CT 640 vs DSCT: Which Offers Better Accuracy and Lower Radiation? - Radiology

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Which is more accurate, CT 640 or DSCT?


I would like to arrange a detailed health check for my father.
Which is more accurate, the CT 640 ultra-fast computed tomography scan or the dual-source computed tomography (DSCT)? Additionally, which one has a lower radiation dose? If there are lung issues and a CT scan has already been performed at the hospital, can a health check be done in the same month? Will the radiation exposure be excessive? Thank you for your assistance.

Yang Xiaomei, 40~49 year old female. Ask Date: 2022/05/10

Dr. Wang Yifen reply Radiology


Hello,
1.
To enhance the quality of radiation medicine and ensure public health and safety, the Atomic Energy Council of the Executive Yuan has actively promoted quality assurance operations for medical exposure since 2004.
For 11 types of radiological diagnostic equipment frequently used by the public, such as computed tomography (CT) scanners, mammography machines, and medical linear accelerators, radiation medical exposure quality assurance standards have been established.
Equipment that meets these standards will be issued a "Radiation Medical Exposure Quality Label," and medical institutions are required to display this label on the equipment for patient identification, ensuring the radiation safety of individuals undergoing radiological procedures.
According to Taiwan's regulations, regardless of the number of slices a CT scanner has, the quality of the scanner must be approved by the competent authority before use.
Major hospitals often emphasize their advanced equipment by promoting scanners with increasingly higher slice counts; however, more slices do not necessarily mean better or more accurate results.
An appropriate examination workflow and meticulous image interpretation are essential for obtaining optimal examination results.
Therefore, whether it is a 640-slice or dual-source CT (DSCT), the accuracy of the equipment is determined by its approval for use by the competent authority, and the focus should be on the examination workflow and the professionalism of image interpretation.
2.
Both types of CT scanners are advanced instruments.
By selecting appropriate scanning parameters and utilizing software and hardware techniques such as iterative reconstruction, radiation doses can be reduced.
International studies have compared the radiation doses of various CT scanners in coronary computed tomography angiography, with results showing the following radiation doses: 2x32-detector-row DSCT (6.06 mSv), 64-detector-row SSCT (5.6 mSv), 2x64-detector-row DSCT (1.88 mSv), and 320-detector-row SSCT (1.34 mSv).
In Taiwan, the 640-slice CT scanners are actually 320-detector-row scanners, and the radiation dose for coronary CT angiography is slightly lower than that of DSCT according to the literature.
3.
Is it possible to undergo health checks in the same month? The necessity of the examination should be considered regarding radiation checks, and there are no restrictions on radiation doses.
It is advisable to discuss with your physician whether to undergo other radiation examinations within the same month.
Do not avoid examinations out of fear of radiation, as this could lead to missed opportunities for disease treatment.

Please refer to the above information, and I wish you peace and health.
Reference:
1.
Recent Update on Radiation Dose Assessment for the State-of-the-Art Coronary Computed Tomography Angiography Protocols.
https://doi.org/10.1371/journal.pone.01615432
2.
Central News Agency Information Platform https://www.cna.com.tw/postwrite/detail/228983

Reply Date: 2022/05/10

More Info


When considering the choice between CT 640 (64-slice CT) and DSCT (Dual Source CT) for your father's health check-up, it's essential to understand both the accuracy of the scans and the radiation exposure associated with each type of CT scan.

1. Accuracy of CT 640 vs. DSCT:
Both CT 640 and DSCT are advanced imaging technologies that provide high-quality images. While the number of slices (or detectors) in a CT scanner can influence the speed and detail of the images produced, it is not the sole determinant of accuracy. The accuracy of a CT scan is also heavily reliant on the protocols used during the scan, the expertise of the radiologists interpreting the images, and the specific clinical indications for the scan.
DSCT, with its dual-source technology, can capture images at a faster rate and may provide better temporal resolution, which is particularly beneficial for imaging moving structures like the heart. This can lead to improved accuracy in certain scenarios, such as coronary artery imaging. However, both technologies are capable of producing accurate results when used appropriately. Therefore, the choice between CT 640 and DSCT should also consider the specific health concerns and the expertise available at the imaging facility.

2. Radiation Exposure:
In terms of radiation exposure, both CT 640 and DSCT are designed to minimize radiation doses while maintaining image quality. The radiation dose can vary based on the specific protocols used, the body part being scanned, and the patient's size. Generally, studies have shown that DSCT can achieve lower radiation doses compared to traditional CT scanners, including 64-slice CT, due to its advanced technology and ability to optimize scanning parameters.
For example, research indicates that the radiation dose for a coronary CT angiography using DSCT can be lower than that of a 64-slice CT. However, the actual dose will depend on the specific settings used during the scan. It is crucial to discuss with the healthcare provider about the expected radiation dose for the specific scans being considered.

3. Timing of Scans and Radiation Safety:
Regarding your concern about undergoing multiple scans within the same month, it is generally safe to have multiple CT scans as long as they are medically necessary. The key factor is to ensure that each scan is justified based on clinical need. The cumulative radiation exposure from multiple scans should be considered, but it is unlikely to cause harm if the scans are spaced appropriately and the radiation doses are within safe limits.

It is advisable to consult with your father's healthcare provider to discuss the necessity of additional scans and to ensure that the benefits of the imaging outweigh any potential risks associated with radiation exposure. They can provide guidance on the timing of the scans and whether additional imaging is warranted based on your father's health status.

In conclusion, both CT 640 and DSCT are advanced imaging modalities that can provide accurate results with relatively low radiation exposure. The choice between them should be guided by the specific clinical context, the expertise of the imaging facility, and a thorough discussion with the healthcare provider regarding the necessity and timing of the scans. Always prioritize communication with medical professionals to ensure the best care for your father.

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