Table 4

Effect of copper filtration on phantom DSA readings. Low-dose pediatric protocol, DSA 0.54 nGy/frame, field of view 22 cm, source–image distance 100 cm

No of framesCu filter mmGridDAP µGy.m2 ESD mGyOutput kV
150.1No53.86.170
150.2No40.64.669
150.3No313.571
150.6No18.32.175
150.9No13.61.680
150.1Yes76.98.873
150.2Yes53.46.174
150.3Yes40.94.776
150.6Yes24.82.880
150.9Yes17.9285
  • Readings using a phantom in the anteroposterior plane and a low-dose pediatric protocol are tabulated with and without the grid. At first glance it would seem that more copper filtration is desirable to reduce DAP and ESD uniformly. However, the right-hand column illustrates the penalty of increasing kVp incurred with this adjustment in filtration, resulting in compromised image quality.

  • DAP, dose–area product; ESD, estimated skin doses.