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Size-Specific Dose Estimates Based on Water-Equivalent Diameter and Effective Diameter in Computed Tomography Coronary Angiography

Jian Xu, Xiangquan Wang, Huawei Xiao, Jianguo Xu

Department of Radiology, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, China (mainland)

Med Sci Monit 2019; 25:9299-9305

DOI: 10.12659/MSM.917980

Available online:

Published: 2019-12-06

BACKGROUND: To determine the difference in size-specific dose estimates (SSDEs), separately based on effective diameter (deff) and water equivalent diameter (dw) of the central slice of the scan range in computed tomography coronary angiography (CTCA).
MATERIAL AND METHODS: There were 134 patients who underwent CTCA examination, were electronically retrieved. SSDEs (SSDEdeff and SSDEdw) were calculated using 2 approaches: deff and dw. The median SSDEs and mean absolute relative difference of SSDEs were calculated. Linear regression model was used to assess the absolute relative difference of SSDEs based on the ratio of deff to dw.
RESULTS: The median values of SSDEdeff and SSDEdw were 18.26 mGy and 20.56 mGy, respectively (P<0.01). The former was about 10.08% smaller than the latter. The mean absolute relative difference of SSDEs was 10.48%, ranging from 0.33% to 24.16%. A considerably positive correlation was found between the absolute relative difference of SSDEs and the ratio of deff to dw (R²=0.9561, r=0.979, P<0.01).
CONCLUSIONS: The value of SSDEdeff was smaller by an average of about 10.08% than SSDEdw in CTCA, and the absolute relative difference increased linearly with the ratio of effective diameter to water equivalent diameter.

Keywords: body size, Coronary Angiography, Radiation Dosage, Tomography Scanners, X-Ray Computed