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Measurement studies on the CTDI of wide-beam multi-slice spiral CT |
XU Hui1, WANG Jianchao1, HUANG Zhuo1, YUE Baorong1, FENG Zechen2 |
1. Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088 China; 2. Beijing Center for Disease Prevention and Control |
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Abstract Objective To study the relationship between the nominal beam width and CTDI measurement efficiency of wide beam multi-slice spiral CT to provide data support for improving the specification for quality control testing of CT in China.Methods Dose measurements were performed on a 128 detector row CT scanner. The effect of beam widths on CTDI100 and CTDI300 was assessed for acquisitions from 5 mm to 80 mm. The CTDI100 is based on application of the readily available 150 mm long CT dose body phantoms and the 100 mm pencil ionization chamber. CTDI300 is supported by measurements with extended 450 mm CT dose body phantom and a 300 mm long pencil CT ionization chamber. CTDI300 was used instead of CTDI∞ to calculate the CTDI measurement efficiency. An amended CTDI100,NT according to IEC and IAEA publications was calculated and compared with CTDI300.Results The CTDI100 measurement efficiency decreased with the increase of beam widths. The ratio of CTDI100 to CTDI300 was 0.62 from 5 mm, at a beam width of 80 mm, the measurement efficiency dropped to 0.56. Through the IEC and IAEA correction formula, the ratio of amended CTDI100,NT to CTDI∞ can be maintained at a relatively constant level.Conclusion The widely used CT dose index CTDI100 is lack of accuracy in evaluating the CT dose of wide-beam multi-slice spiral CT. The correction formula can characterize the dose level of wide beam multi-slice spiral CT to a constant ratio. On how to accurately express and measure the dose of wide beam CT by a simple way, the international community is still on the road.
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Received: 10 August 2017
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[1] International Commission on Radiological Protection. ICRP publication 87. Managing patient dose in computed tomography[R].Oxford:Pergamon Press, 2000. [2] Shope TB,Gagne RM, Johnson GC.A method for describing the doses delivered by transmission x-ray computed tomography[J].Med Phys,1981,8(4):488-495. [3] US FDA Code of Federal Regulations, "Diagnostic x-ray Systems and Their Major Components 21 CFR 1020.33," Government Printing Office, Aug. 1984. [4] International Electrotechnical Commission, Medical Electrical Equipment. IEC 60601-2-44. Particular requirements for the safety of x-ray equipment for computed tomography[R].Switzerland, 2016. [5] Perisinakis K,Damilakis J,Tzedakis A,et al.Determination of the weighted CT dose index in modern multi-detector CT scanners[J].PhysMed Biol,2007,52(21):6485-6495. [6] Geleijns J,Salvadó Artells M,de Bruin PW,et al. Computed tomography dose assessment for a160 mm wide, 320 detector row, cone beam CTscanner[J].Phys Med Biol,2009,54(10):3141-3159. [7] Boone JM.The trouble with CTDI100[J].Med Phys,2007,34(4):1364-1371. [8] International electrotechnical commission. Medical electrical equipment-Part 2-44 Edition 3.Particular requirements for basic safety and essential performance of X-ray equipment for computed tomography[C].Geneva, 2009. [9] International Atomic Energy Agency. Status of Computed Tomography Dosimetry for Wide Cone Beam Scanners. Human Health Report No5[R].Vienna:IAEA. [10] S. Mori, M. Endo, K. Nishizawa, et al. Enlarged longitudinal dose profiles in cone-beam CT and the need for modified dosimetry[J].Med Phys 2005,32:1061-1069. [11] 中华人民共和国卫生部.GB 17589-2011 X射线计算机断层摄影装置质量保证检测规范[S].北京:中国标准出版社,2011. |
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