Low-dose CT of paediatric paranasal sinus using an ultra-low tube voltage (70 kVp) combined with the flash technique.
Clin Radiol
; 76(1): 77.e17-77.e21, 2021 01.
Article
en En
| MEDLINE
| ID: mdl-32950256
ABSTRACT
AIM:
To evaluate the radiation dose and diagnostic image quality of low-dose computed tomography (CT) of the paranasal sinus in children, with acquisition at an ultra-low tube voltage (70 kVp) combined with the Flash technique. MATERIALS ANDMETHODS:
Eighty paediatric patients underwent CT of the paranasal sinus and were divided into two groups according to different protocols (group A 80 kVp protocol with conventional spiral mode [n=40] and group B 70 kVp protocol with Flash scan mode [n=40]). For each examination, the CT dose index (CTDIvol), dose-length product (DLP), and effective dose (ED) were estimated. The image noise, signal-to-noise ratio (SNR), and overall subjective diagnostic image quality were also evaluated.RESULTS:
For radiation dose, the CTDIvol (mGy), DLP (mGy·cm), and ED (mSv) values of the 70 kVp protocol were significantly lower than those of the 80 kVp protocol (CTDIvol 1.57±0.009 versus 0.39±0.004 mGy, p<0.001; DLP 19.88±2.01 versus 6.31±0.52 mGy·cm, p<0.001; ED 0.079±0.016 versus 0.024±0.005 mSv, p<0.001). Compared with those of the 80-kVp protocol, the image noise increased by 40.7% (p=0.113), the SNRsoft-tissue decreased by 48.9%, and the SNRbone increased by 10.1% with the 70-kVp protocol (p=0.176 and 0.227, respectively). There was no significant difference in the overall subjective image quality grades between these two groups (p=0.15).CONCLUSION:
When imaging the paranasal sinus in children, an ultra-low tube voltage (70 kVp) combined with the Flash CT technique can reduce the radiation dose significantly while maintaining diagnostic image quality with clinically acceptable image noise.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Senos Paranasales
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Dosis de Radiación
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Tomografía Computarizada por Rayos X
Tipo de estudio:
Guideline
/
Observational_studies
Idioma:
En
Revista:
Clin Radiol
Año:
2021
Tipo del documento:
Article