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Asian consortium on radiation dose of pediatric cardiac CT (ASCI-REDCARD)

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机构: [1]Hong Kong Baptist Hosp, Dept Radiol, Hong Kong, Hong Kong, Peoples R China; [2]Univ Ulsan, Asan Med Ctr, Coll Med, 88 Olymp Ro 43 Gil, Seoul 138736, South Korea; [3]Capital Med Univ, Beijing Anzhen Hosp, Dept Radiol, Beijing, Peoples R China; [4]Queen Mary Hosp, Dept Radiol, Hong Kong, Hong Kong, Peoples R China; [5]Natl Cerebral & Cardiovasc Ctr, Dept Radiol, Osaka, Japan; [6]Yonsei Univ, Shinchon Severance Hosp, Dept Radiol, Seoul, South Korea; [7]Prince Songkla Univ, Songklanagarind Hosp, Dept Radiol, Hat Yai, Thailand; [8]Univ Indonesia, Dept Cardiol, Natl Cardiovasc Ctr Harapan Kita, Jakarta, Indonesia; [9]Mahidol Univ, Ramathibodi Hosp, Dept Radiol, Salaya, Nakhon Pathom, Thailand
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关键词: Children Congenital heart disease Computed tomography Multi-center study Radiation dose

摘要:
With incremental utilization of pediatric cardiac CT in congenital heart disease, it is imperative to define its current radiation dose levels in clinical practice in order to help imagers optimize CT protocols, particularly in Asia and other developing countries where CT physicists are not readily available. To evaluate current radiation dose levels and influencing factors in cardiac CT in children with congenital heart disease in Asia by conducting a retrospective multi-center, multi-vendor study. We included 1,043 pediatric cardiac CT examinations performed in 8 centers between January 2014 and December 2014 to evaluate congenital heart disease. In five weight groups, we calculated radiation dose metrics including volume CT dose index, size-specific dose estimate, dose-length product and effective dose. Age at CT exam, gender, tube voltage, scan mode, CT indication and image reconstruction algorithm were analyzed to learn whether they influenced CT radiation dose. Volume CT dose index, size-specific dose estimate, dose-length product and effective dose of pediatric cardiac CT showed variations in the range of 4.3-23.8 mGy, 4.9-17.6 mGy, 55.8-501.3 mGya (TM) cm and 1.5-3.2 mSv, respectively, within five weight groups. Gender, tube voltage, scan mode and cardiac function assessment significantly influenced CT radiation dose. This multi-center, multi-vendor study demonstrated variations in radiation dose metrics of pediatric cardiac CT reflecting current practice in Asia. Gender, tube voltage, scan mode and cardiac function assessment should be considered as essential radiation dose-influencing factors in developing optimal pediatric cardiac CT protocols.

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出版当年[2016]版:
大类 | 4 区 医学
小类 | 3 区 儿科 4 区 核医学
最新[2023]版:
大类 | 3 区 医学
小类 | 2 区 儿科 3 区 核医学
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出版当年[2015]版:
Q2 PEDIATRICS Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2 PEDIATRICS Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [1]Hong Kong Baptist Hosp, Dept Radiol, Hong Kong, Hong Kong, Peoples R China;
通讯作者:
通讯机构: [2]Univ Ulsan, Asan Med Ctr, Coll Med, 88 Olymp Ro 43 Gil, Seoul 138736, South Korea;
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