To assess the influence of tube potential on radiation dose and image quality of third-generation dual-source coronary CT angiography (CTA) in a phantom simulating an obese patient.A thoracic phantom was equipped with tubular inserts containing iodine solution and water. A soft-tissue-equivalent ring around the phantom simulated an obese patient. Images were acquired at tube potentials of 80, 100, 120 and 140 kV with second-generation dual-source CT (DSCT) and 70-150 kV (in 10-kV increments) with third-generation DSCT. Contrast-to-noise ratio (CNR) was calculated and CT dose index was recorded.With second-generation DSCT, CNR was highest for 120 kV (19.0) and decreased with lower tube potential (12.0 at 80 kV) owing to disproportionately increased image noise. With third-generation DSCT, 70- and 80-kV acquisitions showed a smaller increase in noise. CNRs for third-generation DSCT were highest for 70 and 80 kV (21.1 and 21.2, respectively). Compared to 120 kV, radiation dose was 68\% and 49\% lower at 70 kV and 80 kV, respectively.Third-generation DSCT enables one to perform coronary CTA at 70-80 kV in obese patients without compromising CNR and thus reduces radiation dose by 49-68\%.• Low tube potential CT angiography is currently not suitable for obese patients. • Third-generation DSCT offers substantially increased tube power at low tube potential. • This enables one to perform coronary CT angiography at 70-80 kV in obese patients. • Signal-to-noise ratio is maintained owing to increased tube current. • This approach can be expected to reduce radiation dose by 49-68\%.
Image quality and radiation dose of low tube voltage 3rd generation dual-source coronary CT angiography in obese patients: a phantom study / F. G., Meinel; C., Canstein; U. J., Schoepf; M., Sedlmaier; B., Schmidt; B. S., Harris; T. G., Flohr; DE CECCO, CARLO NICOLA. - In: EUROPEAN RADIOLOGY. - ISSN 0938-7994. - 24:(2014), pp. 1643-1650. [10.1007/s00330-014-3194-x]
Image quality and radiation dose of low tube voltage 3rd generation dual-source coronary CT angiography in obese patients: a phantom study.
DE CECCO, CARLO NICOLA
2014
Abstract
To assess the influence of tube potential on radiation dose and image quality of third-generation dual-source coronary CT angiography (CTA) in a phantom simulating an obese patient.A thoracic phantom was equipped with tubular inserts containing iodine solution and water. A soft-tissue-equivalent ring around the phantom simulated an obese patient. Images were acquired at tube potentials of 80, 100, 120 and 140 kV with second-generation dual-source CT (DSCT) and 70-150 kV (in 10-kV increments) with third-generation DSCT. Contrast-to-noise ratio (CNR) was calculated and CT dose index was recorded.With second-generation DSCT, CNR was highest for 120 kV (19.0) and decreased with lower tube potential (12.0 at 80 kV) owing to disproportionately increased image noise. With third-generation DSCT, 70- and 80-kV acquisitions showed a smaller increase in noise. CNRs for third-generation DSCT were highest for 70 and 80 kV (21.1 and 21.2, respectively). Compared to 120 kV, radiation dose was 68\% and 49\% lower at 70 kV and 80 kV, respectively.Third-generation DSCT enables one to perform coronary CTA at 70-80 kV in obese patients without compromising CNR and thus reduces radiation dose by 49-68\%.• Low tube potential CT angiography is currently not suitable for obese patients. • Third-generation DSCT offers substantially increased tube power at low tube potential. • This enables one to perform coronary CT angiography at 70-80 kV in obese patients. • Signal-to-noise ratio is maintained owing to increased tube current. • This approach can be expected to reduce radiation dose by 49-68\%.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
