OBJECTIVE: This study was performed to compare standard- and low-radiation-dose techniques in the CT quantification of emphysema. MATERIALS AND METHODS: The study population consisted of 36 men and 20 women who were current or former heavy smokers and underwent standard-dose (effective tube current, 100-250 mAs) chest CT at our institution within 6 months of having undergone low-dose (effective tube current, 30-60 mAs) chest CT. All CT scans were reconstructed at 5-mm slice thickness with a smooth filter. CT-measured lung volume, mean and median lung attenuation, and percentage of lung volume with attenuation lower than multiple thresholds (emphysema index values) were compared by Pearson correlation, two-tailed and paired Student's t tests, and regression analysis. RESULTS: There were no significant differences in mean attenuation (-848 vs -846 H, p > 0.35) for the low dose and the standard dose or in median lung attenuation (-879 vs -878 H, p > 0.66). Low- and standard-dose emphysema indexes were correlated at all attenuation thresholds (r = 0.86-0.97). Mean emphysema indexes were higher on the low-dose scans, but the mean difference at all thresholds was less than 3%. The differences were significant (p < 0.05) only at the lower index thresholds, correlated with differences in lung volume (r < or = 0.86), and increased with greater differences in dose. CONCLUSION: Low-dose technique has minimal effect on CT quantification of emphysema.
Comparison of standard- and low-radiation-dose CT for quantification of emphysema. Publishing Authors By Initials
Comparison of standard- and low-radiation-dose CT for quantification of emphysema. Journal Published:
PUBLICATION TYPE: Research Support, N.I.H., Extr
Journal: AJR. American journal of roentgenology
VOLUME: 188
Page Numbers: 42-7
Journal Abbreviation:
ISSN: 1546-3141
DAY: 3
MONTH: Jan
YEAR: 2007
Comparison of standard- and low-radiation-dose CT for quantification of emphysema. Information
Number of References:
LANGUAGE: eng
NlmUniqueID: 7708173
Comparison of standard- and low-radiation-dose CT for quantification of emphysema. Keywords Mesh Terms:
KEYWORDS: Tomography, X-Ray Computed
MESH TERMS: methods
Chemical & Substance for Abstract: Comparison of standard- and low-radiation-dose CT for quantification of emphysema. Information
Substance Name:
Registry Number:
Grant and Affiliation Information for Comparison of standard- and low-radiation-dose CT for quantification of emphysema.
AFFILIATION: Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S Kingshighway Blvd., St. Louis, MO 63110, USA. gieradad@wustl.edu
Country: United States
AGENCY: United States NHLBI
GRANT: R01HL72369
ACRONYM: HL
MEDLINETA: AJR Am J Roentgenol
REFSOURCE:
DATABASENAME:
ACCESSION NUMBER:
Number Hits: 0
Comparison of standard- and low-radiation-dose CT for quantification of emphysema Related Publications