Wu Huizhao,Wu Wenjuan,Song Yan,Lu Junli,Guo Zhe,Zhang Zekun.Low-dose radiation in the hip digital tomosynthesis[J].Chinese Journal of Radiological Medicine and Protection,2015,35(2):153-156
Low-dose radiation in the hip digital tomosynthesis
Received:November 11, 2013  
DOI:10.3760/cma.j.issn.0254-5098.2015.02.019
KeyWords:Hip  Digital tomosynthesis  Radiation dose
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Author NameAffiliationE-mail
Wu Huizhao Department of Radiology, Third Affiliated Hospital of Hebei Medical University, Hebei Province Biomechanical Key Laboratory of Orthopedics, Shijiazhuang 050051, China  
Wu Wenjuan Department of Radiology, Third Affiliated Hospital of Hebei Medical University, Hebei Province Biomechanical Key Laboratory of Orthopedics, Shijiazhuang 050051, China wenjwu@163.com 
Song Yan Department of Radiology, Third Affiliated Hospital of Hebei Medical University, Hebei Province Biomechanical Key Laboratory of Orthopedics, Shijiazhuang 050051, China  
Lu Junli Department of Radiology, Third Affiliated Hospital of Hebei Medical University, Hebei Province Biomechanical Key Laboratory of Orthopedics, Shijiazhuang 050051, China  
Guo Zhe Department of Radiology, Third Affiliated Hospital of Hebei Medical University, Hebei Province Biomechanical Key Laboratory of Orthopedics, Shijiazhuang 050051, China  
Zhang Zekun Department of Radiology, Third Affiliated Hospital of Hebei Medical University, Hebei Province Biomechanical Key Laboratory of Orthopedics, Shijiazhuang 050051, China  
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Abstract::
      Objective To explore the optimal dose ratio set in the hip digital tomosynthesis(DTS), and to reduce patient's examination dose as low as possible.Methods Ninety patients who received hip DTS examination were randomly divided into 3 groups, with the dose ratio as 6, 7 and 8, respectively. One-way ANOVA test was used to compare the image quality and radiation dose among 3 groups.Results The values of entrance surface dose (ESD), dose-area product (DAP) and image quality score of 3 groups were [(3.76±1.89)mGy, (18.41±11.71)dGy ·cm2, 3.03±0.24], [(5.24±2.76)mGy, (26.99±13.34)dGy ·cm2), 3.60±0.11], and [(6.39±1.75)mGy, (36.96±22.49)dGy ·cm2, 3.64±0.09], respectively. The difference among three groups was statistically significant (F=10.94,9.45,139.26, P<0.05).The S-N-K test showed that both ESD values and DAP values in 6,7,and 8 time-dose ratio group was from small to large. The image quality score of 6 time-dose ratio group was lower than that of the other groups with no significant difference.Conclusions Dose ratio is one of the important parameters to result in the radiation dose of DTS. Dose ration 7 is optimal in hip DTS, which could match the image quality and radiation dose best and finally protect patients from unnecessary radiation damage.
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