High-Pitch Computed Tomography Coronary Angiography—A New Dose-Saving Algorithm: Estimation of Radiation Exposure

Purpose. To estimate effective dose and organ equivalent doses of prospective ECG-triggered high-pitch CTCA. Materials and Methods. For dose measurements, an Alderson-Rando phantom equipped with thermoluminescent dosimeters was used. The effective dose was calculated according to ICRP 103. Exposure was performed on a second-generation dual-source scanner (SOMATOM Definition Flash, Siemens Medical Solutions, Germany). The following scan parameters were used: 320 mAs per rotation, 100 and 120 kV, pitch 3.4 for prospectively ECG-triggered high-pitch CTCA, scan range of 13.5 cm, collimation 64 × 2 × 0.6 mm with z-flying focal spot, gantry rotation time 280 ms, and simulated heart rate of 60 beats per minute. Results. Depending on the applied tube potential, the effective whole-body dose of the cardiac scan ranged from 1.1 mSv to 1.6 mSv and from 1.2 to 1.8 mSv for males and females, respectively. The radiosensitive breast tissue in the range of the primary beam caused an increased female-specific effective dose of 8.6%±0.3% compared to males. Decreasing the tube potential, a significant reduction of the effective dose of 35.8% and 36.0% can be achieved for males and females, respectively (P < 0.001). Conclusion. The radiologist and the CT technician should be aware of this new dose-saving strategy to keep the radiation exposure as low as reasonablly achievable

Интеллектуальные энергосистемы. Т. 3

Настоящий сборник содержит материалы V Международного молодежного форума «Интеллектуальные энергосистемы», проведенного 9 - 13 октября 2017г. на базе Энергетического института Томского политехнического университета

Ungewöhnlicher Leberabszess – Eine Mahlzeit mit schwerwiegenden Folgen

ZusammenfassungPyogene Leberabszesse äußern sich durch intermittierendes oder kontinuierliches Fieber und gegebenenfalls durch ihre verdrängende Wirkung. In der radiologischen Diagnostik stellen sich Leberabszesse als zystische Raumforderungen dar. Wichtige Ursachen sind z. B. eine aszendierende Cholangitis, septische Streuherde, parasitäre Abszesse oder Penetration. Der Krankheitsverlauf kann schleichend, aber auch akut und dramatisch sein. Prognosebestimmend ist die rasche Diagnose und Therapieeinleitung.</jats:p

Asymptomatic melanoma of the superior cavo-atrial junction: The challenge of imaging

Metastatic lesions in the superior vena cava and the right atrium are difficult to diagnose: in computed tomography (CT), they are easily misinterpreted as artifacts, and the same region may be difficult to access using echocardiography. We present a case of asymptomatic metastasis of a malignant melanoma which was overlooked initially due to deficiencies in imaging. Using 18F-fluorodeoxyglucose positron emission tomography-CT, the metastasis was clearly identified and finally treated successfully. We discuss the diagnostic value of the various imaging modalities for intracardiac masses