Effective diameter (D eff ) Size-specific dose estimate (SSDE) Volume CT dose index (CTDI vol ) CT scanner Information on the effective diameter (D eff ) is essential for estimating the dose for patients undergoing CT examinations. The purpose of this study was to calculate the effective diameter using the maximum values of lateral (LAT) and anteriorposterior (AP) diameters (D eff,m ) and using LAT and AP diameters taken from the center of the image (D eff,c ), and compare both estimates to the effective diameter calculated directly from the cross-sectional area of the patient (D eff,A ). We evaluated 164 patients who underwent the four most frequent CT examinations, namely pelvic, abdominal, thoracic, and head examinations, using a multi-detector CT (MDCT), the Toshiba Aquilion 128. We used the Wilcoxon-Mann-Witney U test to statistically determine whether differences were significant.