Reduced-dose C-arm computed tomography applications at a pediatric institution

Background Reduced-dose C-arm computed tomography (CT) uses flat-panel detectors to acquire real-time 3-D images in the interventional radiology suite to assist with anatomical localization and procedure planning. Objective To describe dose-reduction techniques for C-arm CT at a pediatric institutio...

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Veröffentlicht in:	Pediatric radiology Jg. 47; H. 13; S. 1817 - 1824
Hauptverfasser:	Acord, Michael, Shellikeri, Sphoorti, Vatsky, Seth, Srinivasan, Abhay, Krishnamurthy, Ganesh, Keller, Marc S., Cahill, Anne Marie
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Berlin/Heidelberg Springer Berlin Heidelberg 01.12.2017 Springer Nature B.V
Schlagworte:	Adolescent Arm Child Child, Preschool Computation Computed tomography Copper Female Fluoroscopy Humans Image acquisition Image quality Imaging Imaging, Three-Dimensional Localization Male Medicine Medicine & Public Health Neuroradiology Nuclear Medicine Oncology Original Article Ostomy Pediatrics Radiation Dosage Radiation effects Radiation Exposure Radiation Protection - methods Radiography, Interventional - methods Radiology Reduction Retrospective Studies Tomography, X-Ray Computed - methods Ultrasound Children C-arm computed tomography Computed tomography Flat-panel computed tomography Interventional radiology Dose reduction
ISSN:	0301-0449, 1432-1998, 1432-1998
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Abstract	Background Reduced-dose C-arm computed tomography (CT) uses flat-panel detectors to acquire real-time 3-D images in the interventional radiology suite to assist with anatomical localization and procedure planning. Objective To describe dose-reduction techniques for C-arm CT at a pediatric institution and to provide guidance for implementation. Materials and methods We conducted a 5-year retrospective study on procedures using an institution-specific reduced-dose protocol: 5 or 8 s Dyna Rotation, 248/396 projection images/acquisition and 0.1–0.17 μGy/projection dose at the detector with 0.3/0.6/0.9-mm copper (Cu) filtration. We categorized cases by procedure type and average patient age and calculated C-arm CT and total dose area product (DAP). Results Two hundred twenty-two C-arm CT-guided procedures were performed with a dose-reduction protocol. The most common procedures were temporomandibular and sacroiliac joint injections (48.6%) and sclerotherapy (34.2%). C-arm CT was utilized in cases of difficult percutaneous access in less common applications such as cecostomy and gastrostomy placement, foreign body retrieval and thoracentesis. C-arm CT accounted for between 9.9% and 80.7% of the total procedural DAP. Conclusion Dose-reducing techniques can preserve image quality for intervention while reducing radiation exposure to the child. This technology has multiple applications within pediatric interventional radiology and can be considered as an adjunctive imaging tool in a variety of procedures, particularly when percutaneous access is challenging despite routine fluoroscopic or ultrasound guidance.
AbstractList	Reduced-dose C-arm computed tomography (CT) uses flat-panel detectors to acquire real-time 3-D images in the interventional radiology suite to assist with anatomical localization and procedure planning. To describe dose-reduction techniques for C-arm CT at a pediatric institution and to provide guidance for implementation. We conducted a 5-year retrospective study on procedures using an institution-specific reduced-dose protocol: 5 or 8 s Dyna Rotation, 248/396 projection images/acquisition and 0.1-0.17 μGy/projection dose at the detector with 0.3/0.6/0.9-mm copper (Cu) filtration. We categorized cases by procedure type and average patient age and calculated C-arm CT and total dose area product (DAP). Two hundred twenty-two C-arm CT-guided procedures were performed with a dose-reduction protocol. The most common procedures were temporomandibular and sacroiliac joint injections (48.6%) and sclerotherapy (34.2%). C-arm CT was utilized in cases of difficult percutaneous access in less common applications such as cecostomy and gastrostomy placement, foreign body retrieval and thoracentesis. C-arm CT accounted for between 9.9% and 80.7% of the total procedural DAP. Dose-reducing techniques can preserve image quality for intervention while reducing radiation exposure to the child. This technology has multiple applications within pediatric interventional radiology and can be considered as an adjunctive imaging tool in a variety of procedures, particularly when percutaneous access is challenging despite routine fluoroscopic or ultrasound guidance. Reduced-dose C-arm computed tomography (CT) uses flat-panel detectors to acquire real-time 3-D images in the interventional radiology suite to assist with anatomical localization and procedure planning.BACKGROUNDReduced-dose C-arm computed tomography (CT) uses flat-panel detectors to acquire real-time 3-D images in the interventional radiology suite to assist with anatomical localization and procedure planning.To describe dose-reduction techniques for C-arm CT at a pediatric institution and to provide guidance for implementation.OBJECTIVETo describe dose-reduction techniques for C-arm CT at a pediatric institution and to provide guidance for implementation.We conducted a 5-year retrospective study on procedures using an institution-specific reduced-dose protocol: 5 or 8 s Dyna Rotation, 248/396 projection images/acquisition and 0.1-0.17 μGy/projection dose at the detector with 0.3/0.6/0.9-mm copper (Cu) filtration. We categorized cases by procedure type and average patient age and calculated C-arm CT and total dose area product (DAP).MATERIALS AND METHODSWe conducted a 5-year retrospective study on procedures using an institution-specific reduced-dose protocol: 5 or 8 s Dyna Rotation, 248/396 projection images/acquisition and 0.1-0.17 μGy/projection dose at the detector with 0.3/0.6/0.9-mm copper (Cu) filtration. We categorized cases by procedure type and average patient age and calculated C-arm CT and total dose area product (DAP).Two hundred twenty-two C-arm CT-guided procedures were performed with a dose-reduction protocol. The most common procedures were temporomandibular and sacroiliac joint injections (48.6%) and sclerotherapy (34.2%). C-arm CT was utilized in cases of difficult percutaneous access in less common applications such as cecostomy and gastrostomy placement, foreign body retrieval and thoracentesis. C-arm CT accounted for between 9.9% and 80.7% of the total procedural DAP.RESULTSTwo hundred twenty-two C-arm CT-guided procedures were performed with a dose-reduction protocol. The most common procedures were temporomandibular and sacroiliac joint injections (48.6%) and sclerotherapy (34.2%). C-arm CT was utilized in cases of difficult percutaneous access in less common applications such as cecostomy and gastrostomy placement, foreign body retrieval and thoracentesis. C-arm CT accounted for between 9.9% and 80.7% of the total procedural DAP.Dose-reducing techniques can preserve image quality for intervention while reducing radiation exposure to the child. This technology has multiple applications within pediatric interventional radiology and can be considered as an adjunctive imaging tool in a variety of procedures, particularly when percutaneous access is challenging despite routine fluoroscopic or ultrasound guidance.CONCLUSIONDose-reducing techniques can preserve image quality for intervention while reducing radiation exposure to the child. This technology has multiple applications within pediatric interventional radiology and can be considered as an adjunctive imaging tool in a variety of procedures, particularly when percutaneous access is challenging despite routine fluoroscopic or ultrasound guidance. Background Reduced-dose C-arm computed tomography (CT) uses flat-panel detectors to acquire real-time 3-D images in the interventional radiology suite to assist with anatomical localization and procedure planning. Objective To describe dose-reduction techniques for C-arm CT at a pediatric institution and to provide guidance for implementation. Materials and methods We conducted a 5-year retrospective study on procedures using an institution-specific reduced-dose protocol: 5 or 8 s Dyna Rotation, 248/396 projection images/acquisition and 0.1–0.17 μGy/projection dose at the detector with 0.3/0.6/0.9-mm copper (Cu) filtration. We categorized cases by procedure type and average patient age and calculated C-arm CT and total dose area product (DAP). Results Two hundred twenty-two C-arm CT-guided procedures were performed with a dose-reduction protocol. The most common procedures were temporomandibular and sacroiliac joint injections (48.6%) and sclerotherapy (34.2%). C-arm CT was utilized in cases of difficult percutaneous access in less common applications such as cecostomy and gastrostomy placement, foreign body retrieval and thoracentesis. C-arm CT accounted for between 9.9% and 80.7% of the total procedural DAP. Conclusion Dose-reducing techniques can preserve image quality for intervention while reducing radiation exposure to the child. This technology has multiple applications within pediatric interventional radiology and can be considered as an adjunctive imaging tool in a variety of procedures, particularly when percutaneous access is challenging despite routine fluoroscopic or ultrasound guidance. BackgroundReduced-dose C-arm computed tomography (CT) uses flat-panel detectors to acquire real-time 3-D images in the interventional radiology suite to assist with anatomical localization and procedure planning.ObjectiveTo describe dose-reduction techniques for C-arm CT at a pediatric institution and to provide guidance for implementation.Materials and methodsWe conducted a 5-year retrospective study on procedures using an institution-specific reduced-dose protocol: 5 or 8 s Dyna Rotation, 248/396 projection images/acquisition and 0.1–0.17 μGy/projection dose at the detector with 0.3/0.6/0.9-mm copper (Cu) filtration. We categorized cases by procedure type and average patient age and calculated C-arm CT and total dose area product (DAP).ResultsTwo hundred twenty-two C-arm CT-guided procedures were performed with a dose-reduction protocol. The most common procedures were temporomandibular and sacroiliac joint injections (48.6%) and sclerotherapy (34.2%). C-arm CT was utilized in cases of difficult percutaneous access in less common applications such as cecostomy and gastrostomy placement, foreign body retrieval and thoracentesis. C-arm CT accounted for between 9.9% and 80.7% of the total procedural DAP.ConclusionDose-reducing techniques can preserve image quality for intervention while reducing radiation exposure to the child. This technology has multiple applications within pediatric interventional radiology and can be considered as an adjunctive imaging tool in a variety of procedures, particularly when percutaneous access is challenging despite routine fluoroscopic or ultrasound guidance.
Author	Shellikeri, Sphoorti Acord, Michael Krishnamurthy, Ganesh Keller, Marc S. Vatsky, Seth Srinivasan, Abhay Cahill, Anne Marie
Author_xml	– sequence: 1 givenname: Michael surname: Acord fullname: Acord, Michael email: acordm@email.chop.edu organization: Department of Radiology, The Children’s Hospital of Philadelphia – sequence: 2 givenname: Sphoorti surname: Shellikeri fullname: Shellikeri, Sphoorti organization: Department of Radiology, The Children’s Hospital of Philadelphia – sequence: 3 givenname: Seth surname: Vatsky fullname: Vatsky, Seth organization: Department of Radiology, The Children’s Hospital of Philadelphia – sequence: 4 givenname: Abhay surname: Srinivasan fullname: Srinivasan, Abhay organization: Department of Radiology, The Children’s Hospital of Philadelphia – sequence: 5 givenname: Ganesh surname: Krishnamurthy fullname: Krishnamurthy, Ganesh organization: Department of Radiology, The Children’s Hospital of Philadelphia – sequence: 6 givenname: Marc S. surname: Keller fullname: Keller, Marc S. organization: Department of Radiology, The Children’s Hospital of Philadelphia – sequence: 7 givenname: Anne Marie surname: Cahill fullname: Cahill, Anne Marie organization: Department of Radiology, The Children’s Hospital of Philadelphia
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CitedBy_id	crossref_primary_10_1053_j_ro_2019_06_009 crossref_primary_10_1007_s00247_022_05473_w crossref_primary_10_1007_s00247_023_05593_x crossref_primary_10_1016_j_ejrad_2018_12_012 crossref_primary_10_1007_s00247_018_4296_4 crossref_primary_10_1007_s00247_022_05308_8 crossref_primary_10_1055_s_0044_1801291 crossref_primary_10_1016_j_radcr_2018_03_007 crossref_primary_10_1016_j_tvir_2021_100779 crossref_primary_10_1016_j_jvir_2021_01_277 crossref_primary_10_1177_0846537119885680 crossref_primary_10_1007_s00247_019_04416_2 crossref_primary_10_1016_j_jvir_2020_03_004 crossref_primary_10_1097_BPB_0000000000001254
Cites_doi	10.1007/s00247-017-3830-0 10.1007/s00270-015-1227-8 10.1007/s00247-015-3479-5 10.1016/j.jvir.2008.02.018 10.1016/j.crad.2014.04.014 10.1007/s00247-015-3499-1 10.2214/AJR.07.2469 10.1053/j.tvir.2013.02.009 10.1016/j.jcmg.2010.09.011 10.2214/AJR.09.3963 10.2106/JBJS.M.00874 10.1007/s00247-010-1885-2 10.1016/j.jvir.2011.02.011 10.1007/s00270-017-1685-2
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Keywords	Children C-arm computed tomography Computed tomography Flat-panel computed tomography Interventional radiology Dose reduction
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References	Hawkins, Kukreja, Singewald (CR5) 2016; 46 Shellikeri, Setser, Hwang (CR11) 2017; 47 Glatz, Zhu, Gillespie (CR4) 2010; 3 Hwang, Chung, Lee (CR8) 2010; 195 Angle (CR2) 2013; 16 CR12 Thakor, Patel, Gu (CR14) 2016; 46 Braak, Van Strijen, Van Es (CR7) 2011; 22 Zhu, Felice, Johnson (CR13) 2011; 41 Ben-Shlomo, Cohen, Bruckheimer (CR10) 2016; 39 Delgado, Bedoya, Gaballah (CR6) 2014; 69 Wallace, Kuo, Glaiberman (CR1) 2008; 19 Racadio, Babic, Homan (CR3) 2007; 189 Cheng, Naranje, Ritenour (CR9) 2014; 96 X Zhu (3964_CR13) 2011; 41 SJ Braak (3964_CR7) 2011; 22 JM Racadio (3964_CR3) 2007; 189 JF Angle (3964_CR2) 2013; 16 HS Hwang (3964_CR8) 2010; 195 AC Glatz (3964_CR4) 2010; 3 3964_CR12 AS Thakor (3964_CR14) 2016; 46 EY Cheng (3964_CR9) 2014; 96 CM Hawkins (3964_CR5) 2016; 46 A Ben-Shlomo (3964_CR10) 2016; 39 MJ Wallace (3964_CR1) 2008; 19 S Shellikeri (3964_CR11) 2017; 47 J Delgado (3964_CR6) 2014; 69 28474255 - Pediatr Radiol. 2017 Jul;47(8):963-973 18503893 - J Vasc Interv Radiol. 2008 Jun;19(6):799-813 24806010 - J Bone Joint Surg Am. 2014 May 7;96(9):735-42 24865314 - Clin Radiol. 2014 Sep;69(9):931-8 26637320 - Pediatr Radiol. 2016 Apr;46(4):570-4 21098171 - AJR Am J Roentgenol. 2010 Dec;195(6):W400-7 21463755 - J Vasc Interv Radiol. 2011 Apr;22(4):455-61 23993076 - Tech Vasc Interv Radiol. 2013 Sep;16(3):144-9 28497188 - Cardiovasc Intervent Radiol. 2017 Oct;40(10 ):1593-1599 21071003 - JACC Cardiovasc Imaging. 2010 Nov;3(11):1149-57 26563298 - Pediatr Radiol. 2016 Mar;46(3):407-12 18029850 - AJR Am J Roentgenol. 2007 Dec;189(6):W357-64 21079943 - Pediatr Radiol. 2011 Apr;41(4):476-82 26493824 - Cardiovasc Intervent Radiol. 2016 May;39(5):732-9
References_xml	– volume: 47 start-page: 963 year: 2017 end-page: 973 ident: CR11 article-title: Real-time fluoroscopic needle guidance in the interventional radiology suite using navigational software for percutaneous bone biopsies in children publication-title: Pediatr Radiol doi: 10.1007/s00247-017-3830-0 – volume: 39 start-page: 732 year: 2016 end-page: 739 ident: CR10 article-title: Comparing effective doses during image-guided core needle biopsies with computed tomography versus C-arm cone beam CT using adult and pediatric phantoms publication-title: Cardiovasc Intervent Radiol doi: 10.1007/s00270-015-1227-8 – volume: 46 start-page: 407 year: 2016 end-page: 412 ident: CR14 article-title: MR cone-beam CT fusion image overlay for fluoroscopically guided percutaneous biopsies in pediatric patients publication-title: Pediatr Radiol doi: 10.1007/s00247-015-3479-5 – volume: 19 start-page: 799 year: 2008 end-page: 813 ident: CR1 article-title: Three-dimensional C-arm cone-beam CT: applications in the interventional suite publication-title: J Vasc Interv Radiol doi: 10.1016/j.jvir.2008.02.018 – volume: 69 start-page: 931 year: 2014 end-page: 938 ident: CR6 article-title: Percutaneous sclerotherapy of foot venous malformations: evaluation of clinical response publication-title: Clin Radiol doi: 10.1016/j.crad.2014.04.014 – volume: 46 start-page: 570 year: 2016 end-page: 574 ident: CR5 article-title: Use of cone-beam CT and live 3-D needle guidance to facilitate percutaneous nephrostomy and nephrolithotripsy access in children and adolescents publication-title: Pediatr Radiol doi: 10.1007/s00247-015-3499-1 – volume: 189 start-page: 1523 year: 2007 ident: CR3 article-title: Live 3D guidance in the interventional radiology suite publication-title: AJR Am J Roentgenol doi: 10.2214/AJR.07.2469 – ident: CR12 – volume: 16 start-page: 144 year: 2013 end-page: 149 ident: CR2 article-title: Cone-beam CT: vascular applications publication-title: Tech Vasc Interv Radiol doi: 10.1053/j.tvir.2013.02.009 – volume: 3 start-page: 1149 year: 2010 end-page: 1157 ident: CR4 article-title: Use of angiographic CT imaging in the cardiac catheterization laboratory for congenital heart disease publication-title: JACC Cardiovasc Imaging doi: 10.1016/j.jcmg.2010.09.011 – volume: 195 start-page: W400 year: 2010 end-page: W407 ident: CR8 article-title: C-arm cone-beam CT-guided percutaneous transthoracic lung biopsy: usefulness in evaluation of small pulmonary nodules publication-title: AJR Am J Roentgenol doi: 10.2214/AJR.09.3963 – volume: 96 start-page: 735 year: 2014 end-page: 742 ident: CR9 article-title: Radiation dosimetry of intraoperative cone-beam compared with conventional CT for radiofrequency ablation of osteoid osteoma publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.M.00874 – volume: 41 start-page: 476 year: 2011 end-page: 482 ident: CR13 article-title: Developing low-dose C-arm CT imaging for temporomandibular joint (TMJ) disorder in interventional radiology publication-title: Pediatr Radiol doi: 10.1007/s00247-010-1885-2 – volume: 22 start-page: 455 year: 2011 end-page: 461 ident: CR7 article-title: Effective dose during needle interventions: cone-beam CT guidance compared with conventional CT guidance publication-title: J Vasc Interv Radiol doi: 10.1016/j.jvir.2011.02.011 – volume: 16 start-page: 144 year: 2013 ident: 3964_CR2 publication-title: Tech Vasc Interv Radiol doi: 10.1053/j.tvir.2013.02.009 – volume: 189 start-page: 1523 year: 2007 ident: 3964_CR3 publication-title: AJR Am J Roentgenol doi: 10.2214/AJR.07.2469 – volume: 46 start-page: 570 year: 2016 ident: 3964_CR5 publication-title: Pediatr Radiol doi: 10.1007/s00247-015-3499-1 – volume: 195 start-page: W400 year: 2010 ident: 3964_CR8 publication-title: AJR Am J Roentgenol doi: 10.2214/AJR.09.3963 – volume: 47 start-page: 963 year: 2017 ident: 3964_CR11 publication-title: Pediatr Radiol doi: 10.1007/s00247-017-3830-0 – volume: 96 start-page: 735 year: 2014 ident: 3964_CR9 publication-title: J Bone Joint Surg Am doi: 10.2106/JBJS.M.00874 – ident: 3964_CR12 doi: 10.1007/s00270-017-1685-2 – volume: 22 start-page: 455 year: 2011 ident: 3964_CR7 publication-title: J Vasc Interv Radiol doi: 10.1016/j.jvir.2011.02.011 – volume: 41 start-page: 476 year: 2011 ident: 3964_CR13 publication-title: Pediatr Radiol doi: 10.1007/s00247-010-1885-2 – volume: 69 start-page: 931 year: 2014 ident: 3964_CR6 publication-title: Clin Radiol doi: 10.1016/j.crad.2014.04.014 – volume: 39 start-page: 732 year: 2016 ident: 3964_CR10 publication-title: Cardiovasc Intervent Radiol doi: 10.1007/s00270-015-1227-8 – volume: 46 start-page: 407 year: 2016 ident: 3964_CR14 publication-title: Pediatr Radiol doi: 10.1007/s00247-015-3479-5 – volume: 19 start-page: 799 year: 2008 ident: 3964_CR1 publication-title: J Vasc Interv Radiol doi: 10.1016/j.jvir.2008.02.018 – volume: 3 start-page: 1149 year: 2010 ident: 3964_CR4 publication-title: JACC Cardiovasc Imaging doi: 10.1016/j.jcmg.2010.09.011 – reference: 26493824 - Cardiovasc Intervent Radiol. 2016 May;39(5):732-9 – reference: 21079943 - Pediatr Radiol. 2011 Apr;41(4):476-82 – reference: 21463755 - J Vasc Interv Radiol. 2011 Apr;22(4):455-61 – reference: 18029850 - AJR Am J Roentgenol. 2007 Dec;189(6):W357-64 – reference: 28474255 - Pediatr Radiol. 2017 Jul;47(8):963-973 – reference: 28497188 - Cardiovasc Intervent Radiol. 2017 Oct;40(10 ):1593-1599 – reference: 23993076 - Tech Vasc Interv Radiol. 2013 Sep;16(3):144-9 – reference: 21071003 - JACC Cardiovasc Imaging. 2010 Nov;3(11):1149-57 – reference: 24865314 - Clin Radiol. 2014 Sep;69(9):931-8 – reference: 26637320 - Pediatr Radiol. 2016 Apr;46(4):570-4 – reference: 24806010 - J Bone Joint Surg Am. 2014 May 7;96(9):735-42 – reference: 18503893 - J Vasc Interv Radiol. 2008 Jun;19(6):799-813 – reference: 26563298 - Pediatr Radiol. 2016 Mar;46(3):407-12 – reference: 21098171 - AJR Am J Roentgenol. 2010 Dec;195(6):W400-7
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Snippet	Background Reduced-dose C-arm computed tomography (CT) uses flat-panel detectors to acquire real-time 3-D images in the interventional radiology suite to... Reduced-dose C-arm computed tomography (CT) uses flat-panel detectors to acquire real-time 3-D images in the interventional radiology suite to assist with... BackgroundReduced-dose C-arm computed tomography (CT) uses flat-panel detectors to acquire real-time 3-D images in the interventional radiology suite to assist...
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SubjectTerms	Adolescent Arm Child Child, Preschool Computation Computed tomography Copper Female Fluoroscopy Humans Image acquisition Image quality Imaging Imaging, Three-Dimensional Localization Male Medicine Medicine & Public Health Neuroradiology Nuclear Medicine Oncology Original Article Ostomy Pediatrics Radiation Dosage Radiation effects Radiation Exposure Radiation Protection - methods Radiography, Interventional - methods Radiology Reduction Retrospective Studies Tomography, X-Ray Computed - methods Ultrasound
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Title	Reduced-dose C-arm computed tomography applications at a pediatric institution
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