原创力文档Image Quality and Dose Optimization Using Novel X ray Source Filters Tailored to Patient Size英文文献.pdfVIP
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Image Quality and Dose Optimization Using Novel X-ray Source
Filters Tailored to Patient Size
a a a b
Thomas L. Toth , Erdogan Cesmeli , Aziz Ikhlef , and Tetsuya Horiuchi
a
GE Healthcare, Waukesha WI, USA
b
GE Healthcare, Hino Japan
Keywords: Computed Tomography, Bowtie, Dose, Image Noise
1. ABSTRACT
The expanding set of CT clinical applications demands increased attention to obtaining the maximum image quality at
the lowest possible dose. Pre-patient beam shaping filters provide an effective means to improve dose utilization. In this
paper we develop and apply characterization methods that lead to a set of filters appropriately matched to the patient.
We developed computer models to estimate image noise and a patient size adjusted CTDI dose. The noise model is
based on polychromatic X-ray calculations. The dose model is empirically derived by fitting CTDI style dose
measurements for a demographically representative set of phantom sizes and shapes with various beam shaping filters.
The models were validated and used to determine the optimum IQ vs dose for a range of patient sizes. The models
clearly show that an optimum beam shaping filter exists as a function of object diameter. Based on noise and dose
alone, overall dose efficiency advantages of 50% were obtained by matching the filter shape to the size of the object. A
set of patient matching filters are used in the GE LightSpeed VCT and Pro3
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