Abstract
Purpose
Cone-beam CT dacryocystography (CBCT-DCG) is a newly developed lacrimal passage imaging technique. This pilot study aimed to determine the effect of reducing tube current on image quality and radiation dose of CBCT-DCG in healthy volunteers.
Materials and methods
Thirty volunteers were randomly divided into three groups of ten. Each group of subjects underwent CBCT-DCG using a tube current of 13 mA, 10 mA, and 7 mA respectively. The image quality of CBCT-DCG was assessed independently by two observers using three different scoring methods and compared among the groups. The effective dose was estimated and compared among the three different tube current groups.
Results
The CBCT-DCG images provided a high spatial and contrast resolution of the bony structures and the contrast medium. No significant differences were found in the image quality between different tube current groups. Compared with the 13 mA group (49.44 μSv), the effective dose for 10 mA group (38.40 μSv) and 7 mA group (27.12 μSv) decreased by 22.33% and 45.15%, respectively.
Conclusion
By decreasing the tube current, CBCT-DCG can be performed with a significant reduction of effective dose without loss of image quality in healthy volunteers.
Similar content being viewed by others
Abbreviations
- CBCT:
-
Cone-beam computed tomography
- DCG:
-
Dacryocystography
- CBCT-DCG:
-
Cone-beam CT dacryocystography
- CT-DCG:
-
Computed tomographic dacryocystography
- DS-DCG:
-
Digital subtraction dacryocystography
- DAP:
-
Dose area product
References
Freitag SK, Woog JJ, Kousoubris PD, Curtin H. Helical computed tomographic dacryocystography with three-dimensional reconstruction. Ophthalmic Plast Reconstr Surg. 2002;18(2):121–32.
Singh S, Ali MJ, Paulsen F. Dacryocystography: from theory to current practice. Ann Anat. 2019;224:33–40.
Wilhelm KE, Rudorf H, Greschus S, et al. Cone-Beam computed tomography (CBCT) dacryocystography for imaging of the nasolacrimal duct system. Klin Neuroradiol. 2009;19(4):283–91.
Ali MJ, Singh S, Naik MN, Kaliki S, Dave TV. Interactive navigation-guided ophthalmic plastic surgery: the utility of 3D CT-DCG-guided dacryolocalization in secondary acquired lacrimal duct obstructions. Clin Ophthalmol. 2017;11:127–33.
Ali MJ, Paulsen F. Syndromic and nonsyndromic systemic associations of congenital lacrimal drainage anomalies. Ophthalmic Plast Reconstr Surg. 2017;33(6):399–407.
Demeslay J, Vergez S, Serrano E, et al. Morphological concordance between CBCT and MDCT: a paranasal sinus-imaging anatomical study. Surg Radiol Anat. 2016;38(1):71–8.
Tschopp M, Bornstein MM, Sendi P, Jacobs R, Goldblum D. Dacryocystography using cone beam CT in patients with Lacrimal drainage system obstruction. Ophthalmic Plast Reconstr Surg. 2014;30(6):486–91.
Karlin JN, Mustak H, Gupta A, Ramos R, Rootman DB. Cone beam computerized tomography dacryocystography (CBCT DCG) for the evaluation of lacrimal drainage system dysfunction. Ophthalmic Plast Reconstr Surg. 2020. https://doi.org/10.1097/IOP.0000000000001629.
Sohaib SA, Peppercorn PD, Horrocks JA, Keene MH, Kenyon GS, Reznek RH. The effect of decreasing mAs on image quality and patient dose in sinus CT. Br J Radiol. 2001;74(878):157.
Brem MH, Zamani AA, Riva R, et al. Multidetector CT of the paranasal sinus: potential for radiation dose reduction. Radiology. 2007;243(3):847–52.
Leiva-Salinas C, Flors L, Gras P, et al. Dental flat panel cone beam CT in the evaluation of patients with inflammatory sinonasal disease: diagnostic efficacy and radiation dose savings. Am J Neuroradiol. 2014;35(11):2052–7.
Lofthag-Hansen S, Thilander-Klang A, Ekestubbe A, Helmrot E, Grondahl K. Calculating effective dose on a cone beam computed tomography device: 3D Accuitomo and 3D Accuitomo FPD. Dentomaxillofac Radiol. 2008;37(2):72–9.
Wall BF, Hart D. Revised radiation doses for typical X-ray examinations. Report on a recent review of doses to patients from medical X-ray examinations in the UK by NRPB. National Radiological Protection Board. Br J Radiol. 1997;70(833):437–9.
Güldner C, Ningo A, Voigt J, et al. Potential of dosage reduction in cone-beam-computed tomography (CBCT) for radiological diagnostics of the paranasal sinuses. Eur Arch Oto-Rhino-L. 2013;270(4):1307–15.
Jaju PP, Jaju SP. Cone-beam computed tomography: time to move from ALARA to ALADA. Imaging Sci Dent. 2015;45(4):263.
Chen Z, Wang J. Diagnostic capability and radiation dose of cone beam CT dacryocystography in different scanning fields of view in healthy volunteers. Radiol Med. 2020. https://doi.org/10.1007/s11547-020-01227-6.
Blackmore KJ, Ainsworth G, Robson AK. Epiphora: an evidence based approach to the 12 minute consultation. Clin Otolaryngol. 2010;35(3):210–4.
Udhay P, Noronha OV, Mohan RE. Helical computed tomographic dacryocystography and its role in the diagnosis and management of lacrimal drainage system blocks and medial canthal masses. Indian J Ophthalmol. 2008;56(1):31–7.
Manfrè L, de Maria M, Todaro E, Mangiameli A, Ponte F, Lagalla R. MR dacryocystography: comparison with dacryocystography and CT dacryocystography. AJNR Am J Neuroradiol. 2000;21(6):1145–50.
Higashi H, Tamada T, Mizukawa K, Ito K. MR dacryocystography: comparison with dacryoendoscopy in positional diagnosis of nasolacrimal duct obstruction. Radiol Med. 2016;121(7):580–7.
Jing Z, Lang C, Qiu-Xia W, et al. High-spatial-resolution isotropic three-dimensional fast-recovery fast spin-echo magnetic resonance dacryocystography combined with topical administration of sterile saline solution. Eur J Radiol. 2013;82(9):1546–51.
Acknowledgments
We thank Mr. Jianli Chen and MS Gao Jing for their English translation assistance.
Funding
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors. The authors received no financial support for the research, authorship, and/or publication of this article.
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by ZC, PW and LD. The first draft of the manuscript was written by ZC and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that there are no conflicts of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments. The Ethics Committee of the Xiamen Branch, Zhongshan Hospital, Fudan University approved this study.
Informed consent
Informed written consent was obtained from all subjects.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
About this article
Cite this article
Chen, Z., Wang, P., Du, L. et al. Potential of dosage reduction of cone-beam CT dacryocystography in healthy volunteers by decreasing tube current. Jpn J Radiol 39, 233–239 (2021). https://doi.org/10.1007/s11604-020-01058-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11604-020-01058-5