Optimisation of patient dose and image quality in endoscopic retrograde cholangiopancreatography: A phantom-based evaluation

Anastasia C. Hadjiconstanti, Gerasimos A.T. Messaris, Konstantinos C. Thomopoulos, Aikaterini G. Solomou, George S. Panayiotakis

Research output: Contribution to journalArticlepeer-review

Abstract

A phantom-based study is presented aiming to optimise patient dose and image quality (IQ) in endoscopic retrograde cholan giopancreatography procedures, utilising a fluoroscopy system equipped with a flat panel detector. The patient thickness was simulated with various polymethyl methacrylate slabs, whilst IQ was evaluated using the Leeds test object. The main factors evaluated were phantom thickness, distance between phantom and detector, field of view and pulse rate. For all these factors, the dosemetric indices, entrance surface air kerma (ESAK) rate and ESAK per pulse, as well as the IQ parameters, signal-to noise ratio and high contrast spatial resolution, were measured. Based on these measurements, the figure of merit (FOM) was estimated. The FOM and ESAK rate values indicated the optimum combination of the factors evaluated which could provide adequate clinical information, assuring minimum patient dose.

Original languageEnglish
Article numberncw276
Pages (from-to)118-123
Number of pages6
JournalRadiation Protection Dosimetry
Volume175
Issue number1
DOIs
Publication statusPublished - 1 Jun 2017
Externally publishedYes

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