 3.33 mGy and 949.42 ± 80.87 mGy.cm, and for the newer CT, 57.25 ± 3.4 mGy and 942.13 ± 73.05 mGy cm. The third data set consists of 40 patients (20 and 20 for older and newer CT scanners) for the helical scan - the average CTDIvol and DLP for the older CT scanner were 54.6 ± 0 mGy and 1252.2 ± 52.11 mGy.cm, and for the newer CT, 37.18 ± 2.52 mGy and 859.66 ± 72.04 mGy cm. The difference between the older and newer CT scanners in terms of dose reduction was approximately 30 % in favor of the newer scanner for noncontrast enhanced brain examinations performed using the helical scan technique.

Conclusion:

A non-contrast enhanced brain examination scanned with newer CT equipment was associated with a lower radiation burden on the patient.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: Eslovaquia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Heliyon Año: 2024 Tipo del documento: Article País de afiliación: Eslovaquia Pais de publicación: Reino Unido