Skip to main content
SpringerLink
Log in

Dose Optimization and Reduction in CT of the Head and Neck, Including Brain

  • Chapter
Radiation Dose from Adult and Pediatric Multidetector Computed Tomography

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Since its introduction in the 1970s, CT has played an increasingly important role in the imaging diagnosis of a variety of disorders. This is especially true in the field of neuroradiology, where CT made direct visualization of neurological anatomy possible for the first time, thereby revolutionizing diagnostic imaging.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • American Academy of Pediatrics (no authors listed) (2001) Subcommittee on management of sinusitis and Committee on quality improvement: clinical practice guideline: management of sinusitis. Pediatrics 108:798–808

    Google Scholar 

  • Boone JM, Geraghty EM, Seibert JA et al (2003) Dose reduction in pediatric CT: a rational approach. Radiology 228:352–360

    Article  PubMed  Google Scholar 

  • Brenner DJ, Elliston CD, Hall EJ et al (2001) Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol 176:289–296

    PubMed  CAS  Google Scholar 

  • Britten AJ, Crotty M, Kiremidjian H et al (2004) The addition of computer simulated noise to investigate radiation dose and image quality in images with spatial correlation of statistical noise: an example application to X-ray CT of the brain. Br J Radiol 77:323–328

    Article  PubMed  CAS  Google Scholar 

  • Chan CY, Wong YC, Yu SK et al (1999) Radiation dose reduction in paediatric cranial CT. Pediatr Radiol 29:770–775

    Article  PubMed  CAS  Google Scholar 

  • Clark J, Cranley K, Robinson J et al (2000). Application of draft European Commission reference levels to a regional CT dose survey. Br J Radiol 73:43–50

    Google Scholar 

  • Cohnen M, Fisher H, Hamacher J et al (2000) CT of the head by use of reduced current and kilovoltage: relationship between image quality and dose reduction. Am J Neuroradiol 21:1654–1660

    PubMed  CAS  Google Scholar 

  • Conway BJ, McCrohan JK, Antonsen RG et al (1992) Average radiation dose in standard CT examinations of the head: results of the 1990 NEXT survey. Radiology 184:135–140

    PubMed  CAS  Google Scholar 

  • Czechowski J, Janeczek J, Kelly G et al (2001) Radiation dose to the lens in sequential and spiral CT of facial bones and sinuses. Eur Radiol 11:711–713

    Article  PubMed  CAS  Google Scholar 

  • Duvoisin B, Landry M, Chapuis et al (1991) Low-dose CT and inflammatory disease of the paranasal sinuses. Neuroradiology 33:403–406

    Article  PubMed  CAS  Google Scholar 

  • Eggesbö HB (2006) Radiological imaging of inflammatory lesions in the nasal cavity and paranasal sinuses. Eur Radiol 16:872–888

    Article  PubMed  Google Scholar 

  • European Community (1998) Quality criteria for computed tomography. EC Working Document EUR 16262, Brussels, EU, 1998

    Google Scholar 

  • Fearon T, Vucich J (1987) Normalized pediatric organ-absorbed doses from CT examinations. AJR Am J Roentgenol 148:171–174

    PubMed  CAS  Google Scholar 

  • Fox AJ (2004) Use of the lowest necessary radiation dose (editorial). Am J Neuroradiol 25:519

    PubMed  Google Scholar 

  • George P, Huges J (1990) Respiratory system. In: Summitt RL (ed) Comprehensive pediatrics. Mosby, New York

    Google Scholar 

  • Glasier CM, Mallory GB, Steele RW (1989) Significance of opacification of the maxillary and ethmoid sinuses in infants. J Pediatr 114:45–50

    Article  PubMed  CAS  Google Scholar 

  • Gordts F, Clement PA, Destryker A et al (1997) Prevalence of sinusitis signs on MRI in a non-ENT pediatric population. Rhinology 35:154–157

    PubMed  CAS  Google Scholar 

  • Greess H, Lutze J, Nomayr A et al (2004) Dose reduction in subsecond multislice spiral CT examination of children by online tube current modulation. Eur Radiol 14:995–999

    Article  PubMed  CAS  Google Scholar 

  • Gündogdu S, Mahmutyazicioglu K, Ozdemir H, Savranlar A, Asil K (2005) Assessment of image quality of a standard and three dose-reducing protocols in adult cranial CT. Eur Radiol 5(9):1959–1968

    Article  Google Scholar 

  • Hagtvedt T, Aalokken TM, Notthellen J et al (2003) A new low-dose CT examination compared with standard-dose CT in the diagnosis of acute sinusitis. Eur Radiol 13:976–980

    PubMed  CAS  Google Scholar 

  • Hart D, Wall BF (2004) UK population dose from medical X-ray examinations. Eur Radiol 50:285–291

    Article  CAS  Google Scholar 

  • Hein E, Rogalla P, Klingebiel R et al (2002) Low-dose CT of the paranasal sinuses with eye lens protection: effect on image quality and radiation dose. Eur Radiol 12:1693–1696

    Article  PubMed  Google Scholar 

  • Huda W, Atherton JV, Ware DA et al (1997) An approach for the estimation of effective radiation dose at CT in pediatric patients. Radiology 203:417–422

    PubMed  CAS  Google Scholar 

  • International Commission on Radiological Protection (1991) Recommendations of the International Commission on Radiological Protection. ICRP report 60. Ann ICRP 21(1–3), 1991

    Google Scholar 

  • Kalra MK, Maher MM, Toth TL et al (2004) Techniques and applications of automatic tube current modulation. Radiology 233:649–657

    Article  PubMed  Google Scholar 

  • Kearny SE, Jones P, Meakin K et al (1997) CT scanning of the paranasal sinuses — the effect of reducing mAs. Br J Radiol 70:1071–1074

    Google Scholar 

  • Kronemer KA, McAlister WH (1997) Sinusitis and its imaging in the pediatric population. Pediatr Radiol 27:837–846

    Article  PubMed  CAS  Google Scholar 

  • Loubele M, Jacobs R, Maes F et al (2005) Radiation dose vs. image quality for low-dose CT protocols of the head for maxillofacial surgery and oral implant imaging. Radiat Prot Dosimet 117:211–216

    Article  CAS  Google Scholar 

  • Marmolya G, Wiesen EJ, Yagan R et al (1991) Paranasal sinuses: low-dose CT. Radiology 181:689–691

    PubMed  CAS  Google Scholar 

  • McAlister WH, Lusk R, Muntz HR (1989) Comparison of plain radiographs and coronal CT scan in infants and children. AJR Am J Roentgenol 153:1259–1264

    PubMed  CAS  Google Scholar 

  • McAlister WH, Parker BR, Kushner DC et al (2000) Sinusitis in the pediatric population. American College of Radiology. ACR Appropriateness Criteria, 1999. Radiology 215[Suppl]:811–818

    PubMed  Google Scholar 

  • McCollough CH, Bruesewitz RT, Kofler JM (2006) CT dose reduction and dose management tools: overview of available options. Radiographics 26:503–512

    Article  PubMed  Google Scholar 

  • McCrohan JL, Patterson IF, Gagne RM et al (1987) Average radiation doses in standard head examination for 250 CT systems. Radiology 163:263–268

    PubMed  CAS  Google Scholar 

  • Mulkens TH, Broers C, Fieuws S et al (2005a) Comparison of effective doses for low-dose MDCT and radiographic examination of sinuses in children. AJR Am J Roentgenol 184:1611–1618

    PubMed  CAS  Google Scholar 

  • Mulkens TH, Bellinck P, Baeyaert M et al (2005b) Use of an automatic exposure control mechanism for dose optimization in multidetector-row CT examinations: clinical evaluation. Radiology 237:213–223

    Article  PubMed  Google Scholar 

  • Mullins ME, Lev MH, Bove P et al (2004) Comparison of image quality between conventional and low-dose nonenhanced head CT. Am J Neuroradiol 25:533–538

    PubMed  Google Scholar 

  • Rao VM, el-Noueam KI (1998) Sinonasal imaging. Anatomy and pathology. Radiol Clin North Am 36:921–939

    Article  PubMed  CAS  Google Scholar 

  • Rehani MM, Berry M (2000) Radiation doses in computed tomography. Br Med J 320:593–594

    Article  CAS  Google Scholar 

  • Rogers LF (2001) Taking care of children: check out the parameters used for helical CT (editorial). AJR Am J Roentgenol 176:287

    PubMed  CAS  Google Scholar 

  • Rustemeyer P, Streubuhr U, Suttmoeller J (2004) Low-dose dental computed tomography: significant dose reduction without loss of image quality. Acta Radiol 45:847–853

    Article  PubMed  CAS  Google Scholar 

  • Shah R, Gupta AK, Rehani MM et al (2005) Effect of reduction in tube current on reader confidence in paediatric computed tomography. Clin Radiol 60:224–231

    Article  PubMed  CAS  Google Scholar 

  • Shrimpton PC, Jones DG, Hillier MC et al (1991) Survey of CT practice in the UK, NRPB-R249. National Radiological Protection Board, Chilton

    Google Scholar 

  • Sohaib SA, Peppercorn PD, Horrocks JA et al (2001) The effect of decreasing mAs on image quality and patient dose in sinus CT. Br J Radiol 74:157–161

    PubMed  CAS  Google Scholar 

  • Suojanen JN, Regan F (1995) Spiral CT scanning of the paranasal sinuses. Am J Neuroradiol 16:787–789

    PubMed  CAS  Google Scholar 

  • Tack D, Widelec J, De Maertelaer V et al (2003) Comparison between low-dose and standard-dose multidetector CT in patients with suspected chronic sinusitis. AJR Am J Roentgenol 181:939–944

    PubMed  Google Scholar 

  • Van Unnik J, Broerse JJ, Geleijns J et al (1997) Survey of CT techniques and absorbed dose in various Dutch hospitals. Br J Radiol 70:367–371

    PubMed  Google Scholar 

  • Wall BF, Hart D (1997) Revised radiation doses for typical X-ray examinations. Br J Radiol 70:437–439

    PubMed  CAS  Google Scholar 

  • Wong ETH, Yu SK, Lai M et al (2001) MAPD — an objective way to select mAs for paediatric brain CT. Br J Radiol 74:932–937

    PubMed  CAS  Google Scholar 

  • Yeoman LJ, Howarth L, Britten A et al (1992) Gantry angulation in brain CT: dosage implications, effect on posterior fossa artifacts, and current international practice. Radiology 184:113–116

    PubMed  CAS  Google Scholar 

  • Zinreich SJ, Benson ML, Oliveiro PJ (1996) Sinusonasal cavities: CT normal anatomy, imaging of the osteomeatal complex, and functional endoscopic sinus surgery. In: Harnsberger HR (ed) Head and neck imaging, 3rd edn. St. Louis, Mosby

    Google Scholar 

  • Zwirewich CV, Mayo JR, Müller NL (1991) Low-dose high resolution CT of lung parenchyma. Radiology 180:413–417

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Dept. of Radiology, Heilig Hart Ziekenhuis, Mechelsetraat 24, 2500, Lier, Belgium

    Tom Mulkens MD & Patrick Bellinck MD

  2. Dept. of Radiology, Universitair Ziekenhuis, Wilrijkstraat 10, 2650, Edegem — Antwerpen, Belgium

    Rodrigo Salgado MD

Authors
  1. Tom Mulkens MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rodrigo Salgado MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Patrick Bellinck MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Clinic of Cardiac Imaging Department of Radiology Hôpital Erasme, Université libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium

    Denis Tack MD, PhD

  2. Clinic of Chest Imaging Department of Radiology Hôpital Erasme, Université libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium

    Pierre Alain Gevenois MD, PhD (Professor of Radiology) (Professor of Radiology)

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Mulkens, T., Salgado, R., Bellinck, P. (2007). Dose Optimization and Reduction in CT of the Head and Neck, Including Brain. In: Tack, D., Gevenois, P.A. (eds) Radiation Dose from Adult and Pediatric Multidetector Computed Tomography. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68575-3_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-68575-3_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-28888-6

  • Online ISBN: 978-3-540-68575-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation