Iranian Journal of Medical Physics

Iranian Journal of Medical Physics

Radiation Dose Optimization during Temporal Bone CT Examination Using One-Shot Axial Volumetric Acquisition

Document Type : Original Paper

Authors
Youssef Madkouri 1
Mohammed Aggour 1
Youssef Bouzekraoui 2
FARIDA BENTAYEB 3
1 Laboratory of Electronic Systems, Information Processing, Mechanics and Energetics, Faculty of Sciences , University Ibn Tofail Kenitra, Kenitra, Morocco
2 Hassan First University of Settat, High Institute of Health Sciences, Laboratory of Sciences and Health Technologies, Settat, Morocco
3 Departement of Physics, Laboratory of High Energy Physics, Modelling and Simulation, Faculty of Science, Mohammed V Agdal University, Rabat, Kingdom of Morocco
10.22038/ijmp.2022.63627.2087
Abstract
Introduction: The optimization of radiation exposure when exploring small and complex anatomical structures is the most important issue for temporal bone CT. The objective of this study is to use single-shot volume acquisition in order to minimize the dose and compare the obtained image quality to a conventional helical technique. 
Material and Methods: Twenty patients (8 males, 12 females) were scanned using the 135kVp single-shot volume mode (VMCT135-kVp) whereas other twenty patients (9 males, 11 females) were examined using the 120kVp helical mode (HMCT120-kVp). A physician-interpreter evaluated the subjective conspicuity of 53 structures in the temporal bone on a 5-point scale using multiplanar reconstruction (MPR). In addition, the image noise in both techniques was quantified by analyzing it in three different regions of interest (ROIs). Radiation dose reduction was noted and compared with literature-based effective dose dosimetry data.
Results: The mean dose-length-product (DLP) for the VMCT135-kVp was (69.6±2.5 mGy.cm), which was significantly lower (p<0.001), compared to (186.4±4.3 mGy.cm) for HMCT120-kVp. Similarly, the effective dose (0.15±0.01 mSv) for VMCT135-kVp was reduced by approximately 61.5% relative to (0.39±0.05 mSv) for HMCT120-kVp. In contrast, there was no significant difference in the image noise average between the two protocols (p> 0.05). Indeed, the overall analysis of the 53 anatomic structures revealed no differences between the two protocols, and most anatomic structures were identified.
Conclusion: For temporal bone, the VMCT135-kVp scan significantly reduces radiation exposure compared to the HMCT120-kVp. The obtained dose was lower compared to the literature-based protocol while maintaining image visualization quality.
Keywords
Computed Tomography
Volumetric
Temporal Bone
Subjects
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Iranian Journal of Medical Physics
Volume 20, Issue 4
July and August 2023
Pages 215-221

  • Receive Date 10 February 2022
  • Revise Date 22 July 2022
  • Accept Date 24 July 2022