PMID- 26440660 OWN - NLM STAT- MEDLINE DCOM- 20160913 LR - 20191210 IS - 1875-8312 (Electronic) IS - 1569-5794 (Linking) VI - 31 Suppl 2 DP - 2015 Dec TI - Validity of the size-specific dose estimate in adults undergoing coronary CT angiography: comparison with the volume CT dose index. PG - 205-11 LID - 10.1007/s10554-015-0782-z [doi] AB - Size-specific dose estimate (SSDE) takes into account the patient size but remains to be fully validated for adult coronary computed tomography angiography (CCTA). We investigated the appropriateness of SSDE for accurate estimation of patient dose by comparing the SSDE and the volume CT dose index (CTDIvol) in adult CCTA. This prospective study received institutional review board approval, and informed consent was obtained from each patient. We enrolled 37 adults who underwent CCTA with a 320-row CT. High-sensitivity metal oxide semiconductor field effect transistor dosimeters were placed on the anterior chest. CTDIvol reported by the scanner based on a 32-cm phantom was recorded. We measured chest diameter to convert CTDIvol to SSDE. Using linear regression, we then correlated SSDE with the mean measured skin dose. We also performed linear regression analyses between the skin dose/CTDIvol and the body mass index (BMI), and the skin dose/SSDE and BMI. There was a strong linear correlation (r = 0.93, P < 0.001) between SSDE (mean 37 +/- 22 mGy) and mean skin dose (mean 17.7 +/- 10 mGy). There was a moderate negative correlation between the skin dose/CTDIvol and BMI (r = 0.45, P < 0.01). The skin dose/SSDE was not affected by BMI (r = 0.06, P > 0.76). SSDE yields a more accurate estimation of the radiation dose without estimation errors attributable to the body size of adult patients undergoing CCTA. FAU - Kidoh, Masafumi AU - Kidoh M AD - Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, Kumamoto, 860-8556, Japan. masafkidoh@yahoo.co.jp. FAU - Utsunomiya, Daisuke AU - Utsunomiya D AD - Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, Kumamoto, 860-8556, Japan. FAU - Oda, Seitaro AU - Oda S AD - Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, Kumamoto, 860-8556, Japan. FAU - Funama, Yoshinori AU - Funama Y AD - Department of Medical Physics, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, Kumamoto, 860-8556, Japan. FAU - Yuki, Hideaki AU - Yuki H AD - Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, Kumamoto, 860-8556, Japan. FAU - Nakaura, Takeshi AU - Nakaura T AD - Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, Kumamoto, 860-8556, Japan. FAU - Kai, Noriyuki AU - Kai N AD - Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, Kumamoto, 860-8556, Japan. FAU - Nozaki, Takeshi AU - Nozaki T AD - Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, Kumamoto, 860-8556, Japan. FAU - Yamashita, Yasuyuki AU - Yamashita Y AD - Department of Diagnostic Radiology, Faculty of Life Sciences, Kumamoto University, 1-1-1, Honjo, Kumamoto, 860-8556, Japan. LA - eng PT - Comparative Study PT - Journal Article PT - Validation Study DEP - 20151006 PL - United States TA - Int J Cardiovasc Imaging JT - The international journal of cardiovascular imaging JID - 100969716 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Body Mass Index MH - Coronary Angiography/*methods MH - Humans MH - Linear Models MH - Middle Aged MH - Models, Biological MH - *Multidetector Computed Tomography MH - Predictive Value of Tests MH - Prospective Studies MH - *Radiation Dosage MH - *Radiation Exposure MH - Reproducibility of Results MH - Young Adult OTO - NOTNLM OT - Adult OT - Heart OT - Multi-detector computed tomography OT - Radiation doses EDAT- 2015/10/07 06:00 MHDA- 2016/09/14 06:00 CRDT- 2015/10/07 06:00 PHST- 2015/09/21 00:00 [received] PHST- 2015/09/30 00:00 [accepted] PHST- 2015/10/07 06:00 [entrez] PHST- 2015/10/07 06:00 [pubmed] PHST- 2016/09/14 06:00 [medline] AID - 10.1007/s10554-015-0782-z [pii] AID - 10.1007/s10554-015-0782-z [doi] PST - ppublish SO - Int J Cardiovasc Imaging. 2015 Dec;31 Suppl 2:205-11. doi: 10.1007/s10554-015-0782-z. Epub 2015 Oct 6.