Determine the actual optimal radiation dose levels for chest CT.
Learn how to efficiently use the dose reduction techniques.
Be able to adapt the radiation dose delivered according to the indication and the patient’s morphology.
Become familiar with ultra-low dose (ULD) chest CT and be aware of its current and future applications.
1. Chest CT in 2014: what are the different radiation levels?
1.1. A little bit of physics: how to measure the radiation dose?
1.2. Current optimal radiation dose
1.2.1. Unenhanced chest CT
1.2.2. Enhanced chest CT
1.2.3. Chest CTA with ECG gating
1.3. Reduced dose and low dose chest CT
1.4. ULD chest CT
2. Dose reduction techniques: how to use them?
2.1. Iterative reconstruction
2.2. kV and tube current modulation
2.3. Others
3. Practical approach to radiation dose reduction in chest CT
3.1. Based on patient’s morphology
3.2. Based on the indication
3.3. Practical examples
4. ULD chest CT today and in the near future
4.1. Nodule detection and follow-up
4.2. Screening
4.2.1. Lung cancer
4.2.2. Asbestos related disease
4.2.3. Tuberculosis
4.3. Other future applications
4.4. Actual limitations
Schaal, M,
Ohana, M,
Jeung, M,
Labani, A,
Roy, C,
Reduced Dose, Low Dose, Ultra-low Dose… Can We Get Any Lower? A Practical Guide to Optimize the Radiation Dose Delivered in Chest Computed Tomography. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14014783.html