Effect of low tube voltage and low iodine concentration abdominal CT on image quality and radiation dose in children: preliminary study

Sun Kyoung You, Young Hun Choi, Jung Eun Cheon, Woo Sun Kim, In One Kim, So Mi Lee, Hyun Hae Cho

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: To evaluate the image quality of a double-low protocol (low tube voltage and low iodine concentration) for abdominal CT in children. Materials and methods: The double-low protocol was compared to the conventional protocol in pediatric patients weighing less than 40 kg from May 2016 to December 2016. Double-low protocol (Group A, n = 18): tube voltage, 70 kVp; and iodine concentration,: 250 mgI/mL versus Conventional protocol (Group B, n = 13): tube voltage, 80–100 kVp; and iodine concentration, 350 mgI/mL. Mean attenuation, noise, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) were compared between the two groups. Image contrast, noise, beam-hardening artifacts, and overall image quality were subjectively scored. Reader performance for correctly differentiating two groups by visual assessment was evaluated. Radiation dose and total iodine load were recorded. Results: The mean attenuations of the portal vein and liver and the mean image noise in Group A were higher than in Group B (p = 0.04, 0.03, 0.004, respectively). The mean SNR and CNR of the main portal vein and liver were lower in Group A without any statistically significant difference. There were no statistically significant differences between the two groups in qualitative analysis (image contrast, image noise, and overall image quality) with substantial agreement between the reviewers (weighted kappa values; 0.59–0.76). Significantly diminished radiation dose and iodine load were observed in Group A compared with Group B (25.0%, 36.8% reduction; p = 0.007, 0.006, respectively). Conclusion: The double-low protocol was feasible for pediatric abdominal CT and reduced both radiation dose and iodine load, while maintaining image quality.

Original languageEnglish
Pages (from-to)1928-1935
Number of pages8
JournalAbdominal Radiology
Volume44
Issue number5
DOIs
StatePublished - 15 May 2019

Fingerprint

Iodine
Radiation
Noise
Signal-To-Noise Ratio
Portal Vein
Pediatrics
Liver
Artifacts

Keywords

  • Children
  • Computed tomography
  • Dose reduction
  • Iodine concentration
  • Low tube voltage

Cite this

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title = "Effect of low tube voltage and low iodine concentration abdominal CT on image quality and radiation dose in children: preliminary study",
abstract = "Purpose: To evaluate the image quality of a double-low protocol (low tube voltage and low iodine concentration) for abdominal CT in children. Materials and methods: The double-low protocol was compared to the conventional protocol in pediatric patients weighing less than 40 kg from May 2016 to December 2016. Double-low protocol (Group A, n = 18): tube voltage, 70 kVp; and iodine concentration,: 250 mgI/mL versus Conventional protocol (Group B, n = 13): tube voltage, 80–100 kVp; and iodine concentration, 350 mgI/mL. Mean attenuation, noise, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) were compared between the two groups. Image contrast, noise, beam-hardening artifacts, and overall image quality were subjectively scored. Reader performance for correctly differentiating two groups by visual assessment was evaluated. Radiation dose and total iodine load were recorded. Results: The mean attenuations of the portal vein and liver and the mean image noise in Group A were higher than in Group B (p = 0.04, 0.03, 0.004, respectively). The mean SNR and CNR of the main portal vein and liver were lower in Group A without any statistically significant difference. There were no statistically significant differences between the two groups in qualitative analysis (image contrast, image noise, and overall image quality) with substantial agreement between the reviewers (weighted kappa values; 0.59–0.76). Significantly diminished radiation dose and iodine load were observed in Group A compared with Group B (25.0{\%}, 36.8{\%} reduction; p = 0.007, 0.006, respectively). Conclusion: The double-low protocol was feasible for pediatric abdominal CT and reduced both radiation dose and iodine load, while maintaining image quality.",
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Effect of low tube voltage and low iodine concentration abdominal CT on image quality and radiation dose in children : preliminary study. / You, Sun Kyoung; Choi, Young Hun; Cheon, Jung Eun; Kim, Woo Sun; Kim, In One; Lee, So Mi; Cho, Hyun Hae.

In: Abdominal Radiology, Vol. 44, No. 5, 15.05.2019, p. 1928-1935.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Effect of low tube voltage and low iodine concentration abdominal CT on image quality and radiation dose in children

T2 - preliminary study

AU - You, Sun Kyoung

AU - Choi, Young Hun

AU - Cheon, Jung Eun

AU - Kim, Woo Sun

AU - Kim, In One

AU - Lee, So Mi

AU - Cho, Hyun Hae

PY - 2019/5/15

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N2 - Purpose: To evaluate the image quality of a double-low protocol (low tube voltage and low iodine concentration) for abdominal CT in children. Materials and methods: The double-low protocol was compared to the conventional protocol in pediatric patients weighing less than 40 kg from May 2016 to December 2016. Double-low protocol (Group A, n = 18): tube voltage, 70 kVp; and iodine concentration,: 250 mgI/mL versus Conventional protocol (Group B, n = 13): tube voltage, 80–100 kVp; and iodine concentration, 350 mgI/mL. Mean attenuation, noise, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) were compared between the two groups. Image contrast, noise, beam-hardening artifacts, and overall image quality were subjectively scored. Reader performance for correctly differentiating two groups by visual assessment was evaluated. Radiation dose and total iodine load were recorded. Results: The mean attenuations of the portal vein and liver and the mean image noise in Group A were higher than in Group B (p = 0.04, 0.03, 0.004, respectively). The mean SNR and CNR of the main portal vein and liver were lower in Group A without any statistically significant difference. There were no statistically significant differences between the two groups in qualitative analysis (image contrast, image noise, and overall image quality) with substantial agreement between the reviewers (weighted kappa values; 0.59–0.76). Significantly diminished radiation dose and iodine load were observed in Group A compared with Group B (25.0%, 36.8% reduction; p = 0.007, 0.006, respectively). Conclusion: The double-low protocol was feasible for pediatric abdominal CT and reduced both radiation dose and iodine load, while maintaining image quality.

AB - Purpose: To evaluate the image quality of a double-low protocol (low tube voltage and low iodine concentration) for abdominal CT in children. Materials and methods: The double-low protocol was compared to the conventional protocol in pediatric patients weighing less than 40 kg from May 2016 to December 2016. Double-low protocol (Group A, n = 18): tube voltage, 70 kVp; and iodine concentration,: 250 mgI/mL versus Conventional protocol (Group B, n = 13): tube voltage, 80–100 kVp; and iodine concentration, 350 mgI/mL. Mean attenuation, noise, signal-to-noise ratio (SNR), and contrast-to-noise ratio (CNR) were compared between the two groups. Image contrast, noise, beam-hardening artifacts, and overall image quality were subjectively scored. Reader performance for correctly differentiating two groups by visual assessment was evaluated. Radiation dose and total iodine load were recorded. Results: The mean attenuations of the portal vein and liver and the mean image noise in Group A were higher than in Group B (p = 0.04, 0.03, 0.004, respectively). The mean SNR and CNR of the main portal vein and liver were lower in Group A without any statistically significant difference. There were no statistically significant differences between the two groups in qualitative analysis (image contrast, image noise, and overall image quality) with substantial agreement between the reviewers (weighted kappa values; 0.59–0.76). Significantly diminished radiation dose and iodine load were observed in Group A compared with Group B (25.0%, 36.8% reduction; p = 0.007, 0.006, respectively). Conclusion: The double-low protocol was feasible for pediatric abdominal CT and reduced both radiation dose and iodine load, while maintaining image quality.

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KW - Computed tomography

KW - Dose reduction

KW - Iodine concentration

KW - Low tube voltage

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