Diagnostic Reference Levels based on clinical indications in computed tomography: a literature review

Paulo, Graciano; Damilakis, John; Tsapaki, Virginia; Schegerer, Alexander; Repussard, Jacques; Jaschke, Werner; Frija, G.

doi:10.1186/s13244-020-00899-y

Cited by 66 publications

(24 citation statements)

References 22 publications

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“…The medium dose (MD) protocol using 38 mGy and the high dose protocol using 66 mGy represent dose levels observed in typical clinical examinations of the head and neck. These protocols reflect the fact that the ultra-high resolution acquisitions might not be performed as dedicated dental examinations and dental structures might only be considered retrospectively in case of incidental findings 35 .…”

Section: Methodsmentioning

confidence: 99%

Dental imaging using an ultra-high resolution photon-counting CT system

Ruetters

Şen

Gehrig

et al. 2022

Sci Rep

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Clinical photon-counting CT (PCCT) offers a spatial resolution of about 200 µm and might allow for acquisitions close to conventional dental CBCTs. In this study, the capabilities of this new system in comparison to dental CBCTs shall be evaluated. All 8 apical osteolysis identified in CBCT were identified by both readers in all three PCCT scan protocols. Mean visibility scores showed statistical significant differences for root canals(p = 0.0001), periodontal space(p = 0.0090), cortical(p = 0.0003) and spongious bone(p = 0.0293) in favor of high and medium dose PCCT acquisitions. Overall, both devices showed excellent image quality of all structures assessed. Interrater-agreement showed high values for all protocols in all structures. Bland–Altman plots revealed a high concordance of both modalities with the reference measurements. In vitro, ultra-high resolution PCCT can reliably identify different diagnostic entities and structures relevant for dental diagnostics similar to conventional dental CBCT with similar radiation dose. Acquisitions of five cadaveric heads were performed in an experimental CT-system containing an ultra-high resolution PC detector (0.25 mm pixel size in isocenter) as well as in a dental CBCT scanner. Acquisitions were performed using dose levels of 8.5 mGy, 38.0 mGy and 66.5 mGy (CTDI16cm) in case of PCCT and of 8.94 mGy (CTDI16cm) in case of CBCT. The quality of delineation of hard tissues, root-canals, periodontal-space as well as apical osteolysis was assessed by two readers. Mean visibility scores and interrater-agreement (overall agreement (%)) were calculated. Vertical bone loss (bl) and thickness (bt) of the buccal bone lamina of 15 lower incisors were measured and compared to reference measurements by ore microscopy and clinical probing.

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Section: Methodsmentioning

confidence: 99%

Dental imaging using an ultra-high resolution photon-counting CT system

Ruetters

Şen

Gehrig

et al. 2022

Sci Rep

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“…The definition of low-and ultra-low-dose chest CT does not include precise quantitative value or technical protocol. It is recognised that the radiation dose of chest LDCT should be half that of standard dose CT [13]. For lung cancer screening, the effective dose estimates were 1.6 and 2.4 mSv for one CT for men and women, respectively [6].…”

Section: Latest Developments Before Covid-19mentioning

confidence: 99%

Low Dose Chest CT and Lung Ultrasound for the Diagnosis and Management of COVID-19

Finance

Zieleskewicz

Habert

et al. 2021

JCM

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Background: The COVID-19 pandemic has provided an opportunity to use low- and non-radiating chest imaging techniques on a large scale in the context of an infectious disease, which has never been done before. Previously, low-dose techniques were rarely used for infectious diseases, despite the recognised danger of ionising radiation. Method: To evaluate the role of low-dose computed tomography (LDCT) and lung ultrasound (LUS) in managing COVID-19 pneumonia, we performed a review of the literature including our cases. Results: Chest LDCT is now performed routinely when diagnosing and assessing the severity of COVID-19, allowing patients to be rapidly triaged. The extent of lung involvement assessed by LDCT is accurate in terms of predicting poor clinical outcomes in COVID-19-infected patients. Infectious disease specialists are less familiar with LUS, but this technique is also of great interest for a rapid diagnosis of patients with COVID-19 and is effective at assessing patient prognosis. Conclusions: COVID-19 is currently accelerating the transition to low-dose and “no-dose” imaging techniques to explore infectious pneumonia and their long-term consequences.

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“…Безусловно, именно КТ имеет максимальную чувствительность в выявлении изменений в легких, характерных для COVID-19, что делает ее методом выбора [305].…”

Section: лучевая диагностика заболеваний желудочно-кишечного тракта у пациентов с Covid-19unclassified

Management of patients with digestive diseases during the COVID-19 pandemic. Clinical Practice Guidelines by the Russian scientiﬁc medical society of internal medicine (RSMSIM) and the Gastroenterological Scientiﬁc Society of Russia (2nd edition)

Гриневич

Kravchuk

Педь

et al. 2021

jour

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The presented clinical practice guidelines of the Gastroenterological Scientiﬁc Society of Russia (GSSR), diagnostic, and therapeutic approaches for patients with digestive diseases during the COVID-19 pandemic. The guidelines were approved by the XXIII Congress of the GSSR and the 22nd International Slavonic-Baltic Scientiﬁ c Forum “St. Petersburg - Gastro-2020 ON-LINE” (St. Petersburg, June 11, 2020). The presented clinical practice guidelines of the Russian Scientiﬁc Medical Society of Internal Medicine (RSMSIM) and the Gastroenterological Scientiﬁc Society of Russia (GSSR), diagnostic, and therapeutic approaches for patients with digestive diseases during the COVID-19 pandemic. The recommendations were approved at the XV National Congress of Internal Medicine, XXIII Congress of NOGR on the basis of the 1st edition, adopted at the 22nd International Slavic- Baltic Scientiﬁc Forum “St. Petersburg - Gastro-2020 ON-LINE”.

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Diagnostic Reference Levels based on clinical indications in computed tomography: a literature review

Cited by 66 publications

References 22 publications

Dental imaging using an ultra-high resolution photon-counting CT system

Dental imaging using an ultra-high resolution photon-counting CT system

Low Dose Chest CT and Lung Ultrasound for the Diagnosis and Management of COVID-19

Management of patients with digestive diseases during the COVID-19 pandemic. Clinical Practice Guidelines by the Russian scientiﬁc medical society of internal medicine (RSMSIM) and the Gastroenterological Scientiﬁc Society of Russia (2nd edition)

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