Quality initiative: Quantifying and reducing dose in multiphase liver CT: Eliminating the nonenhanced study and using conscientious Z-creep

质量改进计划:量化并降低多期肝脏CT的辐射剂量:取消非增强扫描并采用严谨的Z轴爬升技术

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Abstract

The use of computed tomography (CT) for evaluation of liver disease has increased dramatically at our tertiary care center due to increased hepatology referrals. We sought to decrease the radiation dose associated with multiphase liver CT studies while maintaining a high degree of diagnostic accuracy. We found that by eliminating the nonenhanced acquisition and adjusting the imaging field of view to include the liver-containing abdomen only-simply by manipulation of patient-specific imaging parameters-we achieved a 30% reduction in dose.

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