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Diagnostic reference level quantities for adult chest and abdomen-pelvis CT examinations: correlation with organ doses.


ABSTRACT:

Objectives

To evaluate correlations between DRL quantities (DRLq) stratified into patient size groups for non-contrast chest and abdomen-pelvis CT examinations in adult patients and the corresponding organ doses.

Methods

This study presents correlations between DRLq  (CTDIvol, DLP and SSDE) stratified into patient size ranges and corresponding organ doses shared in four groups: inside, peripheral, distributed and outside. The demographic, technical and dosimetric parameters were used to identify the influence of these quantities in organ doses. A robust statistical method was implemented in order to establish these correlations and its statistical significance.

Results

Median values of the grouped organ doses are presented according to the effective diameter ranges. Organ doses in the regions inside the imaged area are higher than the organ doses in peripheral, distributed and outside regions, excepted to the peripheral doses associated with chest examinations. Different levels of statistical significance between organ doses and the DRLq were presented.

Conclusions

Correlations between DRLq and target-organ doses associated with clinical practice can support guidance's to the establishment of optimization criteria. SSDE demonstrated to be significant in the evaluation of organ doses is also highlighted. The proposed model allows the design of optimization actions with specific risk-reduction results.

SUBMITTER: Costa PR 

PROVIDER: S-EPMC10079797 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature

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Publications

Diagnostic reference level quantities for adult chest and abdomen-pelvis CT examinations: correlation with organ doses.

Costa Paulo Roberto PR   Tomal Alessandra A   de Oliveira Castro Jullianna Cristina JC   Nunes Isabella Paziam Fernandes IPF   Nersissian Denise Yanikian DY   Sawamura Márcio Valente Yamada MVY   Leão Filho Hilton H   Lee Choonsik C  

Insights into imaging 20230407 1


<h4>Objectives</h4>To evaluate correlations between DRL quantities (DRLq) stratified into patient size groups for non-contrast chest and abdomen-pelvis CT examinations in adult patients and the corresponding organ doses.<h4>Methods</h4>This study presents correlations between DRLq  (CTDI<sub>vol</sub>, DLP and SSDE) stratified into patient size ranges and corresponding organ doses shared in four groups: inside, peripheral, distributed and outside. The demographic, technical and dosimetric parame  ...[more]

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