PMID- 27832459 OWN - NLM STAT- MEDLINE DCOM- 20170424 LR - 20170424 IS - 1879-5447 (Electronic) IS - 0158-9938 (Linking) VI - 40 IP - 1 DP - 2017 Mar TI - The impact of patient table on size-specific dose estimate (SSDE). PG - 153-158 LID - 10.1007/s13246-016-0497-z [doi] AB - The use of parameters water equivalent diameter (D (W) ) and size-specific dose estimate (SSDE) are becoming increasingly established as a recognised method to relate patient dose from a CT examination to the dose indicator volume CT dose index (CTDI(VOL)). However, the role of the attenuation due to the patient table in these estimations requires careful consideration and is the subject of this study. The aim of this study is to investigate the impact of a minimal part of the patient table when calculating the D (W) and SSDE. We investigated 164 patients who had undergone CT examinations for the pelvis, abdomen, thorax and head. We subsequently calculated D (W) and SSDE using two methods: one using a small circular region of interest (ROI) including a minimal part of the patient table and the other using a ROI fitted to the patient border alone. The results showed that the water equivalent diameter calculated with the table included in the ROI (D (W,t) ) is greater, compared to that without the consideration of the patient table (D (W,nt) ), by 1.5-6.2% depending on the anatomy being imaged. On the other hand, the SSDE calculated with inclusion of the patient table (SSDE(t)) is smaller than otherwise (SSDE(nt)) by 1.0-5.5% again depending on the anatomy being imaged. The effect of the patient table on D (W) and SSDE in the thorax CT examination was statistically significant, but its effect on D (W) and SSDE in the other examinations of head, pelvis and abdomen was relatively small and not statistically significant. FAU - Anam, Choirul AU - Anam C AD - Department of Physics, Faculty of Mathematics and Natural Sciences, Diponegoro University, Jl. Prof. Soedarto, SH, Tembalang, Semarang, 50275, Central Java, Indonesia. anam@fisika.undip.ac.id. AD - Department of Physics, Faculty of Mathematics and Natural Sciences, Bandung Institute of Technology, Ganesha 10, Bandung, 40132, West Java, Indonesia. anam@fisika.undip.ac.id. FAU - Haryanto, Freddy AU - Haryanto F AD - Department of Physics, Faculty of Mathematics and Natural Sciences, Bandung Institute of Technology, Ganesha 10, Bandung, 40132, West Java, Indonesia. FAU - Widita, Rena AU - Widita R AD - Department of Physics, Faculty of Mathematics and Natural Sciences, Bandung Institute of Technology, Ganesha 10, Bandung, 40132, West Java, Indonesia. FAU - Arif, Idam AU - Arif I AD - Department of Physics, Faculty of Mathematics and Natural Sciences, Bandung Institute of Technology, Ganesha 10, Bandung, 40132, West Java, Indonesia. FAU - Dougherty, Geoff AU - Dougherty G AD - Applied Physics and Medical Imaging, California State University Channel Islands (CSUCI), Camarillo, CA, 93012, USA. FAU - McLean, Donald AU - McLean D AD - Medical Physics and Radiation Engineering, The Canberra Hospital, Garran, ACT, 2605, Australia. LA - eng PT - Journal Article DEP - 20161110 PL - Netherlands TA - Australas Phys Eng Sci Med JT - Australasian physical & engineering sciences in medicine JID - 8208130 RN - 059QF0KO0R (Water) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Dose-Response Relationship, Radiation MH - Female MH - Humans MH - Male MH - Middle Aged MH - Organ Specificity MH - *Radiation Dosage MH - Tomography, X-Ray Computed MH - Water OTO - NOTNLM OT - Patient dose OT - Patient table OT - Size-specific dose estimates (SSDE) OT - Volume CT dose index (CTDIVOL) OT - Water equivalent diameter (D W ) EDAT- 2016/11/11 06:00 MHDA- 2017/04/25 06:00 CRDT- 2016/11/11 06:00 PHST- 2016/04/09 00:00 [received] PHST- 2016/10/29 00:00 [accepted] PHST- 2016/11/11 06:00 [pubmed] PHST- 2017/04/25 06:00 [medline] PHST- 2016/11/11 06:00 [entrez] AID - 10.1007/s13246-016-0497-z [pii] AID - 10.1007/s13246-016-0497-z [doi] PST - ppublish SO - Australas Phys Eng Sci Med. 2017 Mar;40(1):153-158. doi: 10.1007/s13246-016-0497-z. Epub 2016 Nov 10.