Evaluation of Variations in Absorbed Dose and Image Noise According to Patient Forms in X-ray Computed Tomography

Abstract

Excessive radiation exposure in pediatric computed tomography (CT) scanning has become a serious problem, and it is difficult to select scan parameters for the scanning of small patients such as children. We investigated differences in absorbed dose and standard deviation (SD) in Hounsfield unit (HU) caused by differences in the form of the subject using a body-type phantom with removable body parts. Using four X-ray CT scanners, measurements were made with values from 50 mAs to 300 mAs, with slices of 50 mAs, using scan protocols that were assumed to perform thorough examinations. The results showed that the mAs values and absorbed doses were almost proportional, and the absorbed doses in the phantom without body parts were about 1.1-2.2-fold higher than those of the phantom with body parts at the same points. The SD values obtained indicated that the absorbed doses in the phantom with body parts were 0.3-0.6 times those of the phantom without body parts when the mAs values used were adjusted so that both SD values were the same. The absorbed doses in various patient forms can be estimated from these results, and they will become critical data for the selection of appropriate scan protocols.

Pediatric Traumatic Brain Injury: Past, Present and Future

“…CT scans are rapid and cost-effective and should be utilized with a low threshold to detect head injury, particularly in the nonaccidental trauma population. It is estimated that 11.5% of CT scans are now performed on patients 15 years old or younger [63] . The risk/benefit ratio of these X-ray-based imaging studies must be evaluated as there has been growing concern over radiation exposure to children during diagnostic imaging.…”