Effects of bismuth breast shielding on iodine quantification in dual-energy computed tomography: an experimental phantom study

Hyunsik Jang, Jin Hur, Byoung Wook Choi, Dong Jin Im, Yoo Jin Hong, Young Jin Kim, Hye Jeong Lee

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Background: Although the bismuth breast shield can reduce radiation exposure to the breast during dual-energy computed tomography (DECT), it can potentially affect material quantification on DECT due to artifacts. Purpose: To evaluate the effects of bismuth breast shielding on iodine quantification and radiation exposure in DECT. Material and Methods: Small balloons were made with 0.2%, 0.6% and 1.0% blended iodinated contrast (370 mg/mL of iodine) with water. The balloons were located at both anterior and posterior lungs in an adult anthropomorphic chest phantom. DECT was performed with and without breast shielding. Afterwards, iodine concentration values were measured for each balloon on the iodine maps. Absorbed radiation doses in the breast were measured with the optically stimulated luminescence dosimeter. Results: After shielding, we obtained significantly decreased iodine quantification for all three concentrations with 0.78 ± 0.13 to 0.46 ± 0.13 mg/mL, 2.31 ± 0.17 to 1.68 ± 0.19 mg/mL, and 3.82 ± 0.10 to 2.84 ± 0.20 mg/mL at the anterior location, and 0.72 ± 0.11 to 0.48 ± 0.09 mg/mL, 2.24 ± 0.13 to 1.87 ± 0.21 mg/mL, and 3.75 ± 0.16 to 3.15 ± 0.14 mg/mL at the posterior location for the 0.2%, 0.6%, and 1.0% balloons, respectively (P = 0.001 for all). After shielding, absorbed radiation doses to the breast significantly decreased by 14.8% (4.32 ± 0.33 to 3.68 ± 0.30 mGy; P = 0.005). Conclusion: Although using the bismuth breast shield may decrease radiation exposure to the breast on DECT, it may also significantly affect iodine quantification.

Original languageEnglish
Pages (from-to)1475-1481
Number of pages7
JournalActa Radiologica
Issue number12
Publication statusPublished - 2018 Dec 1

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by a National Research Foundation of Korea Grant funded by the Korean government (grant no. NRF-2016R1D1A1B03933022).

Publisher Copyright:
© The Foundation Acta Radiologica 2018.

All Science Journal Classification (ASJC) codes

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging


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