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An investigation of the effects of anti-scatter grid usage on patient dose and vessel visibility in pediatric voiding cystourethrography as a function of patient size

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dc.contributor.author McInnis, Graham
dc.date.accessioned 2018-10-03T16:35:58Z
dc.date.available 2018-10-03T16:35:58Z
dc.date.issued 2018-08-23
dc.date.submitted 2018-10-03T16:35:58Z en
dc.identifier.citation AMA en_US
dc.identifier.uri http://hdl.handle.net/1993/33521
dc.description.abstract Anti-scatter grids represent an important way of improving image quality in x-ray based exams. However, their use comes with increased radiation dosages. Removing anti-scatter grids represents a potential way to limit radiation dosage. Voiding cystelourethrograms (VCUG) are commonly done fluoroscopic procedures done in pediatric populations. To limit radiation dosage from VCUGs we undertook a study to determine how image quality changes with the removal of anti-scatter grid during VCUGs. A water based phantom with simulated ureters was constructed and imaged with the grid in place and removed. The depth of the water in the phantom was increased over the course of the experiment to simulate increasing pediatric patient thickness. Four readers, two radiologists and two imaging physicists, assessed the visibility of the ureters and scored the images on a Likert scale. The results indicated that there is no significant difference in image quality between images acquired with the anti-scatter grid in place versus when it is removed. This means that anti-scatter grid removal is a viable strategy for dose saving in pediatric populations undergoing voiding cystelourethrograms. en_US
dc.description.sponsorship H.T. Thorlakson Foundation Dean, College of Medicine Research Manitoba Manitoba Medical Service Foundation (MMSF) Vice-Dean, Research Rady FHS Health Sciences Centre Research Foundation Heart and Stroke Foundation en_US
dc.rights info:eu-repo/semantics/openAccess
dc.subject Voiding cystelourethrograms (VCUG) en_US
dc.subject cystourethrography en_US
dc.subject anti-scatter en_US
dc.subject As Low As Reasonably Achievable (ALARA) en_US
dc.title An investigation of the effects of anti-scatter grid usage on patient dose and vessel visibility in pediatric voiding cystourethrography as a function of patient size en_US


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