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Radiation dose levels in pediatric chest CT: experience in 499 children evaluated with dual-source single-energy CT

Overview of attention for article published in Pediatric Radiology, November 2016
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Title
Radiation dose levels in pediatric chest CT: experience in 499 children evaluated with dual-source single-energy CT
Published in
Pediatric Radiology, November 2016
DOI 10.1007/s00247-016-3731-7
Pubmed ID
Authors

Remy-Jardin Martine, Teresa Santangelo, Lucie Colas, Faivre Jean-Baptiste, Alain Duhamel, Antoine Deschildre, Jacques Remy

Abstract

The availability of dual-source technology has introduced the possibility of scanning children at lower kVp with a high-pitch mode, combining high-speed data acquisition and high temporal resolution. To establish the radiation dose levels of dual-source, single-energy chest CT examinations in children. We retrospectively recorded the dose-length product (DLP) of 499 consecutive examinations obtained in children <50 kg, divided into five weight groups: group 1 (<10 kg, n = 129); group 2 (10-20 kg, n = 176); group 3 (20-30 kg, n = 99), group 4 (30-40 kg, n = 58) and group 5 (40-49 kg, n = 37). All CT examinations were performed with high temporal resolution (75 ms), a high-pitch mode and a weight-adapted selection of the milliamperage. CT examinations were obtained at 80 kVp with a milliamperage ranging between 40 mAs and 90 mAs, and a pitch of 2.0 (n = 162; 32.5%) or 3.0 (n = 337; 67.5%). The mean duration of data acquisition was 522.8 ± 192.0 ms (interquartile range 390 to 610; median 490). In the study population, the mean CT dose index volume (CTDIvol32) was 0.83 mGy (standard deviation [SD] 0.20 mGy; interquartile range 0.72 to 0.94; median 0.78); the mean DLP32 was 21.4 mGy.cm (SD 9.1 mGy.cm; interquartile range 15 to 25; median 19.0); and the mean size-specific dose estimate (SSDE) was 1.7 mGy (SD 0.4 mGy; interquartile range 1.5 to 1.9; median 1.7). The DLP32, CTDIvol32 and SSDE were found to be statistically significant in the five weight categories (P < 0.0001). This study establishes the radiation dose levels for dual-source, single-kVp chest CT from a single center. In the five weight categories, the median values varied 15-37 mGy.cm for the DLP32, 0.78-1.25 mGy for the CTDIvol32 and 1.6-2.1 mGy for the SSDE.

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Geographical breakdown

Country Count As %
Netherlands 1 5%
Unknown 21 95%

Demographic breakdown

Readers by professional status Count As %
Other 5 23%
Researcher 3 14%
Professor > Associate Professor 3 14%
Student > Ph. D. Student 2 9%
Student > Master 1 5%
Other 2 9%
Unknown 6 27%
Readers by discipline Count As %
Medicine and Dentistry 7 32%
Engineering 2 9%
Economics, Econometrics and Finance 1 5%
Physics and Astronomy 1 5%
Linguistics 1 5%
Other 0 0%
Unknown 10 45%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 January 2017.
All research outputs
#20,390,619
of 22,940,083 outputs
Outputs from Pediatric Radiology
#1,762
of 2,090 outputs
Outputs of similar age
#270,958
of 313,314 outputs
Outputs of similar age from Pediatric Radiology
#30
of 35 outputs
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