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Research ArticleIMAGING

Optimization of Low-Dose CT Protocol in Pediatric Nuclear Medicine Imaging

Hanna Piwowarska-Bilska, Leszek J. Hahn, Bozena Birkenfeld, Katarzyna Cichon-Bankowska, Maria H. Listewnik and Piotr Zorga
Journal of Nuclear Medicine Technology December 2010, 38 (4) 181-185; DOI: https://doi.org/10.2967/jnmt.109.073486
Hanna Piwowarska-Bilska
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Leszek J. Hahn
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Bozena Birkenfeld
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Katarzyna Cichon-Bankowska
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Maria H. Listewnik
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Piotr Zorga
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  • FIGURE 1.
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    FIGURE 1.

    Schematic illustration of exit dose measurement geometry.

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    FIGURE 2.

    Semilogarithmic graph of exit dose rates for various voltages and currents vs. increasing depth of water in phantom simulating attenuation in patient.

Tables

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    TABLE 1

    Average Exit Dose Rates

    Exit dose rate (10−2 μGy/s)*
    Voltage (kV)Current (mA)0 mm50 mm100 mm150 mm200 mm250 mm300 mm
    1402.52,1381,1005222351104824
    1402.01,705887426193873918
    1401.51,295675323148672915
    1401.088346021810544209
    1202.51,396713332147652913
    1202.01,126574264117532310
    1201.58534172018740177
    1201.05802801406128125
    • ↵* Data are for the stated different depths of water in a cylindric phantom simulating attenuation in a patient. Rates are calculated by dividing cumulative exit doses by time of measurement.

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    TABLE 2

    Signal-to-Noise Results for CT Images of Water Phantoms

    Phantom diameter (mm)
    Voltage (kV)Current (mA)Reference phantom*270200160100
    1402.542 (35–52)27 (23–34)18 (15–21)11 (9–14)
    1402.030 (27–35)21 (22–25)12 (10–15)
    1401.535 (26–45)25 (23–32)14 (12–16)
    1401.043 (36–54)29 (28–33)16 (14–19)
    1202.533 (27–43)22 (21–26)13 (11–16)
    1202.037 (25–49)25 (24–31)15 (13–16)
    1201.543 (37–52)29 (27–34)17 (15–19)
    1201.053 (44–69)36 (33–42)20 (17–23)11 (10–12)
    • ↵* Torso phantom (260 × 380 mm).

    • Data are SDs in Hounsfield units, followed by ranges in parentheses.

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    TABLE 3

    CTDIw for Various Scanning Parameters and Phantoms

    CT parametersCTDIw for abdomen phantom (mGy)CTDIw for head phantom (mGy)
    120 kV; 1 mA; axial scanning; collimation, 20 mm; slice thickness, 5 mm—2.01
    140 kV; 2.5 mA; axial scanning; collimation, 20 mm; slice thickness, 5 mm5.427.23
    • View popup
    TABLE 4

    Proposed CT Protocol for SPECT/CT in Children

    Relationship between patient average diameter* and weight (mm→kg)Patient weight (kg)Voltage (kV)Current (mA)
    110→4<101201
    150→1110–191202
    200→2020–291401.5
    250→35†30–401402
    300→70>401402.5
    • ↵* Arithmetic mean of diameters of thorax and abdomen.

    • ↵† For adolescents, diameter→weight relation was extrapolated because of lack of data in handbook (6).

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Journal of Nuclear Medicine Technology: 38 (4)
Journal of Nuclear Medicine Technology
Vol. 38, Issue 4
December 1, 2010
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Optimization of Low-Dose CT Protocol in Pediatric Nuclear Medicine Imaging
Hanna Piwowarska-Bilska, Leszek J. Hahn, Bozena Birkenfeld, Katarzyna Cichon-Bankowska, Maria H. Listewnik, Piotr Zorga
Journal of Nuclear Medicine Technology Dec 2010, 38 (4) 181-185; DOI: 10.2967/jnmt.109.073486
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Optimization of Low-Dose CT Protocol in Pediatric Nuclear Medicine Imaging
Hanna Piwowarska-Bilska, Leszek J. Hahn, Bozena Birkenfeld, Katarzyna Cichon-Bankowska, Maria H. Listewnik, Piotr Zorga
Journal of Nuclear Medicine Technology Dec 2010, 38 (4) 181-185; DOI: 10.2967/jnmt.109.073486

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