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Pediatr Radiol. 2013 Oct;43(10):1303-8. doi: 10.1007/s00247-013-2691-4. Epub 2013 Apr 28.

Radiation dose reduction in pediatric CT-guided musculoskeletal procedures.

Author information

1
Department of Radiology and Biomedical Imaging, University of California, San Francisco, UCSF Benioff Children's Hospital, 505 Parnassus Ave., San Francisco, CA, 94143-0628, USA.

Abstract

BACKGROUND:

Computed-tomography-guided interventions are attractive for tissue sampling of pediatric bone lesions; however, it comes with exposure to ionizing radiation, inherent to CT and magnified by multiple passes during needle localization.

OBJECTIVE:

We evaluate a method of CT-guided bone biopsy that minimizes ionizing radiation exposure by lowering CT scanner tube current (mAs) and voltage (kVp) during each localization scan.

MATERIALS AND METHODS:

We retrospectively reviewed all CT-guided bone biopsies (n = 13) over a 1-year period in 12 children. Three blinded readers identified the needle tip on the reduced-dose CT images (mAs = 50, kVp = 80) during the final localization scan at biopsy and rated the image quality as high, moderate or low.

RESULTS:

The image quality of the reduced-dose scans during biopsy was rated as either high or moderate, with needle tip visualized in 12 out of 13 biopsies. Twelve of 13 biopsies also returned sufficient sample for a pathological diagnosis. The average savings in exposure using the dose-reduction technique was 87%.

CONCLUSION:

Our results suggest that a low mAs and kVp strategy for needle localization during CT-guided bone biopsy yields a large dose reduction and produces acceptable image quality without sacrificing yield for biopsy diagnosis.

PMID:
23624510
PMCID:
PMC3769501
DOI:
10.1007/s00247-013-2691-4
[Indexed for MEDLINE]
Free PMC Article

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