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Updated: Dec 30, 2025

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
Published on: September 11, 2011
Radiation dose reduction to the eye lens in head CT using tungsten functional paper and organ-based tube current
Hiroyuki Kosaka1, Hajime Monzen1, Morikazu Amano2
1Department of Medical Physics, Graduate School of Medical Sciences, Kindai University, 377-2 Ohno-higashi, Osaka-Sayama, Osaka, 589-8511, Japan.
Purpose:
We investigated whether a tungsten functional paper (TFP) shield and/or organ-based tube current modulation (TCM) can reduce the dose to the eye lens.
Materials And Methods:
All scans were performed using our routine head examination protocol (spiral acquisition, 120 kVp, noise Index 3.5) with an anthropomorphic head phantom. The dose reduction rate was measured by the following methods with a scintillation fiber optic dosimeter: (a) without any dose reduction techniques (Original scan), (b) TFP shield, (c) TCM, and (d) TFP shield plus TCM. Image noise and CT number were obtained and compared between the three groups. In addition, image noise in method (d) was measured with varying distances between the TFP shield and eye lens.
Results:
The reduction rates using TFP shield, TCM, and TFP shield plus TCM compared with those for the Original scan were 17.8 %, 13.6 %, and 27.7 %, respectively. Image noise (mean ± standard deviation) in the anterior region for the Original scan, TFP shield, TCM, and TFP shield plus TCM were 4.1 ± 0.2, 4.6 ± 0.2, 4.4 ± 0.3, and 5.0 ± 0.2, while the CT numbers were 19.3 ± 0.8, 23.8 ± 0.8, 19.6 ± 0.8, and 24.1 ± 0.8, respectively. Increasing the distance between the TFP and the eye significantly decreased the CT number when using TFP shield plus TCM (p < .05).
Conclusion:
TFP shield plus TCM reduced the dose to the eye lens in head CT while maintaining image quality with an air gap between the TFP and skin surface.

