Skip to main content
SpringerLink
Log in

Methods and Strategies for Radiation Dose Optimization — and Reduction — in MDCT with Special Focus on the Image Quality

  • Chapter
Radiation Dose from Adult and Pediatric Multidetector Computed Tomography

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

The danger of ionizing radiation is related to the potential long-term risk of carcinogenesis. In Chapters. 1 and 2 of this book, Chadwick and Cohen have detailed how this risk is evaluated and considered in the field of low-level radiation in which diagnostic imaging (including CT) in comprised. The linear no threshold (LNT) theory of carcinogenesis is based on the risk of hereditary mutations deriving from cellular effects in germ cells. This theory considers that the cancer risk is linearly proportional to the dose at high doses as well as at low doses, from zero dose up. On the other hand, failure of the LNT theory is based on series of investigations showing that there is substantial evidence that low-level radiation does not have any carcinogenic effect and may even be protective against cancer, a view known as “hormesis”.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Boone JM, Geraghty EM, Seibert JA et al (2003) Dose reduction in pediatric CT: a rational approach. Radiology 228:352–360

    Article  PubMed  Google Scholar 

  • Bohy P, Tack D, Rocquigny A et al (2007) Multidetector-row CT in patients with suspected lumbar disc herniation: Comparison of standard-dose and simulated low-dose techniques. Radiology 2007, (in press)

    Google Scholar 

  • Brix G, Nagel HD, Stamm G et al (2003) Radiation exposure in multi-slice versus single-slice spiral CT: results of a nationwide survey. Eur Radiol 13:1979–1991

    Article  PubMed  CAS  Google Scholar 

  • Chen MY, Zagoria RJ, Saunders HS et al (1999) Trends in the use of unenhanced helical CT for acute urinary colic. AJR Am J Roentgenol 173:1447–1450

    PubMed  CAS  Google Scholar 

  • EUR — European Union (1999) European guidelines on quality criteria for computed tomography. EUR 16262 EN (http://www.drs.dk/guidelines/ct/quality/htmlindex.htm) access on 31 May, 2006

  • Golding SJ, Shrimpton PC (2002) Radiation dose in CT: are we meeting the challenge? Br J Radiol 75:1–4

    PubMed  CAS  Google Scholar 

  • ICRP 1991 (1990) Recommendations of the International Commission on Radiological Protection. ICRP Publication 60. Annals of the ICRP 21:1–3

    Google Scholar 

  • IEC (International Electrotechnical Commission) (2001) Medical electrical equipment — Part 2: Particular requirements for the safety of X-ray equipment for computed tomography. IEC-Standard 60601-2-44 Ed. 2.0. IEC, Geneva

    Google Scholar 

  • Keyzer C, Tack D, de Maertelaer V et al (2004) Acute appendicitis: comparison of low-dose and standard-dose unenhanced multi-detector row CT. Radiology 232:164–172

    Article  PubMed  Google Scholar 

  • Lim JH, Choi D, Kim SH, Lee SJ et al (2002) Detection of hepatocellular carcinoma: value of adding delayed phase imaging to dual-phase helical CT. AJR Am J Roentgenol 179:67–73

    PubMed  Google Scholar 

  • NRPB (National Radiological Protection Board) (2005) Doses from computed tomography in the UK — 2003 review. NRPB-W67. ISBN 0 85951 556 7

    Google Scholar 

  • Perrier A, Roy PM, Aujesky D et al (2004) Diagnosing pulmonary embolism in outpatients with clinical assessment, D-dimer measurement, venous ultrasound, and helical computed tomography: a multicenter management study. Am J Med 116:291–299

    Article  PubMed  Google Scholar 

  • Rehani MM, Bongartz G, Kalender W et al (2000) Managing X-ray dose in computed tomography: ICRP Special Task Force report. Ann ICRP 30:7–45

    Google Scholar 

  • Royal College of Radiologists (2006) Making the best use of a department of clinical radiology guidelines for doctors, 5th edn. On line publication at http://www.rcr.ac.uk/index.asp?PageID=310&PublicationID=71 (access on 26 May, 2006)

  • Schaefer-Prokop C, Prokop M (2005) MDCT for the diagnosis of acute pulmonary embolism. Eur Radiol 15[Suppl 4]: D37–D41

    PubMed  Google Scholar 

  • Shrimpton PC, Hillier MC, Lewis MA et al (2003) Data from computed tomography (CT) examinations in the UK-2003 review. NRPB — 67, National Radiological Protection Board, Chilton

    Google Scholar 

  • Siegel MJ, Schmidt B, Bradley D et al (2004) Radiation dose and image quality in pediatric CT: effect of technical factors and phantom size and shape. Radiology 233:515–522

    Article  PubMed  Google Scholar 

  • Sigal-Cinqualbre AB, Hennequin R, Abada HT et al (2004) Low-kilovoltage multi-detector row chest CT in adults: feasibility and effect on image quality and iodine dose. Radiology 231:169–174

    Article  PubMed  Google Scholar 

  • Swensen SJ, Viggiano RW, Midthun DE et al (2000) Lung nodule enhancement at CT: multicenter study. Radiology 214:73–80

    PubMed  CAS  Google Scholar 

  • Tack D, Widelec J, De Maertelaer V et al (2003a) Comparison between low-dose and standard-dose multidetector CT in patients with suspected chronic sinusitis. AJR Am J Roentgenol 181:939–944

    PubMed  Google Scholar 

  • Tack D, De Maertelaer V, Gevenois PA (2003b) Dose reduction in multidetector CT using attenuation-based online tube current modulation. AJR Am J Roentgenol 181:331–334

    PubMed  Google Scholar 

  • Tack D, Sourtzis S, Delpierre I et al (2003c) Low-dose unenhanced multidetector CT of patients with suspected renal colic. AJR Am J Roentgenol 180:305–311

    PubMed  Google Scholar 

  • Tack D, Bohy P, Perlot I et al (2005a) Suspected acute colon diverticulitis: imaging with low-dose unenhanced multidetector row CT. Radiology 237:189–196

    Article  PubMed  Google Scholar 

  • Tack D, De Maertelaer V, Petit W et al (2005b) Multi-detector row CT pulmonary angiography: comparison of standard-dose and simulated low-dose techniques. Radiology 236:318–325

    Article  PubMed  Google Scholar 

  • Tillie-Leblond I, Mastora I, Radenne F et al (2002) Risk of pulmonary embolism after a negative spiral CT angiogram in patients with pulmonary disease: 1-year clinical follow-up study. Radiology 223:461–467

    Article  PubMed  Google Scholar 

  • UNSCEAR (2000) Sources and effects of ionizing radiation. United Nations Scientific Committee on the Effects of Atomic Radiation Report to the General Assembly. United Nations, New York

    Google Scholar 

  • Weiss CR, Scatarige JC, Diette GB et al (2006) CT pulmonary angiography is the first-line imaging test for acute pulmonary embolism: a survey of US clinicians. Acad Radiol 13:434–446

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Clinic of Cardiac Imaging, Department of Radiology, Hôpital Erasme, Université libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium

    Denis Tack MD, PhD

Authors
  1. Denis Tack MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Clinic of Cardiac Imaging Department of Radiology Hôpital Erasme, Université libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium

    Denis Tack MD, PhD

  2. Clinic of Chest Imaging Department of Radiology Hôpital Erasme, Université libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium

    Pierre Alain Gevenois MD, PhD (Professor of Radiology) (Professor of Radiology)

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Tack, D. (2007). Methods and Strategies for Radiation Dose Optimization — and Reduction — in MDCT with Special Focus on the Image Quality. In: Tack, D., Gevenois, P.A. (eds) Radiation Dose from Adult and Pediatric Multidetector Computed Tomography. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68575-3_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-68575-3_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-28888-6

  • Online ISBN: 978-3-540-68575-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation