Impact of Operator-Selected Image Noise Index and Reconstruction Slice Thickness on Patient Radiation Dose in 64-MDCT

Abstract

Our objective was to develop a better understanding of the complex interrelationship between image noise, reconstruction slice thickness, and patient radiation dose on a 64-MDCT scanner that uses automated tube current modulation. We reviewed physics theory and performed phantom dose measurements on a 64-MDCT scanner while altering operator-selectable image noise and reconstruction slice thickness. Using phantom dose measurements to adjust theoretic predictions, we constructed both a spreadsheet and a graph that visually display the interrelationships between operator-selected image noise and reconstruction slice thickness and the resulting patient dose. This table and graph may help operators understand the trade-offs when prospectively trying to minimize dose and optimize image noise for selected reconstruction slice thicknesses on this type of 64-MDCT scanner.