[Investigation of Scattered Radiation Reduction Effect by Use of Collimator Cover Covered with Leaded Sheet in Angiography Equipment].

The purpose of this study was to investigate the effect of scattered radiation reduction to medical staff by attaching the leaded sheet on the collimator cover of the angiography equipment. Ambient dose equivalent was measured to compare the rate of scattered radiation reduction between with and without the leaded sheet. Shielding effect was confirmed for scattered radiation in all directions, especially 27% of shielding ratio in the head and neck area when angiography equipment installed with small detector, and more than 40% of shielding ratio when adjusting a cut portion of leaded sheet to the field size.

Software Development for Estimating the Conversion Factor (K-Factor) at Suitable Scan Areas, Relating the Dose Length Product to the Effective Dose.

We developed a k-factor-creator software (kFC) that provides the k-factor for CT examination in an arbitrary scan area. It provides the k-factor from the effective dose and dose-length product by Imaging Performance Assessment of CT scanners and CT-EXPO. To assess the reliability, we compared the kFC-evaluated k-factors with those of the International Commission on Radiological Protection (ICRP) publication 102.

Electrocardiogram-gated coronary CT angiography dose estimates using ImPACT.

The primary study objective was to assess radiation doses using a modified form of the Imaging Performance Assessment of Computed Tomography (CT) scanner (ImPACT) patient dosimetry for cardiac applications on an Aquilion ONE ViSION Edition scanner, including the Ca score, target computed tomography angiography (CTA), prospective CTA, continuous CTA/cardiac function analysis (CFA), and CTA/CFA modulation. Accordingly, we clarified the CT dose index (CTDI) to determine the relationship between heart rate (HR) and X-ray exposure. As a secondary objective, we compared radiation doses using modified ImPACT, a whole-body dosimetry phantom study, and the k-factor method to verify the validity of the dose results obtained with modified ImPACT.

Tube Current Modulation Between Single- and Dual-Energy CT With a Second-Generation Dual-Source Scanner: Radiation Dose and Image Quality.

Objective: The purpose of this study was to compare the effects of tube current modulation between single- and dual-energy CT with a second-generation dual-source scanner.

Materials And Methods: Custom-made elliptic polymethylmethacrylate phantoms for slim and large patients were used. Absorbed radiation dose at the central point of the phantoms was measured with a solid-state detector while the phantoms were scanned in single-energy (120 kV) and dual-energy (100/Sn140, 80/Sn140, and 140/80 kV) modes with a second-generation dual-source CT scanner.

Nationwide survey of radiation exposure during pediatric computed tomography examinations and proposal of age-based diagnostic reference levels for Japan.

Background: Diagnostic reference levels (DRLs) have not been established in Japan.

Objective: To propose DRLs for CT of the head, chest and abdomen for three pediatric age groups.

Materials And Methods: We sent a nationwide questionnaire by post to 339 facilities.

128-slice dual-source CT coronary angiography with prospectively electrocardiography-triggered high-pitch spiral mode: radiation dose, image quality, and diagnostic acceptability.

Background: Dual-source computed tomography (CT) enables CT coronary angiography (CTCA) with a prospectively electrocardiography (ECG)-triggered high-pitch spiral (HPS) mode.

Purpose: To evaluate the radiation dose, image quality, and diagnostic acceptability of the HPS mode in CTCA and to compare HPS with the step-and-shoot (SAS) and low-pitch spiral (LPS) modes.

Material And Methods: One hundred and thirty-eight patients who underwent CTCA with a 128-slice dual-source CT scanner were retrospectively included in this study.

[Properties and usage of radiophotoluminescent glass dosimeters for computed tomography dosimetry].

There are two types of radiophotoluminescent glass dosimeters (RPLDs). One has a tin filter in the capsule (GD-352M) and the other has no filter (GD-302M). The purpose of our study was to evaluate the properties of these RPLDs for computed tomography (CT) dosimetry: energy dependence, variation, angular dependence, and dose distribution in a single slice.

Evaluation of the CT dose index for scans with an ECG using a 320-row multiple-detector CT scanner.

The relationship between heart rate (HR) and computed tomography dose index (CTDI) was evaluated using an electrocardiogram (ECG) gate scan for scan applications such as prospective triggering, Ca scoring, target computed tomography angiography (CTA), prospective CTA and retrospective gating, continuous CTA/CFA (cardiac functional analysis) and CTA/CFA modulation. Even in the case of a volume scan, doses for the multiple scan average dose were similar to those for CTDI. Moreover, it was found that the ECG gate scan yields significantly different doses.

Investigation of qualitative and quantitative factors related to radiological exposure to nursing staff during computed tomography examinations.

Radiologists or nurses intermittently stay in computed tomography rooms during computed tomography examinations; these actions are defined as “entrance actions.” The qualitative and quantitative factors related to radiological exposure to computed tomography nursing staff were investigated to identify the protective measures against entrance actions. A questionnaire survey was used to investigate the frequency, motives, and causalities of entrance actions.

Evaluation of organ doses and effective dose according to the ICRP Publication 110 reference male/female phantom and the modified ImPACT CT patient dosimetry.

We modified the Imaging Performance Assessment of CT scanners (ImPACT) to evaluate the organ doses and the effective dose based on the International Commission on Radiological Protection (ICRP) Publication 110 reference male/female phantom with the Aquilion ONE ViSION Edition scanner. To select the new CT scanner, the measurement results of the CTDI100,c and CTDI100,p for the 160 (head) and the 320 (body) mm polymethylmethacrylate phantoms, respectively, were entered on the Excel worksheet. To compute the organ doses and effective dose of the ICRP reference male/female phantom, the conversion factors obtained by comparison between the organ doses of different types of phantom were applied.

Differences in behavior of tube current modulation techniques for thoracic CT examinations between male and female anthropomorphic phantoms.

Our objective was to investigate the differences in behavior of tube current modulation (TCM) techniques for thoracic CT examinations between male and female anthropomorphic phantoms. The phantoms were scanned with an automatic exposure control system in the longitudinal (z-) and angular-longitudinal (xyz-) TCM, in addition to the fixed-mA which was used as a reference. Axial dose distributions were measured at the levels of the breasts and the diaphragm, and longitudinal dose distributions were measured from the thoracic-inlet level to the diaphragm level at the center and periphery of the phantoms by use of eight solid-state detectors.

[A comparison of several convenient methods of estimating effective energy in X-ray computed tomography].

The measurement of half-value layers (HVLs) and effective energy in X-ray computed tomography (CT) using conventional nonrotating methods is regarded as a highly challenging task, as it necessitates the use of a nonrotating X-ray tube and the assistance of service engineers. Several convenient methods have been proposed to circumvent this limitation; however, to the best of our knowledge, there are no reports that provide a comparative study on the accuracy of each method. This prompted us to compare the accuracy and practicality of each method.

[Radiation dose evaluation in a photon-counting digital mammography unit].

The purpose of our study was to evaluate radiation dose and beam quality in photon-counting digital mammography (PCDM) and compare them with those in a full-field digital mammography (FFDM) unit. Dose variation in the X-ray tube axis direction, aluminum half-value layer, average glandular and skin doses, and contrast-to-noise ratio (CNR) were evaluated for the PCDM and FFDM units. In PCDM, the dose variation in the X-ray tube axis direction was greater than that in FFDM.

A novel removable shield attached to C-arm units against scattered X-rays from a patient's side.

Objectives: We invented a drape-like shield against scattered X-rays that can safely come into contact with medical equipment or people during fluoroscopically guided procedures. The shield can be easily removed from a C-arm unit using one hand. We evaluated the use of the novel removable shield during the endoscopic retrograde cholangiopancreatography (ERCP) procedure.

Effects of pacemaker, implantable cardioverter-defibrillator, and left ventricular leads on CT-based attenuation correction.

Unlabelled: CT-based attenuation correction (CTAC) of myocardial SPECT images has been becoming more popular--and the application of SPECT/CT increasing--because it prevents attenuation-induced image degradation. However, CTAC can be affected by overestimation of counts caused by metals. It is possible that pacemaker, left ventricle (LV), and implantable cardioverter-defibrillator (ICD) leads have an influence on myocardial SPECT findings.

Accuracy of measuring half- and quarter-value layers and appropriate aperture width of a convenient method using a lead-covered case in X-ray computed tomography.

Determination of the half-value layer (HVL) and quarter-value layer (QVL) values is not an easy task in x-ray computed tomography (CT), because a nonrotating x-ray tube must be used, which requires the assistance of service engineers. Therefore, in this study, we determined the accuracy of the lead-covered case method, which uses x-rays from a rotating x-ray tube, for measuring the HVL and QVL in CT. The lead-covered case was manufactured from polystyrene foam and a 4-mm thick lead plate.

Evaluation of the effectiveness of X-ray protective aprons in experimental and practical fields.

Few practical evaluation studies have been conducted on X-ray protective aprons in workplaces. We examined the effects of exchanging the protective apron type with regard to exposure reduction in experimental and practical fields, and discuss the effectiveness of X-ray protective aprons. Experimental field evaluations were performed by the measurement of the X-ray transmission rates of protective aprons.

Adjustment of overestimated CT-based attenuation correction on bone SPECT/CT after hip-resurfacing arthroplasty.

Unlabelled: SPECT/CT has made it possible to perform attenuation correction easily. However, CT-based attenuation correction (CTAC) is overestimated when metal is inside the body. The aim of this investigation was to create and test a new attenuation correction formula for CTAC that decreases the overestimation caused by an artificial femoral head and hip joint.

Artifacts caused by insufficient contrast medium filling during C-arm cone-beam CT scans: a phantom study.

We investigated artifacts due to late-arriving contrast medium (CM) during C-arm cone-beam computed tomography. We scanned a phantom filled with water or with 100, 50, or 5% v/v concentrations of CM and then virtually produced CM-delayed projection data by partially replacing the projection images. Artifacts as a function of concentration, percentage of filling time, and size and position of the filling area were assessed.

Assessment of olfactory nerve by SPECT-MRI image with nasal thallium-201 administration in patients with olfactory impairments in comparison to healthy volunteers.

Purpose: The aim of this study was to assess whether migration of thallium-201 ((201)Tl) to the olfactory bulb were reduced in patients with olfactory impairments in comparison to healthy volunteers after nasal administration of (201)Tl.

Procedures: 10 healthy volunteers and 21 patients enrolled in the study (19 males and 12 females; 26-71 years old). The causes of olfactory dysfunction in the patients were head trauma (n = 7), upper respiratory tract infection (n = 7), and chronic rhinosinusitis (n = 7).

[Evaluation of over ranging in 64-slice multidetector-row computed tomography examinations for upper abdomen].

64-slice multidetector-row computed tomography (MDCT) have become widely used in recent years, but there is a possibility that a large volume of dose is radiated at the outside of the scope of scanning due to the effect of over ranging (OR). In this research, the dose volume change at the outside of the scope of scanning in the case of X-ray beam width (BW) and pitch factor (PF) is measured, and the effect of BW and PF on OR is considered. We scanned the upper abdomen of an acrylic human phantom using 64-slice multidetector-row CT in 4 conditions while changing BW and PF.

[Influence on measurements of pre-irradiation due to differences in ionization chamber shape or frequency in use].

Ionization chamber measurements in radiation therapy should be repeatedly performed until a stable reading is obtained. Ionization chambers exhibit a response which depends on time elapsed since the previous irradiation. In this study, we investigated the response of a set of two Farmer-style, one Plane parallel, and seven small ionization chambers, which are exposed to 4, 6, 10, and 14 MV.

Radiation dose and physical image quality in 128-section dual-source computed tomographic coronary angiography: a phantom study.

One-hundred-and-twenty-eight-section dual X-ray source computed tomography (CT) systems have been introduced into clinical practice and have been shown to increase temporal resolution. Higher temporal resolution allows low-dose spiral mode at a high pitch factor during CT coronary angiography. We evaluated radiation dose and physical image qualities in CT coronary angiography by applying high-pitch spiral, step-and-shoot, and low-pitch spiral modes to determine the optimal acquisition mode for clinical situations.

Iterative estimation of coherent-scattering profiles from given positions by use of a single-direction beam.

The coherent-scattering distribution is useful for characterization of materials in the medical field, and obtaining this information from a given position in the object is a useful new diagnostic approach. We propose a simpler geometric approach, which requires only a single-direction X-ray beam with no collimator in front of the detector. This method iteratively estimates coherent-scattering profiles from given positions along the beam path, based on the projections positioned at different object-to-detector distances.