Journal of Cardiovascular Computed Tomography
Volume 3 , Pages S65-S73 , November 2009

Trends in radiation protection in CT: Present and future status

  • Bernhard Bischoff, MD

      Affiliations

    • Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Lazarettstrasse 36, 80636 Munich, Germany
    • Corresponding Author InformationCorresponding author.
    • ,
  • Franziska Hein, MD

      Affiliations

    • Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Lazarettstrasse 36, 80636 Munich, Germany
    • ,
  • Tanja Meyer, MD

      Affiliations

    • Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Lazarettstrasse 36, 80636 Munich, Germany
    • ,
  • Martin Hadamitzky, MD

      Affiliations

    • Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Lazarettstrasse 36, 80636 Munich, Germany
    • ,
  • Stefan Martinoff, MD

      Affiliations

    • Institut für Radiologie und Nuklearmedizin, Deutsches Herzzentrum München, Lazarettstrasse 36, 80636 Munich, Germany
    • ,
  • Albert Schömig, MD

      Affiliations

    • Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Lazarettstrasse 36, 80636 Munich, Germany
    • ,
  • Jörg Hausleiter, MD

      Affiliations

    • Klinik für Herz- und Kreislauferkrankungen, Deutsches Herzzentrum München, Lazarettstrasse 36, 80636 Munich, Germany

Received 10 July 2009 ,Accepted 27 October 2009.

References 

  1. Budoff MJ, Achenbach S, Blumenthal RS, Carr JJ, Goldin JG, Greenland P, et al. Assessment of coronary artery disease by cardiac computed tomography: a scientific statement from the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology. Circulation. 2006;114:1761–1791
  2. Fox K, Garcia MA, Ardissino D, Buszman P, Camici PG, Crea F, et al. Guidelines on the management of stable angina pectoris: executive summary: the Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology. Eur Heart J. 2006;27:1341–1381
  3. Hendel RC, Patel MR, Kramer CM, Poon M, Carr JC, Gerstad NA, et al. ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American College of Radiology, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, American Society of Nuclear Cardiology, North American Society for Cardiac Imaging, Society for Cardiovascular Angiography and Interventions, and Society of Interventional Radiology. J Am Coll Cardiol. 2006;48:1475–1497
  4. Hoffmann U, Bamberg F, Chae CU, Nichols JH, Rogers IS, Seneviratne SK, et al. Coronary computed tomography angiography for early triage of patients with acute chest pain: the ROMICAT (Rule Out Myocardial Infarction using Computer Assisted Tomography) trial. J Am Coll Cardiol. 2009;53:1642–1650
  5. Leber AW, Knez A, von Ziegler F, Becker A, Nikolaou K, Paul S, et al. Quantification of obstructive and nonobstructive coronary lesions by 64-slice computed tomography. A comparative study with quantitative coronary angiography and intravascular ultrasound. J Am Coll Cardiol. 2005;46:147–154
  6. Mollet NR, Cademartiri F, van Mieghem CAG, Runza G, McFadden EP, Baks T, et al. High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography. Circulation. 2005;112:2318–2323
  7. Hausleiter J, Meyer T, Hadamitzky M, Huber E, Zankl M, Martinoff S, et al. Radiation dose estimates from cardiac multislice computed tomography in daily practice: impact of different scanning protocols on effective dose estimates. Circulation. 2006;113:1305–1310
  8. Mori S, Nishizawa K, Kondo C, Ohnoa M, Akahane K, Endoc M. Effective doses in subjects undergoing computed tomography cardiac imaging with the 256-multislice CT scanner. Eur Heart J. 2008;65:442–448
  9. Stolzmann P, Scheffel H, Schertler T, Frauenfelder T, Leschka S, Husmann L, et al. Radiation dose estimates in dual-source computed tomography coronary angiography. Eur Radiol. 2008;18:592–599
  10. Hausleiter J, Meyer T, Hermann F, Hadamitzky M, Krebs M, Gerber TC, et al. Estimated radiation dose associated with cardiac CT angiography. JAMA. 2009;301:500–507
  11. Menzel H, Schibilla H, Teunen D. European guidelines for quality criteria for computed tomography. Vol Publication No. EUR 16262 EN. Brussels: European Commission; 2000;
  12. American Association of Medical Physicists (AAPM) Task Group 23. CT dosimetry. The measurement, reporting and management of radiation dose in CT. 2008. http://www.aapm.org/pubs/reports/RPT_96.pdf. Accessed May 15, 2009.
  13. Gopal A, Budoff MJ. A new method to reduce radiation exposure during multi-row detector cardiac computed tomographic angiography. Int J Cardiol. 2009;132:435–436
  14. Jakobs TF, Becker CR, Ohnesorg B, Flohr T, Suess C, Schoepf UJ, et al. Multislice helical CT of the heart with retrospective ECG gating: reduction of radiation exposure by ECG-controlled tube current modulation. Eur Radiol. 2002;12:1081–1086
  15. Raupach R, Bruder H, Primak AN, Liu X, McCollough C, Schmidt B, Flohr T: Dose reduction strategies for CT cardiac imaging. Presented at the annual scientific meeting of the Society of Cardiovascular Computed Tomography; Orlando, FL; July 19, 2008.
  16. Hausleiter J, Hermann F, Meyer T, Hadamitzky M, Will A, Ardelean C, Haschka M, Martinoff S: A new algorithm for ECG-based tube current modulation (“MinDose”) reduces radiation dose estimates in cardiac dual source CT angiography. Presented at the annual scientific session of the American Heart Association. Orlando, FL; November 6, 2007.
  17. DeFrance T, Gebow D, Ramirez A, Ashton C. Initial experience with low dose helical cardiac acquisitions: dose and image quality. Presented at the annual scientific meeting of the Society of Cardiovascular Computed Tomography; Orlando, FL; July 19, 2008.
  18. McCollough CH, Primak AN, Saba O, Bruder H, Stierstorfer K, Raupach R, et al. Dose performance of a 64-channel dual-source CT scanner. Radiology. 2007;243:775–784
  19. Abada HT, Larchez C, Daoud B, Sigal-Cinqualbre A, Paul JF. MDCT of the coronary arteries: feasibility of low-dose CT with ECG-pulsed tube current modulation to reduce radiation dose. AJR Am J Roentgenol. 2006;186(6 Suppl. 2):387–90
  20. Leschka S, Stolzmann P, Schmid FT, Scheffel H, Stinn B, Marincek B, et al. Low kilovoltage cardiac dual-source CT: attenuation, noise, and radiation dose. Eur Radiol. 2008;18:1809–1817
  21. Bischoff B, Hein F, Meyer T, Hadamitzky M, Martinoff S, Schömig A, Hausleiter J: A reduced tube voltage of 100 kV for coronary CT angiography: impact on image quality and radiation dose–results of PROTECTION I. JACC Imaging. In press.
  22. Hausleiter J, Meyer T, Hein F, Hadamitzky M, Martuscelli E, Pschierer I, Feuchtner G, Czermak B, Catalan P, Bischoff B, Martinoff S, Achenbach S: Prospective randomized trial on RadiaTion Dose Estimates Of CT AngIOgraphy in patients scanned with a 100kV protocol: the PROTECTION II study. Presented at the annual scientific meeting of the American College of Cardiology; Orlando, FL; March 15, 2009.
  23. Hsieh J, Londt J, Vass M, Li J, Tang X, Okerlund D. Step-and-shoot data acquisition and reconstruction for cardiac x-ray computed tomography. Med Phys. 2006;33:4236–4248
  24. Hein F, Meyer T, Hadamitzky M, Bischoff B, Will A, Hendrich E, Martinoff S, Schömig A, Hausleiter J: Prospective ECG-triggered sequential scan protocol for coronary dual-source CT angiography: initial experience. Int J Cardiovasc Imaging. In press.
  25. Hirai N, Horiguchi J, Fujioka C, Kiguchi M, Yamamoto H, Matsuura N, et al. Prospective versus retrospective ECG-gated 64-detector coronary CT angiography: assessment of image quality, stenosis, and radiation dose. Radiology. 2008;248:424–430
  26. Hausleiter J, Hein F, Bischoff B, Meyer T, Hadamitzky M, Schömig A, Martinoff S. Impact of a prospective ECG-triggered sequential scanning technique on image quality and radiation dose: a subgroup analysis of the PROTECTION I study. Presented at the annual scientific meeting of the American College of Cardiology; Orlando, FL; March 15, 2009.
  27. Weigold WG, Olszewski ME, Walker MJ: Low-dose prospectively gated 256-slice coronary computed tomographic angiography. Int J Cardiovasc Imaging. In press.
  28. Rybicki FJ, Otero HJ, Steigner ML, Vorobiof G, Nallamshetty L, Mitsouras D, et al. Initial evaluation of coronary images from 320-detector row computed tomography. Int J Cardiovasc Imaging. 2008;24:535–546
  29. Petersilka M, Bruder H, Krauss B, Stierstorfer K, Flohr TG. Technical principles of dual source CT. Eur J Radiol. 2008;68:362–368
  30. Raff G, Chinnaiyan K, Abidov A, Kazerooni EA, Goraya T, Heart M, Share D: Marked radiation dose reduction in a statewide coronary CT quality improvement registry. Presented at the annual scientific meeting of the American Heart Association; Orlando, FL; November 16, 2008.

 Conflict of interest: The authors report no conflicts of interest.

PII: S1934-5925(09)00521-8

doi: 10.1016/j.jcct.2009.11.003

Journal of Cardiovascular Computed Tomography
Volume 3 , Pages S65-S73 , November 2009

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