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Evaluation of radiation dose and image quality of CT scan for whole‐body pediatric PET/CT: A phantom study
Author(s) -
Yang ChingChing,
Liu ShuHsin,
Mok Greta S. P.,
Wu TungHsin
Publication year - 2014
Publication title -
medical physics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.473
H-Index - 180
eISSN - 2473-4209
pISSN - 0094-2405
DOI - 10.1118/1.4893273
Subject(s) - imaging phantom , nuclear medicine , image quality , medicine , image noise , effective dose (radiation) , attenuation , radiation dose , dosimetry , radiology , physics , optics , image (mathematics) , artificial intelligence , computer science
Purpose: This study aimed to tailor the CT imaging protocols for pediatric patients undergoing whole‐body PET/CT examinations with appropriate attention to radiation exposure while maintaining adequate image quality for anatomic delineation of PET findings and attenuation correction of PET emission data.Methods: The measurements were made by using three anthropomorphic phantoms representative of 1‐, 5‐, and 10‐year‐old children with tube voltages of 80, 100, and 120 kVp, tube currents of 10, 40, 80, and 120 mA, and exposure time of 0.5 s at 1.75:1 pitch. Radiation dose estimates were derived from the dose‐length product and were used to calculate risk estimates for radiation‐induced cancer. The influence of image noise on image contrast and attenuation map for CT scans were evaluated based on Pearsonˈs correlation coefficient and covariance, respectively. Multiple linear regression methods were used to investigate the effects of patient age, tube voltage, and tube current on radiation‐induced cancer risk and image noise for CT scans.Results: The effective dose obtained using three anthropomorphic phantoms and 12 combinations of kVp and mA ranged from 0.09 to 4.08 mSv. Based on our results, CT scans acquired with 80 kVp/60 mA, 80 kVp/80 mA, and 100 kVp/60 mA could be performed on 1‐, 5‐, and 10‐year‐old children, respectively, to minimize cancer risk due to CT scans while maintaining the accuracy of attenuation map and CT image contrast. The effective doses of the proposed protocols for 1‐, 5‐ and 10‐year‐old children were 0.65, 0.86, and 1.065 mSv, respectively.Conclusions: Low‐dose pediatric CT protocols were proposed to balance the tradeoff between radiation‐induced cancer risk and image quality for patients ranging in age from 1 to 10 years old undergoing whole‐body PET/CT examinations.