Organ dose and scattering dose for CT coronary angiography and calcium scoring using automatic tube current modulation

• Published in: Radiation measurements Vol. 56; pp. 333 - 337
• Main Authors: Chan, S.W., Ho, Y.J., Tyan, Y.S., Tsai, H.Y.
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Kidlington Elsevier Ltd 01.09.2013; Elsevier
• Subjects: Angiography; Calcium; Calcium scoring; Coronary angiography; Current modulation; Earth sciences; Earth, ocean, space; Exact sciences and technology; Geochronology; Isotope geochemistry. Geochronology; Organ dose; Organs; Scanning; Scatter dose; Scattering; Scoring; Tube current modulation; Tubes; Coronary angiography; CT; Organ dose; Tube current modulation; Scatter dose; Calcium scoring; currents; calcium; radiation; tomography
• ISSN: 1350-4487; 1879-0925
• DOI: 10.1016/j.radmeas.2013.03.010

Noninvasive coronary angiography and calcium scoring with the use of multi-detector computed tomography scanners are feasible for reliably detecting coronary artery disease. The purpose of this study is to investigate organ dose and scattering dose for CT coronary angiography and calcium scoring using automatic tube current modulation. Organ doses of an anthropomorphic phantom were estimated using LiF:Mg,Cu,P thermoluminescent dosimeter (TLD) chips. The dose profiles inside and outside the scanning regions were measured. Effective doses for coronary angiography and calcium scoring without using automatic tube current modulation are respectively 12.72 ± 2.06 and 1.69 ± 0.30 mSv. Using automatic tube current modulation can reduce effective dose by 43% for coronary angiography, and 24–32% for calcium scoring. Scatter doses at the point of 10 cm away from the margin of scanning region decreased to 5–9% of in-plane doses. Using automatic tube current modulation can effectively reduce radiation doses inside the CT scanning region. •Effective doses for coronary angiography are 12.72 ± 2.06 mGy.•Effective doses for calcium scoring are and 1.69 ± 0.30 mSv.•Scatter doses are from 4 mGy to 0.02 mGy, and become 5–9% of in-plane doses.•Fetal doses for coronary angiography or calcium scoring range from 0.33 to 0.6 mSv.•Using automatic tube current modulation can effectively reduce radiation doses.