Algebraic and numerical solutions are presented of the temperature rise in dental tissue due to interaction with ultrashort optical radiation. Results of the studies with femtosecond laser pulses show agreement between theory and experiment. A temperature rise of typically 5 K is found for a 40 millisecond train of 7 nJ, 70 fs laser pulses at a repetition rate of 80 MHz. The peak irradiance in our experimental studies was limited to 3x10(6) W/cm(2). Applications include photoacoustic imaging and tomography of dental tissue.
Ob jectives The European Society of Radiology identified 10 common indications for computed tomography (CT) as part of the European Study on Clinical Diagnostic Reference Levels (DRLs, EUCLID), to help standardize radiation doses. The objective of this study is to generate DRLs and median doses for these indications using data from the UCSF CT International Dose Registry. Methods Standardized data on 3.7 million CTs in adults were collected between 2016 and 2019 from 161 institutions across seven countries (United States of America (US), Switzerland, Netherlands, Germany, UK, Israel, Japan). DRLs (75th percentile) and median doses for volumetric CT-dose index (CTDIvol) and dose-length product (DLP) were assessed for each EUCLID category (chronic sinusitis, stroke, cervical spine trauma, coronary calcium scoring, lung cancer, pulmonary embolism, coronary CT angiography, hepatocellular carcinoma (HCC), colic/abdominal pain, appendicitis), and US radiation doses were compared with European. Results The number of CT scans within EUCLID categories ranged from 8,933 (HCC) to over 1.2 million (stroke). There was greater variation in dose between categories than within categories (p < .001), and doses were significantly different between categories within anatomic areas. DRLs and median doses were assessed for all categories. DRLs were higher in the US for 9 of the 10 indications (except chronic sinusitis) than in Europe but with a significantly higher sample size in the US. Conclusions DRLs for CTDIvol and DLP for EUCLID clinical indications from diverse organizations were established and can contribute to dose optimization. These values were usually significantly higher in the US than in Europe. Key Points • Registry data were used to create benchmarks for 10 common indications for CT identified by the European Society of Radiology. • Observed US radiation doses were higher than European for 9 of 10 indications (except chronic sinusitis). • The presented diagnostic reference levels and median doses highlight potentially unnecessary variation in radiation dose.
IMPORTANCE Computed tomography (CT) radiation doses vary across institutions and are often higher than needed.OBJECTIVE To assess the effectiveness of 2 interventions to reduce radiation doses in patients undergoing CT. DESIGN, SETTING, AND PARTICIPANTSThis randomized clinical trial included 864 080 adults older than 18 years who underwent CT of the abdomen, chest, combined abdomen and chest, or head at 100 facilities in 6 countries from
Purpose: To quantify the effect of pitch on noise in abdominal multi‐detector CT. Methods: The standard acrylic abdominal CTDI phantom was modified so that it could be supported on the gantry shroud and remain stationary during a helical multi‐detector CT image acquisition. The table top height was positioned 1 cm below the phantom so that the table could move during helical image acquisition without touching the phantom. The phantom was scanned with the x‐ray tube voltage, x‐ray tube anode current, reconstructed slice thickness, multi‐detector selection and reconstruction kernel typically employed in a standard abdominal protocol for the different pitches available. On a given unit only the pitch was varied. The pixel standard deviation (noise) for four small (100 mm2) centrally located regions of interest were measured and averaged. Sixteen slice and 64 slice multi‐detector CT scanners were studied. On both scanners the standard filtered backprojection image reconstruction (FBP) algorithm was utilized. Results: On both the 16 slice and 64 slice scanners the noise varied to a reasonable approximation with the square root of the pitch for pitches ranging from ∼0.5 to ∼1.0. On the 16 slice scanner the noise increased only slightly when the pitch was changed from 1.375 to 1.75 Conclusions: In the cases of the CT scanners studied our results support the widely accepted fact that noise in an abdominal (noncardiac) mode multi‐detector helical CT image varies with pitch (and to the first order with the square root of the pitch) for pitches up to one when the FBP algorithm is employed. Our results do not support this fact when the pitch is increased above 1.0 and in particular as the pitch is increased to 1.75.
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