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- Title
Diagnostic reference level quantities for adult chest and abdomen-pelvis CT examinations: correlation with organ doses.
- Authors
Costa, Paulo Roberto; Tomal, Alessandra; de Oliveira Castro, Jullianna Cristina; Nunes, Isabella Paziam Fernandes; Nersissian, Denise Yanikian; Sawamura, Márcio Valente Yamada; Leão Filho, Hilton; Lee, Choonsik
- 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. Key points: DRL quantities and target-organ doses can support guidance's to optimization criteria. Organ doses inside imaged area are higher than in other regions. Statistical significance between organ doses and the DRL quantities are presented. Results reinforce the importance on the adequate choice of the scan length.
- Subjects
COMPUTED tomography; MEDIAN (Mathematics); STATISTICAL correlation; STATISTICAL significance; CHEST examination
- Publication
Insights into Imaging, 2023, Vol 14, Issue 1, p1
- ISSN
1869-4101
- Publication type
Article
- DOI
10.1186/s13244-023-01403-y