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Relationship between body habitus and image quality and radiation dose in chest X-ray examinations: A phantom study
摘要： Purpose: To evaluate the influence of being overweight on image quality (IQ), radiation dose and acquisition parameters when undertaking adult chest X-ray (CXR) examinations using routine acquisition protocols. Methods: The Lungman chest phantom, with and without chest plates, was used to simulate the chest region for larger size and average adult patients, respectively. Radiographic acquisitions were conducted using 17 X-ray machines located in eight hospitals using their routine clinical protocols. IQ was assessed using relative visual grading analysis (VGA) and 2 alternative forced choice (2AFC) by six observers. Incident air kerma (IAK) was measured using a solid-state dosimeter. Results: IQ mean (range) scores between the hospitals were 16.2 (12.0–21.3) with a 56.0% difference and 20.9 (14.1–23.6) with a 50.2% difference for the standard and larger size phantoms, respectively. IAK mean (range) scores 63 μGy (19–136 μGy) with a 150% difference and 159 μGy (27–384 μGy) with a 173% difference for the standard and larger size phantoms, respectively. The chest plates had a significant negative impact on IQ (P = 0.001) and lead to an increased in IAK by approximately 50%. Conclusion: Visual measures of IQ and IAK showed large differences between hospitals for standard and larger phantom sizes; differences within the hospitals was lower. Overall, Lungman with chest plates was found to degrade IQ and increase radiation dose by a factor of two. Further optimisation is required especially for the larger sized patient’s imaging protocols for all eight hospitals.
关键词： Overweight,Image quality,Obesity,Adult chest radiography,Dose optimisation,Radiation dose
更新于2025-09-23 15:23:52
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Projection X-ray Imaging
摘要： Recent advances in digital detector technology for medical radiography and fluoroscopy have resulted in improved workflow efficiency, operational flexibility, image quality, and diagnostic accuracy. This is attributed to the implementation of portable flat-panel x-ray detector devices able to provide real-time readout, processing, and display of medical images. As a result, digital radiography flat-panel detectors are rapidly replacing computed radiography passive detectors for projection imaging exams and image intensifier detectors for dynamic fluoroscopy exams. Advanced exam capabilities now include digital tomosynthesis and dual-energy radiography; the former is based on rapid acquisition of multiple angle-dependent image projections to synthesize tomographic slabs at selectable depths within the patient, and the latter is based on rapid back-to-back acquisition of the same anatomy at low and high x-ray energies to generate separate soft tissue and bone images. In both situations, superimposition of anatomy is reduced or eliminated, with the possibility of enhanced diagnostic confidence. Increased x-ray absorption efficiency and lower electronic noise of digital radiography detectors compared to computed radiography detectors enable equal image quality at lower patient dose; however, because of a disconnect between image appearance and radiation dose, lower patient dose is not always achieved. Education, training, and implementation of standards such as the International Electrotechnical Commission 62494-1 Digital Radiography Exposure Index are needed to ensure image quality at the lowest appropriate radiation dose. The National Council on Radiation Protection and Measurements can contribute to radiation responsibility in medical imaging by providing guidance on use of digital radiography, including recommendations for acquisition protocols and exposure index standards, for development of radiographic exam diagnostic reference levels, and for oversight of retake and reject analysis.
关键词： x rays,radiation dose,fluoroscopy,National Council on Radiation Protection and Measurements
更新于2025-09-23 15:23:52
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Dose distribution verification in high-dose-rate brachytherapy using a highly sensitive normoxic N-vinylpyrrolidone polymer gel dosimeter
摘要： Rapid technological advances in high-dose-rate brachytherapy have led to a requirement for greater accuracy in treatment planning system calculations and in the verification of dose distributions. In high-dose-rate brachytherapy, it is important to measure the dose distribution in the low-dose region at a position away from the source in addition to the high-dose range in the proximity of the source. The aim of this study was to investigate the accuracy of a treatment plan designed for prostate cancer in the low-dose range using a normoxic N-vinylpyrrolidone-based polymer gel (VIPET gel) dosimeter containing inorganic salt as a sensitizer (iVIPET). The dose response was evaluated on the basis of the transverse relaxation rate (R2) measured by magnetic resonance scanning. In the verification of the treatment plan, gamma analysis showed that the dose distributions obtained from the polymer gel dosimeter were in good agreement with those calculated by the treatment planning system. The gamma passing rate according to the 2%/2 mm criterion was 97.9%. The iVIPET gel dosimeter provided better accuracy for low doses than the normal VIPET gel dosimeter, demonstrating the potential to be a useful tool for quality assurance of the dose distribution delivered by high-dose-rate brachytherapy.
关键词： Iridium-192,MRI,High-dose-rate brachytherapy,Polymer gel dosimeter
更新于2025-09-23 15:23:52
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Coronary artery calcium scoring with photon-counting CT: first in vivo human experience
摘要： To evaluate the performance of photon-counting detector (PCD) computed tomography (CT) for coronary artery calcium (CAC) score imaging at standard and reduced radiation doses compared to conventional energy-integrating detector (EID) CT. A dedicated cardiac CT phantom, ten ex vivo human hearts, and ten asymptomatic volunteers underwent matched EID and PCD CT scans at different dose settings without ECG gating. CAC score, contrast, and contrast-to-noise ratio (CNR) were calculated in the cardiac CT phantom. CAC score accuracy and reproducibility was assessed in the ex vivo hearts. Standard radiation dose (120 kVp, reference mAs = 80) in vivo CAC scans were compared against dose-reduced CAC scans (75% dose reduction; reference mAs = 20) for image quality and CAC score reproducibility. Interstudy agreement was assessed by using intraclass correlation (ICC), linear regression, and Bland–Altman analysis with 95% confidence interval limits of agreement (LOA). Calcium-soft tissue contrast and CNR were significantly higher for the PCD CAC scans in the cardiac CT phantom (all P < 0.01). Ex vivo hearts: CAC score reproducibility was significantly higher for the PCD scans at the lowest dose setting (50 mAs) (P = 0.002); score accuracy was similar for both detector systems at all dose settings. In vivo scans: the agreement between standard dose and low dose CAC score was significantly better for the PCD than for the EID with narrower LOA in Bland–Altman analysis, linear regression slopes closer to 1 (0.96 vs. 0.84), and higher ICC values (0.98 vs. 0.93, respectively). Phantom and in vivo human studies showed PCD may significantly improve CAC score image quality and/or reduce CAC score radiation dose while maintaining diagnostic image quality.
关键词： Radiation dose reduction,Photon-counting CT,Coronary artery calcium score
更新于2025-09-23 15:23:52
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Readjustment of abdominal computed tomography protocols in a university hospital: impact on radiation dose
摘要： Objective: To assess the reduction of estimated radiation dose in abdominal computed tomography following the implementation of new scan protocols on the basis of clinical suspicion and of adjusted images acquisition parameters. Materials and Methods: Retrospective and prospective review of reports on radiation dose from abdominal CT scans performed three months before (group A – 551 studies) and three months after (group B – 788 studies) implementation of new scan protocols proposed as a function of clinical indications. Also, the images acquisition parameters were adjusted to reduce the radiation dose at each scan phase. The groups were compared for mean number of acquisition phases, mean CTDIvol per phase, mean DLP per phase, and mean DLP per scan. Results: A significant reduction was observed for group B as regards all the analyzed aspects, as follows: 33.9%, 25.0%, 27.0% and 52.5%, respectively for number of acquisition phases, CTDIvol per phase, DLP per phase and DLP per scan (p < 0.001). Conclusion: The rational use of abdominal computed tomography scan phases based on the clinical suspicion in conjunction with the adjusted images acquisition parameters allows for a 50% reduction in the radiation dose from abdominal computed tomography scans.
关键词： Contrast media,Radiation dose,Radiation protection,Computed tomography,Abdomen
更新于2025-09-23 15:23:52
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Noninvasive biodegradable nanoparticles-in-nanofibers single-dose ocular insert: <i>in vitro</i> , <i>ex vivo</i> and <i>in vivo</i> evaluation
摘要： Aim: This study involves, for the first time, the development of mucoadhesive biodegradable polymeric-multilayered nanoparticles-in-nanofibers (NPs-in-NFs) matrix as an innovative single-dose noninvasive ocular-insert that could substitute conventional ocular dosage-forms. Materials & methods: Azithromycin-loaded poly(lactic-co-glycolic acid) copolymer/pluronic NPs were developed then incorporated into electrospun polyvinylpyrrolidone NFs, and tested for their efficient treatment of ocular bacterial infection. Results: Release and permeation studies proved the ability of the insert to control drug release over 10 days. Conclusion: The incorporation of NPs into NFs achieved several other benefits like increasing ocular residence and contact time with conjunctival tissue, accurate dose delivery, sustaining drug release with constant rate, reducing frequency of administration, improving bioavailability along with decreasing incidence of visual and systemic side effects.
关键词： nanofibers,electrospun,bacterial infection,single-dose,ocular,azithromycin
更新于2025-09-23 15:23:52
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A Radio-Fluorogenic Polymer-Gel Makes Fixed Fluorescent Images of Complex Radiation Fields
摘要： We review the development and application of an organic polymer-gel capable of producing fixed, three-dimensional fluorescent images of complex radiation fields. The gel consists for more than 99% of γ-ray-polymerized (~15% conversion) tertiary-butyl acrylate (TBA) containing ~100 ppm of a fluorogenic compound, e.g., maleimido-pyrene (MPy). The radio-fluorogenic effect depends on copolymerization of the MPy into growing chains of TBA on radiation-induced polymerization. This converts the maleimido residue, which quenches the pyrene fluorescence, into a succinimido moiety (SPy), which does not. The intensity of the fluorescence is proportional to the yield of free-radicals formed and hence to the local dose deposited. Because the SPy moieties are built into the polymer network, the image is fixed. The method of preparing the gel and imaging the radiation-induced fluorescence are presented and discussed. The effect is illustrated with fluorescent images of the energy deposited in the gel by beams of X-rays, electrons, and protons as well as a radioactive isotope.
关键词： polymer gel dosimetry,radio-fluorogenic co-polymerization,radio-fluorogenic gel,3D dose imaging,proton beam imaging,tertiary-butyl acrylate gel
更新于2025-09-23 15:23:52
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Total Ionizing Dose Effects of 55-nm Silicon-Oxide-Nitride-Oxide-Silicon Charge Trapping Memory in Pulse and DC Modes
摘要： The 60Co-γ ray total ionizing dose radiation responses of 55-nm silicon-oxide-nitride-oxide-silicon (SONOS) memory cells in pulse mode (programmed/erased with pulse voltage) and dc mode (programmed/erased with direct voltage sweeping) are investigated. The threshold voltage and off-state current of memory cells before and after radiation are measured. The experimental results show that the memory cells in pulse mode have a better radiation-hard capability. The normalized memory window still remains at 60% for cells in dc mode and 76% for cells in pulse mode after 300 krad(Si) radiation. The charge loss process physical mechanisms of programmed SONOS devices during radiation are analyzed.
关键词： dc mode,pulse mode,total ionizing dose,radiation effects,SONOS memory
更新于2025-09-23 15:23:52
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Measurement of peripheral dose to pelvic region and associated risk for cancer development after breast intraoperative electron radiation therapy
摘要： This study aimed to measure received dose to the pelvic region of patients during breast intraoperative electron radiation therapy (IOERT). Furthermore, we compared the findings with those of external beam radiation therapy. Finally, secondary ovary and uterus cancer risks following breast IOERT were estimated. In the current study, the received dose to the pelvic surface of 18 female patients during breast IOERT boost were measured by thermoluminescent dosimeter (TLD-100) chips. All patients were treated with 12 Gy given in a single fraction. To estimate the dose to the ovary and uterus of the patients, conversion coefficients for depth from surface dose were obtained in a Rando phantom. Given the received dose to the pelvic region of the patients, secondary ovary and uterus cancer risks following breast IOERT were estimated. The received doses to ovary and uterus surface of the patients were 0.260±0.155 mGy to 31.460±6.020 mGy and 0.485±0.122 mGy to 22.387±15.476 mGy, respectively. Corresponding intra-pelvic (ovary and uterus) regional doses were 0.012±0.007 mGy to 1.479±0.283 mGy and 0.027±0.001 mGy to 1.164±0.805 mGy, respectively. Findings demonstrated that the ratio of the received dose by pelvic surface to regional dose during breast IOERT was much less than external beam energies were 135.722±117.331 × 10-6 and 69.958±28.072 × 10-6, and for uterus were 17.342±10.583 × 10-6 and 2.971±3.604 × 10-6, respectively. According to our finding, the use of breast IOERT in pregnant patients can be considered as a safe radiotherapeutic technique, because the received dose to the fetus was lower than 50 mGy. Furthermore, IOERT can efficiently reduce the unnecessary dose to the pelvis region and lowers the risk of a secondary ovary and uterus cancer following breast irradiation.
关键词： Breast cancer,peripheral dose,Radiation therapy,IOERT,Secondary cancer risk,pelvic region
更新于2025-09-23 15:23:52
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MicroCT imaging dose to mouse organs using a validated Monte Carlo model of the small animal radiation research platform (SARRP)
摘要： The goal of this work was to establish imaging dose to mouse organs with a validated Monte Carlo (MC) model of the image-guided Small Animal Radiation Research Platform (SARRP) and to investigate the effect of scatter from the internal walls on animal therapy dose determination. A MC model of the SARRP was built in the BEAMnrc code and validated with a series of homogeneous and heterogeneous phantom measurements. A segmented microCT scan of a mouse was used in DOSXYZnrc to determine mouse organ microCT imaging doses to 15–35 g mice for the SARRP pancake (mouse lying on couch) and standard (mouse standing on couch) imaging geometries for 40–80 kVp tube voltages. Imaging dose for off-center positioning shifts and maintaining image noise across tube voltages were also calculated. Half-value layer (HVL) measurements for the 220 kVp therapy beam in the presence of the SARRP shielding cabinet were modeled in BEAMnrc and compared to the 100 cm source-to-detector distance (SDD) in the scatter free, narrow-beam geometry recommended by the American Association of Physicists in Medicine Task Group 61 (AAPM TG-61). For a 60 kVp, 0.8 mA, and 60 s scan protocol, maximum mean organ imaging doses to boney and non-boney structures were 10.5 cGy and 3.5 cGy, respectively, for an average size 20 g mouse. Current-exposure combinations above 323, 203, 147, 116, and 95 mAs for 40–80 kVp tube voltages, respectively, will increase body doses above 10 cGy. MicroCT mean body dose was 18% lower in pancake compared to standard imaging geometry. An 11% difference in measured HVL at a 50 cm SDD was found compared to MC simulated HVL for the AAPM TG-61 recommended scatter free geometry at a 100 cm SDD. This change in HVL resulted in a 0.5% change in absorbed dose to water calculations for the treatment beam.
关键词： SARRP,HVL,microCT,Monte Carlo,imaging dose,small animal irradiator
更新于2025-09-23 15:23:52