AI Article Synopsis

  • The study aimed to explore how vessel visibility in coronary CT angiography relates to radiation dose using a method called contrast-to-noise ratio (CNR) with lower tube voltages.
  • Researchers used a 64-detector CT scanner to perform tests on a simulated vessel and compared results at 120 kV with those at lower voltages (100 and 80 kV).
  • Findings indicated that using lower tube voltages resulted in a significant reduction of radiation dose while maintaining image quality, as no significant differences in vessel visibility were noted among the tested voltages.

Article Abstract

Purpose: The purpose of this study was to investigate the association of vessel visibility and radiation dose using contrast-to-noise ratio (CNR) method with low tube voltage in coronary computed tomography angiography (c-CTA).

Methods: We performed electrocardiogram-gated scan of 2.0-mm diameter simulated vessel in the center of the cardiac phantom by the use of a 64-detector CT scanner. Reference CNR was calculated from the target coronary CT number (CT; 350 Hounsfield units [HU]), epicardial fat CT number (CT; -100 HU), and target epicardial fat standard deviation (SD) number (SD; 25 HU) at the 120 kV. We obtained the tube current at low tube voltage (100 and 80 kV) to perform the similar reference CNR at 120 kV. The full widths at half maximum from axial images were evaluated with quantitative evaluation and three types of visualizations of the vessel phantom were evaluated with the qualitative evaluations.

Results: CT of 100 and 80 kV were increased by 26% and 50%, respectively, compared with 120 kV (P<0.01). SD was also increased by a similar ratio (P<0.01). CTDI of 100 and 80 kV were decreased by 39% and 51%, respectively, compared with 120 kV (P<0.05). There were no significant voltage differences among three tubes in quantitative and qualitative evaluations at the same CNR (P> 0.05).

Conclusion: In this phantom study, these results show that the CNR method with low tube voltage achieves radiation dose reduction without decreasing the image quality.

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Source
http://dx.doi.org/10.6009/jjrt.2016_JSRT_72.10.999DOI Listing

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