Letter to the Editor: Cerebral CT perfusion dose: diagnostic reference levels should stimulate, not replace, optimization

Thomas Stein, Alexander Rau, Elias Kellner · 2026

Read Letter to the Editor: Cerebral CT perfusion dose: diagnostic reference levels should stimulate, not replace, optimization by Thomas Stein, Alexander Rau, Elias Kellner (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13553993.txt.

Description

Thomas Stein and co-authors write a letter on brain scan dose reference levels in a 2026 piece. A four country survey proposed dose guideposts for many CT scan types. For brain perfusion scans, the proposed levels sat above the middle site's values. The letter argues such levels should provoke review, not serve as targets.

Most sites used fixed scan settings, so local design set the dose. Staying under harm thresholds does not prove a protocol is tuned, they note. Individual patient tuning barely featured in the survey's dose data. The writers urge sites to treat the numbers as a starting bell for tuning.

Catalog record

CREATORThomas Stein, Alexander Rau, Elias Kellner
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE5 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13553993

Browse the full library · About the Tower of Babel