Attenuation based governing equations for Automatic mAs and kVp Controls in Medical X-ray CT Imaging

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Automatic exposure control based on noise index has been commonly implemented in current medical X-ray CT scanners in order to minimise radiation dose to patients while maintaining image quality for patient diagnosis. Automatic peak voltage control is also desirable as it is an important scanning parameter that has significant impact on both image quality and radiation dose. In this paper, a general attenuation based governing equation for simultaneous automatic controls of both mAs and kVp is presented which was derived from the first principle of radiation dose and image quality optimisation. This equation can be applied separately for automatic mAs control only or automatic kVp control only. The equation for automatic mAs control only states that the mAs should be increased by 3.8% for every 1cm increase of the patient body's sectional thickness if the peak voltage is kept constant. For automatic kVp control only, the equation states that the peak voltage should be increased by 1.53% percent on average for every 1 cm increase of the patient's body sizes if the mAs is kept as a constant. For a constant body thickness, the equation states that the average percentage mAs reduction should be 2.49 times the percentage peak voltage increase. The implementation of these equations in medical CT scanners has been described in a recent Australian patent.
Original languageEnglish
Pages (from-to)625-632
Number of pages8
JournalCT Theory and Applications
Issue number6
Publication statusPublished - 2016


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