Hongrong Xu, Jiawen Zhao, Zhen Xu, Bo Liu, Jinhua Cai
{"title":"不同倾斜角度对儿童头部计算机断层扫描辐射剂量和图像质量的影响:一项模拟研究","authors":"Hongrong Xu, Jiawen Zhao, Zhen Xu, Bo Liu, Jinhua Cai","doi":"10.1002/acm2.70177","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Various methods have been employed to reduce radiation dose and improve image quality in head computed tomography (CT); however, the impact of different head tilt angles on these factors remains underexplored.</p>\n </section>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>To investigate the effects of different head tilt angles on radiation dose and image quality in head CT.</p>\n </section>\n \n <section>\n \n <h3> Materials and methods</h3>\n \n <p>A pediatric anthropomorphic head phantom was scanned using dual-source CT at 18 different tilt angles, repeated 10 times at each angle. Image quality was assessed using mean CT (CT<sub>mean</sub>) attenuation values and image noise at six regions of interest (ROIs), while radiation dose was evaluated using volume CT dose index (CTDI<sub>vol</sub>), size-specific dose estimate (SSDE), and dose-length product (DLP). The scan lengths of the eyes and head were also recorded.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>CTDI<sub>vol</sub> and SSDE did not exhibit clear variation patterns with changes in head tilt angles, while DLP was in the lower region between −10° and 5°. Head scan lengths were relatively shorter between −10° and 5°, and eye scan lengths were relatively shorter between −10° and 0°. Except for the image noise of the right middle cranial fossa, no significant differences were found in CT<sub>mean</sub> values and image noise for the other ROIs between −10° and 0°.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The findings indicated that adjusting the head tilt angle within the range of −10° to 0° reduced both the head and eye scan lengths as well as the radiation dose, while preserving relatively stable image quality.</p>\n </section>\n </div>","PeriodicalId":14989,"journal":{"name":"Journal of Applied Clinical Medical Physics","volume":"26 7","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/acm2.70177","citationCount":"0","resultStr":"{\"title\":\"Effects of various tilt angles on radiation dose and image quality in pediatric head computed tomography: A phantom study\",\"authors\":\"Hongrong Xu, Jiawen Zhao, Zhen Xu, Bo Liu, Jinhua Cai\",\"doi\":\"10.1002/acm2.70177\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Various methods have been employed to reduce radiation dose and improve image quality in head computed tomography (CT); however, the impact of different head tilt angles on these factors remains underexplored.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To investigate the effects of different head tilt angles on radiation dose and image quality in head CT.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Materials and methods</h3>\\n \\n <p>A pediatric anthropomorphic head phantom was scanned using dual-source CT at 18 different tilt angles, repeated 10 times at each angle. 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Effects of various tilt angles on radiation dose and image quality in pediatric head computed tomography: A phantom study
Background
Various methods have been employed to reduce radiation dose and improve image quality in head computed tomography (CT); however, the impact of different head tilt angles on these factors remains underexplored.
Objective
To investigate the effects of different head tilt angles on radiation dose and image quality in head CT.
Materials and methods
A pediatric anthropomorphic head phantom was scanned using dual-source CT at 18 different tilt angles, repeated 10 times at each angle. Image quality was assessed using mean CT (CTmean) attenuation values and image noise at six regions of interest (ROIs), while radiation dose was evaluated using volume CT dose index (CTDIvol), size-specific dose estimate (SSDE), and dose-length product (DLP). The scan lengths of the eyes and head were also recorded.
Results
CTDIvol and SSDE did not exhibit clear variation patterns with changes in head tilt angles, while DLP was in the lower region between −10° and 5°. Head scan lengths were relatively shorter between −10° and 5°, and eye scan lengths were relatively shorter between −10° and 0°. Except for the image noise of the right middle cranial fossa, no significant differences were found in CTmean values and image noise for the other ROIs between −10° and 0°.
Conclusion
The findings indicated that adjusting the head tilt angle within the range of −10° to 0° reduced both the head and eye scan lengths as well as the radiation dose, while preserving relatively stable image quality.
期刊介绍:
Journal of Applied Clinical Medical Physics is an international Open Access publication dedicated to clinical medical physics. JACMP welcomes original contributions dealing with all aspects of medical physics from scientists working in the clinical medical physics around the world. JACMP accepts only online submission.
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