Kitera Nobuo, Matsubara Kosuke, Fujioka Chikako, Yokomachi Kazushi, Nishimaru Eiji, Kiguchi Masao, Morimoto Akira, Ishifuro Minoru, Awai Kazuo
Department of Radiology, Hiroshima University Hospital.
Graduate School of Medical Science, Kanazawa University.
Nihon Hoshasen Gijutsu Gakkai Zasshi. 2020;76(4):366-374. doi: 10.6009/jjrt.2020_JSRT_76.4.366.
Organ-based tube current modulation (OB-TCM) techniques, which are provided by three vendors, reduces the radiation dose to the lens of the eyes by decreasing the tube current, when the X-ray tube passes over the anterior surface of critical organs. However, the characteristics of dose modulation of these techniques are different. The purpose of this study was to understand the performance characteristics of OB-TCM technique of each computed tomography (CT) vendor at head CT.
We used three CT scanners (SOMATOM Definition Flash; Siemens Healthcare, Revolution CT; GE Healthcare, and Aquilion ONE Genesis Edition; Canon Medical Systems). We measured the radiation dose to the lens surface as evaluation of radiation dose reduction and measured the image noise as index of image quality. We measured the radiation dose rate in the air for analysis of the characteristics of dose modulation in each OB-TCM.
When applying OB-TCM, the radiation doses for the lens surface were decreased by 28%, 22%, and 25% for Siemens, GE, and Canon CT scanners, respectively, and the image noise level was increased by 5.6%, 8.5%, and 15.1% for Siemens, GE, and Canon CT scanners, respectively. The characteristics of dose modulation in each OB-TCM were also confirmed by measured the radiation dose rate.
We confirmed that each OB-TCM has different influence on image quality and radiation doses for lens surface, due to the different characteristics of dose modulation for each CT vendor.
由三家供应商提供的基于器官的管电流调制(OB-TCM)技术,当X射线管经过关键器官前表面时,通过降低管电流来减少眼部晶状体的辐射剂量。然而,这些技术的剂量调制特性有所不同。本研究的目的是了解各计算机断层扫描(CT)供应商的OB-TCM技术在头部CT检查中的性能特征。
我们使用了三台CT扫描仪(西门子医疗的SOMATOM Definition Flash、通用电气医疗的Revolution CT以及佳能医疗系统的Aquilion ONE Genesis Edition)。我们测量了晶状体表面的辐射剂量以评估辐射剂量的减少情况,并测量了图像噪声作为图像质量指标。我们测量了空气中的辐射剂量率,以分析每种OB-TCM的剂量调制特性。
应用OB-TCM时,西门子、通用电气和佳能CT扫描仪的晶状体表面辐射剂量分别降低了28%、22%和25%,而西门子、通用电气和佳能CT扫描仪的图像噪声水平分别增加了5.6%、8.5%和15.1%。通过测量辐射剂量率也证实了每种OB-TCM的剂量调制特性。
我们证实,由于各CT供应商的剂量调制特性不同,每种OB-TCM对图像质量和晶状体表面辐射剂量的影响也不同。