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Published in: European Radiology 2/2011

01-02-2011 | Gastrointestinal

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

Authors: Hyun Kyong Lim, Kyoung Ho Lee, So Yeon Kim, Kil Joong Kim, Bohyoung Kim, Hyunna Lee, Seong Ho Park, Jeffrey H. Yanof, Seung-sik Hwang, Young Hoon Kim

Published in: European Radiology | Issue 2/2011

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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 < 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.
Appendix
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Metadata
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?
Authors
Hyun Kyong Lim
Kyoung Ho Lee
So Yeon Kim
Kil Joong Kim
Bohyoung Kim
Hyunna Lee
Seong Ho Park
Jeffrey H. Yanof
Seung-sik Hwang
Young Hoon Kim
Publication date
01-02-2011
Publisher
Springer-Verlag
Published in
European Radiology / Issue 2/2011
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-010-1922-4

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