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Pediatric Radiology

, Volume 47, Issue 6, pp 710–717 | Cite as

Image quality and radiation dose of brain computed tomography in children: effects of decreasing tube voltage from 120 kVp to 80 kVp

  • Ji Eun Park
  • Young Hun ChoiEmail author
  • Jung-Eun Cheon
  • Woo Sun Kim
  • In-One Kim
  • Hyun Suk Cho
  • Young Jin Ryu
  • Yu Jin Kim
Original Article

Abstract

Background

Computed tomography (CT) has generated public concern associated with radiation exposure, especially for children. Lowering the tube voltage is one strategy to reduce radiation dose.

Objective

To assess the image quality and radiation dose of non-enhanced brain CT scans acquired at 80 kilo-voltage peak (kVp) compared to those at 120 kVp in children.

Materials and methods

Thirty children who had undergone both 80- and 120-kVp non-enhanced brain CT were enrolled. For quantitative analysis, the mean attenuation of white and gray matter, attenuation difference, noise, signal-to-noise ratio, contrast-to-noise ratio and posterior fossa artifact index were measured. For qualitative analysis, noise, gray-white matter differentiation, artifact and overall image quality were scored. Radiation doses were evaluated by CT dose index, dose-length product and effective dose.

Results

The mean attenuations of gray and white matter and contrast-to-noise ratio were significantly increased at 80 kVp, while parameters related to image noise, i.e. noise, signal-to-noise ratio and posterior fossa artifact index were higher at 80 kVp than at 120 kVp. In qualitative analysis, 80-kVp images showed improved gray-white differentiation but more artifacts compared to 120-kVp images. Subjective image noise and overall image quality scores were similar between the two scans. Radiation dose parameters were significantly lower at 80 kVp than at 120 kVp.

Conclusion

In pediatric non-enhanced brain CT scans, a decrease in tube voltage from 120 kVp to 80 kVp resulted in improved gray-white matter contrast, comparable image quality and decreased radiation dose.

Keywords

Brain Children Computed tomography Dose reduction Ionizing radiation Tube voltage 

Notes

Compliance with ethical standards

Conflicts of interest

None

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Department of Radiology, Graduate SchoolKyung Hee University HospitalSeoulSouth Korea
  2. 2.Department of RadiologySeoul National University HospitalSeoulSouth Korea
  3. 3.Department of RadiologySeoul National University College of MedicineSeoulSouth Korea
  4. 4.Institute of Radiation MedicineSeoul National University Medical Research CenterSeoulSouth Korea

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