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The main findings of the study are that there was very good intra- and inter-examiner reliability for all examination and assessment types in the 5-year-old children with the intra-class correlation coefficient, a measure of inter-examiner reliability for the visual examination method (0.963) similar to that of the assessment of 8 intra-oral photographs (0.964).
Significant differences between hospitals (median, interquartile range, total range) in both CTDIvol and DLP were observed for all examination types.
Hospital C consistently had the lowest median CTDIvol and DLP for all examination types (p values < 0.01).
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This window has been maintained as far as possible for all the examinations of the same patient.
A previously calibrated single examiner (Kappa coefficient = 0.92) was responsible for all examinations.
The clinical indication for all examinations was movement disorder.
The lowest dose levels for all examinations were found in hospital C where, on top of the newest CT equipment, a single radiologist interested in dose optimisation was responsible for the CT organisation and protocols.
For all examinations, a typical 100 mL bolus of iodinated contrast material (Iopromide, 370 mg iodine/mL, Ultravist; Bayer Schering, Berlin, Germany) was injected into a peripheral vein in the arm at a flow rate of 3 mL/s.
For all examinations, contrast-specific software (Coherent Contrast Imaging [CCI] and Contrast Pulse Sequencing [CPS], Siemens Acuson, USA; ECI, Siemens, Germany; Contrast Tuned Imaging [CnTI], Esaote, Italy) in continuous mode with very low mechanical index (0.01-0.1) was employed.
Informed consent was obtained in writing for all examinations of the child and was implicit on receipt of completed questionnaires from the mother.
The 0.625-mm 0.625-mmed sourcollimatedwere available for all examinationsource
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