Determination of the range of tube
current values can sometimes be influenced
by patient habitus. Because noise
index and tube current range affect image
quality and radiation exposure to the
patient, these two parameters must be
judiciously selected. A very low noise index
may provide higher image quality
but will also result in higher than necessary
radiation exposure to the patient.
Conversely, a higher noise index will result
in radiation dose reduction at the
price of noisier images. Thus, with the
AutomA technique, radiation exposure
depends on the selected noise index and
patient size. Higher radiation exposure
can be avoided by selecting a higher
noise index or by setting the maximum
tube current parameter to the same level
used with fixed-tube-current protocols.
Figure 4. Transverse CT scans obtained with AutomA technique (noise index, 15 HU; 75–380 mA; 140 kVp; gantry rotation time, 0.5 second) in
a 32-year-old woman with treated lymphoma. (a) Chest image obtained at 136 mA shows satisfactory image quality with soft-tissue algorithm.
(b) Pelvic image obtained at 295 mA shows that noise in soft tissue is similar to that in a.
Although image noise will increase in regions
where the required tube current is
limited by the maximum tube current,
overall image quality would be similar to
that with fixed-tube-current scanning.
The vendor prescribes a noise index of
11–12 HU for routine abdominal and pelvic
examinations and 10–11 HU for chest
examinations, with a minimum tube current
of 60–80 mA.
Determination of the range of tubecurrent values can sometimes be influencedby patient habitus. Because noiseindex and tube current range affect imagequality and radiation exposure to thepatient, these two parameters must bejudiciously selected. A very low noise indexmay provide higher image qualitybut will also result in higher than necessaryradiation exposure to the patient.Conversely, a higher noise index will resultin radiation dose reduction at theprice of noisier images. Thus, with theAutomA technique, radiation exposuredepends on the selected noise index andpatient size. Higher radiation exposurecan be avoided by selecting a highernoise index or by setting the maximumtube current parameter to the same levelused with fixed-tube-current protocols.Figure 4. Transverse CT scans obtained with AutomA technique (noise index, 15 HU; 75–380 mA; 140 kVp; gantry rotation time, 0.5 second) ina 32-year-old woman with treated lymphoma. (a) Chest image obtained at 136 mA shows satisfactory image quality with soft-tissue algorithm.(b) Pelvic image obtained at 295 mA shows that noise in soft tissue is similar to that in a.Although image noise will increase in regionswhere the required tube current islimited by the maximum tube current,overall image quality would be similar tothat with fixed-tube-current scanning.The vendor prescribes a noise index of11–12 HU for routine abdominal and pelvicexaminations and 10–11 HU for chestexaminations, with a minimum tube currentof 60–80 mA.
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