Evaluation of effective dose in region-of-interest neuroimaging
Gill, Kamaljit K.
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We used small field-of-view (FOV) region-of-interest (ROI) imaging for integral dose reduction and to improve image quality by reducing scatter and providing increased resolution. We quantify the reduction of effective dose (ED) realized when using ROI techniques in neuroimaging. Microangiographic fluoroscopic (MAF) detector being used to provide improved visualization of fine detail in the treatment volume during neurointerventional procedures and in ROI cone-beam CT. Using PCXMC (STUK, Helsinki, Finland), the ED was calculated for the 3.6x3.6-cm FOV of the MAF, for the 20x20-cm FOV of the Varian PaxScan 2020 FPD and for a 20x3.6-cm FOV as used in dual detector ROI CBCT for circle of Willis. Substantial reduction in effective dose per detector exposure is realized using ROI techniques in neuroimaging. This reduction would allow the dose in the ROI to be increased over an order of magnitude to provide increased contrast resolution without increasing the stochastic risk to the patient compared to full-FOV imaging.