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Considerations on the practical application of the size-specific dose estimation (SSDE) method of AAPM Report 204

Abstract

Computed tomography (CT) is responsible for much of the radiation exposure to the population for medical purposes. The technique requires high doses that vary widely from center to center, and for different scanners and radiologists as well. In order to monitor doses to patients, the American Association of Physicists in Medicine has developed the size-specific dose estimate (SSDE), which consists of the determination of patient size dependent coefficients for converting the standard dosimetric index, CTDIvol, into an estimate of the dose actually absorbed by the patient. The present work deals with issues concerning the use of SSDE in the clinical practice. First the issue regarding how much SSDE varies when, for a given CT protocol, the scan covers slightly different volumes is addressed. Then, the differences among SSDE values derived from different patient size descriptors are investigated. For these purposes, data from a clinical archive are analyzed by an automatic procedure specifically developed for SSDE.

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References

  1. McCollough CH. CT dose: how to measure, how to reduce. Health Phys. 2008;95(5):508–17.

    CAS  PubMed  Article  Google Scholar 

  2. McCollough CH, Leng S, Yu L, Cody DD, Boone JM, McNitt-Gray MF. CT dose index and patient dose: they are not the same thing. Radiology. 2011;259:311–6.

    PubMed Central  PubMed  Article  Google Scholar 

  3. DeMarco JJ, Cagnon CH, Cody DD, Stevens DM, McCollough CH, Zankl M, Angel E, McNitt-Gray MF. Estimating radiation doses from multidetector CT using Monte Carlo simulations: effects of different size voxelized patient models on magnitudes of organ and effective dose. Phys Med Biol. 2007;52(9):2583–97.

    CAS  PubMed  Article  Google Scholar 

  4. Huda W, Sterzik A, Tipnis S, Schoepf UJ. Organ doses to adult patients for chest CT. Med Phys. 2010;37(2):842–7.

    PubMed Central  PubMed  Article  Google Scholar 

  5. Turner A, Zhang D, Khatonabadi M, Zankl M, DeMarco JJ, Cagnon CH, Cody DD, Stevens DM, McCollough CH, McNitt-Gray MF. The feasibility of patient size-corrected, scanner-independent organ dose estimates for abdominal CT exams. Med Phys. 2011;38(2):820–9.

    PubMed Central  PubMed  Article  Google Scholar 

  6. American Association of Physicists in Medicine. Size Specific Dose Estimates (SSDE) in pediatric and adult body CT examinations. Report of the AAPM Tasck Group 204, College Park, MD, 2011.

  7. Li B, Behrman RH. Comment on the report of AAPM TG 204: size-specific dose estimates (SSDE) in pediatric and adult body CT examinations. Med Phys. 2012;39(7):4613–4.

    PubMed  Google Scholar 

  8. Boone JM. Reply to comment on the report of AAPM TG 204: size-specific dose estimates (SSDE) in pediatric and adult body CT examinations. Med Phys. 2012;39(7):4615.

    PubMed Central  Article  Google Scholar 

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Acknowledgments

The authors wish to thank Prof. Pier Andrea Mandò of the University of Florence for his support to the present work.

Conflict of interest

None of the authors have any conflicts of interest associated with this study.

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Correspondence to Linhsia Noferini.

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Noferini, L., Fulcheri, C., Taddeucci, A. et al. Considerations on the practical application of the size-specific dose estimation (SSDE) method of AAPM Report 204. Radiol Phys Technol 7, 296–302 (2014). https://doi.org/10.1007/s12194-014-0265-2

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  • DOI: https://doi.org/10.1007/s12194-014-0265-2

Keywords

  • CT
  • Dose
  • Size descriptor