Electrocardiogram-gated coronary CT angiography dose estimates using ImPACT

Masanao Kobayashi, Yasuki Asada, Kosuke Matsubara, Shouichi Suzuki, Kichiro Koshida, Yuta Matsunaga, Tomonobu Haba, Ai Kawaguchi, Hiroshi Toyama, Ryoichi Kato

Research output: Contribution to journalArticle

Abstract

The primary study objective was to assess radiation doses using a modified form of the Imaging Performance Assessment of Computed Tomography (CT) scanner (ImPACT) patient dosimetry for cardiac applications on an Aquilion ONE ViSION Edition scanner, including the Ca score, target computed tomography angiography (CTA), prospective CTA, continuous CTA/cardiac function analysis (CFA), and CTA/CFA modulation. Accordingly, we clarified the CT dose index (CTDI) to determine the relationship between heart rate (HR) and X-ray exposure. As a secondary objective, we compared radiation doses using modified ImPACT, a whole-body dosimetry phantom study, and the k-factor method to verify the validity of the dose results obtained with modified ImPACT. The effective dose determined for the reference person (4.66 mSv at 60 beats per minute (bpm) and 33.43 mSv at 90bpm) were approximately 10% less than those determined for the phantom study (5.28 mSv and 36.68 mSv). The effective doses according to the k-factor (0.014 mSv·mGy-1·cm-1; 2.57 mSv and 17.10 mSv) were significantly lower than those obtained with the other two methods. In the present study, we have shown that ImPACT, when modified for cardiac applications, can assess both absorbed and effective doses. The results of our dose comparison indicate that modified ImPACT dose assessment is a promising and practical method for evaluating coronary CTA.

Original languageEnglish
Pages (from-to)342-356
Number of pages15
JournalJournal of applied clinical medical physics
Volume17
Issue number4
DOIs
Publication statusPublished - 01-01-2016

All Science Journal Classification (ASJC) codes

  • Radiation
  • Instrumentation
  • Radiology Nuclear Medicine and imaging

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  • Cite this

    Kobayashi, M., Asada, Y., Matsubara, K., Suzuki, S., Koshida, K., Matsunaga, Y., Haba, T., Kawaguchi, A., Toyama, H., & Kato, R. (2016). Electrocardiogram-gated coronary CT angiography dose estimates using ImPACT. Journal of applied clinical medical physics, 17(4), 342-356. https://doi.org/10.1120/jacmp.v17i4.6218