• Title/Summary/Keyword: CT dose index

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Effects of Radiation Dose and Image Quality at the Coronary Angiography (관상동맥검사에서 선량과 화질에 관한 연구)

  • Ryu, Myung-Song;Choi, Nam-Gil;Han, Jae-Bok;Yang, Sook;Lee, Jong-Ho
    • The Journal of the Korea Contents Association
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    • v.12 no.4
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    • pp.367-372
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    • 2012
  • The aim of this study was to assess the effect of exposure factors such as kVp and mA applied by BMI on the image quality and patients absorbed dose of Coronary angiography in CT. Each data sets were into 4groups with different exposure values : Group A at 100kVp, 240mAs, Group B at 120kVp, 240mAs, Group C at 100kVp, 270mAs and Group D at 120kVp, 270mAs, and the mean of the scores of 4 groups was calculated for image quality as 4grades that is, 1(poor), 2(fair), 3(good) and 4(very good). Patient absorbed dose was calculated as DLP on the monitor. In case of absorbed dose, deviation in 2groups at 100kVp was 5.6 $mGy{\cdot}cm$, 11 $mGy{\cdot}cm$, was at 120kVp(DLP) with p<0.05. There was rather difference between groups with 100kVp or 120kVp respectively but the gaps were very little. No significant correlation was found between exposure factors and image quality in any images assessed(p>0.05), and the image quality was sufficient for diagnosis. As we applying coronary angiography, the selection of adequate exposure factors considering BMI identified might be effective for reduction of patient absorbed dose, improvement of image quality and diagnostic accuracy.

Evaluation of Radiation Dose and Image Quality Between Manual and Automatic Exposure Control Mode According to Body Mass Index in Cardiac CT (체질량지수에 따른 심장 CT검사의 수동노출조절 방법과 자동노출조절 방법의 방사선량 및 화질 평가)

  • Kim, Hyeong-Jin;Moon, Il-Bong;Han, Jae-Bok;Choi, Nam-Gil;Jang, Seong-Ju
    • The Journal of the Korea Contents Association
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    • v.13 no.4
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    • pp.290-299
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    • 2013
  • This study included 198 patients who underwent prospectively electrocardiogram-triggered high-pitch spiral mode(FLASH mode) in cardiac CT for health check: 123 patients who underwent manual exposure control(Group A) and 75 patients who underwent automatic exposure control(Group B). Patients were classified according to BMI grades: Grade 1, Grade 2, Grade 3, Grade 4. Radiation dose, objective and subjective image quality between two groups were compared. In Group B, tube voltage were significantly decreased in all BMI grades. Both $CTDI_{vol}$ and effective dose were significantly reduced in the BMI Grade 1, 3, and 4 whereas they were slightly reduced in the Grade 2(p>0.05), SNR was significantly decreased in the Grade 1 and increased in the Grade 3(p<0.05), but there was no significant difference in the Grade 2, 4 between the two groups(p>0.05). CNR was significantly decreased in the Grade 1(p<0.05), and there was no significant difference in the Grade 2, 3, 4 between the two groups(p>0.05). The subjective image quality showed no significant difference in all BMI Grades between the two groups(p>0.05). Automatic exposure control can lead to a significant reduction of radiation exposure dose without degradation of subjective image quality.

A Study on Prospective Plan Comparison using DVH-index in Tomotherapy Planning (토모 테라피 치료 시 선량 체적 히스토그램 표지자를 이용한 치료계획 비교에 관한 연구)

  • Kim, Joo-Ho;Cho, Jeong-Hee;Lee, Sang-Kyoo;Jeon, Byeong-Chul;Yoon, Jong-Won;Kim, Dong-Wook
    • The Journal of Korean Society for Radiation Therapy
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    • v.19 no.2
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    • pp.113-122
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    • 2007
  • Purpose: We proposed the method using dose-volume Histogram index to compare prospective plan trials in tomotherapy planning optimization. Materials and Methods: For 3 patients in cranial region, thorax and abdominal region, we acquired computed tomography images with PQ 5000 in each case. Then we delineated target structure and normal organ contour with pinnacle Ver 7.6c, after transferred each data to tomotherapy planning system (hi-art system Ver 2.0), we optimized 3 plan trials in each case that used differ from beam width, pitch, importance. We analyzed 3 plan trials in each region with isodose distribution, dose-volume histogram and dose statistics. Also we verified 3 plan trials with specialized DVH-indexes that is dose homogeneity index in target organ, conformity index around target structure and dose gradient index in non-target structures. Results: We compared with the similarity of results that the one is decide the best plan trial using isodose distribution, dose volume histogram and dose statistics, and the another is using DVH-indexes. They all decided the same plan trial to better result in each case. Conclusion: In some of case, it was appeared a little difference of results that used to DVH-index for comparison of plan trial in tomotherapy by special goal in it. But because DVH-index represented both dose distribution in target structure and high dose risk about normal tissue, it will be reasonable method for comparison of many plan trials before the tomotherapy treatments.

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A Study on the Application Ratio of ASIR in Abdominal CT (복부 CT 검사에서 ASIR의 적용율에 대한 연구)

  • Kim, Hyeon-jin;Jeong, Bong-jae
    • Journal of the Korean Society of Radiology
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    • v.13 no.1
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    • pp.95-101
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    • 2019
  • The purpose of this study is to reduce the dose to the patient by different application of ASIR according to the Body Mass Index (BMI). In particular, we wanted to find out the application values of ASIR that are most appropriate for the standard weight. Studies have shown that increasing the application of ASIR to 50% in patients with a body mass index of 25 or less reduces CTDIvol 58.17% and DLP 60.49% compared to using only FBP. A comparative analysis of the noise by the BMI and the SNR values found that the noise increased as the BMI increased, but the application of ASIR resulted in less noise than the FBP alone. In addition, it was found that the more ASIR is applied, the more SNR is increased.

Median Modified Wiener Filter for Noise Reduction in Computed Tomographic Image using Simulated Male Adult Human Phantom (시뮬레이션된 성인 남성 인체모형 팬텀을 이용한 전산화단층촬영 에서의 노이즈 제거를 위한 Median Modified Wiener 필터)

  • Ju, Sunguk;An, Byungheon;Kang, Seong-Hyeon;Lee, Youngjin
    • Journal of the Korean Society of Radiology
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    • v.15 no.1
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    • pp.21-28
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    • 2021
  • Computed tomography (CT) has the problem of having more radiation exposure compared to other radiographic apparatus. There is a low-dose imaging technique for reducing exposure, but it has a disadvantage of increasing noise in the image. To compensate for this, various noise reduction algorithms have been developed that improve image quality while reducing the exposure dose of patients, of which the median modified Wiener filter (MMWF) algorithm that can be effectively applied to CT devices with excellent time resolution has been presented. The purpose of this study is to optimize the mask size of MMWF algorithm and to see the excellence of noise reduction of MMWF algorithm for existing algorithms. After applying the MMWF algorithm with each mask sizes set from the MASH phantom abdominal images acquired using the MATLAB program, which includes Gaussian noise added, and compared the values of root mean square error (RMSE), peak signal-to-noise ratio (PSNR), coefficient correlation (CC), and universal image quality index (UQI). The results showed that RMSE value was the lowest and PSNR, CC and UQI values were the highest in the 5 x 5 mask size. In addition, comparing Gaussian filter, median filter, Wiener filter, and MMWF with RMSE, PSNR, CC, and UQI by applying the optimized mask size. As a result, the most improved RMSE, PSNR, CC, and UQI values were showed in MMWF algorithms.

Quality of Image and Exposure Dose According to kVp, mA and Iterative Reconstruction in Computed Tomography (전산화단층촬영에서 관전압과 관전류, 통계적 반복재구성법에 따른 화질과 피폭선량)

  • Cha, Sang-Young;Park, Jae-Yoon;Lee, Yong-Ki;Kim, Jeon-Hun;Choi, Jae-Ho
    • Journal of radiological science and technology
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    • v.40 no.3
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    • pp.385-392
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    • 2017
  • The purpose of this study is to investigate the image quality and exposure dose according to kVp and mAs in CT and to confirm improvement in image quality according to None IR and IR(Iterative Reconstruction) levels. Measurement results of image quality using Image J, HU(Hounsfield units) and BN(Background Noise) are decreased, while SNR(Signal to Noise Ratio) and $CTDI_{vol}$(CT dose index volume) are increased as the kVp increases and there was no change of BHU(Background Hounsfield units). BN was reduced due to increased kVp, while SNR and $CTDI_{vol}$ were increased. Also, the higher IR stage, the lower BN, SI(Signal Intensity) and HU while SNR was improved by about 10~60%. Based on this, when applying IR for clinical applications, it is necessary to finely adjust kVp and mA with a phased approach.

The Consideration of nuclear medicine technologist's occupational dose from patient who are undergoing 18F-FDG Whole body PET/CT : Aspect of specific characteristic of patient and contact time with patient (18F-FDG Whole Body PET/CT 수검자의 거리별 선량 변화에 따른 방사선 작업종사자의 유효선량 고찰: 환자 고유특성 및 응대시간 측면)

  • Kim, Sunghwan;Ryu, Jaekwang;Ko, Hyunsoo
    • The Korean Journal of Nuclear Medicine Technology
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    • v.22 no.1
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    • pp.67-75
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    • 2018
  • Purpose The purpose of this study is to investigate and analyze the external dose rates of $^{18}F-FDG$ Whole Body PET/CT patients by distance, and to identify the main factors that contribute to the reduction of radiation dose by checking the cumulative doses of nuclear medicine technologist(NMT). Materials and Methods After completion of the $^{18}F-FDG$ Whole Body PET/CT scan($75.4{\pm}3.3min$), the external dose rates of 106 patients were measured at a distance of 0, 10, 30, 50, and 100 cm from the chest. Gender, age, BMI(Body Mass Index), fasting time, diabetes mellitus, radiopharmaceutical injection information, creatine value were collected to analyze individual factors that could affect external dose rates from a patient's perspective. From the perspective of NMT, personal pocket dosimeters were worn on the chest to record accumulated dose of NMT who performed the injection task($T_1$, $T_2$ and $T_3$) and scan task($T_4$, $T_5$ and $T_6$). In addition, patient contact time with NMT was measured and analyzed. Results External dose rates from the patient for each distance were calculated as $246.9{\pm}37.6$, $129.9{\pm}16.7$, $61.2{\pm}9.1$, $34.4{\pm}5.9$, and $13.1{\pm}2.4{\mu}Sv/hr$ respectively. On the patient's aspect, there was a significant difference in the proximity of gender, BMI, Injection dose and creatine value, but the difference decreased as the distance increased. In case of dialysis patient, external dose rates for each distance were exceptionally higher than other patients. On the NMT aspect, the doses received from patients were 0.70, 1.09, $0.55{\mu}Sv/person$ for performing the injection task($T_1$, $T_2$, and $T_3$), and were 1.25, 0.82, $1.23{\mu}Sv/person$ for performing the scan task($T_4$, $T_5$, $T_6$). Conclusion we found that maintaining proper distance with patient and reducing contact time with patient had a significant effect on accumulated doses. Considering those points, efforts such as sufficient water intake and encourage of urination, maintaining the proper distance between the NMT and the patient(at least 100 cm), and reducing the contact time should be done for reducing dose rates not only patient but also NMT.

Dose Comparison Using Deformed Image Registration Method on Breast Cancer Radiotherapy (유방암 방사선치료에서 변형영상정합기법을 이용한 선량비교)

  • Won, Young Jin;Kim, Jong Won;Kim, Jung Hoon
    • Journal of radiological science and technology
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    • v.40 no.1
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    • pp.57-62
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    • 2017
  • The purpose of this study is to reconstruct the treatment plan by applying CBCT and DIR to dose changes according to the change of the patient's motion and breast shape in the large breast cancer patients and to compare the doses using TWF, FIF and IMRT. CT and CBCT were performed with MIM6 to create DIRCT and each treatment plan was made. The patient underwent computed tomography simulation in both prone and supine position. The homogeneity index (HI), conformity index (CI), coverage index (CVI) to the left breast as planning target volume (PTV) were determined and the doses to the lung, heart, and right breast as organ at risk (OAR) were compared by using dose-volume histogram and the unique property of each organ. The value of HI of the PTV breast increased in all treatment planning methods using DIRCT, and CVI and CI were decreased in the treatment planning methods using DIRCT.

Image Quality Analysis when applying DLIR Reconstruction Techniques in NECT CT (NECT CT에서 DLIR 재구성기법 적용 시 화질분석)

  • Yoon, Joon;Kim, Hyeon-Ju
    • Journal of the Korean Society of Radiology
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    • v.16 no.4
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    • pp.387-394
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    • 2022
  • 120 kVp FBP reconstruction image standard by using raw data after scanning by changing tube voltage among the NECK CT protocols that are broad applied in clinical practice using a human phantom including thyroid gland The usefulness of the DLIR reconstruction technique was investigated. As a result, CTDIvol decreased when the DLIR reconstruction technique was applied, and in particular, the image quality obtained under the same standard scanning conditions at a lower dose for ASIR-V and DLIR reconstruction was reached than when FBP was applied at the same kVp In addition, as a result of SNR and CNR analysis, the DLIR reconstructed image was analyzed with high SNR and CNR values, and SSIM analysis, the SSIM index of the 100 kVp, DLIR reconstructed image was measured to be close to 1, and it was analyzed that the similarity of the reconstructed image to the original image was high (p>0.05). If the results of this study are used to supplement clinical image evaluation and further develop an algorithm applicable to various anatomical structures, it is thought that it will be useful for clinical application as it is possible to maintain the image quality while lowering the examination dose.

A Study on the Use of Active Protocol Using the Change of Pitch and Rotation Time in PET/CT (PET/CT에서 Pitch와 Rotation Time의 변화를 이용한 능동적인 프로토콜 사용에 대한 연구)

  • Jang, Eui Sun;Kwak, In Suk;Park, Sun Myung;Choi, Choon Ki;Lee, Hyuk;Kim, Soo Young;Choi, Sung Wook
    • The Korean Journal of Nuclear Medicine Technology
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    • v.17 no.2
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    • pp.67-71
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    • 2013
  • Purpose: The Change of CT exposure condition have a effect on image quality and patient exposure dose. In this study, we evaluated effect CT image quality and SUV when CT parameters (Pitch, Rotation time) were changed. Materials and Methods: Discovery Ste (GE, USA) was used as a PET/CT scanner. Using GE QA Phantom and AAPM CT Performance Phantom for evaluate Noise of CT image. Images are acquired by using 24 combinations that four stages pitch (0.562, 0.938, 1.375, 1.75:1) and six stages X-ray tube rotation time (0.5s-1.0s). PET images are acquired using 1994 NEMA PET Phantom ($^{18}F-FDG$ 5.3 kBq/mL, 2.5 min/frame). For noise test, noise are evaluated by standard deviation of each image's CT numbers. And then we used expectation noise according to change of DLP (Dose Length Product) to experimental noise ratio for index of effectiveness. For spatial resolution test, we confirmed that it is possible to identify to 1.0 mm size of the holes at the AAPM CT Performance Phantom. Finally we evaluated each 24 image's SUV. Results: Noise efficiency were 1.00, 1.03, 1.01, 0.96 and 1.00, 1.04, 1.02, 0.97 when pitch changes at the QA Phantom and AAPM Phantom. In case of X-ray tube rotation time changes, 0.99, 1.02, 1.00, 1.00, 0.99, 0.99 and 1.01, 1.01, 0.99, 1.01, 1.01, 1.01 at the QA Phantom and AAPM Phantom. We could identify 1.0 mm size of the holes all 24 images. Also, there were no significant change of SUV and all image's average SUV were 1.1. Conclusion: 1.75:1 pitch is the most effective value at the CT image evaluation according to pitch change and It doesn't affect to the spatial resolution and SUV. However, the change of rotation time doesn't affect anything. So, we recommend to use the effective pitch like 1.75:1 and adequate X-ray tube rotation time according to patient size.

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