Optimization of Head Ct Protocol to Reduce the Absorbed Dose in Eye Lenses and Thyroid: A Phantom Study Publisher



Kalhor P¹ ; Changizi V¹ ; Hosseini A² ; Jazayeri E¹ Show Affiliations
Source: Iranian Journal of Medical Physics Published:2019

Abstract

Introduction: Utilization of computed tomography (CT) scans is increasing annually. This study aimed to reduce the absorbed dose of sensitive organs in the head (eye lenses and thyroid) and to assess changes in resultant images quality in head scans when the radiation dose is decreased. Material and Methods: An anthropomorphic phantom was examined with head protocols in both helical and sectional modes using two 16-slice CT scanners. The entrance surface dose of eye lenses and thyroid was measured with standard protocols and after reducing the mAS and kilo-voltage using thermo-luminescence dosimeters (TLDs). Results: In sectional mode with standard protocol, the highest surface dose was 2.3 mSv 1 for eye lens and 0.021 mSv for thyroid in hospital A. Moreover, in helical mode with standard protocol, the highest surface dose was 0.964 and 0.02 mSv for eye lens and thyroid in hospital B, respectively. Reducing tube current and kilovoltage decreased the dose up to 35% for eye lens and 45% for thyroid in hospital A. By the mentioned reductions a dose decrease of up to 40% was achieved for both eye lens and thyroid in hospital B. There were no considerable differences in image quality between scans with standard protocol and the protocols of reduced parameters. Conclusion: Head CT scans with standard factors conduce to images with the best quality. It may be possible to diminish the absorbed dose up to 40% without losing information, especially in follow up head scans. © 2019, Mashhad University of Medical Sciences.