Comparison of Calcium Scoring Between 64-Multidetector Computed Tomography and 320-Multidetector Computed Tomography Using a Cardiac Phantom: Achieving Consistent Image Quality With Dose Optimization.

ABSTRACT: The purpose of this study was to evaluate the relationship between radiation dose and noise level on various coronary calcium scoring protocols between 64-multidetector computed tomography (MDCT) and 320-MDCT. The cardiac QRM phantoms (1 small size and 1 medium size) were used in this study. Lower-dose imaging protocols were proposed for optimization with the parameters of 120 kVp and 10 mAs for small-size phantom (0.336 mSv) in 64-MDCT imaging and small-size phantom (0.2 mSv) in 320-MDCT case, and 120 kVp and 80 mAs for medium-size phantom (2.73 mSv) in 64-MDCT imaging and medium-size phantom (1.58 mSv) in 320-MDCT case. Our results suggest that people can apply lower-dose protocols in the clinical use for early diagnosis of coronary disease without sacrificing diagnostic accuracy.

Evaluating photoneutron dose equivalents for lung cancer using PMMA phantoms undergoing 15 MV IMRT.

BACKGROUND: According to statistics of the Ministry of Health and Welfare in 2017, the second leading cause of death in Taiwan was lung cancer. OBJECTIVE: Routine treatment planning does not consider photoneutron dose equivalent (PNDE) of patient induced secondary radiation resulting from primary exposure of lung cancer. However, such treatment is potentially important for improving estimates of health risks. METHODS: This study used 10, 30, 50, 70, and 90 kg of polymethylmethacrylate (PMMA) phantoms as patient to measure PNDE varying anatomical area during lung cancer of intensity modulated radiotherapy (IMRT) treatment. Paired thermoluminescent dosimeters (TLD-600 and 700) were calibrated using university reactor neutrons. TLDs were inserted into phantom which was closely corresponded of the represented tissues or organs. RESULTS: Neutron doses (ND) of organ or tissue (N⁢DT) were determined in these phantoms using paired TLDs approach. The risks of incurring fatal secondary malignancies, maximum statistical and total errors were estimated. Evaluated PNDE ranged from 0.80 ± 0.12 to 0.56 ± 0.08 mSv/Gy for these phantoms. CONCLUSION: The estimated N⁢DT decreased with increasing distance that is from the central axis. Evaluated PNDE and N⁢D𝑠𝑘𝑖𝑛 for these phantoms were discussed. This investigation also identified secondary risks associated with PNDE relating to radiation protection.