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实现 CT 剂量监测的意义:用影像质量来增强剂量。

Making CT Dose Monitoring Meaningful: Augmenting Dose with Imaging Quality.

机构信息

Carl E. Ravin Advanced Imaging Laboratories, Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA.

Clinical Imaging Physics Group, Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA.

出版信息

Tomography. 2023 Apr 7;9(2):798-809. doi: 10.3390/tomography9020065.

DOI:10.3390/tomography9020065
PMID:37104136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10145563/
Abstract

Due to the concerns about radiation dose associated with medical imaging, radiation dose monitoring systems (RDMSs) are now utilized by many radiology providers to collect, process, analyze, and manage radiation dose-related information. Currently, most commercially available RDMSs focus only on radiation dose information and do not track any metrics related to image quality. However, to enable comprehensive patient-based imaging optimization, it is equally important to monitor image quality as well. This article describes how RDMS design can be extended beyond radiation dose to simultaneously monitor image quality. A newly designed interface was evaluated by different groups of radiology professionals (radiologists, technologists, and physicists) on a Likert scale. The results show that the new design is effective in assessing both image quality and safety in clinical practices, with an overall average score of 7.8 out of 10.0 and scores ranging from 5.5 to 10.0. Radiologists rated the interface highest at 8.4 out of 10.0, followed by technologists at 7.6 out of 10.0, and medical physicists at 7.5 out of 10.0. This work demonstrates how the assessment of the radiation dose can be performed in conjunction with the image quality using customizable user interfaces based on the clinical needs associated with different radiology professions.

摘要

由于对与医学成像相关的辐射剂量的担忧,许多放射科医生现在使用辐射剂量监测系统 (RDMS) 来收集、处理、分析和管理与辐射剂量相关的信息。目前,大多数市售的 RDMS 仅关注辐射剂量信息,而不跟踪任何与图像质量相关的指标。然而,为了实现全面的基于患者的成像优化,同样重要的是监测图像质量。本文描述了如何将 RDMS 的设计扩展到辐射剂量以外,以同时监测图像质量。一个新设计的界面由不同组的放射科专业人员(放射科医生、技师和物理学家)在李克特量表上进行评估。结果表明,该新设计在临床实践中有效地评估了图像质量和安全性,总体平均得分为 7.8 分(满分 10.0 分),得分范围为 5.5 到 10.0。放射科医生对该界面的评分最高,为 8.4 分(满分 10.0 分),其次是技师,为 7.6 分(满分 10.0 分),医学物理学家为 7.5 分(满分 10.0 分)。这项工作展示了如何使用基于不同放射科专业相关临床需求的可定制用户界面,结合图像质量评估来执行对辐射剂量的评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/357993d60738/tomography-09-00065-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/5d1816a7296b/tomography-09-00065-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/1c15fb3635b6/tomography-09-00065-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/c2741e195432/tomography-09-00065-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/3b450115a2de/tomography-09-00065-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/f9e5b9f11eea/tomography-09-00065-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/afa99f3aed86/tomography-09-00065-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/26e6e3586550/tomography-09-00065-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/357993d60738/tomography-09-00065-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/5d1816a7296b/tomography-09-00065-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/1c15fb3635b6/tomography-09-00065-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/c2741e195432/tomography-09-00065-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/3b450115a2de/tomography-09-00065-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/f9e5b9f11eea/tomography-09-00065-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/afa99f3aed86/tomography-09-00065-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/26e6e3586550/tomography-09-00065-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b8f/10145563/357993d60738/tomography-09-00065-g008.jpg

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