Abstract
This research assessed the connection between radiation dosage and signal-to-noise ratio (SNR) in brain CT scans conducted at the Federal Teaching Hospital in Birnin Kebbi. Utilizing a prospective experimental design, we analyzed data from 150 patients who underwent scans from March to June 2025. The study focused on evaluating the CT Dose Index (CTDIvol), Dose-Length Product (DLP), and effective dosage, in addition to various metrics of image quality. The average CTDIvol recorded was (26.09 mGy), with a DLP of (1169 mGy.cm), and an effective dose of (2.66 mSv), all of which are aligned with international diagnostic reference thresholds. However, a significant range in values and elevated upper-quartile readings indicated issues with consistent protocol optimization. The observed SNRs displayed notable variability; certain scans exhibited excellent diagnostic clarity, while others suffered from noise interference, potentially jeopardizing diagnostic confidence and necessitating repeat imaging. These results highlight the importance of achieving an optimal balance between reducing radiation doses and maintaining image quality. This can be addressed through protocol standardization, ongoing training for radiographers, routine dose audits, and the integration of dose-reduction technologies like iterative reconstruction and automatic exposure control. Furthermore, establishing localized diagnostic reference levels and implementing continuous monitoring are advised to improve patient safety and the reliability of diagnoses at FTHBK.
References
Adebayo, K., Okonkwo, C., Atanda, H. and Nwogu, P. (2022). Evaluation of dose optimization techniques in brain CT imaging and their impact on radiation exposure and image quality. Nigerian Journal of Radiology, 19(2): 134-148. Adepoju, A., Ibrahim, M., Isa, T. and Salisu, T. (2023). Retrospective analysis of radiation dose trends in CT imaging at a federal medical center in Northern Nigeria. Journal of Medical Imaging and Radiation Sciences, 54(3): 210-225. Akin-Ajani, O. D., Adejoh, T. and Oluwasanjo, A. (2021). Radiation dose optimization in CT imaging: Challenges and opportunities in developing countries. Nigerian Journal of Medical Imaging, 10(2): 45-56. Eze, J., Olatunji, B., Chenfa, Y. and Umeh, C. (2021). The impact of signal-to-noise ratio on diagnostic confidence in brain CT scans: A study in Lagos, Nigeria. West African Journal of Medical Imaging, 17(1): 85-102. Ibrahim, S., Musa, L., Abdallah, Y. and Umar, T. (2019). Patient radiation dose evaluation in brain CT imaging at a tertiary hospital in Kano. African Journal of Medical Physics, 12(4): 98-112. ICRP (International Commission on Radiological Protection). (2021). Radiological protection in medical imaging. ICRP Publication 145, Annals of the ICRP, 50(2): 1-54. Kalra, M. K., Maher, M. M., Toth, T. L. and Shepard, J. A. (2018). Radiation dose reduction strategies for CT: A review. European Journal of Radiology, 107: 15-24. McCollough, C. H., Leng, S., Yu, L. and Fletcher, J. G. (2020). Dual- and multi-energy CT: Principles, technical advances, and clinical applications. Radiology, 297(1): 271-291. Mourão, A. P., Valentin, J. and Jones, D. G. (2020). Advances in CT image reconstruction techniques: Balancing dose reduction and image quality. British Journal of Radiology, 93(1115): 20200250. Nwosu, E., Chidiebere, A., Oluchi, G. and Onwumere, U. (2021). Investigation of patient dose levels in head and abdominal CT scans in Enugu, Nigeria: A dose optimization perspective. Nigerian Medical Physics Journal, 15(3): 67-79. Okonkwo, F., Adeyemi, T., Tunde, G., Latifa, T. and Balogun, O. (2020). Radiation dose and image quality in brain CT scans: A comparative study of teaching hospitals in Nigeria. Journal of Radiological Science and Technology, 23(4): 178-193. Samei, E. and Saunders, R. S. (2019). Fundamental physics of CT image quality: Noise, resolution, and contrast. American Journal of Roentgenology, 212(6): 1341-1351. Yusuf, R., Mohammed, H., Sadiq, G., Jafar, F., Abba, L., Yusuf, S. and Bello, S. (2023). Radiation dose management strategies in brain CT imaging at Federal University Teaching Hospital, Birnin Kebbi. International Journal of Diagnostic Imaging, 29(2): 45-60. Maidamma et, al. (2025). Computed Tomography Procedures and Current Dose Practice Determination in Sokoto State CT Centres. https://doi.org/10.21203/rs.3.rs-7273866/v1.