1 2 3 4 5 6 7 1. Bauhs, J. A., Vrieze, T. J., Primak, A. N., Bruesewitz, M. R., & McCollough, C. H. (2008). CT Dosimetry: Comparison of Measurement Techniques and Devices1. Radiographics, 28(1), 245-253. doi:10.1148/rg.281075024 2. McCollough, C. H., Primak, A. N., Braun, N., Kofler, J., Yu, L., & Christner, J. (2009). Strategies for reducing radiation dose in CT. Radiologic clinics of North America, 47(1), 27-40. 3. International Electrotechnical Commission. Medical Electrical Equipment. Part 2–44: Particular requirements for the safety of x-ray equipment for computed tomography. 2.1. International Electrotechnical Commission (IEC) Central Office; Geneva, Switzerland: 2002. IEC publication No. 60601–2–44. 8 http://www.aapm.org/pubs/reports/RPT_204.pdf 9 10 11 12 13 1. McCollough, C. H., Leng, S., Yu, L., Cody, D. D., Boone, J. M., & McNitt-Gray, M. F. (2011). CT Dose Index and Patient Dose: They are Not the Same Thing, EDITORIAL, Radiology 259(2), 311-316. 14 15 16 17 18 19 1. Bauhs, J. A., Vrieze, T. J., Primak, A. N., Bruesewitz, M. R., & Mccollough, C. H. (2008). CT Dosimetry : Comparison of Measurement Techniques and Devices. Radiographics, 28(1), 245-254. 2. Zhang, D., Cagnon, C. H., Villablanca, J. P., McCollough, C. H., Cody, D. D., Stevens, D. M., Zankl, M., et al. (2012). Peak Skin and Eye Lens Radiation Dose From Brain Perfusion CT Based on Monte Carlo Simulation. American Journal of Roentgenology, 198(2), 412-417. 20 21 22 23 24 # of slices vary with the use of FFS (i.e. 64 slices + FFS = 128 slices) 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 The exact type of dose modulation used is preset by the selected protocol. The user cannot change the type of modulation. The most commonly used mode is XYZ modulation, meaning tube current is modulated in angular as well as longitudinal directions. If the protocol calls for two topos, the lateral should be acquired before the PA. If 2 topos are acquired (same plane), CareDose4D will use the 2nd Topo. 41 42 43 44 45 46 The ECG shows clearly when 100% or 4% of the tube current is applied according to user specified phase interval. 47 48 De-Identified Image used with IRB approval On the Examination card is clearly indicated by a green segment on the scan illustration if X-CARE is applied. 50 51 52 CARE kV only works in combination with CARE Dose4D. CarekV Slider Symbols – from left to right (non-contrast, bone, soft tissue, vascular) Please refer to the manual for detailed information on setting up CARE kV. 53 54 Siemens default protocols that use iterative reconstruction are delivered with dose presets reduced accordingly. Please refer to the manual for more detailed information on the settings. 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 All Dose Notification events are stored on the system (H:\\SiteData\DoseLogs) and can be exported when further investigation is necessary. Entering 0 will shut off the Dose Alert. 71 72 All Dose Alert events are stored on the system (H:\\SiteData\DoseLogs) and can be exported when further investigation is necessary. 73 74 75 76 A special thank you to Dr. Mark Supanich for his considerable efforts in leading the working group in developing these slides. 77 78