PMID- 29594401
OWN - NLM
STAT- MEDLINE
DCOM- 20181105
LR  - 20220331
IS  - 1432-1084 (Electronic)
IS  - 0938-7994 (Linking)
VI  - 28
IP  - 9
DP  - 2018 Sep
TI  - Radiation exposure during CT-guided biopsies: recent CT machines provide markedly 
      lower doses.
PG  - 3929-3935
LID - 10.1007/s00330-018-5350-1 [doi]
AB  - OBJECTIVES: To examine radiation dose levels of CT-guided interventional 
      procedures of chest, abdomen, spine and extremities on different CT-scanner 
      generations at a large multicentre institute. MATERIALS AND METHODS: 1,219 
      CT-guided interventional biopsies of different organ regions ((A) abdomen 
      (n=516), (B) chest (n=528), (C) spine (n=134) and (D) extremities (n=41)) on 
      different CT-scanners ((I) SOMATOM-Definition-AS+, (II) Volume-Zoom, (III) 
      Emotion6) were included from 2013-2016. Important CT-parameters and standard 
      dose-descriptors were retrospectively examined. Additionally, effective dose and 
      organ doses were calculated using Monte-Carlo simulation, following ICRP103. 
      RESULTS: Overall, radiation doses for CT interventions are highly dependent on 
      CT-scanner generation: the newer the CT scanner, the lower the radiation dose 
      imparted to patients. Mean effective doses for each of four procedures on 
      available scanners are: (A) (I) 9.3mSv versus (II) 13.9mSv (B) (I) 7.3mSv versus 
      (III) 11.4mSv (C) (I) 6.3mSv versus (II) 7.4mSv (D) (I) 4.3mSv versus (II) 
      10.8mSv. Standard dose descriptors [standard deviation (SD); CT dose index(vol) 
      (CTDI(vol)); dose-length product (DLP(body)); size-specific dose estimate (SSDE)] 
      were also compared. CONCLUSION: Effective dose, organ doses and SSDE for various 
      CT-guided interventional biopsies on different CT-scanner generations following 
      recommendations of the ICRP103 are provided. New CT-scanner generations involve 
      markedly lower radiation doses versus older devices. KEY POINTS: * Effective 
      dose, organ dose and SSDE are provided for CT-guided interventional examinations. 
      * These data allow identifying organs at risk of higher radiation dose. * 
      Detailed knowledge of radiation dose may contribute to a better individual 
      risk-stratification. * New CT-scanner generations involve markedly lower 
      radiation doses compared to older devices.
FAU - Guberina, Nika
AU  - Guberina N
AD  - Institute of Diagnostic and Interventional Radiology and Neuroradiology, 
      University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany. 
      nika.guberina@uk-essen.de.
FAU - Forsting, Michael
AU  - Forsting M
AD  - Institute of Diagnostic and Interventional Radiology and Neuroradiology, 
      University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.
FAU - Ringelstein, Adrian
AU  - Ringelstein A
AD  - Institute of Diagnostic and Interventional Radiology and Neuroradiology, 
      University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.
FAU - Suntharalingam, Saravanabavaan
AU  - Suntharalingam S
AD  - Institute of Diagnostic and Interventional Radiology and Neuroradiology, 
      University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.
FAU - Nassenstein, Kai
AU  - Nassenstein K
AD  - Institute of Diagnostic and Interventional Radiology and Neuroradiology, 
      University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.
FAU - Theysohn, Jens
AU  - Theysohn J
AD  - Institute of Diagnostic and Interventional Radiology and Neuroradiology, 
      University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.
FAU - Wetter, Axel
AU  - Wetter A
AD  - Institute of Diagnostic and Interventional Radiology and Neuroradiology, 
      University Hospital Essen, Hufelandstrasse 55, 45147, Essen, Germany.
LA  - eng
PT  - Journal Article
DEP - 20180328
PL  - Germany
TA  - Eur Radiol
JT  - European radiology
JID - 9114774
SB  - IM
MH  - Abdomen/diagnostic imaging
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Extremities/diagnostic imaging
MH  - Female
MH  - Humans
MH  - Image-Guided Biopsy/*methods
MH  - Male
MH  - Middle Aged
MH  - Monte Carlo Method
MH  - Multidetector Computed Tomography/*methods
MH  - Phantoms, Imaging
MH  - *Radiation Dosage
MH  - *Radiation Exposure
MH  - Retrospective Studies
MH  - Spine/diagnostic imaging
MH  - Thorax/diagnostic imaging
MH  - Young Adult
OTO - NOTNLM
OT  - Image-guided biopsy
OT  - Ionizing radiation
OT  - Multidetector computed tomography
OT  - Radiation exposure
OT  - Radiation monitoring
EDAT- 2018/03/30 06:00
MHDA- 2018/11/06 06:00
CRDT- 2018/03/30 06:00
PHST- 2017/12/13 00:00 [received]
PHST- 2018/01/23 00:00 [accepted]
PHST- 2018/01/11 00:00 [revised]
PHST- 2018/03/30 06:00 [pubmed]
PHST- 2018/11/06 06:00 [medline]
PHST- 2018/03/30 06:00 [entrez]
AID - 10.1007/s00330-018-5350-1 [pii]
AID - 10.1007/s00330-018-5350-1 [doi]
PST - ppublish
SO  - Eur Radiol. 2018 Sep;28(9):3929-3935. doi: 10.1007/s00330-018-5350-1. Epub 2018 
      Mar 28.