TUTCRIS - Tampereen teknillinen yliopisto


Scanner abdominal: Étude comparative de l'exposition patient en routine clinique sur des appareils avec et sans reconstruction itérative



DOI - pysyväislinkit
TilaJulkaistu - 2014
OKM-julkaisutyyppiA1 Alkuperäisartikkeli


Objective: compare the dose delivered to patients and image quality in clinical routine to perform an abdominal CT scan with no iterative reconstruction techniques (IR) relative to an examination conducted on a scanner with IR. Materials and methods: this is a retrospective study of 30 patients who underwent two abdominal examinations: one on a 40-slice scanner (TDM40) without IR and another one on a 256-slice scanner with IR (TDM256). The patients, on medical follow-up for a chronic abdominal disease, had an exam on each scanner using the same protocol comprising an abdominopelvic time portal phase. The length of acquisition, the effective dose and the dose length product (DLP) as well as quantitative and qualitative assessments of the image were compared. Results: the average effective dose per examination was 17.3 mSv with the TDM40 (PDL: 1019 mGy.cm) against 11.1 mSv with the TDM256 (PDL: 654 mGy.cm), hence a reduction of 35.8% (p <0.001). The length of acquisition and quantification were comparable in both groups. The qualitative assessment was slightly higher on the TDM40 but no examination was considered suboptimal. Conclusion: using a scanner equipped with IR significantly reduces the effective dose while maintaining image quality.