Pediatric Computed Tomography Dose Optimization Strategies: A Literature Review

Introduction: Computed tomography (CT) dose optimization is an important issue in radiography because CT is the largest contributor to medical radiation dose and its use is increasing. However, CT dose optimization for pediatric patients could be more challenging than their adult counterparts. The p...

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Main Authors: Al Mahrooqi, K.M.S., Ng, Curtise Kin Cheung, Sun, Zhonghua
Format: Journal Article
Published: Elsevier Inc. 2015
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/2984
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author Al Mahrooqi, K.M.S.
Ng, Curtise Kin Cheung
Sun, Zhonghua
author_facet Al Mahrooqi, K.M.S.
Ng, Curtise Kin Cheung
Sun, Zhonghua
author_sort Al Mahrooqi, K.M.S.
building Curtin Institutional Repository
collection Online Access
description Introduction: Computed tomography (CT) dose optimization is an important issue in radiography because CT is the largest contributor to medical radiation dose and its use is increasing. However, CT dose optimization for pediatric patients could be more challenging than their adult counterparts. The purpose of this literature review was to identify and discuss the current pediatric CT dose saving techniques. Optimized pediatric protocols were also proposed. Methods: A comprehensive literature search was conducted using the Medline, ProQuest Health and Medical Complete, PubMed, ScienceDirect, Scopus, Springer Link, and Web of Science databases and the keywords CT, pediatric, optimization, protocol, and radiation dose to identify articles focusing on pediatric CT dose optimization strategies published between 2004 and 2014. Results and Summary: Seventy-seven articles were identified in the literature search. Strategies for optimizing a range of scan parameters and technical considerations including tube voltage and current, iterative reconstruction, diagnostic reference levels, bowtie filters, scout view, pitch, scan collimation and time, overscanning, and overbeaming for pediatric patients with different ages and body sizes and compositions were discussed. An example of optimized pediatric protocols specific to age and body size for the 64-slice CT scanners was devised. It is expected that this example could provide medical radiation technologists, radiologists, and medical physicists with ideas to optimize their pediatric protocols.
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spelling curtin-20.500.11937-29842017-09-13T16:08:23Z Pediatric Computed Tomography Dose Optimization Strategies: A Literature Review Al Mahrooqi, K.M.S. Ng, Curtise Kin Cheung Sun, Zhonghua Pediatric Computed Tomography Protocol Optimization Radiation Dose Introduction: Computed tomography (CT) dose optimization is an important issue in radiography because CT is the largest contributor to medical radiation dose and its use is increasing. However, CT dose optimization for pediatric patients could be more challenging than their adult counterparts. The purpose of this literature review was to identify and discuss the current pediatric CT dose saving techniques. Optimized pediatric protocols were also proposed. Methods: A comprehensive literature search was conducted using the Medline, ProQuest Health and Medical Complete, PubMed, ScienceDirect, Scopus, Springer Link, and Web of Science databases and the keywords CT, pediatric, optimization, protocol, and radiation dose to identify articles focusing on pediatric CT dose optimization strategies published between 2004 and 2014. Results and Summary: Seventy-seven articles were identified in the literature search. Strategies for optimizing a range of scan parameters and technical considerations including tube voltage and current, iterative reconstruction, diagnostic reference levels, bowtie filters, scout view, pitch, scan collimation and time, overscanning, and overbeaming for pediatric patients with different ages and body sizes and compositions were discussed. An example of optimized pediatric protocols specific to age and body size for the 64-slice CT scanners was devised. It is expected that this example could provide medical radiation technologists, radiologists, and medical physicists with ideas to optimize their pediatric protocols. 2015 Journal Article http://hdl.handle.net/20.500.11937/2984 10.1016/j.jmir.2015.03.003 Elsevier Inc. fulltext
spellingShingle Pediatric
Computed Tomography
Protocol
Optimization
Radiation Dose
Al Mahrooqi, K.M.S.
Ng, Curtise Kin Cheung
Sun, Zhonghua
Pediatric Computed Tomography Dose Optimization Strategies: A Literature Review
title Pediatric Computed Tomography Dose Optimization Strategies: A Literature Review
title_full Pediatric Computed Tomography Dose Optimization Strategies: A Literature Review
title_fullStr Pediatric Computed Tomography Dose Optimization Strategies: A Literature Review
title_full_unstemmed Pediatric Computed Tomography Dose Optimization Strategies: A Literature Review
title_short Pediatric Computed Tomography Dose Optimization Strategies: A Literature Review
title_sort pediatric computed tomography dose optimization strategies: a literature review
topic Pediatric
Computed Tomography
Protocol
Optimization
Radiation Dose
url http://hdl.handle.net/20.500.11937/2984