Low-tube voltage 100kVp MDCT in screening of cocaine body packing: image quality and radiation dose compared to 120kVp MDCT

Verfasser / Beitragende:
[Joel Aissa, Christian Rubbert, Johannes Boos, Christoph Schleich, Christoph Thomas, Patric Kröpil, Gerald Antoch, Falk Miese]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/7(2015-10-01), 2152-2158
Format:
Artikel (online)
ID: 60549360X
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024 7 0 |a 10.1007/s00261-015-0464-2  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-015-0464-2 
245 0 0 |a Low-tube voltage 100kVp MDCT in screening of cocaine body packing: image quality and radiation dose compared to 120kVp MDCT  |h [Elektronische Daten]  |c [Joel Aissa, Christian Rubbert, Johannes Boos, Christoph Schleich, Christoph Thomas, Patric Kröpil, Gerald Antoch, Falk Miese] 
520 3 |a Purpose: The aim of this study was to evaluate the impact of a reduced tube potential (100kVp) for non-enhanced abdominal low-dose CT on radiation dose and image quality (IQ) in the detection of body packing. Methods: This retrospective study was approved by the local research ethics committee of our clinic. From March 2012 to July 2014, 99 subjects were referred to our institute with suspected body packing. 50 CT scans were performed using a 120kVp protocol (group A), and 49 CTs were performed using a low-dose protocol with a tube voltage of 100kVp (group B). Subjective and objective IQ were assessed. DLP and CTDIvol were analyzed. Results: All examinations were of diagnostic IQ. Objective IQ was not significantly different between the 120kVp and 100kVp protocol. Mean density of solid and liquid body packets was 210±60.2 HU at 120kVp and 250.6±29.7 HU at 100kVp. Radiation dose was significantly lower in group B as compared to group A (p<0.05). In group A, body packs were detected in 16 (32%) of the 50 patients. In group B, packets were observed in 15 (31%) of 49 patients. Laboratory analysis detected cocaine in all smuggled body packs. Conclusions: Low-tube voltage 100kVp MDCT with automated tube current modulation in screening of illegal drugs leads to a diagnostic IQ and significant dose reduction compared to 120kVp low-tube voltage protocols. Despite lower radiation dose, liquid and solid cocaine containers retain high attenuation and are easily detected. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Body packing  |2 nationallicence 
690 7 |a Cocaine  |2 nationallicence 
690 7 |a CT  |2 nationallicence 
690 7 |a Acute abdominal  |2 nationallicence 
690 7 |a Localizer  |2 nationallicence 
690 7 |a Dose reduction  |2 nationallicence 
700 1 |a Aissa  |D Joel  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
700 1 |a Rubbert  |D Christian  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
700 1 |a Boos  |D Johannes  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
700 1 |a Schleich  |D Christoph  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
700 1 |a Thomas  |D Christoph  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
700 1 |a Kröpil  |D Patric  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
700 1 |a Antoch  |D Gerald  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
700 1 |a Miese  |D Falk  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2152-2158  |x 0942-8925  |q 40:7<2152  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-015-0464-2  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Aissa  |D Joel  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Rubbert  |D Christian  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Boos  |D Johannes  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Schleich  |D Christoph  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Thomas  |D Christoph  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kröpil  |D Patric  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Antoch  |D Gerald  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Miese  |D Falk  |u Department of Diagnostic and Interventional Radiology, Medical Faculty, University Dusseldorf, 40225, Dusseldorf, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2152-2158  |x 0942-8925  |q 40:7<2152  |1 2015  |2 40  |o 261