Evaluation of selected photon shield and organ-based tube current modulation for organ dose reduction and image quality in head CT for infants: a phantom study
10.3760/cma.j.cn112271-20211008-00405
- VernacularTitle:能谱纯化联合器官剂量调制技术对婴幼儿头部CT扫描器官剂量及图像质量影响的体模研究
- Author:
Zilong YUAN
1
;
Tao LIU
;
Biao ZHANG
;
Tiao CHEN
;
Cuiling LI
;
Zhaoxi ZHANG
;
Lei WU
Author Information
1. 武汉科技大学医学院临床医学系，武汉 430065
- Keywords:
Selected photon shield;
Organ-based tube current modulation;
Radiation dose;
Eye lens;
Computed tomography
- From:
Chinese Journal of Radiological Medicine and Protection
2022;42(3):225-229
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the dose and image quality of selected photon shield (SPS) technique, organ-based tube current modulation (OBTCM) technique and the combination of these two techniques for reducing the organ dose in head CT examination for infants.Methods:Two anthropomorphic head phantoms (CIRS 1-yr-old and 5-yr-old) were scanned by using Reference mode, Reference + OBTCM mode, SPS mode and SPS + OBTCM mode, respectively. Radiation doses to the lens of the eye, the anterior of the brain, the posterior of the brain, noise level and CNR of orbit and brain in different phantoms were measured and compared by using different scanning modes.Results:Compared with Reference mode, the doses to the lens of the eye in 1-yr-old and 5-yr-old phantom decreased by (21.89 ± 0.01)% and (28.33 ± 0.34)%, respectively. In SPS mode, the reduction in doses to the lens of the eye in 1-yr-old and 5-yr-old phantom were (71.38 ± 1.30)% and (53.72 ± 2.42)%, respectively. In SPS + OBTCM mode, the reduction was (71.12 ± 2.54)% and (55.73 ± 1.90)%, respectively. There was significant difference in the noise level of orbit and brain in different phantoms under various scanning modes ( F=5.67-85.47, P< 0.05). The noise level in OBTCM mode compared with reference mode increased slightly (<1.45 HU) in various phantoms. SPS and SPS + OBTCM mode resulted in a small noise increase (<2.58 HU). There was no significant difference in CNR of different phantoms under various scanning modes ( P>0.05). Conclusions:SPS and SPS + OBTCM mode can significantly reduce the radiation dose of lens and the whole image plane in the head CT scan for infants, with maintaining the image quality.
