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Cross-sectional evaluation reveals wide radiation dose variations and unmet accreditation standards across clinical CT scanners, highlighting the need for protocol optimization.
The aim of this study was to evaluate the image quality of 29 computed tomography (CT) scanners in Brazil and to perform estimations of patient dose and image quality of common CT examinations at these equipment. The volume CT air kerma indexes (C(VOL)) were estimated, using normalised weighted air kerma indexes, supplied by the ImPACT group. The image quality tests were performed using the phantom and accreditation protocol from the American College of Radiology (ACR). The C(VOL) values for head scans varied between 8.7 and 108 mGy. The Hi-res chest examinations presented C(VOL) values varying from 0.4 to 32 mGy. For abdominal scans, the estimated C(VOL) values varied between 4.1 and 94 mGy. This wide variation of air kerma between different centres is related to the scanner type and also to the scanning parameters. The results also showed that the image quality did not attend all ACR CT accreditation requirements.
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Mecca et al. (2011) studied this question.
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