Evolution of CT radiation dose in pediatric patients undergoing hybrid 2-[ 18 F]FDG PET/CT between 2007 and 2021

To evaluate the evolution of CT radiation dose in pediatric patients undergoing hybrid 2-[ F]fluoro-2-deoxy-D-glucose (2-[ F]FDG) PET/CT between 2007 and 2021. Data from all pediatric patients aged 0-18 years who underwent hybrid 2-[ F]FDG PET/CT of the body between January 2007 and May 2021 were re...

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Veröffentlicht in:British journal of radiology 2023-12, Vol.96 (1152), p.20220482-20220482
Hauptverfasser: Skawran, Stephan, Sartoretti, Thomas, Gennari, Antonio G, Schwyzer, Moritz, Sartoretti, Elisabeth, Treyer, Valerie, Maurer, Alexander, Huellner, Martin W, Waelti, Stephan, Messerli, Michael
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container_title British journal of radiology
container_volume 96
creator Skawran, Stephan
Sartoretti, Thomas
Gennari, Antonio G
Schwyzer, Moritz
Sartoretti, Elisabeth
Treyer, Valerie
Maurer, Alexander
Huellner, Martin W
Waelti, Stephan
Messerli, Michael
description To evaluate the evolution of CT radiation dose in pediatric patients undergoing hybrid 2-[ F]fluoro-2-deoxy-D-glucose (2-[ F]FDG) PET/CT between 2007 and 2021. Data from all pediatric patients aged 0-18 years who underwent hybrid 2-[ F]FDG PET/CT of the body between January 2007 and May 2021 were reviewed. Demographic and imaging parameters were collected. A board-certified radiologist reviewed all CT scans and measured image noise in the brain, liver, and adductor muscles. 294 scans from 167 children (72 females (43%); median age: 14 (IQR 10-15) years; BMI: median 17.5 (IQR 15-20.4) kg/m ) were included. CT dose index-volume (CTDIvol) and dose length product (DLP) both decreased significantly from 2007 to 2021 (both < 0.001, Spearman's rho coefficients -0.46 and -0.35, respectively). Specifically, from 2007 to 2009 to 2019-2021 CTDIvol and DLP decreased from 2.94 (2.14-2.99) mGy and 309 (230-371) mGy*cm, respectively, to 0.855 (0.568-1.11) mGy and 108 (65.6-207) mGy*cm, respectively. From 2007 to 2021, image noise in the brain and liver remained constant ( = 0.26 and = 0.06), while it decreased in the adductor muscles ( = 0.007). Peak tube voltage selection (in kilovolt, kV) of CT scans shifted from high kV imaging (140 or 120kVp) to low kV imaging (100 or 80kVp) ( < 0.001) from 2007 to 2021. CT radiation dose in pediatric patients undergoing hybrid 2-[ F]FDG PET/CT has decreased in recent years equaling approximately one-third of the initial amount. Over the past 15 years, CT radiation dose decreased considerably in pediatric patients undergoing hybrid imaging, while objective image quality may not have been compromised.
doi_str_mv 10.1259/bjr.20220482
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Peak tube voltage selection (in kilovolt, kV) of CT scans shifted from high kV imaging (140 or 120kVp) to low kV imaging (100 or 80kVp) ( &lt; 0.001) from 2007 to 2021. CT radiation dose in pediatric patients undergoing hybrid 2-[ F]FDG PET/CT has decreased in recent years equaling approximately one-third of the initial amount. 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Data from all pediatric patients aged 0-18 years who underwent hybrid 2-[ F]FDG PET/CT of the body between January 2007 and May 2021 were reviewed. Demographic and imaging parameters were collected. A board-certified radiologist reviewed all CT scans and measured image noise in the brain, liver, and adductor muscles. 294 scans from 167 children (72 females (43%); median age: 14 (IQR 10-15) years; BMI: median 17.5 (IQR 15-20.4) kg/m ) were included. CT dose index-volume (CTDIvol) and dose length product (DLP) both decreased significantly from 2007 to 2021 (both &lt; 0.001, Spearman's rho coefficients -0.46 and -0.35, respectively). Specifically, from 2007 to 2009 to 2019-2021 CTDIvol and DLP decreased from 2.94 (2.14-2.99) mGy and 309 (230-371) mGy*cm, respectively, to 0.855 (0.568-1.11) mGy and 108 (65.6-207) mGy*cm, respectively. From 2007 to 2021, image noise in the brain and liver remained constant ( = 0.26 and = 0.06), while it decreased in the adductor muscles ( = 0.007). Peak tube voltage selection (in kilovolt, kV) of CT scans shifted from high kV imaging (140 or 120kVp) to low kV imaging (100 or 80kVp) ( &lt; 0.001) from 2007 to 2021. CT radiation dose in pediatric patients undergoing hybrid 2-[ F]FDG PET/CT has decreased in recent years equaling approximately one-third of the initial amount. 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Peak tube voltage selection (in kilovolt, kV) of CT scans shifted from high kV imaging (140 or 120kVp) to low kV imaging (100 or 80kVp) ( &lt; 0.001) from 2007 to 2021. CT radiation dose in pediatric patients undergoing hybrid 2-[ F]FDG PET/CT has decreased in recent years equaling approximately one-third of the initial amount. Over the past 15 years, CT radiation dose decreased considerably in pediatric patients undergoing hybrid imaging, while objective image quality may not have been compromised.</abstract><cop>England</cop><pmid>37751216</pmid><doi>10.1259/bjr.20220482</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record>
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title Evolution of CT radiation dose in pediatric patients undergoing hybrid 2-[ 18 F]FDG PET/CT between 2007 and 2021
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