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Impact of Operator-Selected Image Noise Index and Reconstruction Slice Thickness on Patient Radiation Dose in 64-MDCT

Kalpana M. Kanal1, Brent K. Stewart1, Orpheus Kolokythas1 and William P. Shuman1

1 All authors: Department of Radiology, University of Washington Medical Center, 1959 NE Pacific St., Box 357115, Seattle, WA 98195-7115.


Figure 1
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Fig. 1 Representation of noise index (NI) versus reconstruction slice thickness. CT profile data are acquired using 0.625-mm detector widths and reconstructed to 0.625-, 1.25-, 2.5-, 3.75-, and 5-mm slice thicknesses. Even though reconstruction slice thickness may vary, any slice thickness is generated from acquired 0.625-mm profile data. Thus, NI for any reconstruction slice thickness can be related back to NI for reconstructed 0.625-mm slice. For instance, NI = 40 at 0.625 mm equates nearly to NI = 33.8 at 1.25 mm and NI = 15.3 at 5 mm, each having same noise level ({sigma}) in acquired 0.625-mm profile data, though manifesting as different measured noise levels in reconstructed slices. ROI = region of interest.

 

Figure 2
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Fig. 2A Graphs of noise index (NI) data from Table 1. NI data plotted versus relative dose for five reconstruction slice thicknesses: 0.625 (black), 1.25 (red), 2.5 (blue), 3.75 (brown), and 5.0 mm (green). NI graph of overall results. NI values are plotted on y-axis and relative radiation dose values are plotted on x-axis as function of varying reconstruction slice thickness values, ranging from 0.625 to 5 mm.

 

Figure 3
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Fig. 2B Graphs of noise index (NI) data from Table 1. NI data plotted versus relative dose for five reconstruction slice thicknesses: 0.625 (black), 1.25 (red), 2.5 (blue), 3.75 (brown), and 5.0 mm (green). NI graph shows dose penalty if NI is decreased from 40 to 30 for 0.625-mm reconstruction slice thickness. As seen in graph, relative dose at NI of 40 and 0.625-mm reconstruction slice thickness is 1.0 (dotted line). At same reconstruction slice thickness of 0.625 mm, but changing NI to 30, relative radiation dose is 1.8 (solid line), resulting in 80% increase in relative dose.

 

Figure 4
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Fig. 2C Graphs of noise index (NI) data from Table 1. NI data plotted versus relative dose for five reconstruction slice thicknesses: 0.625 (black), 1.25 (red), 2.5 (blue), 3.75 (brown), and 5.0 mm (green). NI graph shows how to maintain constant radiation dose as reconstruction slice thickness is changed. For operator-selected 5-mm reconstruction slice thickness and NI of 12, how would NI change if reconstruction slice thickness was modified to 0.625 mm while maintaining same radiation dose? It can be seen that for NI of 12 and 5-mm reconstruction slice thickness, maintaining same relative radiation dose of 1.7 (dotted line) when changing to reconstruction slice thickness of 0.625 mm (solid line) requires change in NI from 12 to 31.

 

Figure 5
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Fig. 2D Graphs of noise index (NI) data from Table 1. NI data plotted versus relative dose for five reconstruction slice thicknesses: 0.625 (black), 1.25 (red), 2.5 (blue), 3.75 (brown), and 5.0 mm (green). NI graph illustrates importance of increase in relative radiation dose when reconstruction slice thickness is changed without changing NI. What happens to dose if same NI of 20 is kept when changing reconstruction slice thickness from 5 to 0.625 mm? At NI of 20 and reconstruction slice thickness of 5 mm, relative radiation dose is 0.6 (dotted line). At same NI of 20 but changing reconstruction slice thickness to 0.625 mm, relative radiation dose changes to 4.0 (solid line), thereby increasing dose by factor of 6.7 times, if maximum mA has not been reached.

 

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