Poster électronique

ASIR - réduction significative de la dose en TDM
C. Livideanu, J. Dore, V. Mathe-Bonnet, S. Collot - Toulouse - France
Congrès 2010
Résumé
Objectifs
ASIR (Adaptive Statistical Iterative Reconstruction) est un protocole de reconstruction introduit récemment par General Electric pour une imagerie en coupe de bonne qualité avec un minimum de dose possible. Nous avons évalué la dose délivrée pendant les diverses explorations TDM, avant et après l'utilisation du protocole ASIR sur un scanner de 16 barrettes.
Matériels et méthodes
Nous avons inclus 2000 patients de l'hôpital Joseph Ducuing et GIE St Cyprien de Toulouse ayant bénéficié d'une exploration TDM entre septembre 2009 - mars 2010. Les examens ont été réalisés avec un scanner 16 barrettes Light Speed : septembre - décembre 2009 et avec un scanner 16 barrettes Bright Speed ASIR : décembre 2009- mars 2010. Nous avons comparé les valeurs CTDI et PDL lors de diverses régions explorées.
Résultats
Les résultats sont très intéressants : une baisse de la CTDI et PDL de 35 % au niveau cérébral, de 50 % au niveau thoracique, de 30 % au niveau abdominal et de 70 - 80 % au niveau des extrémités.
Conclusion
La technologie du scanner n'a pas encore dit ses derniers mots en matière de rayonnements ionisants.
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