Optimisation of imaging parameters during CT guided interventional procedures in patients with total hip arthroplasty.
作者信息
Patel Anish, Azzopardi Christine, Evans Scott, Davies A Mark, James Steven, Botchu Rajesh
机构信息
Department of Musculoskeletal Imaging, Royal Orthopaedic Hospital, Birmingham, UK.
Department of Orthopedic Oncology, Royal Orthopaedic Hospital, Birmingham, UK.
出版信息
J Clin Orthop Trauma. 2022 Sep 23;34:102028. doi: 10.1016/j.jcot.2022.102028. eCollection 2022 Nov.
OBJECTIVE
To determine the optimal KV and mAs settings during CT guided injections in the presence of a total hip arthroplasty so that image quality is maintained whist keeping the dose as low as reasonably achievable.
METHODS
A total hip arthroplasty phantom with needles with differing gauges was scanned using different CT parameters (from low dose to high dose) and evaluating if this had any effect on needle conspicuity. Conspicuity was graded from 1 to 3 by 2 independent blinded reviewers.
RESULTS
Irrespective of the CT settings used (high dose or low dose parameters) needle conspicuity was not adversely affected by the THA for either scorer, therefore a kVp of 100 mA and a. In addition the needle gauge did not affect the conspicuity of the needle.
CONCLUSION
CT guided injections in this total hip arthroplasty phantom model can be performed without any adverse effect on the conspicuity of the needle tip on low dose CT settings.
ADVANCEMENT IN KNOWLEDGE
This paper enables one to optimise the kV and mA while performing interventional procedures.
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