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Low-Dose High-Resolution CT of the Chest in Children and Young Adults

Dose, Cooperation, Artifact Incidence, and Image Quality

Javier Lucaya1,2, Joaquim Piqueras1, Pilar García-Peña1, Goya Enríquez1, Maribel García-Macías1 and Jesús Sotil3

1 Radiology Department, HMI-Vall d'Hebron Hospitals, ps. Vall d'Hebron 119-129, 08035 Barcelona, Spain.
2 Institute of Diagnostic Imaging, Vall d'Hebron Hospitals, 08035 Barcelona, Spain.
3 Radiation Protection Department, Vall d'Hebron Hospitals, 08035 Barcelona, Spain.



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Fig. 1A. —3-month-old female infant with bronchopulmonary dysplasia. High-resolution CT scans of chest obtained with 50 mAs (A) (average image quality score, 2.36) and with 180 mAs (B) (average image quality score, 2.57) reveal no significant difference in image quality between A and B. Interstitial thickening and areas of hyperlucent lung (arrows) producing pseudocystic appearance are clearly visible on both images.

 


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Fig. 1B. —3-month-old female infant with bronchopulmonary dysplasia. High-resolution CT scans of chest obtained with 50 mAs (A) (average image quality score, 2.36) and with 180 mAs (B) (average image quality score, 2.57) reveal no significant difference in image quality between A and B. Interstitial thickening and areas of hyperlucent lung (arrows) producing pseudocystic appearance are clearly visible on both images.

 


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Fig. 2A. —11-year-old boy with pulmonary histiocytosis X. High-resolution CT scans of chest obtained with 34 mAs (A) (average image quality score, 4.07) and 180 mAs (B) (average image quality score, 4.01) show widespread thin-walled, air-filled cysts (arrows). Fissures appear sharper in B than in A.

 


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Fig. 2B. —11-year-old boy with pulmonary histiocytosis X. High-resolution CT scans of chest obtained with 34 mAs (A) (average image quality score, 4.07) and 180 mAs (B) (average image quality score, 4.01) show widespread thin-walled, air-filled cysts (arrows). Fissures appear sharper in B than in A.

 


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Fig. 3A. —12-year-old boy with cystic fibrosis. High-resolution CT scans of chest obtained with 34 mAs (A) (image quality average score, 4.40) and 180 mAs (B) (average image quality score, 4.33) show peribronchial thickening (curved arrows), bronchiectasis, and tree-in-bud appearance of peripheral bronchi (straight arrows).

 


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Fig. 3B. —12-year-old boy with cystic fibrosis. High-resolution CT scans of chest obtained with 34 mAs (A) (image quality average score, 4.40) and 180 mAs (B) (average image quality score, 4.33) show peribronchial thickening (curved arrows), bronchiectasis, and tree-in-bud appearance of peripheral bronchi (straight arrows).

 


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Fig. 4A. —13-year-old boy who was examined to rule out bronchiectases. Images show normal findings. High-resolution CT scan of chest obtained with 34 mAs (average image quality score, 4.58) shows that depiction and sharpness of lung structures are good. Noise, best identified in low-contrast structures of mediastinum and chest wall, is more evident in this image than in B.

 


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Fig. 4B. —13-year-old boy who was examined to rule out bronchiectases. Images show normal findings. High-resolution CT scan of chest obtained with 180 mAs (average image quality score, 4.50) shows several streak artifacts (arrows).

 

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