[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
IJRR Information::
For Authors::
For Reviewers::
Subscription::
News & Events::
Web Mail::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
ISSN
Hard Copy 2322-3243
Online 2345-4229
..
Online Submission
Now you can send your articles to IJRR office using the article submission system.
..

AWT IMAGE

AWT IMAGE

:: Volume 21, Issue 3 (6-2023) ::
Int J Radiat Res 2023, 21(3): 531-535 Back to browse issues page
Selection of kilovolt based on body mass index reduced radiation dose for computed tomography-guided radiofrequency ablation of liver tumors
J. Zhao , G. Nie , Z. Liu , Y. Zhao , D. Zhao , L. Zheng
Department of Radiology, The First Hospital of Hebei Medical University, ShiJiaZhuang 050031, China , liuzhanhuizz@163.com
Abstract:   (774 Views)
Background: To explore the effect of kilovolt (kV) selection based on body mass index (BMI) on reducing the radiation dose of radiofrequency ablation (RFA) in liver tumours under computed tomography (CT) guidance. Materials and Methods: This study retrospectively reviewed CT-guided RFA of liver tumours performed between 1 January 2019 and 31 December 2019. The radiation dose received by the patients was recorded after the planning, execution and surgery. The RFA protocol for liver tumours was subsequently modified according to the patients’ BMI. Changes in tube voltage and tube current were recorded for the RFA protocol based on BMI. The image quality and overall operator satisfaction were recorded for each case based on the BMI-modified protocol. The radiation dose received by the patients was also recorded, and the degree of dose reduction adjusted based on BMI was calculated. Results: The results showed that the mean (± SD) overall CT dose index (CTDI) of CT-guided RFA was 12.83 ± 3.78 mGy. Following protocol modification, the mean CTDI decreased to 3.84 ± 2.24 mGy, a 70.07% reduction overall. The image quality was slightly lower compared with before the modification, but the image quality in both stages met the needs of CT-guided RFA for liver tumours. Electrode needle display and operator confidence satisfaction showed no significant difference between the groups (P > 0.05). Conclusion: Modification of the BMI-based kV protocol could significantly reduce the radiation dose received by patients during CT-guided ablation of liver tumours. Furthermore, the image quality was not significantly compromised.
Keywords: Radiofrequency ablation, liver tumour, radiation dose, low kV, body mass index.
Full-Text [PDF 616 kb]   (474 Downloads)    
Type of Study: Original Research | Subject: Radiation Biology
References
1. Tian Z, Hong B, Chen J, Tang Z (2022) Combination of Radiofrequency Ablation With Resiquimod to Treat Hepatocellular Carcinoma Inflammation of Tumor Immune Microenvironment and Suppression of Angiogenesis. Front Oncol, 12: 891724. [DOI:10.3389/fonc.2022.891724] [PMID] []
2. Jarosova J, Macinga P, Krupickova L, et al. (2022) Impact of endoluminal radiofrequency ablation on immunity in pancreatic cancer and cholangiocarcinoma. Biomedicines, 10(6): 1331. [DOI:10.3390/biomedicines10061331] [PMID] []
3. Yuan, Q Zheng L, Hou J, et al. (2022) Total thyroidectomy versus hemithyroidectomy with intraoperative radiofrequency ablation for unilateral thyroid cancer with contralateral nodules: A propensity score matching study. Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et de Chirurgie Cervico-faciale, 51(1): 26. [DOI:10.1186/s40463-022-00578-6] [PMID] []
4. Abdalla M, Collings AT Dirks R, et al. (2022) Surgical approach to microwave and radiofrequency liver ablation for hepatocellular carcinoma and colorectal liver metastases less than 5 cm: a systematic review and meta-analysis. Surgical Endoscopy, 37(5): 3340-3353. [DOI:10.1007/s00464-022-09815-5] [PMID]
5. Bazaga Pérez de Rozas S, Gallardo Ramírez MA, García-Alonso FJ, et al. (2019) Endoscopic ultrasound-guided radiofrequency ablation for management of gastric gastrointestinal stromal tumor. Endoscopy, 51(8): E223-E224. [DOI:10.1055/a-0885-9752] [PMID]
6. Koethe Y, Wilson N, Narayanan G (2022) Irreversible electroporation for colorectal cancer liver metastasis: a review. International Journal of Hyperthermia : the Official Journal of European Society For Hyperthermic Oncology, North American Hyperthermia Group, 39(1): 682-687. [DOI:10.1080/02656736.2021.2008025] [PMID]
7. Fegrachi S, Walma MS, de Vries JJJ, et al. (2019) Safety of radiofrequency ablation in patients with locally advanced, unresectable pancreatic cancer: A phase II study. European Journal of Surgical Oncology: Eur J Surg Oncol, 45(11): 2166-2172. [DOI:10.1016/j.ejso.2019.06.008] [PMID]
8. Ahmed T, Portnoy R, Chachati G, et al. (2022) Correlation of body mass index with recanalization risk after endovenous thermal ablation. Journal of Vascular Surgery. Venous and Lymphatic Disorders, 10(1): 82-86. [DOI:10.1016/j.jvsv.2021.07.001] [PMID]
9. Budzianowski J, Hiczkiewicz J, Łojewska K, et al. (2021) Predictors of early-recurrence atrial fibrillation after catheter ablation in women and men with abnormal body weight. Journal of Clinical Medicine, 10(12). [DOI:10.3390/jcm10122694] [PMID] []
10. Liu JQ, Cheng Y, Chen LJ (2021) Optimization of scanning parameters for pulmonary nodules using different CT scanner:a comparative phantom study. Radiology Practice, 36(12): 1577-1581.
11. Zhao HB, Luo HJ, Liao MZ (2019) Comparative study on 70 and 120 kV dual-source CT image quality with different CARE Dose 4D preset values. Medical and Health Equipment, 40(2): 56-59.
12. Yu HS, Shen YL, Liu YK (2018) Application of double-low technique to aortic MSCTA. Chinese Medical Equipment Journal, 48(2): 76-79.
13. Herts BR, Baker ME, Obuchowski N, et al. (2013) Dose reduction for abdominal and pelvic MDCT after change to graduated weight-based protocol for selecting quality reference tube current, peak kilovoltage, and slice collimation. AJR. American Journal of Roentgenology, 200(6): 1298-1303. [DOI:10.2214/AJR.12.9387] [PMID]
14. Bongartz G, Golding SJ, Jurik AG (2106) European guidelines on quality criteria for computed tomography. www.drs.dk/guidelines /ct/quality /htmlindex.htm. Danish Society of Radiology website.
15. Luan X, Gao Z, Sun J, et al. (2022) Feasibility of an ultra-low dose contrast media protocol for coronary CT angiography. Clinical Radiology, 77(9): e705-e710. [DOI:10.1016/j.crad.2022.05.029] [PMID]
16. Sliwicka O, Swiderska-Chadaj Z, Snoeren M, et al. (2022) Multireader image quality evaluation of dynamic myocardial computed tomography perfusion imaging with a novel four-dimensional noise reduction filter. (Stockholm, Sweden: 1987) [DOI:10.1177/02841851221108804] [PMID]
17. Acta Radiologica, 2022: 2841851221108804.
18. Quality Management and Safety Management Group of Radiology Branch of Chinese Medical Association. Expert consensus on reference level of CT radiation dose diagnosis (2017). Chinese Journal of Radiology, 51(11): 817-822.
19. Sarti M, Brehmer WP, Gay SB (2012) Low-dose techniques in CT-guided interventions. Radiographics, 32(4): 1109-19. [DOI:10.1148/rg.324115072] [PMID]
20. Cao ZT, Huo X, Liu TJ (2021) Application value of low-dose CT angiography combined with iterative reconstruction colon examination. Chinese Medical Equipment Journal, 42(1): 53-56.
21. Liu CP, Pan ZY, Yan YC (2022) The application of noise index in CT localization lung puncture biopsy. Journal of Modern Oncology, 30(1): 117-120.
22. Huo XH, Yang SL, Guo ZT (2020) The clinical application study of low-dose CT-guided thoracic puncture biopsy. Journal of Medical Imaging, 30(12): 2228-2231.
23. Fang D, Cui SC, Li JH (2016) The CT dosage optimal control of CT-guided microwave ablation in patients with hepatocellular carcinoma. Journal of Medical Imaging, 26(10): 1837-1840.
24. Zhu GS, Xiao HJ, Dong XM (2021) Comparison of low-dose coronary CT angiography in patients with high heart rate using third-generation dual-source CT. Journal of China Clinic Medical Imaging, 32(1): 52-55.
25. Ma GN, Jiang QQ, Han P (2018) The clinical application of SAFIRE reconstruction combined with CARE kV in aortic low-dose CT angiography. Journal of Clinical Radiology, 37(10): 1755-1759.
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Zhao J, Nie G, Liu Z, Zhao Y, Zhao D, Zheng L. Selection of kilovolt based on body mass index reduced radiation dose for computed tomography-guided radiofrequency ablation of liver tumors. Int J Radiat Res 2023; 21 (3) :531-535
URL: http://ijrr.com/article-1-4905-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 21, Issue 3 (6-2023) Back to browse issues page
International Journal of Radiation Research
Persian site map - English site map - Created in 0.06 seconds with 48 queries by YEKTAWEB 4652