Nîmes University Hospital
Nîmes, Gard, 30029, France
NCT Number: NCT07305103
Spectral computed tomography or dual-energy CT imaging can overcome the limitations of conventional CT in differentiating between two materials with equivalent total attenuation. It can generate several types of images, such as virtual monochromatic images, which improve the contrast-to-noise ratio for low energy levels and reduce artifacts for high energy levels. It also allows for quantitative image analysis and thus better characterization of lesions and tissues through material mapping (e.g., iodinated contrast agent mapping). This technique is increasingly used in routine clinical practice thanks to improvements in image flow management and technological advances. It also involves exposing patients to ionizing radiation, as with conventional CT but, unlike conventional CT scans, for which dosimetric reference levels (RLs) are defined for the most common examinations in France (RL decree dated 2019), there are currently no dosimetric reference levels for examinations performed using this technique. Yet RLs are an important and effective tools for optimizing patient exposure to ionizing radiation. Several articles were published between 2012 and 2017 when the first dual-energy scanners arrived in clinics. However, the results presented in these studies are now far removed from recent practices, as they do not take into account the latest technological developments used in dual-energy scanners, which reduce X-ray doses.
The main objective of the study is to define dosimetric reference levels for the most commonly performed spectral computed tomography examinations in France.
This study is active but is not currently recruiting participants.
Notify Me18 year and older
All sexes
Observational
Nîmes, Gard, 30029, France
Spectral computed tomography (CT) (or dual-energy CT) imaging can overcome the limitations of conventional CT in differentiating between two materials with equivalent total attenuation. It can generate several types of images, such as virtual monochromatic images, which improve the contrast-to-noise ratio for low energy levels and reduce artifacts for high energy levels. It also allows for quantitative image analysis and thus better characterization of lesions and tissues through material mapping (e.g., iodinated contrast agent mapping). This technique is increasingly used in routine clinical practice thanks to improvements in image flow management and technological advances. It also involves exposing patients to ionizing radiation, as with conventional CT.
However, unlike conventional CT scans, for which dosimetric reference levels (RLs) are defined for the most common examinations in France (RL decree dated 2019), there are currently no dosimetric reference levels for examinations performed using this technique. Yet the RL is an important and effective tool in optimizing patient exposure to ionizing radiation. In fact, a number of articles were published between 2012 and 2017, when the first dual-energy scanners arrived in clinics. However, the results presented in these studies are now far removed from recent practices, as they do not take into account the latest technological developments used in dual-energy scanners, which reduce X-ray doses.
The main objective of the study is to define dosimetric reference levels for the most frequently performed spectral computed tomography examinations in France:
The secondary objectives of the study are to evaluate, for each examination performed:
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Commonly performed spectral computed tomography examinations in France
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm
Time frame: Periprocedural
Computed tomography dose index (CTDIvol) per acquisition expressed in milligray (mGy).
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CTDIvol) will be recorded.
Time frame: Periprocedural
Dose length product (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CTDIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch time will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CTDIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CTDIvol) will be recorded.
Time frame: Periprocedural
Dose length product (DLP) will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV)will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded
Time frame: Periprocedural
The number of acquisitions will be recorded
Time frame: Periprocedural
The dose (CTDIvol) will be recorded.
Time frame: Periprocedural
The dose (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CTDIvol) will be recorded.
Time frame: Periprocedural
The dose (DLP) expressed in mGy.cm will be recorded
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisitions will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CDTIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CDTIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CTDIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CDTIvol) will be recorded.
Time frame: Periprocedural
The dose (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CTDIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisitions will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CTDIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CDTIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose CDTIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds.
Time frame: Periprocedural
Helical pitch will be recorded as a ratio.This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
Type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CDTIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisition will be recorded.
Time frame: Periprocedural
The dose (CDTIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisition will be recorded.
Time frame: Periprocedural
The dose (CDTIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CDTIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded.
Time frame: Periprocedural
Weight and height will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Time frame: Periprocedural
The type of acquisition will be recorded.
Time frame: Periprocedural
The number of acquisitions will be recorded.
Time frame: Periprocedural
The dose (CTDIvol) will be recorded.
Time frame: Periprocedural
The dose length product (DLP) expressed in mGy.cm will be recorded
Time frame: Periprocedural
Weight in kg and height in cm in will be combined to report BMI in kg/m^2
Time frame: Periprocedural
Acquisition parameters (kV) will be recorded
Time frame: Periprocedural
Acquisition parameters (mAs) will be recorded
Time frame: Periprocedural
Rotation time will be recorded in seconds
Time frame: Periprocedural
Helical pitch will be recorded as a ratio. This represents the relationship between patient couch movement and X-ray beam width. It is the distance travelled by the table during one 360 degree gantry rotation divided by the collimated section thickness
Time frame: Periprocedural
The type of reconstruction algorithm (iterative or deep learning) will be recorded
Centre Hospitalier Universitaire de Nīmes
Other
Acronym: NR Spectral
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