RSNA 2014 

Abstract Archives of the RSNA, 2014


SSK12-07

Adult CT Dose Monitoring Using Web Based Radiation Dose Tracking Software

Scientific Papers

Presented on December 3, 2014
Presented as part of SSK12: ISP: Informatics (Quality and Safety)

Participants

Kevin Murphy MBBCh, MRCS, Abstract Co-Author: Nothing to Disclose
Maria Twomey MBChB, FFR(RCSI), Presenter: Nothing to Disclose
James Ryan, Abstract Co-Author: Nothing to Disclose
Kate Carey, Abstract Co-Author: Nothing to Disclose
Patrick Nicholson MBBCh, Abstract Co-Author: Nothing to Disclose
Niamh Moore, Abstract Co-Author: Nothing to Disclose
Mary-Jane Murphy, Abstract Co-Author: Nothing to Disclose
Michael Sheehy, Abstract Co-Author: Nothing to Disclose
Owen J. O'Connor MBBCh, Abstract Co-Author: Nothing to Disclose
Michael M. Maher MD, FRCR, Abstract Co-Author: Nothing to Disclose

CONCLUSION

Radiation dose tracking software results in excellent streamlining of information collection and manipulation. In our study it quickly identified our mean doses for common examinations and pinpointed outliers and helped identify reasons for high radiation doses.

BACKGROUND

Dose monitoring, audit and CT optimization are key factors in achieving widespread CT dose reduction. We assess the ease and feasibility of using web based radiation dose tracking software (DoseWatch, GEHC) in assessing radiation dose (dose length product, DLP and size-specific dose estimate) at adult CT and comparing these values to published diagnostic reference levels (DRLs)

EVALUATION

Following IRB approval, 576 consecutive CT studies were retrospectively assessed (223 thorax, 353 abdomen-pelvis). Information regarding DLP, SSDE, demographics, effective diameter and time of acquisition were automatically obtained from the analysis software. In addition, information on the radiographer experience and inpatient status was also obtained from the radiology information system analysed. Results showed a mean thoracic CT DLP of 282±151 mGycm (range 5-1753) and SSDE of 9.22±1.82 (range 5-16 mGy). Mean radiation dose from CT abdomen-pelvis was 621±231 mGycm (range 244-1582); SSDE 13.7 mGy (range 3-21 mGy). Both studies had mean levels below the published DRLs [thorax: 460 mGycm; abdomen-pelvis 640 mGycm]. 12% had anomalously high doses. These higher doses were significantly associated with inexperienced technologists (p=0.009), out of hours scanning (p=0.04) and multiphase studies (p<0.001). There was a moderate correlation between radiation dose and effective diameter as expected (Thorax: Pearson r=0.566, p<0.001; Abdomen-pelvis: Pearson r=0.466, p<0.001). There was no significant difference between inpatients and outpatients for either body part

DISCUSSION

Our mean thoracic CT dose levels are significantly superior to published DRLs abdominopelvic dose levels are satisfactory when compared with diagnostic reference level. We have identified reasons for aberrantly high doses for certain patients with the use of radiation dose tracking software. This information will be of vital importance in future planning

Cite This Abstract

Murphy, K, Twomey, M, Ryan, J, Carey, K, Nicholson, P, Moore, N, Murphy, M, Sheehy, M, O'Connor, O, Maher, M, Adult CT Dose Monitoring Using Web Based Radiation Dose Tracking Software.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14019749.html