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Ultra-low dose dual-source high-pitch computed tomography of the paranasal sinus: Diagnostic sensitivity and radiation dose

机译:鼻旁窦的超低剂量双源高螺距计算机断层扫描:诊断敏感性和放射剂量

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Background: Today's gold standard for diagnostic imaging of inflammatory diseases of the paranasal sinus is computed tomography (CT). Purpose: To evaluate diagnostic sensitivity and radiation dose of an ultra-low dose dual-source CT technique. Material and Methods: Paranasal sinuses of 14 cadaveric heads were independently evaluated by two readers using a modern dual-source CT with lowest reasonable dosage in high-pitch mode (100 kV, 10 mAs, collimation 0.6 mm, pitch value 3.0). Additionally the head part of an anthropomorphic Alderson-Rando phantom was equipped with thermoluminiscent detectors to measure radiation exposure to the eye lenses and thyroid gland. Results: Diagnostic accuracy regarding sinusoidal fluid, nasal septum deviation, and mucosal swelling was 100%. Mastoid fluid was detected in 76% and 92%, respectively. In the phantom study, average measured eye lens dosage was 0.64 mGy; radiation exposure of the thyroid gland was 0.085 mGy. Conclusion: Regarding evaluation of inflammatory diseases of the paranasal sinus this study indicates sufficient accuracy of the proposed CT protocol at a very low dosage level.
机译:背景:当今用于诊断鼻旁窦炎性疾病的金标准是计算机断层扫描(CT)。目的:评价超低剂量双源CT技术的诊断敏感性和放射剂量。材料和方法:两个读者使用现代双源CT在高音高模式(100 kV,10 mAs,准直0.6 mm,音高值为3.0)下以最低合理剂量独立评估14个尸体头的鼻旁窦。此外,拟人化的Alderson-Rando体模的头部配备了热致发光探测器,以测量暴露于眼镜片和甲状腺的辐射。结果:关于正弦液,鼻中隔偏曲和粘膜肿胀的诊断准确性为100%。乳腺液的检出率分别为76%和92%。在幻像研究中,测得的平均眼镜片剂量为0.64 mGy;甲状腺的放射线暴露为0.085 mGy。结论:关于鼻旁窦炎性疾病的评估,该研究表明所建议的CT方案在非常低的剂量水平下具有足够的准确性。

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