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.
语种:
外文
被引次数:
WOS:
PubmedID:
中科院(CAS)分区:
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
JCR分区:
出版当年[2015]版:
Q2PEDIATRICSQ3RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版:
Q2PEDIATRICSQ2RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
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;
推荐引用方式(GB/T 7714):
Hui Peter K. T.,Goo Hyun Woo,Du Jing,et al.Asian consortium on radiation dose of pediatric cardiac CT (ASCI-REDCARD)[J].PEDIATRIC RADIOLOGY.2017,47(8):899-910.doi:10.1007/s00247-017-3847-4.
APA:
Hui, Peter K. T.,Goo, Hyun Woo,Du, Jing,Ip, Janice J. K.,Kanzaki, Suzu...&Siripornpitak, Suvipaporn.(2017).Asian consortium on radiation dose of pediatric cardiac CT (ASCI-REDCARD).PEDIATRIC RADIOLOGY,47,(8)
MLA:
Hui, Peter K. T.,et al."Asian consortium on radiation dose of pediatric cardiac CT (ASCI-REDCARD)".PEDIATRIC RADIOLOGY 47..8(2017):899-910