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Computed tomography (CT) is a powerful technique providing precise and confident diagnoses. The burgeoning use of CT has resulted in an exponential increase in collective radiation dose to the population. Despite investigations supporting the use of lower radiation doses, surveys highlight the lack of proper understanding of CT parameters that affect radiation dose. Dynamic advances in CT technology also make it important to explain the latest dose-saving strategies in an easy-to-comprehend manner. This book aims to review all aspects of the radiation dose from CT and to provide simple rules and tricks for radiologists and radiographers that will assist in the appropriate use of CT technique. The second edition includes a number of new chapters on the most up-to-date strategies and technologies for radiation dose reduction while updating the outstanding contents of the first edition. Vendor perspectives are included, and an online image gallery will also be available to readers.
This book considers in depth all the factors that influence the radiation dose and the risk associated with MDCT in children and adults. Only a small proportion of referring clinicians, radiologists, and technologists are aware of both the radiation risks and their underlying mechanisms. The book proposes detailed guidelines for optimization of the radiation dose when using MDCT. It is written by experts of international standing.
Written by the chief physicist at Johns Hopkins University Hospital, this easy-to-read short textbook explains the physics behind multi-detector CT technology, particularly newer, more complex technology. The focus is on principles of physics, effects of scan parameters on image quality, and optimum radiation dosage. The book includes numerous key points summaries and questions to assist in exam preparation.
This book describes current examination techniques and advanced clinical applications of state-of-the-art multidetector computed tomography (MDCT) scanners. There are contributions from several distinguished radiologists and clinicians. Each chapter is written from a practical perspective, so that radiologists, residents, medical physicists, and radiology technologists can obtain relevant information about MDCT applications.
The book offers a comprehensive and user-oriented description of the theoretical and technical system fundamentals of computed tomography (CT) for a wide readership, from conventional single-slice acquisitions to volume acquisition with multi-slice and cone-beam spiral CT. It covers in detail all characteristic parameters relevant for image quality and all performance features significant for clinical application. Readers will thus be informed how to use a CT system to an optimum depending on the different diagnostic requirements. This includes a detailed discussion about the dose required and about dose measurements as well as how to reduce dose in CT. All considerations pay special attention to spiral CT and to new developments towards advanced multi-slice and cone-beam CT. For the third edition most of the contents have been updated and latest topics like dual source CT, dual energy CT, flat detector CT and interventional CT have been added. The enclosed CD-ROM again offers copies of all figures in the book and attractive case studies, including many examples from the most recent 64-slice acquisitions, and interactive exercises for image viewing and manipulation. This book is intended for all those who work daily, regularly or even only occasionally with CT: physicians, radiographers, engineers, technicians and physicists. A glossary describes all the important technical terms in alphabetical order. The enclosed DVD again offers attractive case studies, including many examples from the most recent 64-slice acquisitions, and interactive exercises for image viewing and manipulation. This book is intended for all those who work daily, regularly or even only occasionally with CT: physicians, radiographers, engineers, technicians and physicists. A glossary describes all the important technical terms in alphabetical order.
"MDCT: From Protocols to Practice" tackles contemporary and topical issues in MDCT technology and applications. As an updated edition of MDCT: A Practical Approach, this volume offers new content as well as revised chapters from the previous volume. New chapters discuss important topics such as imaging of children and obese subjects, the use of contrast medium in pregnant women, coronary MDCT angiography, and PET/CT in abdominal and pelvic malignancies. Furthermore an Appendix with over 50 updated MDCT scanning protocols completes this publication. The book emphasizes the practical aspects of MDCT, making it an invaluable source of information for radiologists, residents, medical physicists, and radiology technologists in everyday clinical practice.
This book is the seventh in a series of titles from the National Research Council that addresses the effects of exposure to low dose LET (Linear Energy Transfer) ionizing radiation and human health. Updating information previously presented in the 1990 publication, Health Effects of Exposure to Low Levels of Ionizing Radiation: BEIR V, this book draws upon new data in both epidemiologic and experimental research. Ionizing radiation arises from both natural and man-made sources and at very high doses can produce damaging effects in human tissue that can be evident within days after exposure. However, it is the low-dose exposures that are the focus of this book. So-called “late” effects, such as cancer, are produced many years after the initial exposure. This book is among the first of its kind to include detailed risk estimates for cancer incidence in addition to cancer mortality. BEIR VII offers a full review of the available biological, biophysical, and epidemiological literature since the last BEIR report on the subject and develops the most up-to-date and comprehensive risk estimates for cancer and other health effects from exposure to low-level ionizing radiation.
Diagnostic reference levels (DRLs) are used in medical imaging to indicate whether the patient radiation dose or amount of administered activity from a specific procedure are unusually high or low for that procedure. DRLs are the first step in the optimization process to manage patient dose commensurate with the medical purpose of the procedure. Achievable dose is an optimization goal, based on survey data, and typically defined as the median value (50th percentile) of the dose distribution of standard techniques and technologies in widespread use. The overarching goal is to obtain image quality consistent with the clinical objective, while avoiding unnecessary radiation. Too low an exposure, however, is also to be avoided if it results in an inadequate image. This Report represents an important continuation of NCRP reports on radiation safety and health protection in medicine and lays the foundation for the development and application of DRLs and achievable doses for diagnostic x-ray examinations. The concept of DRLs is extended to procedures other than diagnostic x-ray examinations (e.g., for interventional radiology) by the use of reference levels (RLs), which represent radiation dose levels that if exceeded prompt an evaluation of the reasons why. This Report discusses the establishment and use of RLs for fluoroscopically-guided interventional (FGI) procedures and describes why a different approach from DRLs is required to account for the greater complexity of interventional radiology compared with standard medical imaging procedures. Phantoms are models of the human body used in radiation dosimetry studies to estimate exposures to patients. The use of phantom survey data in the United States is contrasted with the use of patient-based dose data in Europe for establishing DRLs, achievable doses, and RLs. The use of phantom survey data is reviewed for determining DRLs for imaging modalities such as projection radiography, fluoro
A comprehensive and unique review of the bronchoscopy, equipment and quality improvement fundamentals.