Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan

<h3>Purpose</h3><p dir="ltr">To describe the first experience of patient dose optimization in developing AQD, SSDE and image quality-related DRLs for common CT examinations in the adult age group using the concept of AQD.</p><h3>Materials and methods</h3>...

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Main Author: Muhammad Yaseen (9283421) (author)
Other Authors: Tahira Nishtar (22047800) (author), Mohammad Hassan Kharita (14158812) (author), Banaras Khan (22047803) (author), Shady AlKhazzam (14776942) (author), Amir Ali (2567941) (author), Laila Khan (22047806) (author), Nasreen Aman (22047809) (author), Shamsullah Burki (22047812) (author), Nosheen Noor (22047815) (author), Nabiullah (22047818) (author)
Published: 2024
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_version_ 1864513541117050880
author Muhammad Yaseen (9283421)
author2 Tahira Nishtar (22047800)
Mohammad Hassan Kharita (14158812)
Banaras Khan (22047803)
Shady AlKhazzam (14776942)
Amir Ali (2567941)
Laila Khan (22047806)
Nasreen Aman (22047809)
Shamsullah Burki (22047812)
Nosheen Noor (22047815)
Nabiullah (22047818)
author2_role author
author
author
author
author
author
author
author
author
author
author_facet Muhammad Yaseen (9283421)
Tahira Nishtar (22047800)
Mohammad Hassan Kharita (14158812)
Banaras Khan (22047803)
Shady AlKhazzam (14776942)
Amir Ali (2567941)
Laila Khan (22047806)
Nasreen Aman (22047809)
Shamsullah Burki (22047812)
Nosheen Noor (22047815)
Nabiullah (22047818)
author_role author
dc.creator.none.fl_str_mv Muhammad Yaseen (9283421)
Tahira Nishtar (22047800)
Mohammad Hassan Kharita (14158812)
Banaras Khan (22047803)
Shady AlKhazzam (14776942)
Amir Ali (2567941)
Laila Khan (22047806)
Nasreen Aman (22047809)
Shamsullah Burki (22047812)
Nosheen Noor (22047815)
Nabiullah (22047818)
dc.date.none.fl_str_mv 2024-07-27T09:00:00Z
dc.identifier.none.fl_str_mv 10.1007/s11604-024-01627-y
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Development_of_Acceptable_Quality_Dose_AQD_and_image_quality-related_diagnostic_reference_levels_for_common_computed_tomography_investigations_in_a_tertiary_care_public_sector_hospital_of_Khyber_Pakhtunkhwa_Pakistan/29900669
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Acceptable Quality Dose (AQD)
Computed tomography (CT)
Chest CT
Abdomen CT
Diagnostic reference levels (DRLs)
dc.title.none.fl_str_mv Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Purpose</h3><p dir="ltr">To describe the first experience of patient dose optimization in developing AQD, SSDE and image quality-related DRLs for common CT examinations in the adult age group using the concept of AQD.</p><h3>Materials and methods</h3><p dir="ltr">The recent published IQSC from 0 to 4 were used by radiologists for the assessment of image quality. The entire data were collected for five types (brain CT, chest CT, chest HRCT, abdomen KUB CT and abdomen + pelvic CT) CT investigations based on anatomic region (head, chest and abdomen + pelvic). The entire datasets of 264 patients were categorized into three groups based on their weights: group-1 (41–60 kg), group-2 (61–80 kg) and group-3 (81–100 kg). Only score-3 images were considered to assess median and 75th percentile values of CTDI<sub>vol</sub> and DLP to obtain AQDs and DRLs, respectively.</p><h3>Results</h3><p dir="ltr">Following the practical training of four radiologists on image quality scoring criteria for CT images, 264 (92%) out of 288 patient images were clinically acceptable as per IQSC for the study. The AQD (median) values in terms of CTDI<sub>vol</sub> for the mentioned weight groups were 25.8, 2.7, and 30.6 mGy, while the median DLP values for these groups were 496, 510 and 557 mGycm, respectively, for brain CT. The 75th percentile values in terms of CTDI<sub>vol</sub> were 30.2, 35.3 and 36.2 mGy, while in terms of DLP, they were 583, 619 and 781 mGycm for brain CT, respectively. Similar results are presented for the above-mentioned procedures, as well as in terms of SSDE.</p><h3>Conclusion</h3><p dir="ltr">The first ever experience in obtaining AQD, SSDE and DRLs values for specific CT procedures couples image quality with dose indices, showing comparable values with other relevant studies. Hence, it will provide a baseline for comparison within the facility for future studies and facilitate dose optimization for other facilities aiming for improvement.</p><h2>Other Information</h2><p dir="ltr">Published in: Japanese Journal of Radiology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s11604-024-01627-y" target="_blank">https://dx.doi.org/10.1007/s11604-024-01627-y</a></p>
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oai_identifier_str oai:figshare.com:article/29900669
publishDate 2024
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spelling Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, PakistanMuhammad Yaseen (9283421)Tahira Nishtar (22047800)Mohammad Hassan Kharita (14158812)Banaras Khan (22047803)Shady AlKhazzam (14776942)Amir Ali (2567941)Laila Khan (22047806)Nasreen Aman (22047809)Shamsullah Burki (22047812)Nosheen Noor (22047815)Nabiullah (22047818)Biomedical and clinical sciencesClinical sciencesAcceptable Quality Dose (AQD)Computed tomography (CT)Chest CTAbdomen CTDiagnostic reference levels (DRLs)<h3>Purpose</h3><p dir="ltr">To describe the first experience of patient dose optimization in developing AQD, SSDE and image quality-related DRLs for common CT examinations in the adult age group using the concept of AQD.</p><h3>Materials and methods</h3><p dir="ltr">The recent published IQSC from 0 to 4 were used by radiologists for the assessment of image quality. The entire data were collected for five types (brain CT, chest CT, chest HRCT, abdomen KUB CT and abdomen + pelvic CT) CT investigations based on anatomic region (head, chest and abdomen + pelvic). The entire datasets of 264 patients were categorized into three groups based on their weights: group-1 (41–60 kg), group-2 (61–80 kg) and group-3 (81–100 kg). Only score-3 images were considered to assess median and 75th percentile values of CTDI<sub>vol</sub> and DLP to obtain AQDs and DRLs, respectively.</p><h3>Results</h3><p dir="ltr">Following the practical training of four radiologists on image quality scoring criteria for CT images, 264 (92%) out of 288 patient images were clinically acceptable as per IQSC for the study. The AQD (median) values in terms of CTDI<sub>vol</sub> for the mentioned weight groups were 25.8, 2.7, and 30.6 mGy, while the median DLP values for these groups were 496, 510 and 557 mGycm, respectively, for brain CT. The 75th percentile values in terms of CTDI<sub>vol</sub> were 30.2, 35.3 and 36.2 mGy, while in terms of DLP, they were 583, 619 and 781 mGycm for brain CT, respectively. Similar results are presented for the above-mentioned procedures, as well as in terms of SSDE.</p><h3>Conclusion</h3><p dir="ltr">The first ever experience in obtaining AQD, SSDE and DRLs values for specific CT procedures couples image quality with dose indices, showing comparable values with other relevant studies. Hence, it will provide a baseline for comparison within the facility for future studies and facilitate dose optimization for other facilities aiming for improvement.</p><h2>Other Information</h2><p dir="ltr">Published in: Japanese Journal of Radiology<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s11604-024-01627-y" target="_blank">https://dx.doi.org/10.1007/s11604-024-01627-y</a></p>2024-07-27T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s11604-024-01627-yhttps://figshare.com/articles/journal_contribution/Development_of_Acceptable_Quality_Dose_AQD_and_image_quality-related_diagnostic_reference_levels_for_common_computed_tomography_investigations_in_a_tertiary_care_public_sector_hospital_of_Khyber_Pakhtunkhwa_Pakistan/29900669CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/299006692024-07-27T09:00:00Z
spellingShingle Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan
Muhammad Yaseen (9283421)
Biomedical and clinical sciences
Clinical sciences
Acceptable Quality Dose (AQD)
Computed tomography (CT)
Chest CT
Abdomen CT
Diagnostic reference levels (DRLs)
status_str publishedVersion
title Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan
title_full Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan
title_fullStr Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan
title_full_unstemmed Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan
title_short Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan
title_sort Development of Acceptable Quality Dose (AQD) and image quality-related diagnostic reference levels for common computed tomography investigations in a tertiary care public sector hospital of Khyber Pakhtunkhwa, Pakistan
topic Biomedical and clinical sciences
Clinical sciences
Acceptable Quality Dose (AQD)
Computed tomography (CT)
Chest CT
Abdomen CT
Diagnostic reference levels (DRLs)