본문 바로가기
KERD
논문KCI 등재

유리선량계를 이용한 관전류자동조절기법과 고정관전류기법에서 저선량 및 고해상 흉부CT의 노이즈 및 선량 비교

Comparison of Noise and Doses of Low Dose and High Resolution Chest CT for Automatic Tube Current Modulation and Fixed Tube Current Technique using Glass Dosimetry

1

조회

0

다운로드

3

인용

0

참고문헌

키워드

초록

To compare the radiation dose and image noise of low dose computed tomography (CT) and high resolution CT using the fixed tube current technique and automatic tube current modulation (CARE Dose 4D). Chest CT and human anthropomorphic phantom were used the RPL (radiophotoluminescence) dosimeters. For image evaluation, standard deviation of mean CT attenuation coefficient and CT attenuation coefficient was measured using ROI analysis function. The effective dose was calculated using CTDIvol and DLP. CARE Dose 4D was reduced by 74.7% and HRCT by 64.4% compared to the fixed tube current technique in low dose CT of chest phantom. In CTDIvol and DLP, the dose of CARE Dose 4D was reduced by fixed tube current technique. For effective dose, CARE Dose 4D was reduced by 47% and HRCT by 46.9% compared to the fixed tube current method, and the dose of CARE Dose 4D was significantly different (p<.05). Noise in the image was higher than that in the fixed tube current technique. Noise difference in the image of CARE Dose 4D in low dose CT was significant (p<.05). The low radiation dose and the noise difference of the CARE Dose 4D were compared with the fixed tube current technique in low dose CT and HRCT using chest phantom. The radiation doses using CARE Dose 4D were in accordance with the national and international dose standards. CARE Dose 4D should be applied to low dose CT and HRCT for clinical examination.

Abstract

To compare the radiation dose and image noise of low dose computed tomography (CT) and high resolution CT using the fixed tube current technique and automatic tube current modulation (CARE Dose 4D). Chest CT and human anthropomorphic phantom were used the RPL (radiophotoluminescence) dosimeters. For image evaluation, standard deviation of mean CT attenuation coefficient and CT attenuation coefficient was measured using ROI analysis function. The effective dose was calculated using CTDIvol and DLP. CARE Dose 4D was reduced by 74.7% and HRCT by 64.4% compared to the fixed tube current technique in low dose CT of chest phantom. In CTDIvol and DLP, the dose of CARE Dose 4D was reduced by fixed tube current technique. For effective dose, CARE Dose 4D was reduced by 47% and HRCT by 46.9% compared to the fixed tube current method, and the dose of CARE Dose 4D was significantly different (p<.05). Noise in the image was higher than that in the fixed tube current technique. Noise difference in the image of CARE Dose 4D in low dose CT was significant (p<.05). The low radiation dose and the noise difference of the CARE Dose 4D were compared with the fixed tube current technique in low dose CT and HRCT using chest phantom. The radiation doses using CARE Dose 4D were in accordance with the national and international dose standards. CARE Dose 4D should be applied to low dose CT and HRCT for clinical examination.

참고문헌 (18)

  1. Greess H, "Dose reduction in subsecond multislice spiral CT examination of children by online tube current modulation", Eur Radiol, 14(6), pp.995~999 (2004)
  2. Huda W, "Converting dose length product to effective dose at CT", Radiology, 248(3), pp.995~1003 (2008)
  3. 황혜전, "Radiation Dose Reduction of Chest CT with Iterative Reconstruction in Image Space - Part II: Assessment of Radiologists’ Preferences Using Dual Source CT", Korean Journal of Radiology, 13(6), pp.720~727 (2012), 대한영상의학회[DOI]
  4. 정미영, "CT 검사에서 유리선량계를 이용한 수정체의 비스무트 차폐 효과", 방사선기술과학, 32(3), pp.307~312 (2009), 대한방사선과학회
  5. Kalra MK, "Strategies for CT radiation dose optimization", Radiology, 230(3), pp.619~628 (2004)
  6. Kalra MK, "Computed tomography radiation dose optimization: scanning protocols and clinical applications of automatic exposure control", Curr. Probl. Diagn. Radiol, 34(5), pp.171~181 (2005)
  7. Korea Food and Drug Administration, "Validation and optimization guidelines for CT medical imaging", ~ (2012)
  8. Kweon DC, "Comparison radiation dose with upper and lower Limbs of automated injection of contrast media with a bolus tracking system in pulmonary embolism MDCT", J. Radiat. Indt, 3(4), pp.323~328 (2009)
  9. Lee CH, "Radiation dose modulation techniques in the multidetector CT era:from basics to practice", Radiographics, 28, pp.1451~1459 (2008)
  10. 이종석, "흉부 및 복부에서 AEC 적용에 따른 MDCT의 선량 감소 효과", 한국콘텐츠학회 논문지, 9(3), pp.225~231 (2009), 한국콘텐츠학회
  11. Mettler FA, "Effective doses in radiology and diagnostic nuclear medicine: A catalog", Radiology, 248(1), pp.254~263 (2012)
  12. Mulkens TH, "Use of an automatic exposure control mechanism for dose optimization in multi-detector row CT examinations: clinical evaluation", Radiology, 237(1), pp.213~223 (2005)
  13. 라정은, "유리선량계의 선량 특성에 관한 연구", 방사선방어학회지, 31(4), pp.181~186 (2006), 대한방사선방어학회
  14. Rizzo S, "Comparison of angular and combined automatic tube current modulation techniques with constant tube current CT of the abdomen and pelvis", Am. J. Roentgenol, 186(3), pp.673~679 (2006)
  15. Söderberg M, "Automatic exposure control in computed tomography-an evaluation of systems from different manufacturers", Acta. Radiol, 51(6), pp.625~634 (2010)
  16. Tsapaki V, "Dose reduction in CT while maintaining diagnostic confidence, diagnostic reference levels at routine head, chest, and abdominal CTIAEA-coordinated research project", Radiology, 240(3), pp.828~834 (2006)
  17. 유병규, "하지 정맥조영술 MDCT에서 고정 관전류 기법과 Z-축 자동 관전류 변동 제어에 의한 선량 비교", 방사선방어학회지, 32(3), pp.123~133 (2007), 대한방사선방어학회
  18. Yoshinaga S, "Cancer risks among radiologists and radiologic technologists review of epidemiologic studies", Radiology, 233(2), pp.313~321 (2004)

관련 논문AI추천

이 간행물의 다른 논문 (7건)