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10.2214/AJR.14.14135

http://scihub22266oqcxt.onion/10.2214/AJR.14.14135
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C5384467!5384467!26397332
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suck abstract from ncbi


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pmid26397332      AJR+Am+J+Roentgenol 2015 ; 205 (4): 827-33
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  • Calculation of organ doses for a large number of patients undergoing computed tomography examinations #MMPMID26397332
  • Bahadori A; Miglioretti D; Kruger R; Flynn M; Weinmann S; Smith-Bindman R; Lee C
  • AJR Am J Roentgenol 2015[Oct]; 205 (4): 827-33 PMID26397332show ga
  • Purpose: To develop and demonstrate an automated calculation method to provide organ dose assessment for a large cohort of pediatric and adult patients undergoing CT examinations. Methods: We adopted two dose libraries that were previously published: the CTDIvol-normalized organ dose library and the mAs-normalized CTDIw library. We developed an algorithm to calculate organ doses using the two dose libraries and CT scan parameters available from DICOM data. To demonstrate the established method, we calculated organ doses for pediatric (n=2499) and adult (n=2043) CT scans randomly selected from four health care systems in the United States, and compared the adult organ doses with the values calculated from the ImPACT calculator. Results: Median brain dose was 20 mGy (pediatric) and 24 mGy (adult), and brain dose was greater than 40 mGy for 11% (pediatric) and 18% (adult) of head scans. Both the NCI and the ImPACT methods provided similar organ doses (median discrepancy < 20%) for all organs except for the organs located close to scan boundaries. The visual comparisons of scan coverage and phantom anatomies revealed that the NCI method based realistic computational phantoms provides more realistic organ doses compared to the ImPACT method. Conclusion: The automated organ dose calculation method developed in this study reduces the time needed to calculate doses on a large number of patients. We have successfully utilized this method for a variety of CT-related studies including retrospective epidemiological study and CT dose trend analysis studies.
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