背景:目前很少有报告使用不同的计算机断层扫描(CT)扫描仪比较具有40毫米检测器宽度的螺旋扫描和具有160毫米检测器宽度的轴向扫描之间的场透镜剂量。
目的:在儿科胸部检查中使用不同的CT扫描仪时,比较40毫米探测器宽度的螺旋扫描和160毫米探测器宽度的轴向扫描之间的晶状体散射剂量。
方法:使用了两种不同的CT机:RevolutionCT(GEHealthcare,Waukesha,WI),256行,0.625毫米多探测器;和AquilionONEGENESIS版(佳能医疗系统,Otawara,日本)有320排,0.5毫米多探测器。使用了三个小儿拟人化体模,光学刺激发光剂量计(OSLD)放置在左和右透镜。在儿科胸部CT检查期间,在40毫米检测器宽度的螺旋扫描和160毫米检测器宽度的轴向扫描之间比较了OSLD测得的散射剂量值。
结果:新生儿螺旋扫描和轴向扫描的等效剂量中位数分别为0.12和0.12mSv/mGy,1岁儿童的0.17和0.16mSv/mGy,5岁儿童为0.18和0.15mSv/mGy,分别,使用革命CT时。随着革命CT,在新生儿和1岁体模的螺旋扫描和轴向扫描之间,散射剂量没有观察到显著差异.然而,在5岁体模中,螺旋扫描的晶状体散射剂量比轴向扫描高约20-35%(P<0.01)。新生儿的螺旋扫描和轴向扫描的晶状体等效剂量中位数为0.12和0.07mSv/mGy,1岁儿童的0.07和0.05mSv/mGy,5岁儿童为0.14和0.12mSv/mGy,分别,当使用AquilionONE时。有了AquilionONE,螺旋扫描的晶状体散射剂量约为70%,40%,新生儿高30%,1岁,和5岁的幻影,分别,轴向扫描(P<0.01)。
结论:使用AquilionONE时,在所有三个体模中,螺旋扫描的晶状体散射剂量均显着高于轴向扫描。相比之下,当使用革命CT时,5岁体模的螺旋扫描的晶状体散射剂量明显高于轴向扫描。这些结果表明,尽管分散的剂量可能因CT扫描仪和身体大小而有所不同,在轴向扫描的情况下,它们通常较低。
BACKGROUND: Reports comparing field lens doses between helical scans with a 40-mm detector width and axial scans with a 160-mm detector width using different computed tomography (CT) scanners are currently scarce.
OBJECTIVE: To compare scatter doses for lenses between a helical scan with a 40-mm detector width and an axial scan with a 160-mm detector width when using different CT scanners in the context of pediatric chest examinations.
METHODS: Two different CT machines were used: Revolution CT (GE Healthcare, Waukesha, WI) with a 256-row, 0.625-mm multidetector; and Aquilion ONE GENESIS Edition (Canon Medical Systems, Otawara, Japan) with a 320-row, 0.5-mm multidetector. Three pediatric anthropomorphic phantoms were used, with optically stimulated luminescence dosimeters (OSLDs) placed on the left and right lenses. The scatter dose values measured by the OSLDs were compared between a helical scan with a 40-mm detector width and an axial scan with a 160-mm detector width during pediatric chest CT examinations.
RESULTS: Median equivalent doses for the helical and axial scans were 0.12 and 0.12 mSv/mGy for the newborn, 0.17 and 0.16 mSv/mGy for the 1-year-old, and 0.18 and 0.15 mSv/mGy for the 5-year-old, respectively, when using the Revolution CT. With the Revolution CT, no significant differences were observed in the scatter doses between helical and axial scans in the newborn and 1-year-old phantoms. However, the lens scatter dose for the helical scan was approximately 20-35% higher than that for the axial scan in the 5-year-old phantom (P<0.01). The median equivalent doses of eye lenses for the helical and axial scans were 0.12 and 0.07 mSv/mGy for the newborn, 0.07 and 0.05 mSv/mGy for the 1-year-old, and 0.14 and 0.12 mSv/mGy for the 5-year-old, respectively, when using the Aquilion ONE. With the Aquilion ONE, lens scatter doses for the helical scan were approximately 70%, 40%, and 30% higher in the newborn, 1-year-old, and 5-year-old phantoms, respectively, than those for the axial scan (P<0.01).
CONCLUSIONS: When using the Aquilion ONE, lens scatter doses for the helical scan were significantly higher in all three phantoms than those for the axial scan. In contrast, when using the Revolution CT, the lens scatter dose for the helical scan was significantly higher in the 5-year-old phantom than that for the axial scan. These results suggest that although scattered doses may vary with respect to the CT scanner and body size, they are generally lower in the case of axial scans.