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Excess of radiation burden for young testicular cancer patients using automatic exposure control and contrast agent on whole-body computed tomography imaging

Open Access
|Feb 2017

Figures & Tables

Boxplot of effective dose by device. The difference between devices is highly significant (p < 0.0001, Wilcoxon’s).
Boxplot of effective dose by device. The difference between devices is highly significant (p < 0.0001, Wilcoxon’s).
Effective dose versus waist circumference by scanner type in whole-body examinations. A wider variation of effective doses is observed for the LightSpeed 16 device.
Effective dose versus waist circumference by scanner type in whole-body examinations. A wider variation of effective doses is observed for the LightSpeed 16 device.

Mean effective dose and SD (mSv) by device and waist circumference with and without IV contrast

LightSpeed 16

The p-value (Wilcoxon two-sample test) between waist circumference over and under 100 cm p=0.003

Plus 4

The p-value (Wilcoxon two-sample test) between waist circumference over and under 100 cm p=0.003

Waist circumference< 100 cm≥ 100 cm< 100 cm≥ 100 cm
With IV13.6 (3.2)17.5 (6.1)7.4 (1.2)8.5 (3.3)
Without IV10.7 (2.0)12.8 (1.9)6.2 (0.5)7.7 (2.5)
All12.8 (3.2)16.7 (5.9)7.2 (1.2)8.2 (3.0)

Patient characteristics at the time of the first whole-body scan

CharacteristicValue
Number of patients65
Median age (years)28 (range 16.5-39.4)
Number of patients with seminoma/non-seminoma26/39
Median waist circumference (cm)

The waist circumference was measured midway between the lowest rib and the iliac crest from one exial CT image.

92.2 (range 66.9-126.3)
Total number of whole-body CTEs279
Mean number of whole-body CTEs/patient4.3 (SD 2.6)
Number of whole body CTEs
  • - LightSpeed 16

  • - Plus 4

  • 137 (49.1%)

  • 142 (50.2%)

Number of whole-body CTE with IV contrast
  • -LightSpeed 16

  • -Plus 4

  • 104 (75.9)

  • 112 (78.9)

DOI: https://doi.org/10.1515/raon-2017-0012 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 235 - 240
Submitted on: Jul 28, 2016
Accepted on: Feb 3, 2017
Published on: Feb 26, 2017
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2017 Hannele Niiniviita, Jarmo Kulmala, Tuukka Pölönen, Heli Määttänen, Hannu Järvinen, Eeva Salminen, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.