Abstract
Computed tomography (CT) using X-rays was the first imaging modality used in Medicine associating computer processing with data obtained from patients’ X-ray transmission. This innovative technique developed during the second half of the 1960s and available for clinical use in 1972 has brought a new vision about the contrast details of the patient’s body.
Keywords
- Compute Tomography System
- Effective Atomic Number
- Radiation Profile
- Gafchromic Film
- Pediatric Compute Tomography
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References
Keevil, S. F. (2011). Physics and medicine: A historical perspective. Lancet, 379, 1517–1524. (Published Online April 18 2012).
Webb, S. (1990). From the watching of shadows—The origins of radiological tomography. Bristol: Adam Hilger, ed.
Rothenberg, L. N., & Pentlow, K. S. (1992). Radiation dose in CT. Radiographics, 12, 1225–1243.
McCollough, C. H., Bruesewitz, M. R., & Kofler, J. M, Jr. (2006). CT dose reduction and dose management tools: Overview of available options. RadioGraphics, 26, 503–512.
Brenner, D. J., & Hall, E. J. (2007). Computed tomography: An increasing source of radiation exposure. New England Journal of Medicine, 357, 2277–2284.
Nickoloff, E. L., & Alderson, P. O. (2001). Radiation exposures to patients from CT: Reality, public perception, and policy. American Journal of Roentgenology, 177, 285–287.
Fazel, R., Krumholz, H. M., Wang, Y., Ross, J. S., Chen, J., Ting, H. H., Shah, N. D., Nasir, K., Einstein, A. J., and Nallamothu, B.K. (2009). Exposure to Low-Dose Ionizing Radiation from Medical Imaging Procedures. N Engl J Med, 361, 849–857. doi: 10.1056/NEJMoa0901249.
Fayngersh, V., & Passero, M. (2009). Estimating radiation risk from computed tomography scanning. Lung, 187, 143–148.
Freudenberg, L. S., & Beyer, T. (2011). Subjective perception of radiation risk. Journal of Nuclear Medicine, 52(Suppl 2), 29S–35S.
International Commission on Radiological Protection. (2007b). Managing patient dose in multi-detector computed tomography (MDCT). ICRP Publication 102. Annals of the ICRP 37(1). Elselvier ed.
Thomadsen, B. R., Paliwal, B. R., Laursen, J. F., Filamor, C. O., & van de Geijn, P. (1983). Some phantom designs for radiation dosimetry and CT applications. Medical Physics, 10, 886–888.
Shope, T. B., Gagne, R. M., and Johnson, G. C. (1981). A method for describing the doses delivered by transmission x-ray computed tomography. Med Phys, 8(4), 488–495.
McCollough, C. H., Leng, S., Yu, L., Cody, D. D., Boone, J. M., & McNitt-Gray, M. F. (2011). CT Dose Index and patient dose: They are not the same thing. Radiology, 259, 311–316.
McCullough, E. C., & Payne, J. T. (1978). Patient dosage in computed tomography. Radiology, 129, 457–463.
American Association of Physicists in Medicine. (2008). The measurement, reporting and management of radiation dose in CT. Report No. 96 of AAPM Task Group 23, Available in http://www.aapm.org/pubs/reports/.
American Association of Physicists in Medicine (2010). Comprehensive methodology for the evaluation of radiation dose in x-ray computed tomography. Report No. 111 of AAPM Task Group 111. Available in http://www.aapm.org/pubs/reports/.
International Electrotechnical Commission. (2009). Medical electrical equipment: Part 2–44—Particular requirements for the safety of x-ray equipment for computed tomography. Publication no. 60601-2-44. Ed. 3.: International Electrotechnical Commission, 1–36. Geneva, Switzerland.
Furlow, B. (2010). Radiation dose in computed tomography. Radiologic Technology, 81, 437–450.
Knox, H. H., & Gagne, R. M. (1996). Alternative methods of obtaining the computed tomography dose index. Health Physics, 71, 219–224.
Lin, P.-J. P., Beck, T.J., Borras, C., Cohen, G., Jucius, R.A., Kriz, R.J., Nickoloff, E.L., Rothenberg, L.N., Strauss, K.J., Villafana, T. (1993). Specification and acceptance testing of computed tomography scanners. Report No. 39 of AAPM Task Group 2. Available in http://www.aapm.org/pubs/reports/.
Lavoie, L., Ghita, M., Brateman, L., & Arreola, M. (2011). Characterization of a commercially-available, optically-stimulated luminescent dosimetry system for use in computed tomography. Health Phy, 101, 299–310.
Vrieze, T. J., Sturchio, G. M., & McCollough, C. H. (2012). Precision and accuracy of a commercially available CT optically stimulated luminescent dosimetry system for the measurement of CT dose index. Medical Physics, 39, 6580–6584.
Yukihara, E. G., Ruan, C., Gasparian, P. B. R., Clouse, W. J., Kalavagunta, C., & Ahmad, S. (2009). An optically stimulated luminescence system to measure dose profiles in x-ray computed tomography. Physics in Medicine & Biology, 54, 6337–6352.
Gorny, K. R., Leitzen, S. L., Bruesewitz, M. R., Kofler, J. M., Hangiandreou, N. J., & McCollough, C. H. (2005). The calibration of experimental self-developing Gafchromic® HXR film for the measurement of radiation dose in computed tomography. Medical Physics, 32, 1010–1016.
Mukundan, S., Wang P. I., Frush, D. P., Yoshizumi, T., Marcus, J., Kloeblen, E., and Moore, M. (2007). MOSFET Dosimetry for Radiation Dose Assessment of Bismuth Shielding of the Eye in Children. American Journal of Roentgenology. 188:1648–1650.
Gagne, R. M. (1989). Geometrical aspects of computed tomography: Sensitivity profile and exposure profile. Medical Physics, 16, 29–37.
Suzuki, A., & Suzuki, M. N. (1978). Use of a pencil-shaped ionization chamber for measurement of exposure resulting from a computed tomography scan. Medical Physics, 5, 536–539.
Boone, J. M. (2007). The trouble with CTD100. Medical Physics, 34, 1364–1371.
Brenner, D. J., & McCollough, C. H. (2006). It is time to retire the computed tomography dose index (CTDI) for CT quality assurance and dose optimization. Medical Physics, 33, 1189–1191.
Dixon, R. L. (2003). A new look at CT dose measurement: Beyond CTDI. Medical Physics, 30, 1272–1280.
Dixon, R. L. et al. (2010). The future of CT dosimetry—Comprehensive methodology for the evaluation of radiation dose in x-ray computed tomography. Report of AAPM Task Group III.
International Atomic Energy Agency (IAEA). (2007). Dosimetry in diagnostic radiology: An international code of practice. Technical Reports Series No. 457 (IAEA).
Siegel, M. J., Schmidt, B., Bradley, D., Suess, C., & Hildebolt, C. (2004). Radiation dose and image quality in pediatric CT: Effect of technical factors and phantom size and shape. Radiology, 233, 515–5221.
Ngaile, J. E., Msaki, P., & Kazema, R. (2012). Patient-size-dependent radiation dose optimisation technique for abdominal CT examinations. Radiation Protection Dosimetry, 148, 189–201.
McCullough, E. C. (1980). Specifying and evaluating the performance of computed tomography (CT) scanners. Medical Physics, 7, 291–296.
McCullough, E. C., Raker, H. I., Houser, O. W., & Reese, D. F. (1974). An evaluation of the quantitative and radiation features of a scanning x-ray transverse axial tomography: the EMI scanner. Radiology, 111, 709–715.
McCullough, E. C., Payne, J. T., Baker, H. L., Hattery, R. R., Sheedv, P. P., Stephens, D. S., et al. (1976). Performance evaluation and quality assurance of computed tomography (CT) equipment with illustrative data for ACTA, delta and EMI scanners. Radiology, 120, 173–188.
Judy P. F., Balter, S., Bassano, D., McCullough, E.C., Payne, J.T. & Rothenberg, L. (1977). Phantoms for performance evaluation and quality assurance of CT scanners. AAPM report nr. 1. American Association of Physicists in Medicine, Chicago.
Bellon, E. M., Miraldi, F. D., & Wiesen, E. J. (1979). Performance of evaluation of computed tomography scanners using a phantom model. American Journal of Roentgenology, 132, 345–352.
Goodenough, D. J., Weaver, K. E., & Davis, D. O. (1977). Development of a phantom for evaluation and assurance of image quality in ct scanning. Optical Engineering, 16, 52–65.
Goodenough, D. J., Levy, J. R., & Kasales, C. (1998). Development of phantoms for spiral CT. Comput Med Imag Grap, 22, 247–255.
White, D. R., Martin, R., & Darlison, R. (1977). Epoxy resin based tissue substitutes. British Journal of Radiology, 50, 814–821.
The Phantom Laboratory. (2012b). Catphan® 500 and 600 manual. Available on line in http://www.phantomlab.com/library/pdf/catphan500-600manual.pdf.
The Institute of Physics and Engineering in Medicine. (1997). Recommended standards for the routine performance testing of diagnostic x-ray imaging systems. IPEM Report No 77. Institute of Physics and Engineering in Medicine, New York.
The Institute of Physics and Engineering in Medicine. (2003). Measurement of the performance characteristics of diagnostic x-ray systems used in medicine. IPEM Report No: 32 Part III: Computed tomography x-ray scanners (2nd edition). York, Institute of Physics and Engineering in Medicine.
European Commission. (2000). European guidelines on quality criteria for computed tomography. EUR 16262 EN. Luxembourg, Office for Official Publications of the European Communities.
American College of Radiology. (2012). CT accreditation program requirements. Available in http://www.acr.org/~/media/ACR/Documents/Accreditation/CT/Requirements.pdf.
McCollough, C. H., Bruesewitz, M. R., McNitt-Gray, M. F., Bush, K., Ruckdeschel, T., Payne, J. T., et al. (2004). The phantom portion of the American College of Radiology (ACR) computed tomography (CT) accreditation program: Practical tips, artifact examples, and pitfalls to avoid. Medical Physics, 31, 2423–2442.
Alderson, S. W., Lanzl, L. H., Rollins, M., & Spira, J. (1962). An instrumented phantom system for analog computation of treatment plans. American Journal of Roentgenology, 87, 185–195.
White, D. R. (1978). Tissue substitutes in experimental radiation physics. Medical Physics, 5, 467–479.
Archer, B. R., Glaze, S., North, L. B., & Bushong, S. C. (1977). Dosimeter placement in the rando phantom. Medical Physics, 4, 315–318.
Vacirca, S. J., Pasternack, B. S., & Blatz, H. (1972). A film-thermoluminescent dosimetry method for predicting body doses due to diagnostic radiography. Physics in Medicine & Biology, 17, 71–80.
Yalcintas, M. G., & Nalcioglu, O. (1979). A method for dose determination in computerized tomography. Health Physics, 37, 543–548.
Fullerton, G. D., & White, D. R. (1979). Anthropomorphic test objects for CT scanners. Radiology, 133, 217–222.
The Phantom Laboratory. (2012a). RAN 100 and RAN 110 datasheet brochure. Available on line in http://www.phantomlab.com/library/pdf/rando_datasheet.pdf.
Nikolic, B., Khosa, F., Lin, P. J. P., Khan, A. N., Sarwar, S., Yam, C.-S., et al. (2010). Absorbed radiation dose in radiosensitive organs during coronary CT angiography using 320-MDCT: Effect of maximum tube voltage and heart rate variations. American Journal of Roentgenology, 195, 1347–1354.
Hurwitz, L. M., Yoshizumi, T. T., Reiman, R. E., Paulson, E. K., Frush, D. P., Nguyen, G. T., et al. (2006). Radiation dose to the female breast from 16-MDCT body protocols. American Journal of Roentgenology, 186, 1718–1722.
Litmanovich, D., Tack, D., Lin, P. J., Boiselle, P. M., Raptopoulos, V., Bankier A. A., (2011). Female breast, lung, and pelvic organ radiation from dose-reduced 64-MDCT thoracic examination protocols: a phantom study. AJR Am J Roentgenol. 197(4), 929–934. doi: 10.2214/AJR.10.6401.
Deak, P., van Straten, M., Shrimpton, P. C., Zankl, M., & Kalender, W. A. (2008). Validation of a Monte Carlo tool for patient-specific dose simulations in multi-slice computed tomography. European Radiology, 18, 759–772.
International Commission on Radiological Protection. (2007a). The 2007 recommendations of the international commission on radiological protection. ICRP Publication 103. Elselvier ed.
Huda, W., Atherton, J. V., Ware, D. E., & Cumming, W. A. (1997). An approach for the estimation of effective radiation dose at CT in pediatric patients. Radiology, 203, 417–422.
Deak, P. D., Smal, Y., & Kalender, W. A. (2010). Sex- and age-specific conversion factors used to determine effective dose from Dose-Length product. Radiology, 257, 158–166.
Cristy, M. (1980). Mathematical phantoms representing children of various ages for use in estimates of internal dose. Report no. ORNL/NUREG/TM-367. Oak Ridge, Tenn: Oak Ridge National Laboratory.
Melo Lima, V. J., Cassola, V. F., Kramer, R., de Oliveira Lira, C. A. B., Khoury, H. J., & Vieira, J. W. (2011). Development of 5- and 10-year-old pediatric phantoms based on polygon mesh surfaces. Medical Physics, 38, 4723–4736.
Kramer, R., Vieira, J. W., Khoury, H. J., Lima, F. R. A., & Fuelle, D. (2003). All about MAX: A male adult voxel phantom for Monte Carlo calculations in radiation protection dosimetry. Physics in Medicine & Biology, 48, 1239–1262.
Cassola, V. F., de Melo Lima, V. J., Kramer, R., & Khoury, H. J. (2010). FASH and MASH: Female and male adult human phantoms based on polygon mesh surfaces. Part I: Development of the anatomy. Physics in Medicine & Biology, 55, 133–162.
Kramer, R., Cassola, V. F., Vieira, J. W., Khoury, H. J., de Oliveira Lira, C. A. B., & Brown, K. R. (2012). Skeletal dosimetry based on CT images of trabecular bone: update and comparisons. Physics in Medicine & Biology, 57, 3995–4021.
Boone, J. M., Geraghty, E. M., Seibert, J. A., & Wootton-Gorges, S. L. (2003). Dose reduction in pediatric CT: A rational approach. Radiology, 228, 352–360.
Strauss, K. J., Goske, M. J., Frush, D. P., Butler, P. F., & Morrison, G. (2009). Image Gently vendor summit: Working together for better estimates of pediatric radiation dose from CT. American Journal of Roentgenology, 192, 1169–1175.
Cody, D. D., Moxley, D. M., Krugh, K. T., O’Daniel, J. C., Wagner, L. K., & Eftekhari, F. (2004). Strategies for formulating appropriate MDCT techniques when imaging the chest, abdomen, and pelvis in pediatric patients. American Journal Roentgenology, 182, 849–859.
Brisse, H. J., Robilliard, M., Savignoni, A., Pierrat, N., Gaboriaud, G., De Rycke, Y., et al. (2009). Assessment of organ absorbed doses and estimation of effective doses from pediatric anthropomorphic phantom measurements for multi-detector row CT with and without automatic exposure control. Health Physics, 97, 303–314.
Birnbaum, B. A., Hindman, N., Lee, J., & Babb, J. S. (2007). Multi–detector row CT attenuation measurements: Assessment of intra- and interscanner variability with an anthropomorphic body CT phantom. Radiology, 242, 109–119.
Birnbaum, B. A., Hindman, N., Lee, J., & Babb, J. S. (2007). Influence of multidetector CT reconstruction algorithm and scanner type in phantom model. Radiology, 244, 767–775.
Wagner, L. K., Lester, R. G., & Saldana, L. R. (1985). Exposure of the pregnant patient to diagnostic radiations: a guide to medical management. Philadelphia: Lippinoott.
Wagner, L. K., Archer, B. R., & Zeck, O. F. (1986). Conceptus dose from state-of-the-artCT scanners. Radiology, 159, 787–792.
Osei, E. K., & Faulkner, K. (1999). Fetal doses from radiological examinations. British Journal of Radiology, 72, 773–780.
Osei, E. K., Darko, J. B., Faulkner, K., & Kotre, C. J. (2003). Software for the estimation of fetal radiation dose to patients and staff in diagnostic radiology. Journal of Radiological Protection, 23, 183–194.
Osei, E. K., & Faulkner, K. (2000). Radiation risks from exposure to diagnostic x-rays during pregnancy. Radiography, 6, 131–144.
Osei, E. K., & Barnett, R. (2009). Software for the estimation of organ equivalent and effective doses from diagnostic radiology procedures. Journal of Radiological Protection, 29, 361–376.
Osei, E. K., & Darko, J. (2013). A survey of organ equivalent and effective doses from diagnostic radiology procedures. ISRN Radiology, 2013, 1–9.
Felmlee, J. P., Gray, J. E., Leetzow, M. L., & Price, J. C. (1990). Estimated fetal radiation dose from multislice CT studies. American Journal of Roentgenology, 154, 185–190.
Dietrich, M. F., Miller, K. L., & King, S. H. (2005). Determination of potential uterine (conceptus) doses from axial and helical CT scans. Health Physics, 88, S10–S13.
Hurwitz, L. M., Yoshizumi, T., Reiman, R. E., Goodman, P. C., Paulson, E. K., Frush, D. P., et al. (2006). Radiation dose to the fetus from body MDCT during early gestation. American Journal of Roentgenology, 186, 871–876.
Jaffe, T. A., Neville, A. M., Anderson-Evans, C., Long, S., Lowry, C., Yoshizumi, T. T., et al. (2009). Early first trimester fetal dose estimation method in a multivendor study of 16- and 64-mdct scanners and low-dose imaging protocols. American Journal of Roentgenology, 193, 1019–1024.
Jaffe, T. A., Yoshizumi, T. T., Toncheva, G. I., Nguyen, G., Hurwitz, L. M., & Nelson, R. C. (2008). Early first-trimester fetal radiation dose estimation in 16-MDCT without and with automated tube current modulation. American Journal of Roentgenology, 190, 860–864.
Gilet, A. G., Dunkin, J. M., Fernandez, T. J., Button, T. M., & Budorick, N. E. (2011). Fetal radiation dose during gestation estimated on an anthropomorphic phantom for three generations of CT scanners. American Journal of Roentgenology, 196, 1133–1137.
Wang, J., Christner, J. A., Duan, X., Leng, S., Yu, L., & McCollough, C. H. (2012). Attenuation-based estimation of patient size for the purpose of size specific dose estimation in CT. Part II. Implementation on abdomen and thorax phantoms using cross sectional CT images and scanned projection radiograph images. Medical Physics, 39, 6678–6772.
Peng, G., Zeng, Y., Luo, T., Zhao, F., Peng, S., You, R., et al. (2012). Organ dose evaluation for multi-slice spiral ct scans based on China Sichuan chest anthropomorphic phantom measurements. Radiation Protection Dosimetry, 150, 292–297.
McCollough, C.H. (2011). Translating protocols across patient size: Babies to bariatric. Lecture in the 2011 AAPM Summit on CT Dose. October 7–8 2011, Denver, CO.
Duan, X., Wang, J., Christner, J. A., Leng, S., Grant, K. L., & McCollough, C. H. (2011). Dose reduction to anterior surfaces with organ-based tube-current modulation: Evaluation of performance in a phantom study. American Journal of Roentgenology, 197, 689–695.
Matsubara, K., Koshida, K., Ichikawa, K., Suzuki, M., Takata, T., Yamamoto, T., et al. (2009). Misoperation of CT automatic tube current modulation systems with inappropriate patient centering: Phantom studies. American Journal of Roentgenology, 192, 862–865.
Kalender, W. A., Wolf, H., & Suess, C. (1999). Dose reduction in CT by anatomically adapted tube current modulation. II. Phantom measurements. Medical Physics, 26, 2248–2253.
Keat, N. (2005). CT scanner automatic exposure control system. ImPACT report 05016. MHRA reports, London.
Flohr, T. G., Bruder, H., Stierstorfer, K., Petersilka, M., Schmidt, B., & McCollough, C. H. (2008). Image reconstruction and image quality evaluation for a dual source CT scanner. Medical Physics, 35, 5882–5897.
McCollough, C. H., Primak, A. N., Saba, O., Bruder, H., Stierstorfer, K., Raupach, R., et al. (2007). Dose performance of a 64-channel dual-source CT scanner. Radiology, 243, 775–784.
Capeleti, F.F., Melo, C.S., Furquim, T.A.C., Nersissian, D.Y. (2011). Phantom development for quality control in automatic exposure control in computed tomography systems. Poster Presented on 18 th International Conference of Medical Physics, April 17–20 2011, Porto Alegre, Brazil.
Morehouse, C. C., Brody, W. R., Guthaner, D. F., Breiman, R. S., & Harell, G. S. (1980). Gated cardiac computed tomography with a motion phantom. Radiology, 134, 213–217.
Boll, D. T., Merkle, E. M., Paulson, E. K., & Fleiter, T. R. (2008). Dual-Energy multidetector CT assessment in a pilot study with anthropomorphic phantom. Radiology, 247, 687–695.
Driscoll, B., Coolens, C., & Keller, H. (2011). Quantitative DCE-CT imaging quality assurance with a novel dynamic flow phantom. Medical Physics, 38, 3874.
Horiguchi, J., Kiguchi, M., Fujioka, C., Shen, Y., Arie, R., Sunasaka, K., et al. (2008). Radiation dose, image quality, stenosis measurement, and CT densitometry using ECG-Triggered coronary 64-MDCT angiography: A phantom study. American Journal of Roentgenology, 190, 315–320.
Nosratieh, A., Yang, K., Aminololama-Shakeri, S., & Boone, J. M. (2012). Comprehensive assessment of the slice sensitivity profiles in breast tomosynthesis and breast CT. Medical Physics, 39, 7254–7261.
Szegedi, M., Szegedi, P. R., Sarkar, V., Hinkle, J., Wang, B., Huang, Y., et al. (2012). Tissue characterization using a phantom to validate four-dimensional tissue deformation. Medical Physics, 39, 6065–6070.
McNitt-Gray, M. (2013). CT dose measurements. Lecture presented at Hands-on Workshop for Physicists. MD Anderson Cancer Center, February 8–10, 2013.
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Costa, P.R. (2014). Computer Tomography Phantom Applications. In: DeWerd, L., Kissick, M. (eds) The Phantoms of Medical and Health Physics. Biological and Medical Physics, Biomedical Engineering. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8304-5_7
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