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Table 3 Overview of published national diagnostic reference levels for CT in SPECT/CT

From: A systematic review and meta-analysis on the radiation dose of computed tomography in hybrid nuclear medicine imaging

Modality

Examination

Country

CTDIvol (mGy)

DLP (mGy cm)

SPECT/CT

99mTc bone imaging (AC/AL-CT)

Australia

–

240

  

Bulgaria

3.0

200

  

Nordic countries

4.0

215

  

United Kingdom

4.9

150

 

99mTc bone pelvis (AC/AL-CT)

Switzerland

10.0

410

 

99mTc bone spine (AC/AL-CT)

 

5.0

190

 

99mTc bone extremities (AC/AL-CT)

 

17.0

380

 

99mTc bone imaging (D-CT)

Japan

5

380

 

99mTc cardiac imaging (AC-CT)

Australia

–

40

  

Bulgaria

3

70

  

Japan

4.1

85

  

Nordic countries

2.2

53

  

Switzerland

2.0

40

  

United Kingdom

2.1

36

 

99mTc cardiac imaging (D-CT)

Japan

4.5

180

 

mIBG/octreotide (AC/AL-CT)

Switzerland

5.0

250

  

United Kingdom

5.5

240

 

99mTc parathyroid imaging (AC/AL-CT)

Australia

–

205

  

Bulgaria

6.0

160

  

Nordic countries

5.7

199

  

Switzerland

4.0

160

  

United Kingdom

5.6

170

 

131I post-thyroid ablation (AC/AL-CT)

Bulgaria

4.0

160

  

Switzerland

4.0

160

  

United Kingdom

5.9

210

 

99mTc thyroid imaging (AC/AL-CT)

Bulgaria

4.0

170

  

Switzerland

4.0

160

  1. AC-CT, attenuation correction CT; AC/AL-CT, attenuation correction and anatomical localisation CT; D-CT, diagnostic CT