Strategies for Reducing Radiation Dose in CT

Brenner, 2007, Computed tomography—an increasing source of radiation exposure, N Engl J Med, 357, 2277, 10.1056/NEJMra072149

National Council on Radiation Protection and Measurements, 1987

Donnelly, 2001, Minimizing radiation dose for pediatric body applications of single-detector helical CT: strategies at a large children's hospital, AJR Am J Roentgenol, 176, 303, 10.2214/ajr.176.2.1760303

Brenner, 2001, Estimated risks of radiation-induced fatal cancer from pediatric CT, AJR Am J Roentgenol, 176, 289, 10.2214/ajr.176.2.1760289

2007

Khamsi

Jessen, 1999, Dosimetry for optimisation of patient protection in computed tomography, Appl Radiat Isot, 50, 165, 10.1016/S0969-8043(98)00024-4

Nagel, 2000

Shope, 1981, A method for describing the doses delivered by transmission x-ray computed tomography, Med Phys, 8, 488, 10.1118/1.594995

American Association of Physicists in Medicine, 1990

McNitt-Gray, 2002, AAPM/RSNA physics tutorial for residents: topics in CT. Radiation dose in CT, Radiographics, 22, 1541, 10.1148/rg.226025128

American Association of Physicists in Medicine, 2008

International Electrotechnical Commission, 2002

Boone, 2007, The trouble with CTDI100, Med Phys, 34, 1364, 10.1118/1.2713240

International Commission on Radiological Protection, 1991, 1990 recommendations of the international commission on radiological protection (Report 60), Ann ICRP, 21

McCollough, 2000, Calculation of effective dose, Med Phys, 27, 828, 10.1118/1.598948

International Commission on Radiological Protection, 1977

International Commission on Radiological Protection, 2007, 2007 recommendations of the international commission on radiological protection (ICRP Publication 103), Ann ICRP, 37, 1

Cristy, 1980

Bongartz G, Golding S, Jurik A, et al. European guidelines for multislice computed tomography. Funded by the European Commission. Contract number FIGM-CT2000-20078-CT-TIP. March 2004.

Shrimpton, 2006, National survey of doses from CT in the UK: 2003, Br J Radiol, 79, 968, 10.1259/bjr/93277434

McCollough, 2003, Patient dose in cardiac computed tomography, Herz, 28, 1, 10.1007/s00059-003-2447-2

Haaga, 2001, Radiation dose management: weighing risk versus benefit, AJR Am J Roentgenol, 177, 289, 10.2214/ajr.177.2.1770289

Nickoloff, 2001, Radiation exposures to patients from CT: reality, public perception, and policy, AJR Am J Roentgenol, 177, 285, 10.2214/ajr.177.2.1770285

Wilting, 2001, A rational approach to dose reduction in CT: individualized scan protocols, Eur Radiol, 11, 2627, 10.1007/s003300101039

Boone, 2003, Dose reduction in pediatric CT: a rational approach, Radiology, 228, 352, 10.1148/radiol.2282020471

Linton, 2003, National conference on dose reduction in CT, with an emphasis on pediatric patients, Am J Roentgenol, 181, 321, 10.2214/ajr.181.2.1810321

Frush, 2003, Computed tomography and radiation risks: what pediatric health care providers should know, Pediatrics, 112, 951, 10.1542/peds.112.4.951

Golding, 2002, Commentary. Radiation dose in CT: are we meeting the challenge?, Br J Radiol, 75, 1, 10.1259/bjr.75.889.750001

FDA, 2002, FDA public health notification: reducing radiation risk from computed tomography for pediatric and small adult patients, Pediatr Radiol, 32, 314, 10.1007/s00247-002-0687-6

Kalra, 2004, Strategies for CT radiation dose optimization, Radiology, 230, 619, 10.1148/radiol.2303021726

Cody, 2004, Strategies for formulating appropriate MDCT techniques when imaging the chest, abdomen, and pelvis in pediatric patients, AJR Am J Roentgenol, 182, 849, 10.2214/ajr.182.4.1820849

International Commission on Radiological Protection, 2000, Managing patient dose in computed tomography, ICRP publication 87, Ann ICRP, 30, 7, 10.1016/S0146-6453(01)00049-5

The American College of Radiology appropriateness criteria. College Park (MD): American College of Radiology; 2008.

The Royal College of Radiologists, 2007

McCollough, 2005, Automatic exposure control in CT: are we done yet?, Radiology, 237, 755, 10.1148/radiol.2373051151

Funama, 2005, Radiation dose reduction without degradation of low-contrast detectability at abdominal multisection CT with a low-tube voltage technique: phantom study, Radiology, 237, 905, 10.1148/radiol.2373041643

McCollough, 2006, CT dose reduction and dose management tools: overview of available options, Radiographics, 26, 503, 10.1148/rg.262055138

Nakayama, 2005, Abdominal CT with low tube voltage: preliminary observations about radiation dose, contrast enhancement, image quality, and noise, Radiology, 237, 945, 10.1148/radiol.2373041655

Huda, 2002, How do radiographic techniques affect image quality and patient doses in CT?, Semin Ultrasound CT MR, 23, 411, 10.1016/S0887-2171(02)90012-0

Siegel, 2004, Radiation dose and image quality in pediatric CT: effect of technical factors and phantom size and shape, Radiology, 233, 515, 10.1148/radiol.2332032107

McCollough, 2002, Dose optimization in CT: creation, implementation and clinical acceptance of size-based technique charts, Radiology, 225, 591

Kalra, 2004, Techniques and applications of automatic tube current modulation for CT, Radiology, 233, 649, 10.1148/radiol.2333031150

Graser, 2006, Dose reduction and image quality in MDCT colonography using tube current modulation, AJR Am J Roentgenol, 187, 695, 10.2214/AJR.05.0662

Greess, 2000, Dose reduction in computed tomography by attenuation-based, on-line modulation of tube current: evaluation of six anatomical regions, Eur Radiol, 10, 391, 10.1007/s003300050062

Mulkens, 2005, Use of an automatic exposure control mechanism for dose optimization in multi-detector row CT examinations: clinical evaluation, Radiology, 237, 213, 10.1148/radiol.2363041220

Haaga JR, Miraldi F, MacIntyre W, et al. The effect of mAs variation upon computed tomography image quality as evaluated by in vivo and in vitro studies. Radiology 1981;138(2):449–54.

Kalender, 1999, Dose reduction in CT by anatomically adapted tube current modulation: phantom measurements, Med Phys, 26, 2248, 10.1118/1.598738

Gies M, Kalender WA, Wolf H, et al. Dose reduction in CT by anatomically adapted tube current modulation: simulation studies. Med Phys 1999;26(11):2235–47.

Schmidt B. Dose calculations for computed tomography [dissertation]. Reports from the Insitute of Medical Physiks 2001;7 [in German].

Schmidt, 2002, A fast voxel-based Monte Carlo method for scanner- and patient-specific dose calculations in computed tomography, vol 18, 43

Nuyts, 1998, Iterative reconstruction for helical CT: a simulation study, Phys Med Biol, 43, 729, 10.1088/0031-9155/43/4/003

Fessler, 1997, Grouped-coordinate ascent algorithms for penalized-likelihood transmission image reconstruction, IEEE Trans Med Imaging, 16, 166, 10.1109/42.563662

Elbakri, 2002, Statistical image reconstruction for polyenergetic X-ray computed tomography, IEEE Trans Med Imaging, 21, 89, 10.1109/42.993128

Lasio, 2007, Statistical reconstruction for x-ray computed tomography using energy-integrating detectors, Phys Med Biol, 52, 2247, 10.1088/0031-9155/52/8/014

Thibault, 2007, A three-dimensional statistical approach to improved image quality for multislice helical CT, Med Phys, 34, 4526, 10.1118/1.2789499

Candes, 2006, Robust uncertainty principles: exact signal reconstruction from highly incomplete frequency information, IEEE Trans Inf Theory, 52, 489, 10.1109/TIT.2005.862083

Sidky, 2006, Accurate image reconstruction from few-views and limited-angle data in divergent-beam CT, J Xray Sci Technol, 14, 119

Chen, 2008, Prior image constrained compressed sensing (PICCS): a method to accurately reconstruct dynamic CT images from highly undersampled projection data sets, Med Phys, 35, 660, 10.1118/1.2836423

Wagner, 1997

Wagner, 1982, Pregnancy and women radiologists, Radiology, 145, 559, 10.1148/radiology.145.2.7134471

International Commission on Radiological Protection, 1986, Developmental effects of irradiation on the brain of the embryo and fetus, Ann ICRP, 16

International Commission on Radiological Protection, 1999, Pregnancy and medical radiation, Ann ICRP

National Council on Radiation Protection and Measurements. Medical radiation exposure of pregnant and potentially pregnant women. Bethesda (MD): National Council on Radiation Protection and Measurements; 1977. NCRP Report No. 54.

National Council on Radiation Protection and Measurements, 1987

National Council on Radiation Protection and Measurements, 1993

American Association of Physicists in Medicine, 1986

Wagner, 2004, When a pregnant woman with suspected appendicitis is referred for a CT scan, what should a radiologist do to minimize potential radiation risks?, Pediatr Radiol, 34, 589, 10.1007/s00247-004-1206-8

Castro, 2001, The use of helical computed tomography in pregnancy for the diagnosis of acute appendicitis, Am J Obstet Gynecol, 184, 954, 10.1067/mob.2001.111721

Forsted, 2002, CT of pregnant women for urinary tract calculi, pulmonary thromboembolism, and acute appendicitis, Am J Roentgenol, 178, 1285, 10.2214/ajr.178.5.1781285

Huda, 2001, In x-ray computed tomography, technique factors should be selected appropriate to patient size, Med Phys, 28, 1543, 10.1118/1.1388903

Frush, 1998, Helical CT in children: technical considerations and body applications, Radiology, 209, 37, 10.1148/radiology.209.1.9769810

Hollingsworth, 2003, Helical CT of the body: a survey of techniques used for pediatric patients, AJR Am J Roentgenol, 180, 401, 10.2214/ajr.180.2.1800401

Paterson, 2007, Dose reduction in paediatric MDCT: general principles, Clin Radiol, 62, 507, 10.1016/j.crad.2006.12.004

Primak, 2006, Relationship between noise, dose, and pitch in cardiac multi-detector row CT, Radiographics, 26, 1785, 10.1148/rg.266065063

Mollet, 2005, High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography, Circulation, 112, 2318, 10.1161/CIRCULATIONAHA.105.533471

Achenbach, 2008, Dual-source cardiac computed tomography: image quality and dose considerations, Eur Radiol, 18, 1188, 10.1007/s00330-008-0883-3

Jakobs, 2002, Multislice helical CT of the heart with retrospective ECG gating: reduction of radiation exposure by ECG-controlled tube current modulation, Eur Radiol, 12, 1081, 10.1007/s00330-001-1278-x

Weustink, 2008, Optimal electrocardiographic pulsing windows and heart rate: effect on image quality and radiation exposure at dual-source coronary CT angiography, Radiology, 248, 792, 10.1148/radiol.2483072098

McCollough, 2007, Dose performance of a 64-channel dual-source CT scanner, Radiology, 243, 775, 10.1148/radiol.2433061165

Hausleiter, 2006, Radiation dose estimates from cardiac multislice computed tomography in daily practice: impact of different scanning protocols on effective dose estimates, Circulation, 113, 1305, 10.1161/CIRCULATIONAHA.105.602490

Stolzmann, 2008, Dual-energy computed tomography for the differentiation of uric acid stones: ex vivo performance evaluation, Urol Res, 36, 133, 10.1007/s00240-008-0140-x

Leschka, 2008, Low kilovoltage cardiac dual-source CT: attenuation, noise, and radiation dose, Eur Radiol, 18, 1809, 10.1007/s00330-008-0966-1

Scheffel, 2008, Low-dose CT coronary angiography in the step-and-shoot mode: diagnostic performance, Heart, 94, 1132, 10.1136/hrt.2008.149971

Raupach R, Bruder H, Primak AN, et al. Dose reduction strategies for CT cardiac imaging [abstract B-654]. ECR 2008 Book of Abstracts 18 (Suppl 1). Vienna: ECR; 2008. p.292.

Hein, 2002, Low-dose CT of the paranasal sinuses with eye lens protection: effect on image quality and radiation dose, Eur Radiol, 12, 1693, 10.1007/s00330-001-1279-9

Hopper, 1997, The breast: in-plane x-ray protection during diagnostic thoracic CT—shielding with bismuth radioprotective garments, Radiology, 205, 853, 10.1148/radiology.205.3.9393547

Hopper, 2002, Orbital, thyroid, and breast superficial radiation shielding for patients undergoing diagnostic CT, Semin Ultrasound CT MR, 23, 423, 10.1016/S0887-2171(02)90013-2

Hopper, 2001, Radioprotection to the eye during CT scanning, AJNR Am J Neuroradiol, 22, 1194

McLaughlin, 2004, Dose reduction to radiosensitive tissues in CT. Do commercially available shields meet the users' needs?, Clin Radiol, 59, 446, 10.1016/j.crad.2003.10.016

Fricke, 2003, In-plane bismuth breast shields for pediatric CT: effects on radiation dose and image quality using experimental and clinical data, AJR Am J Roentgenol, 180, 407, 10.2214/ajr.180.2.1800407

Perisinakis, 2005, Reduction of eye lens radiation dose by orbital bismuth shielding in pediatric patients undergoing CT of the head: a Monte Carlo study, Med Phys, 32, 1024, 10.1118/1.1881852

Geleijns, 2006, Quantitative assessment of selective in-plane shielding of tissues in computed tomography through evaluation of absorbed dose and image quality, Eur Radiol, 16, 2334, 10.1007/s00330-006-0217-2