[Proper technics and the reduction of radiation in helical computed tomography]

Helical computed tomography is the main source of ionizing radiation delivery in diagnostic radiology. For each series, average radiation dose is between 20 and 30 mGy. This dose can potentially be reduced by decreasing intensity or voltage and by increasing pitch. Helical acquisition allows reformating of images with smaller increment or different obliquity, and avoids additional irradiation. Hardware and software devices designed for dose reduction must be systematically used. Users of CT systems should be aware of radiation dose delivered with CT and must carefully assess the need of each additional acquisition. Obsolete habits, as gantry tilting for lumbar CT, which increases patient exposure, must be given up. Rational use of helical CT decreases radiation exposure and gains time, whereas thoughtless use increases radiation exposure without real benefit.