Estimating Effective Dose for CT Using Dose–Length Product Compared With Using Organ Doses: Consequences of Adopting International Commission on Radiological Protection Publication 103 or Dual-Energy Scanning

Abstract

OBJECTIVE. The objective of our study was to compare dose–length product (DLP)–based estimates of effective dose with organ dose–based calculations using tissue-weighting factors from publication 103 of the International Commission on Radiological Protection (ICRP) or dual-energy CT protocols.MATERIALS AND METHODS. Using scanner- and energy-dependent organ dose coefficients, we calculated effective doses for CT examinations of the head, chest, coronary arteries, liver, and abdomen and pelvis using routine clinical single- or dual-energy protocols and tissue-weighting factors published in 1991 in ICRP publication 60 and in 2007 in ICRP publication 103. Effective doses were also generated from the respective DLPs using published conversion coefficients that depend only on body region. For each examination type, the same volume CT dose index was used for single- and dual-energy scans.RESULTS. Effective doses calculated for CT examinations using organ dose estimates and ICRP 103 tissue-weighting factors diffe...