PMID- 28541574 OWN - NLM STAT- MEDLINE DCOM- 20180716 LR - 20180716 IS - 1742-3406 (Electronic) IS - 0144-8420 (Linking) VI - 178 IP - 1 DP - 2018 Jan 1 TI - ACCURACY OF SIZE-SPECIFIC DOSE ESTIMATE CALCULATION FROM CENTER SLICE IN COMPUTED TOMOGRAPHY. PG - 8-19 LID - 10.1093/rpd/ncx069 [doi] AB - To evaluate the accuracy of size-specific dose estimate (SSDE) calculation from center slice with water-equivalent diameter (Dw) and effective diameter (Deff). A total of 1812 CT exams (1583 adult and 229 pediatric) were included in this retrospective study. Dw and Deff were automatically calculated for all slices of each scan. SSDEs were calculated with two methods: (1) from the center slice; and (2) from all slices of the volume, which was regarded as the reference standard. Impact of patient weight, height and body mass index (BMI) on SSDE accuracy was assessed. The mean difference between overall SSDE and the center slice approach ranged from 2.0 +/- 1.7% (range: 0-15.5%) for pediatric chest to 5.0 +/- 3.2% (0-17.2%) for adult chest CT. Accuracy of the center slice SSDE approach correlated with patient size (BMI: r = 0.15-0.43; weight r = 0.26-0.49) which led to SSDE overestimation in small and underestimation in large patients. SSDE calculation using the center slice leads to an error of 2-5%; however, SSDE is underestimated in large patients and overestimation in small patients. CI - (c) The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com. FAU - Boos, Johannes AU - Boos J AD - Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, Moorenstrasse 5, 40 225 Dusseldorf, Germany. FAU - Kropil, Patric AU - Kropil P AD - Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, Moorenstrasse 5, 40 225 Dusseldorf, Germany. FAU - Bethge, Oliver Th AU - Bethge OT AD - Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, Moorenstrasse 5, 40 225 Dusseldorf, Germany. FAU - Aissa, Joel AU - Aissa J AD - Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, Moorenstrasse 5, 40 225 Dusseldorf, Germany. FAU - Schleich, Christoph AU - Schleich C AD - Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, Moorenstrasse 5, 40 225 Dusseldorf, Germany. FAU - Sawicki, Lino Morris AU - Sawicki LM AD - Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, Moorenstrasse 5, 40 225 Dusseldorf, Germany. FAU - Heinzler, Niklas AU - Heinzler N AD - Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, Moorenstrasse 5, 40 225 Dusseldorf, Germany. FAU - Antoch, Gerald AU - Antoch G AD - Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, Moorenstrasse 5, 40 225 Dusseldorf, Germany. FAU - Thomas, Christoph AU - Thomas C AD - Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, Moorenstrasse 5, 40 225 Dusseldorf, Germany. LA - eng PT - Journal Article PL - England TA - Radiat Prot Dosimetry JT - Radiation protection dosimetry JID - 8109958 SB - IM EIN - Radiat Prot Dosimetry. 2018 Feb 1;178(3):343. PMID: 28981802 MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Algorithms MH - Body Mass Index MH - *Body Size MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Infant MH - Male MH - Middle Aged MH - *Radiation Dosage MH - Radiation Monitoring/*methods MH - Retrospective Studies MH - *Tomography, X-Ray Computed EDAT- 2017/05/26 06:00 MHDA- 2018/07/17 06:00 CRDT- 2017/05/26 06:00 PHST- 2017/02/14 00:00 [received] PHST- 2017/05/15 00:00 [accepted] PHST- 2017/05/26 06:00 [pubmed] PHST- 2018/07/17 06:00 [medline] PHST- 2017/05/26 06:00 [entrez] AID - 3854692 [pii] AID - 10.1093/rpd/ncx069 [doi] PST - ppublish SO - Radiat Prot Dosimetry. 2018 Jan 1;178(1):8-19. doi: 10.1093/rpd/ncx069.