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Research ArticleBrain

Effective Doses from Scan Projection Radiographs of the Head: Impact of Different Scanning Practices and Comparison with Conventional Radiography

C.B. Nauer, F. Kellner-Weldon, G. Von Allmen, D. Schaller and J. Gralla
American Journal of Neuroradiology January 2009, 30 (1) 155-159; DOI: https://doi.org/10.3174/ajnr.A1293
C.B. Nauer
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F. Kellner-Weldon
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G. Von Allmen
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D. Schaller
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J. Gralla
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    Fig 1.

    Screenshots from the PCXMC software showing the lower scanning borders used for effective dose calculations. Note the upper scanning border–assumed vertex for all SPR calculations.

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    Fig 2.

    SPR of a neonate with a 300-mm craniocaudal extension.

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    Fig 3.

    SPR for planning of head CT and neck CT angiography, performed with 80 kV and 10 mA. 1 indicates the jugular vein line on the right; 2, the endotracheal ventilation catheter; 3, the nasogastric line curled up in the mouth (confirmed by CT). All are very visible. The photon-starving effect over the shoulder and chest in the lateral projection is more pronounced than at 120 kV.

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    Table 1:

    Effective doses (μSv) for SPRs at default and at reduced settings

    ProjectionSettings (kV/mA)Adult10-Year-Old ChildNeonate
    Lower Scanning Border
    Below ClavicleLower Thyroid LimitUpper Thyroid LimitBelow ClavicleLower Thyroid LimitUpper Thyroid LimitBelow DiaphragmLower Thyroid LimitUpper Thyroid Limit
    AP120/1027.723923.119.9797.230.716.3
    80/108.36.827.36.31.932.310.15.2
    PA120/108.97.93.78.66.74.865.91711.9
    80/102.42.01.62.31.81.322.96.24.4
    Lateral120/1014.112.66.917.215.810.272.125.415.9
    80/104.13.61.94.23.82.124.98.35.2
    • Note:—AP indicates anteroposterior; PA, posteroanterior.

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    Table 2:

    Adult and pediatric effective doses (μSv) for conventional head radiography

    AnteroposteriorPosteroanteriorLateral
    Adult107.827.522.0
    10-Year-old11.65.05.8
    Neonate4.6–3.3
    • Note:— –indicates not performed in clinical practice.

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American Journal of Neuroradiology: 30 (1)
American Journal of Neuroradiology
Vol. 30, Issue 1
January 2009
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C.B. Nauer, F. Kellner-Weldon, G. Von Allmen, D. Schaller, J. Gralla
Effective Doses from Scan Projection Radiographs of the Head: Impact of Different Scanning Practices and Comparison with Conventional Radiography
American Journal of Neuroradiology Jan 2009, 30 (1) 155-159; DOI: 10.3174/ajnr.A1293

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Effective Doses from Scan Projection Radiographs of the Head: Impact of Different Scanning Practices and Comparison with Conventional Radiography
C.B. Nauer, F. Kellner-Weldon, G. Von Allmen, D. Schaller, J. Gralla
American Journal of Neuroradiology Jan 2009, 30 (1) 155-159; DOI: 10.3174/ajnr.A1293
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