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Survey of normalized CTDIvol values across four major computed tomography vendors for use in the MIRDct software

Dinwiddie LE, Baggett JM, Kofler JM, Kofler CB, Long DJ, Dawson RJ, Wehmeier SK, Wang Y et al.

Journal of applied clinical medical physics, 2026

4 citations

Abstract

Background: Computed tomography (CT) is an essential imaging modality for disease diagnosis, treatment efficacy, and image-based guidance of various medical procedures. The locally deposited radiation dose in tissues, as estimated by the computed tomography dose index (CTDI), can vary considerably across exposures delivered by CT scanners from different vendors, even if the scans are performed using similar technique factors, such as tube potential and tube current. The volumetric CTDI (CTDIvol) is a common dose metric that reports an average radiation dose (in mGy) delivered to a specific volume within a test phantom. The CTDIvol is important in dosimetry applications as the organ absorbed dose within the patient has been shown to scale in near-linear proportion, creating a basis for comparing organ doses across different scan protocols and scanner models.

Purpose: To develop a database of tube current-time product (mAs) normalized CTDIvol values for currently utilized CT scanner models for each of the four primary CT vendors for use in the MIRDct organ dosimetry software available at MIRDsoft.org. This data forms the basis of the MIRDct code, which reports organ doses across a range of computational phantoms based upon axial organ dose coefficient libraries generated through Monte Carlo radiation transport for a reference CT scanner. Organ doses delivered by alternate CT scanner vendors and models may then be reported using ratios of normalized CTDIvol values under similar…

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