Radiation Dose from Adult and Pediatric Multidetector Computed Tomography

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Berlin, Germany 2007 Hard cover New. Sewn binding. Paper over boards. 276 p. Contains: Illustrations. Medical Radiology.

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Overview

The number of computed tomography (CT) examinations has increased continuously since 1980 for a variety of reasons, including new indications and growth in the number of CT units. Beyond its use in adults with suspected malignancies and other conditions, CT is now used in young patients, including children, who are suffering from benign diseases and have a long life expectancy. The consequence of this trend is that CT, and in particular multidetector row CT (MDCT), is now responsible for about two-thirds of the total radiation dose delivered to the population for diagnostic purposes. Because of the associated radiation dose, CT may induce cancers, and the risk of death has been estimated at up to one per 1,000 CT examinations. Even if the balance between the risks related to ionizing radiation and the benefits from an accurate diagnosis provided by CT scanning has always been considered highly positive, it is now mandatory to reduce and/or to optimize the radiation dose. Referring clinicians, radiologists, and technologists should therefore all understand the mechanisms that determine the radiation risk, but it has been shown that only a small proportion of these professionals are aware of both the radiation risks and their underlying mechanisms. This book is designed to rectify this situation. The first part of the book provides a comprehensive approach to all the factors that influence the radiation dose and subsequently the risk induced by using MDCT in children and adult patients. In the second part, guidelines are proposed for optimization of the radiation dose in order to obtain an image quality sufficient for appropriate diagnostic performance while restricting the dosedelivered. The authors are experts of international standing, selected for their acknowledged scientific contributions. This book will appeal to both general and specialized radiologists, including pediatric radiologists, CT technologists, physicists, manufacturers and all professionals involved in MDCT.
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Product Details

Table of Contents


Clinical Expansion of CT and Radiation Dose   Rajesh Patel   Stephen Golding     1
Radiation Risks in Multidetector CT     9
Risks from Ionising Radiation   Kenneth H. Chadwick   Hendrik P. Leenhouts     11
The Cancer Risk from Low-Level Radiation   Bernard L. Cohen     33
CT Parameters that Influence the Radiation Dose   Hans-Dieter Nagel     51
Collective Radiation Dose from MDCT: Critial Review of Surveys Studies   Georg Stamm     81
Methods and Strategies for Radiation Dose Optimization - and Reduction - in MDCT with Special Focus on the Image Quality   Denis Tack     99
Automatic Exposure Control in Multidetector-Row Computed Tomography   Mannudeep K. Kalra     117
Patient Centering in MDCT: Dose Effects   Mannudeep K. Kalra   Thomas L. Toth     129
Clinical Approaches of Dose Optimization, and Reduction     133
Dose Optimization and Reduction in CT of the Head and Neck, Including Brain   Tom Mulkens   Rodrigo Salgado   Patrick Bellinck     135
Dose Reduction and Optimization in Computed Tomography of the Chest   Pierre Alain Gevenois   Denis Tack     153
Dose Optimization and Reduction in MDCT of the Abdomen   Caroline Keyzer   Pierre A. Gevenois   Denis Tack     161
Optimization of Radiation Dose in Cardiac and Vascular Multirow-Detector CT   Jean-Francois Paul   Hicham T. Abada     171
Dose Optimization and Reduction in CT of the Musculoskeletal System Including the Spine   Alain Blum   Alain Noel   Daniel Winninger   Toufik Batch   Thomas Ludig   Gilles Ferquel   Benoit Sauer     185
Dose Reduction in CT Fluoroscopy   Nico Buls   J. de Mey     195
Dose Optimization and Reduction in CT of Children   Peter Vock   Rainer Wolf     223
Radiation Risk Management in Low Dose MDCT Screening Programs   Emmanuel Coche   Jaap Stoker   Henk W. Venema   Rogier E. Van Gelder     237
Lung Cancer Screening Including Pulmonary Nodule Management   Emmanuel Coche     237
Dose Reduction in Screening Programs: Colon Cancer Screening   Jaap Stoker   Henk W. Venema   Rogier E. van Gelder     255
Subject Index     273
List of Contributors     275
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