KMID : 1148920200540050224
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Nuclear Medicine and Molecular Imaging 2020 Volume.54 No. 5 p.224 ~ p.232
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Recent Survey of Effective Doses of F-18 FDG Torso PET/CT in Korea and the Current Recommendations for CT Protocols of PET/CT
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Chong A-Ri
Park Jung-Mi Pak Kyoung-June Kim Yong-Il Kwon Hyun-Woo Lee Eun-Seong Nam Ki-Pyo Lee Ho-Young Lee Hong-Jae Yoo Ik-Dong Eo Jae-Seon Kim Ji-Young Yoon Joon-Kee Kim Kyeong-Min Kim Seong-Min Kim Tae-Sung
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Abstract
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Purpose: This study aimed to construct a database of the effective doses (ED) from F-18 fluorodeoxyglucose (FDG) torso positron emission tomography/computed tomography (PET/CT) in Korea to provide data that supports the reduction of the CT dose of PET/CT and optimization of PET/CT protocols in Korea.
Methods: We investigated data of ED and CT parameters of FDG PET/CT. The data were analyzed by body weight groups.
Results: A total of 31 hospitals participated in the survey (99 adults). The mean total EDs (¡¾ SD) were 8.77?¡¾?2.76, 10.93?¡¾?3.14, and 12.57?¡¾?3.79 mSv for the 55-, 70-, and 85-kg groups, respectively. The FDG EDs were 4.80?¡¾?0.98, 6.05?¡¾?1.15, and 6.89?¡¾?1.52 mSv, and the CT EDs were 4.00?¡¾?2.12, 4.88?¡¾?2.51, and 5.68?¡¾?2.89 mSv, respectively. Of the enrolled hospitals, 54.5% used ultra-low-dose CT protocols, and their CT ED was significantly lower than low-dose CT group in all groups (2.9?¡¾?1.0, 3.2?¡¾?1.1, and 3.3?¡¾?1.0 mSv vs. 6.6?¡¾?1.6, 7.2?¡¾?2.1, and 7.9?¡¾?2.2 mSv, all p?0.001, respectively). In the ultra-low-dose CT group, the CT ED with the iterative reconstruction was significantly lower than that of CT without iterative reconstruction in the 55-kg group (2.4?¡¾?0.9 vs. 3.3?¡¾?0.9, p?=?0.04).
Conclusions: These results and current recommendations can be helpful for optimizing PET/CT diagnostic reference level (DRL) and reducing unnecessary PET/CT radiation exposure.
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KEYWORD
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PET/CT, CT, Effective dose, 18F-FDG, Guidelines
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