Wertigkeit der elektronenstrahl-computertomographie (EBT). II. Nichtkardiale anwendungen und strahlenexposition

Translated title of the contribution: Value of electron beam tomography (EBT) - II. Non-cardiac applications and radiation exposure

Christian N H Enzweiler, C. R. Becker, R. Brüning, R. Felix, M. Georgi, Friedrich D Knollmann, K. J. Lehmann, A. Lembcke, M. F. Reiser, P. Rogalla, U. J. Schoepf, M. Taupitz, G. Weisser, T. H. Wiese, B. Hamm

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Electron beam tomography (EBT) has been scientifically evaluated to a much lesser degree for non-cardiac indications than for cardiac purposes. Therefore, four groups of investigators in Berlin (2), Mannheim and München, which were supported by the Deutsche Forschungsgemeinschaft (DFG), included applications outside the heart in their evaluation of EBT technology. EBT has proven useful to look for pulmonary embolism and to assess other vessels (aorta, aortic branches, and intracranial arteries). Imaging of the lung parenchyma benefits from its intrinsic high contrast and from the fast data acquisition of EBT. Limited photon efficiency, higher radiation exposure, increased noise levels and other artifacts, however, markedly reduce the value of EBT for imaging of low contrast objects compared to conventional spiral CT and multislice CT (MSCT), compromising, in particular, the morphologic depiction of parenchymal abdominal organs and the brain. Consequently, scientific studies to further evaluate EBT for scanning of the brain and parenchymal abdominal organs were not pursued. Radiation exposure for non-cardiac EBT studies is up to three times higher than that for respective spiral CT studies, and in children EBT can only be advocated in select cases. Radiation exposure for the various prospectively triggered cardiac examination protocols of EBT is lower than that for conventional coronary angiography. Radiation exposure in cardiac multislice CT exceeds severalfold that of EBT, but the dose efficiency of EBT and MSCT are similar due to higher spatial resolution and less image noise of MSCT. In addition, modifications of MSCT (ECG pulsing) can further reduce radiation exposure to the level of EBT. Technical improvements of the EBT successor scanner "e-Speed" enable faster data acquisition at higher spatial resolution. Within comparative studies, the "e-Speed" will have to prove its value and competitiveness, particularly in comparison with multislice CT. After profound scientific assessment in a multicenter evaluation supported by the Deutsche Forschungsgemeinschaft (DFG) and regardless of the specific suitability of electron beam tomography for various cardiac and some non-cardiac indications, the investigators unanimously find the electron beam tomograph Evolution C150 XP not suitable as a whole body CT scanner.

Original languageGerman
Pages (from-to)1566-1575
Number of pages10
JournalRoFo Fortschritte auf dem Gebiet der Rontgenstrahlen und der Bildgebenden Verfahren
Volume176
Issue number11
DOIs
StatePublished - Nov 2004
Externally publishedYes

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Keywords

  • Abdomen
  • Chest
  • CT-angiography
  • Electron beam computed tomography
  • Radiation exposure

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Enzweiler, C. N. H., Becker, C. R., Brüning, R., Felix, R., Georgi, M., Knollmann, F. D., Lehmann, K. J., Lembcke, A., Reiser, M. F., Rogalla, P., Schoepf, U. J., Taupitz, M., Weisser, G., Wiese, T. H., & Hamm, B. (2004). Wertigkeit der elektronenstrahl-computertomographie (EBT). II. Nichtkardiale anwendungen und strahlenexposition. RoFo Fortschritte auf dem Gebiet der Rontgenstrahlen und der Bildgebenden Verfahren, 176(11), 1566-1575. https://doi.org/10.1055/s-2004-813666