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Research ArticleInterventional

Effective Dose Measurements of the Latest-Generation Angiographic System in Patients with Acute Stroke: A Comparison with the Newest Multidetector CT Generation

A. Brehm, K.A.T. Nguyen, K.A. Blackham and M.-N. Psychogios
American Journal of Neuroradiology November 2022, 43 (11) 1621-1626; DOI: https://doi.org/10.3174/ajnr.A7658
A. Brehm
aFrom the Department of Neuroradiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland
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K.A.T. Nguyen
aFrom the Department of Neuroradiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland
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K.A. Blackham
aFrom the Department of Neuroradiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland
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M.-N. Psychogios
aFrom the Department of Neuroradiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland
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  • FIG 1.
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    FIG 1.

    The anthropomorphic ATOM phantom used for effective dose measurement. The phantom in an experimental setup for 3D acquisition is equipped with MOSFET dosimeters on an Artis icono biplane angiography system (left) and on the Somatom Force CT scanner (right).

  • FIG 2.
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    FIG 2.

    Lateral view of the investigated head area of the phantom for uncollimated measurement (left) and collimated measurement (middle) of the 60s DCT head perfusion protocol on the Artis icono and for perfusion measurement on the Somatom Force (right).

  • FIG 3.
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    FIG 3.

    The position of the investigated head area of the phantom for carotid measurement on the Artis icono in frontal (left) and lateral (middle) views and on the Somatom Force in the lateral view (right).

  • FIG 4.
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    FIG 4.

    Comparison of the coverage area of portrait FDCT-A (A) and landscape FDCT-A (B) (based on reconstructed coronal MIPs).

Tables

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    Table 1:

    Technical parameters of investigated 3D imaging protocols (brain perfusion, portrait angiography with head and neck angiography), measured eye lens dose (for left, right eye and mean), and effective dose for the anthropomorphic ATOM male phantom on Artis icono

    3D Imaging Protocol Parameters60s DCT Head Perfusion (10 Rotations)4s DCT Head Portrait (1 Rotation)
    Reconstructed volume size (diameter × height) (cm)24 × 18.5 (uncollimated)24 × 15a18.5 × 24 (uncollimated)
    Tube voltage (nominal) (kV)707090
    Dose/frame (nominal) (nGy/f)3603601200
    Rotation range200°200°200°
    Angulation step (df)0.80.80.8
    Eye lens dose (mean) (mGY)65 and 69 (SD, 67)54 and 58 (SD, 56)7.7 and 8.3 (SD, 8)
    Estimated effective dose (mSv)4.522.880.91
    • Note:—60s DCT indicates 60s Dyna-CT; 4s DCT, 4s Dyna CT.

    • ↵a Collimation was defined on the basis of usual clinical workflow at the University Hospital Basel.

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    Table 2:

    Technical parameters of investigated protocols (brain perfusion and head and neck angiography), measured eye lens dose (for left, right eye and mean), and effective dose for the anthropomorphic ATOM male phantom on Somatom Force

    3D Imaging Protocol ParametersNeuroVPCT_Prolonged, DynMulti4DNeuroVPCT_Prolonged, Head Angio
    Scan coverage (cm)11.424
    Tube voltage (kV)7090
    Scan duration (sec)60NA
    Number of cycles @ 1.5 seconds cycle time30NA
    CTDIvol (mGy)144.219,9
    DLP (mGy × cm)2169.5550
    Eye lens dose (mean) (mGy)119 and 125 (SD, 122)11.8 and 11.7 (SD, 11.8)
    Estimated effective dose (mSv)2.171.35
    • Note:—CTDIvol indicates volume CT dose index; DLP, dose-length product; NA, not applicable.

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    Table 3:

    Organ dose in milligrays for selected organs and tissues of investigated 3D imaging protocols on the Artis icono

    Organ60s DCT Head Perfusion (10 Rotations, Uncollimated)60s DCT Head Perfusion (10 Rotations, Collimated)4s DCT Head Portrait(1 Rotation)
    Brain100.884.711.8
    Salivary glands56.27.411.4
    Thyroid3.51.86.1
    Lung1.30.80.2
    Red bone marrow17.412.12.4
    Esophagus1.10.70.8
    • View popup
    Table 4:

    Organ dose in milligrays for selected organs and tissues of investigated 3D imaging protocols on the Somatom force

    OrganNeuroVPCT_Prolonged, DynMulti4DNeuroVPCT_Prolonged, Head Angio
    Brain71.67.8
    Salivary glands6.48
    Thyroid1.317.2
    Lung0.41.3
    Red bone marrow9.21.3
    Esophagus0.42.0
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American Journal of Neuroradiology: 43 (11)
American Journal of Neuroradiology
Vol. 43, Issue 11
1 Nov 2022
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Cite this article
A. Brehm, K.A.T. Nguyen, K.A. Blackham, M.-N. Psychogios
Effective Dose Measurements of the Latest-Generation Angiographic System in Patients with Acute Stroke: A Comparison with the Newest Multidetector CT Generation
American Journal of Neuroradiology Nov 2022, 43 (11) 1621-1626; DOI: 10.3174/ajnr.A7658

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Angiographic Dose Measurements in Acute Stroke
A. Brehm, K.A.T. Nguyen, K.A. Blackham, M.-N. Psychogios
American Journal of Neuroradiology Nov 2022, 43 (11) 1621-1626; DOI: 10.3174/ajnr.A7658
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