5 years ago

Do we need 3D tube current modulation information for accurate organ dosimetry in chest CT? Protocols dose comparisons

Xochitl Lopez-Rendon, Wim Develter, Walter Coudyzer, Federica Zanca, Hilde Bosmans, Guozhi Zhang



To compare the lung and breast dose associated with three chest protocols: standard, organ-based tube current modulation (OBTCM) and fast-speed scanning; and to estimate the error associated with organ dose when modelling the longitudinal (z-) TCM versus the 3D-TCM in Monte Carlo simulations (MC) for these three protocols.


Five adult and three paediatric cadavers with different BMI were scanned. The CTDIvol of the OBTCM and the fast-speed protocols were matched to the patient-specific CTDIvol of the standard protocol. Lung and breast doses were estimated using MC with both z- and 3D-TCM simulated and compared between protocols.


The fast-speed scanning protocol delivered the highest doses. A slight reduction for breast dose (up to 5.1%) was observed for two of the three female cadavers with the OBTCM in comparison to the standard. For both adult and paediatric, the implementation of the z-TCM data only for organ dose estimation resulted in 10.0% accuracy for the standard and fast-speed protocols, while relative dose differences were up to 15.3% for the OBTCM protocol.


At identical CTDIvol values, the standard protocol delivered the lowest overall doses. Only for the OBTCM protocol is the 3D-TCM needed if an accurate (<10.0%) organ dosimetry is desired.

Key points

The z-TCM information is sufficient for accurate dosimetry for standard protocols.

The z-TCM information is sufficient for accurate dosimetry for fast-speed scanning protocols.

For organ-based TCM schemes, the 3D-TCM information is necessary for accurate dosimetry.

At identical CTDI vol , the fast-speed scanning protocol delivered the highest doses.

Lung dose was higher in XCare than standard protocol at identical CTDI vol .

Publisher URL: https://link.springer.com/article/10.1007/s00330-017-4863-3

DOI: 10.1007/s00330-017-4863-3

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