ArticlePediatric radiology2025
Influence of anti-scatter grids on radiation dose and image quality in cardiac catheterization of children weighing less than 10 kg.
Article in Pediatric radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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11 authors.
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Abstract
backgroundAnti-scatter grids are commonly used for cardiac catheterization in children with heart disease. However, the effect of the grid on the radiation dose or image quality has not been sufficiently demonstrated.
objectiveTo investigate the effect of the removal of an anti-scatter grid on radiation dose and image quality in phantom and clinical settings. MATERIALS AND
methodsThis research consists of a preliminary study using a manufactured phantom simulating a newborn's chest thickness and a clinical study of 30 infants with simple congenital heart disease. We evaluated the exposure dose by dose area product (DAP), air kerma (AK), and image quality using visual and physical assessments.
resultsIn the phantom study, removal of the anti-scatter grid decreased DAP and AK by 25.0% to 55.6%. In the clinical study, the DAP (sum) and AK (sum) without an anti-scatter grid were significantly lower than with the grid (1.22±0.58 Gy·cm
conclusionsThe removal of the anti-scatter grid did not affect the accuracy of the examination and achieved a lower radiation dose in both phantom and clinical studies. Cardiac catheterization without an anti-scatter grid may be a beneficial option for small patients with simple congenital heart disease.
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