Comparison of Water-Equivalent Diameter Measured from CT Localizer Radiograph Based on Two phantoms of the Step-Wedge and Computed Tomography Dose Index

Authors

  • Sitti M. Rif’ah  Department of Physics, Faculty of Science and Mathematics, Diponegoro University, Jl. Prof. Soedarto SH, Tembalang, Semarang 50275, Central Java, Indonesia.
  • Choirul Anam  Department of Physics, Faculty of Science and Mathematics, Diponegoro University, Jl. Prof. Soedarto SH, Tembalang, Semarang 50275, Central Java, Indonesia.
  • Heri Sutanto  Department of Physics, Faculty of Science and Mathematics, Diponegoro University, Jl. Prof. Soedarto SH, Tembalang, Semarang 50275, Central Java, Indonesia.
  • Heryani Cholid  Installation of Radiology, Rumah Sakit Umum Daerah (RSUD) Kraton Pekalongan, Jl.Veteran No. 31, Padukuhan Kraton, Pekalongan City, 51116, Central Java , Indonesia

DOI:

https://doi.org//10.32628/IJSRST229661

Keywords:

CT, CTDI, step-wedge, water-equivalent diameter, SSDE

Abstract

The purpose of this study is to compare the water-equivalent diameter (Dw) and size-specific dose estimate (SSDE) obtained from CT localizer radiograph based on the step-wedge and computed tomography dose index (CTDI) phantoms. The two phantoms were scanned using a 64-slice SIEMENS Somatom CT Scanner with tube currents of 100 mA and 120 kV. The CT localizer radiographs of two phantoms were obtained. Subsequently, relationships between pixel values (PV) and water-equivalent thickness (tw) were developed. Based on those relationships, the Dw and SSDE of twenty patients were calculated from the CT localizer radiographs. The results of the Dw and SSDE measured using CT localizer radiographs based on the two phantoms were compared. The relationships between PV and tw obtained from both CT localizer radiographs of the phantoms of step-wedge and CTDI are established. The Dw and SSDE values from the CT localizer radiograph calibrated with the CTDI phantom and step-wedge phantom also have linear relationship with R2 > 0.99. The statistical test value with p-value > 0.05 indicating that the two measurements of Dw and SSDE based on two phantoms are not statistically different. The results from the step-wedge phantom are comparable with those from the CTDI phantom. The relationship PV and tw with CT localizer radiograph from the step-wedge phantom can produce accurate calibration results. The results of the calibration of the step-wedge phantom can then determine the value of Dw and SSDE.

References

  1. McNitt-Gray MF. AAPM/RSNA Physics Tutorial for Residents: Topics in CT. Radiation dose in CT. Radiographics. 2002;22(6):1541-1553.
  2. Abuhaimed A & Martin CJ. Estimation of Size-Specific Dose Estimates (SSDE) for pediatric and adults patients based on a single slice. Physica Medica. 2020;74:30–39.
  3. Moore BM, Brady SL, Mirro AE, Kaufman RA. Size-specific dose estimate (SSDE) provides a simple method to calculate organ dose for pediatric CT examinations. Med Phys. 2014;41(7):071917.
  4. Bankier AA, Kressel HY. Through the Looking Glass revisited: the need for more meaning and less drama in the reporting of dose and dose reduction in CT. Radiology. 2012;265(1):4-8.
  5. Kalender WA. Dose in x-ray computed tomography. Phys Med Biol. 2014;59(3):R129-R150.
  6. Xu J, He X, Xiao H, Xu J. Comparative Study of Volume Computed Tomography Dose Index and Size-Specific Dose Estimate Head in Computed Tomography Examination for Adult Patients Based on the Mode of Automatic Tube Current Modulation. Med Sci Monit. 2019;25:71-76.
  7. McCollough CH, Leng S, Yu L, Cody DD, Boone JM, McNitt-Gray MF. CT dose index and patient dose: they are not the same thing. Radiology. 2011;259(2):311-316.
  8. Huda W, Mettler FA. Volume CT dose index and dose-length product displayed during CT: what good are they?. Radiology. 2011;258(1):236-242.
  9. Anam C, Mahdani FR, Dewi WK, et al. An improved method for automated calculation of the water-equivalent diameter for estimating size-specific dose in CT. J Appl Clin Med Phys. 2021;22(9):313-323.
  10. AAPM. Size-specific Dose Estimates (SSDE) in Pediatric and Adult Body CT Examinations. in AAPM Report No. 204. 2011.
  11. Hu X, Gou J, Lin W, Zou C, Li W. Size-specific dose estimates of adult, chest computed tomography examinations: Comparison of Chinese and updated 2017 American College of Radiology diagnostic reference levels based on the water-equivalent diameter. PLoS One. 2021;16(9):e0257294.
  12. AAPM. AAPM TG 220: Use of Water Equivalent Diameter for Calculating Patient Size and Size-Specific Dose Estimates (SSDE) in CT. in AAPM Report 220. 2014.
  13. Cheng PM. Automated estimation of abdominal effective diameter for body size normalization of CT dose. J Digit Imaging. 2013;26(3):406-411.
  14. Juszczyk J, Badura P, Czajkowska J, et al. Automated size-specific dose estimates using deep learning image processing. Medical Image Analysis. 2021;68:101898.
  15. Wang J, Christner JA, Duan X, Leng S, Yu L, McCollough CH. Attenuation-based estimation of patient size for the purpose of size specific dose estimation in CT. Part II. Implementation on abdomen and thorax phantoms using cross sectional CT images and scanned projection radiograph images. Med Phys. 2012;39(11):6772-6778.
  16. Anam C, Haryanto F, Widita R, Arif I, Dougherty G. Automated Calculation of Water-equivalent Diameter (DW) Based on AAPM Task Group 220. J Appl Clin Med Phys. 2016;17(4):320-333.
  17. Mihailidis D, Tsapaki V, Tomara P. A simple manual method to estimate water-equivalent diameter for calculating size-specific dose estimate in chest computed tomography. Br J Radiol. 2021;94(1117):20200473.
  18.  Christianson O, Li X, Frush D, Samei E. Automated size-specific CT dose monitoring program: assessing variability in CT dose. Med Phys. 2012;39(11):7131-7139.
  19. Anam C, Fujibuchi T, Toyoda T, et al. A simple method for calibrating pixel values of the CT localizer radiograph for calculating water-equivalent diameter and size-specific dose estimate. Radiat Prot Dosimetry. 2018;179(2):158-168.
  20. Zhang D, Mihai G, Barbaras LG, Brook OR, Palmer MR. A new method for CT dose estimation by determining patient water equivalent diameter from localizer radiographs: Geometric transformation and calibration methods using readily available phantoms. Med Phys. 2018;45(7):3371-3378.
  21. Wu RY, Liu AY, Wisdom P, et al. Characterization of a new physical phantom for testing rigid and deformable image registration. J Appl Clin Med Phys. 2019;20(1):145-153.
  22. Nasir M, Pratama D, Anam C. Calculation of size specific dose estimates (SSDE) value at cylindrical phantom from CBCT Varian OBI v1.4 X-ray tube EGSnrc Monte Carlo simulation based. J Phys: Conf Ser. 2016;694:012040.
  23. Terashima M, Mizonobe K, Date H. Determination of appropriate conversion factors for calculating size-specific dose estimates based on X-ray CT scout images after miscentering correction. Radiol Phys Technol. 2019;12(3):283-289.

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Published

2022-12-30

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Section

Research Articles

How to Cite

[1]
Sitti M. Rif’ah, Choirul Anam, Heri Sutanto, Heryani Cholid, " Comparison of Water-Equivalent Diameter Measured from CT Localizer Radiograph Based on Two phantoms of the Step-Wedge and Computed Tomography Dose Index, International Journal of Scientific Research in Science and Technology(IJSRST), Online ISSN : 2395-602X, Print ISSN : 2395-6011, Volume 9, Issue 6, pp.445-452, November-December-2022. Available at doi : https://doi.org/10.32628/IJSRST229661