Does the amount of tagged stool and fluid significantly affect the radiation exposure in low-dose CT colonography performed with an automatic exposure control?

Objective To determine whether the amount of tagged stool and fluid significantly affects the radiation exposure in low-dose screening CT colonography performed with an automatic tube-current modulation technique. Methods The study included 311 patients. The tagging agent was barium ( n  = 271) or i...

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Veröffentlicht in:European radiology 2011-02, Vol.21 (2), p.345-352
Hauptverfasser: Lim, Hyun Kyong, Lee, Kyoung Ho, Kim, So Yeon, Kim, Kil Joong, Kim, Bohyoung, Lee, Hyunna, Park, Seong Ho, Yanof, Jeffrey H., Hwang, Seung-sik, Kim, Young Hoon
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container_end_page 352
container_issue 2
container_start_page 345
container_title European radiology
container_volume 21
creator Lim, Hyun Kyong
Lee, Kyoung Ho
Kim, So Yeon
Kim, Kil Joong
Kim, Bohyoung
Lee, Hyunna
Park, Seong Ho
Yanof, Jeffrey H.
Hwang, Seung-sik
Kim, Young Hoon
description Objective To determine whether the amount of tagged stool and fluid significantly affects the radiation exposure in low-dose screening CT colonography performed with an automatic tube-current modulation technique. Methods The study included 311 patients. The tagging agent was barium ( n  = 271) or iodine ( n  = 40). Correlation was measured between mean volume CT dose index ( CTDI vol ) and the estimated x -ray attenuation of the tagged stool and fluid ( ATT ). Multiple linear regression analyses were performed to determine the effect of ATT on CTDI vol and the effect of ATT on image noise while adjusting for other variables including abdominal circumference. Results CTDI vol varied from 0.88 to 2.54 mGy. There was no significant correlation between CTDI vol and ATT ( p  = 0.61). ATT did not significantly affect CTDI vol ( p  = 0.93), while abdominal circumference was the only factor significantly affecting CTDI vol ( p  
doi_str_mv 10.1007/s00330-010-1922-4
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Methods The study included 311 patients. The tagging agent was barium ( n  = 271) or iodine ( n  = 40). Correlation was measured between mean volume CT dose index ( CTDI vol ) and the estimated x -ray attenuation of the tagged stool and fluid ( ATT ). Multiple linear regression analyses were performed to determine the effect of ATT on CTDI vol and the effect of ATT on image noise while adjusting for other variables including abdominal circumference. Results CTDI vol varied from 0.88 to 2.54 mGy. There was no significant correlation between CTDI vol and ATT ( p  = 0.61). ATT did not significantly affect CTDI vol ( p  = 0.93), while abdominal circumference was the only factor significantly affecting CTDI vol ( p  &lt; 0.001). Image noise ranged from 59.5 to 64.1 HU. The p value for the regression model explaining the noise was 0.38. Conclusion The amount of stool and fluid tagging does not significantly affect radiation exposure.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-010-1922-4</identifier><identifier>PMID: 20700594</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Abdomen ; Adult ; Aged ; Aged, 80 and over ; Barium ; Body Burden ; Body Fluids - chemistry ; Colonography, Computed Tomographic - statistics &amp; numerical data ; Colorectal cancer ; Diagnostic Radiology ; Drug dosages ; Enema ; Feces - chemistry ; Female ; Gastrointestinal ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Iodine ; Iodine Compounds ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neuroradiology ; Patients ; Pharmaceuticals ; Preventive medicine ; Prostheses ; Radiation ; Radiation Dosage ; Radiation Protection ; Radiology ; Radiometry - statistics &amp; numerical data ; Republic of Korea - epidemiology ; Risk Assessment ; Risk Factors ; Ultrasound</subject><ispartof>European radiology, 2011-02, Vol.21 (2), p.345-352</ispartof><rights>European Society of Radiology 2010</rights><rights>European Society of Radiology 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-3d2bf0a016b1fc926e81654dc0636e6a16492c9c191dfe733a864a4daf4827af3</citedby><cites>FETCH-LOGICAL-c370t-3d2bf0a016b1fc926e81654dc0636e6a16492c9c191dfe733a864a4daf4827af3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-010-1922-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-010-1922-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20700594$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lim, Hyun Kyong</creatorcontrib><creatorcontrib>Lee, Kyoung Ho</creatorcontrib><creatorcontrib>Kim, So Yeon</creatorcontrib><creatorcontrib>Kim, Kil Joong</creatorcontrib><creatorcontrib>Kim, Bohyoung</creatorcontrib><creatorcontrib>Lee, Hyunna</creatorcontrib><creatorcontrib>Park, Seong Ho</creatorcontrib><creatorcontrib>Yanof, Jeffrey H.</creatorcontrib><creatorcontrib>Hwang, Seung-sik</creatorcontrib><creatorcontrib>Kim, Young Hoon</creatorcontrib><title>Does the amount of tagged stool and fluid significantly affect the radiation exposure in low-dose CT colonography performed with an automatic exposure control?</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objective To determine whether the amount of tagged stool and fluid significantly affects the radiation exposure in low-dose screening CT colonography performed with an automatic tube-current modulation technique. Methods The study included 311 patients. The tagging agent was barium ( n  = 271) or iodine ( n  = 40). Correlation was measured between mean volume CT dose index ( CTDI vol ) and the estimated x -ray attenuation of the tagged stool and fluid ( ATT ). Multiple linear regression analyses were performed to determine the effect of ATT on CTDI vol and the effect of ATT on image noise while adjusting for other variables including abdominal circumference. Results CTDI vol varied from 0.88 to 2.54 mGy. There was no significant correlation between CTDI vol and ATT ( p  = 0.61). ATT did not significantly affect CTDI vol ( p  = 0.93), while abdominal circumference was the only factor significantly affecting CTDI vol ( p  &lt; 0.001). Image noise ranged from 59.5 to 64.1 HU. The p value for the regression model explaining the noise was 0.38. Conclusion The amount of stool and fluid tagging does not significantly affect radiation exposure.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Barium</subject><subject>Body Burden</subject><subject>Body Fluids - chemistry</subject><subject>Colonography, Computed Tomographic - statistics &amp; numerical data</subject><subject>Colorectal cancer</subject><subject>Diagnostic Radiology</subject><subject>Drug dosages</subject><subject>Enema</subject><subject>Feces - chemistry</subject><subject>Female</subject><subject>Gastrointestinal</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Iodine</subject><subject>Iodine Compounds</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Neuroradiology</subject><subject>Patients</subject><subject>Pharmaceuticals</subject><subject>Preventive medicine</subject><subject>Prostheses</subject><subject>Radiation</subject><subject>Radiation Dosage</subject><subject>Radiation Protection</subject><subject>Radiology</subject><subject>Radiometry - statistics &amp; 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Public Health</topic><topic>Middle Aged</topic><topic>Neuroradiology</topic><topic>Patients</topic><topic>Pharmaceuticals</topic><topic>Preventive medicine</topic><topic>Prostheses</topic><topic>Radiation</topic><topic>Radiation Dosage</topic><topic>Radiation Protection</topic><topic>Radiology</topic><topic>Radiometry - statistics &amp; numerical data</topic><topic>Republic of Korea - epidemiology</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lim, Hyun Kyong</creatorcontrib><creatorcontrib>Lee, Kyoung Ho</creatorcontrib><creatorcontrib>Kim, So Yeon</creatorcontrib><creatorcontrib>Kim, Kil Joong</creatorcontrib><creatorcontrib>Kim, Bohyoung</creatorcontrib><creatorcontrib>Lee, Hyunna</creatorcontrib><creatorcontrib>Park, Seong Ho</creatorcontrib><creatorcontrib>Yanof, Jeffrey H.</creatorcontrib><creatorcontrib>Hwang, Seung-sik</creatorcontrib><creatorcontrib>Kim, Young Hoon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lim, Hyun Kyong</au><au>Lee, Kyoung Ho</au><au>Kim, So Yeon</au><au>Kim, Kil Joong</au><au>Kim, Bohyoung</au><au>Lee, Hyunna</au><au>Park, Seong Ho</au><au>Yanof, Jeffrey H.</au><au>Hwang, Seung-sik</au><au>Kim, Young Hoon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does the amount of tagged stool and fluid significantly affect the radiation exposure in low-dose CT colonography performed with an automatic exposure control?</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>21</volume><issue>2</issue><spage>345</spage><epage>352</epage><pages>345-352</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objective To determine whether the amount of tagged stool and fluid significantly affects the radiation exposure in low-dose screening CT colonography performed with an automatic tube-current modulation technique. Methods The study included 311 patients. The tagging agent was barium ( n  = 271) or iodine ( n  = 40). Correlation was measured between mean volume CT dose index ( CTDI vol ) and the estimated x -ray attenuation of the tagged stool and fluid ( ATT ). Multiple linear regression analyses were performed to determine the effect of ATT on CTDI vol and the effect of ATT on image noise while adjusting for other variables including abdominal circumference. Results CTDI vol varied from 0.88 to 2.54 mGy. There was no significant correlation between CTDI vol and ATT ( p  = 0.61). ATT did not significantly affect CTDI vol ( p  = 0.93), while abdominal circumference was the only factor significantly affecting CTDI vol ( p  &lt; 0.001). Image noise ranged from 59.5 to 64.1 HU. The p value for the regression model explaining the noise was 0.38. Conclusion The amount of stool and fluid tagging does not significantly affect radiation exposure.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20700594</pmid><doi>10.1007/s00330-010-1922-4</doi><tpages>8</tpages></addata></record>
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subjects Abdomen
Adult
Aged
Aged, 80 and over
Barium
Body Burden
Body Fluids - chemistry
Colonography, Computed Tomographic - statistics & numerical data
Colorectal cancer
Diagnostic Radiology
Drug dosages
Enema
Feces - chemistry
Female
Gastrointestinal
Humans
Imaging
Internal Medicine
Interventional Radiology
Iodine
Iodine Compounds
Male
Medicine
Medicine & Public Health
Middle Aged
Neuroradiology
Patients
Pharmaceuticals
Preventive medicine
Prostheses
Radiation
Radiation Dosage
Radiation Protection
Radiology
Radiometry - statistics & numerical data
Republic of Korea - epidemiology
Risk Assessment
Risk Factors
Ultrasound
title Does the amount of tagged stool and fluid significantly affect the radiation exposure in low-dose CT colonography performed with an automatic exposure control?
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