Paediatric effective radiation doses during brain computed tomography angiography procedure

被引:2
|
作者
Salah, H. [1 ,2 ]
Rabbaa, Mohammad [3 ]
Abuljoud, Mohammad [3 ]
Babikir, E. [4 ]
Alkhorayef, M. [5 ]
Tamam, N. [6 ]
Tahir, Dahlang [7 ]
Sulieman, A. [8 ]
Bradley, D. A. [9 ,10 ]
机构
[1] INAYA Med Collage, Nucl Med Dept, Riyadh, Saudi Arabia
[2] Sudan Univ Sci & Technol, Coll Med Radiol Sci, Khartoum, Sudan
[3] Riyadh Care Hosp, Radiol Dept, Riyadh, Saudi Arabia
[4] Univ Bahrain, Coll Hlth & Sport Sci, Radiol Technol Program, Sakhir Campus,POB 32038, Zallaq, Bahrain
[5] King Saud Univ, Coll Appl Med Sci, Dept Radiol Sci, POB 10219, Riyadh 11433, Saudi Arabia
[6] Princess Nourah bint Abdulrahman Univ, Coll Sci, Dept Phys, POB 84428, Riyadh 11671, Saudi Arabia
[7] Hasanuddin Univ, Dept Phys, Makassar 90245, Indonesia
[8] Prince Sattam bin Abdulaziz Univ, Coll Appl Med Sci, Radiol & Med Imaging Dept, POB 422, Alkharj 11942, Saudi Arabia
[9] Univ Surrey, Ctr Nucl & Radiat Phys, Dept Phys, Guildford, England
[10] Sunway Univ, Ctr Appl Phys & Radiat Technol, Sch Engn & Technol, Bandar Sunway 47500, Selangor, Malaysia
关键词
CT brain; Diagnostic radiology; Paediatirc imaging; Radiation dosimetry; DLP; Effective dose; DIAGNOSTIC REFERENCE LEVELS; CT; REDUCTION; CHILDREN; QUALITY;
D O I
10.1016/j.apradiso.2022.110610
中图分类号
O61 [无机化学];
学科分类号
070301 ; 081704 ;
摘要
In comparison to adults and paediatric are more sensitive to ionizing radiation exposure. Computed tomography (CT) is now the dominant source of medical radiologic tests for patients, accounting for more than 70% of total doses to the general public. Paediatric CT brain scans (with and without contrast) are routinely performed for a variety of clinical reasons. As a result, this parameter must be calculated in order to determine relative radiation risk. The goal of this study is to assess the radiation risk to children during CT brain diagnostic procedures. Three hundred fifty three child patients' radiation risk doses were assessed over the course of a year. The mean and ranged of the children's radiation doses were 40.6 +/- 8.8 (27.8-45.8) CTDIvol (mGy) and 850 +/- 230 (568.1-1126.4) DLP (mGy.cm) for the brain with contrast medium. For CT brain without contrast, the patients' doses were 40.9 +/- 9.4 (14.27-64.07) CTDIvol (mGy), and 866.1 +/- 289.3 (203.6-2484.9) DLP (mGy.cm). The characteristics related to the radiation dose were retrieved from the scan protocol generated by the CT system by the participating physicians after each procedure. Furthermore, optimizing the CT acquisition parameter is critical for increasing the benefit while lowering the procedure's radiogenic risk. The patients' radiation dose is comparable with the most previously published studies and international diagnostic reference levels (DRLs). Radiation dose optimization is recommended due to high sensitivity of the paediatric patients to ionizing radiation.
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页数:6
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