Low dose MDCT with tube current modulation: Role in detection of urolithiasis and patient effective dose reduction

Prakashini Koteshwar, Chandan Kakkar, Smiti Sripathi, Anushri Parakh, Rajendra Shrivastav

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: Urolithiasis is one of the major, recurring problem in young individuals and CT being the commonest diagnostic modality used. In order to reduce the radiation dose to the patient who are young and as stone formation is a recurring process; one of the simplest way would be, low dose CT along with tube current modulation. Aim: Aim of this study was to compare the sensitivity and specificity of low dose (70mAs) with standard dose (250mAs) protocol in detecting urolithiasis and to define the tube current and mean effective patient dose by these protocols. Materials and Methods: A prospective study was conducted in 200 patients over a period of 2 years with acute flank pain presentation. CT was performed in 100 cases with standard dose and another 100 with low dose protocol using tube current modulation. Sensitivity and specificity for calculus detection, percentage reduction of dose and tube current with low dose protocol was calculated. Results: Urolithiasis was detected in 138 patients, 67 were examined by high dose and 71 were by low dose protocol. Sensitivity and Specificity of low dose protocol was 97.1% and 96.4% with similar results found in high BMI patients. Tube current modulation resulted in reduction of effective tube current by 12.17%. The mean effective patient dose for standard dose was 10.33 mSv whereas 2.92 mSv for low dose with 51.13–53.8% reduction in low dose protocol. Conclusion: The study has reinforced that low-dose CT with tube current modulation is appropriate for diagnosis of urolithiasis with significant reduction in tube current and patient effective dose.

Original languageEnglish
Pages (from-to)TC01-TC05
JournalJournal of Clinical and Diagnostic Research
Volume10
Issue number5
DOIs
Publication statusPublished - 01-05-2016

Fingerprint

Urolithiasis
Modulation
Sensitivity and Specificity
Dosimetry
Flank Pain
Calculi
Acute Pain
Prospective Studies
Radiation

All Science Journal Classification (ASJC) codes

  • Clinical Biochemistry

Cite this

Koteshwar, Prakashini ; Kakkar, Chandan ; Sripathi, Smiti ; Parakh, Anushri ; Shrivastav, Rajendra. / Low dose MDCT with tube current modulation : Role in detection of urolithiasis and patient effective dose reduction. In: Journal of Clinical and Diagnostic Research. 2016 ; Vol. 10, No. 5. pp. TC01-TC05.
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Low dose MDCT with tube current modulation : Role in detection of urolithiasis and patient effective dose reduction. / Koteshwar, Prakashini; Kakkar, Chandan; Sripathi, Smiti; Parakh, Anushri; Shrivastav, Rajendra.

In: Journal of Clinical and Diagnostic Research, Vol. 10, No. 5, 01.05.2016, p. TC01-TC05.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Low dose MDCT with tube current modulation

T2 - Role in detection of urolithiasis and patient effective dose reduction

AU - Koteshwar, Prakashini

AU - Kakkar, Chandan

AU - Sripathi, Smiti

AU - Parakh, Anushri

AU - Shrivastav, Rajendra

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N2 - Introduction: Urolithiasis is one of the major, recurring problem in young individuals and CT being the commonest diagnostic modality used. In order to reduce the radiation dose to the patient who are young and as stone formation is a recurring process; one of the simplest way would be, low dose CT along with tube current modulation. Aim: Aim of this study was to compare the sensitivity and specificity of low dose (70mAs) with standard dose (250mAs) protocol in detecting urolithiasis and to define the tube current and mean effective patient dose by these protocols. Materials and Methods: A prospective study was conducted in 200 patients over a period of 2 years with acute flank pain presentation. CT was performed in 100 cases with standard dose and another 100 with low dose protocol using tube current modulation. Sensitivity and specificity for calculus detection, percentage reduction of dose and tube current with low dose protocol was calculated. Results: Urolithiasis was detected in 138 patients, 67 were examined by high dose and 71 were by low dose protocol. Sensitivity and Specificity of low dose protocol was 97.1% and 96.4% with similar results found in high BMI patients. Tube current modulation resulted in reduction of effective tube current by 12.17%. The mean effective patient dose for standard dose was 10.33 mSv whereas 2.92 mSv for low dose with 51.13–53.8% reduction in low dose protocol. Conclusion: The study has reinforced that low-dose CT with tube current modulation is appropriate for diagnosis of urolithiasis with significant reduction in tube current and patient effective dose.

AB - Introduction: Urolithiasis is one of the major, recurring problem in young individuals and CT being the commonest diagnostic modality used. In order to reduce the radiation dose to the patient who are young and as stone formation is a recurring process; one of the simplest way would be, low dose CT along with tube current modulation. Aim: Aim of this study was to compare the sensitivity and specificity of low dose (70mAs) with standard dose (250mAs) protocol in detecting urolithiasis and to define the tube current and mean effective patient dose by these protocols. Materials and Methods: A prospective study was conducted in 200 patients over a period of 2 years with acute flank pain presentation. CT was performed in 100 cases with standard dose and another 100 with low dose protocol using tube current modulation. Sensitivity and specificity for calculus detection, percentage reduction of dose and tube current with low dose protocol was calculated. Results: Urolithiasis was detected in 138 patients, 67 were examined by high dose and 71 were by low dose protocol. Sensitivity and Specificity of low dose protocol was 97.1% and 96.4% with similar results found in high BMI patients. Tube current modulation resulted in reduction of effective tube current by 12.17%. The mean effective patient dose for standard dose was 10.33 mSv whereas 2.92 mSv for low dose with 51.13–53.8% reduction in low dose protocol. Conclusion: The study has reinforced that low-dose CT with tube current modulation is appropriate for diagnosis of urolithiasis with significant reduction in tube current and patient effective dose.

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