The Feasibility of Low-dose Chest CT Acquisition Protocol for the Imaging of COVID-19 Pneumonia

Abstract

Objective: To investigate the feasibility of low dose chest CT acquisition protocol for the imaging of either the confirmed case of COVID-19 disease or the suspected case of this disease in adults. Method: In this retrospective case-control study, the study group consisted of 141 patients who were imaged with low dose chest CT acquisition protocol. The control group consisted of 92 patients who were imaged with the standard protocol. Anteroposterior and lateral diameters of chest, effective diameter and scan length, qualitative and quantitative noise levels, volumetric CT dose index (CTDIvol), dose length product (DLP), and size-specific dose estimations were compared between groups. Results: Radiation dose reduction by nearly 90% (CTDIvol and DLP values 1.06 mGy and 40.3 mGy.cm vs. 8.07 mGy and 330 mGy.cm, p < 0.001, respectively) was achieved with the use of low dose acquisition chest CT protocol. Despite higher image noise with low dose acquisition protocol, no significant effect on diagnostic confidence was encountered. Cardiac and diaphragm movement-related artifacts were similar in both groups (p = 0.275). Interobserver agreement was very good in terms of diagnostic confidence assessment. Conclusion: For the imaging of either the confirmed case of COVID-19 related pneumonia or the suspected case of this disease in adults, low dose chest CT acquisition protocol provides remarkable radiation dose reduction without adversely affecting image quality and diagnostic confidence.

Adapting Acquisition Protocols for Covid-19 Patients: A Radiographers’ Perspection in Italy.

“…In this current study, 23,7% of the respondents stated that the dedicated Covid-19 chest CT protocol differed from the standard by radiation dose, kV and mAs (10.2%) and by using a high resolution CT (HRCT) protocol (56.3%). Atli E. et al [11] confirmed that a lowdose chest CT protocol intended for Covid-19 pneumonia did not affect the image quality or the diagnostic confidence. Additionally, regarding dedicated portable x-ray machine for CXR on patients with Sars-Cov-2 infection, statistical relevance (p value < 0,001) was recorded.…”

Standardization of a CT Protocol for Imaging Patients with Suspected COVID-19—A RACOON Project

“…Several CT protocols for diagnosing and monitoring the course of COVID-19 and its treatment have been published since the beginning of the pandemic for a variety of CT scanners and vendors [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 ]. Quite often, protocols vary with regard to the associated radiation exposure and the desired image quality (IQ).…”