CONE BEAM CT IN DENTAL IMPLANT PLANNING: HOW CLOSE ARE PATIENT DOSIMETRY RESULTS WITH DATA FROM PHANTOM STUDIES FOUND IN LITERATURE?

2019 ◽  
Author(s):  
S Kottou ◽  
A Zapros ◽  
N Stefanopoulou ◽  
N Krompas ◽  
V Tsapaki
Keyword(s):  
Radiation Exposure ◽  
Low Cost ◽  
Cone Beam Ct ◽  
Cone Beam ◽  
Study Patient ◽  
Tube Voltage ◽  
Voxel Size ◽  
Phantom Studies ◽  
Area Product ◽  
Patient Radiation Exposure

Abstract Advantages of Cone Beam Computed Tomography (CBCT) include high-quality 3D imaging and reduced radiation exposure with relatively low cost. In this study, patient radiation exposure in CBCT implant planning dentistry was measured in terms of Kerma Area Product (KAP). Data were obtained from 217 CBCT scans on 168 individuals using a CS9300 Carestream system. Scans were made using 80–90 kVp, 4–5 mA, 8 and 13.3 s exposure time (depending on voxel size) and a fixed field of view (FOV) of 10 × 10 cm2 (medium). Mean KAP was estimated using two voxel sizes 180 × 180 × 180 μm3 and 200 × 200 × 200 μm3 and found to be 399 and 314 mGycm2, respectively. Corresponding KAP values found in literature ranged between 210 and 2140 mGycm2. Mean E was estimated using conversion coefficient factors found in literature, according to FOV size and tube voltage value and found to range between 24 and 161 μSv.

Radiation exposure during TACE procedures using additional cone-beam CT (CBCT) for guidance: safety and precautions

2018 ◽  
Vol 59 (11) ◽  
pp. 1277-1284 ◽  
Author(s):  
M Jonczyk ◽  
F Collettini ◽  
D Geisel ◽  
D Schnapauff ◽  
G Böning ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Cone Beam Ct ◽  
Cone Beam ◽  
Digital Subtraction ◽  
Dose Area Product ◽  
Additional Radiation ◽  
Ethiodized Oil ◽  
The Mean ◽  
Area Product ◽  
Spearman’S Correlation

Background During transarterial chemoembolization (TACE), cone-beam computed tomography (CBCT) can be used for tumor and feeding vessel detection as well as postembolization CT imaging. However, there will be additional radiation exposure from CBCT. Purpose To evaluate the additional dose raised through CBCT-assisted guidance in comparison to TACE procedures guided with pulsed digital subtraction angiography (DSA) alone. Material and Methods In 70 of 140 consecutive patients undergoing TACE for liver cancer, CBCT was used to facilitate the TACE. Cumulative dose area product (DAP), cumulative kerma(air), DAP values of DSA, total and cine specific fluoroscopy times (FT) of 1375 DSA runs, and DAP of 91 CBCTs were recorded and analyzed using Spearman's correlation, Mann–Whitney U-test, and Kruskal–Wallis test. P values < 0.05 were considered significant. Results Additional CBCT increased DAP by 2% ( P = 0.737), kerma(air) by 24.6% ( P = 0.206), and FT by 0.02% ( P = 0.453). Subgroup analysis revealed that postembolization CBCT for detection of ethiodized oil deposits added more DAP to the procedure. Performing CBCT-assisted TACE, DSA until first CBCT contributed about 38% to the total DAP. Guidance CBCT acquisitions conduced to 6% of the procedure's DAP. Additional DSA for guidance after CBCT acquisition required approximately 46% of the mean DAP. The last DSA run for documentation purposes contributed about 10% of the DAP. Conclusion CBCT adds radiation exposure in TACE. However, the capability of CBCT to detect vessels and overlay in real-time during fluoroscopy facilitates TACE with resultant reduction of DAPs up to 46%.

scholarly journals A review of dental cone-beam CT dose conversion coefficients

2020 ◽  
pp. 20200225
Author(s):  
Eugene Mah ◽  
E Russell Ritenour ◽  
Hai Yao
Keyword(s):  
Effective Dose ◽  
Cone Beam Ct ◽  
Field Of View ◽  
Cone Beam ◽  
Tube Voltage ◽  
Conversion Factors ◽  
Dose Area Product ◽  
Ct Dose ◽  
Conversion Coefficients ◽  
Area Product

Objective: The purpose of this study was to review the literature to examine the usage and magnitude of effective dose conversion factors (DCE) for dental cone beam CT (CBCT) scanners. Methods: A PubMed literature search for publications relating to radiation dosimetry in dental radiography was performed. Papers were included if they reported DCE, or reported ICRP 103 effective dose and dose-area product. 71 papers relating to dental CBCT dosimetry were found, of which eight reported effective dose conversion factors or provided enough information to calculate dose conversion factors. Scanner model, effective dose, dose-area product, tube voltage, field of view size and DCE were extracted from the papers for analysis. Results: DCE values ranged from 0.035 to 0.31 µSv/mGy-cm2 with a mean of 0.129 µSv/mGy-cm2 (SD = 0.056). When categorized into small (<100 cm2), medium (100–225 cm2) and large (>225 cm2) fields of view (FOV), linear fits to the effective dose and dose-area product yielded slopes of 0.129, 0.111 and 0.074 µSv/mGy-cm2 for small, medium and large FOVs respectively. Conclusion: The range of reported DCE values and spread with respect to field of view category suggests that DCE values that depend on FOV would provide more accurate effective dose estimates. Tube voltage was found to be a smaller factor in determining DCE. Reasonable values for DCE taking into account FOV size were obtained. There is considerable room for more work to be done to examine the behaviour of DCE with changes to patient age and dental CBCT imaging parameters.

Radiation Exposure During Transarterial Chemoembolization: Angio-CT Versus Cone-Beam CT

2019 ◽  
Vol 42 (11) ◽  
pp. 1609-1618 ◽  
Author(s):  
Lauranne Piron ◽  
Julien Le Roy ◽  
Christophe Cassinotto ◽  
Julien Delicque ◽  
Ali Belgour ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Transarterial Chemoembolization ◽  
Cone Beam Ct ◽  
Cone Beam ◽  
Angio Ct

scholarly journals Patient Knowledge Regarding Radiation Exposure from Orthopaedic Foot and Ankle Imaging

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0015
Author(s):  
Daniel Bohl ◽  
Blaine Manning ◽  
George Holmes ◽  
Simon Lee ◽  
Johnny Lin ◽  
...  
Keyword(s):  
Ionizing Radiation ◽  
Ct Scan ◽  
Radiation Exposure ◽  
Cone Beam Ct ◽  
Plain Film ◽  
Ct Scans ◽  
Cone Beam ◽  
X Rays ◽  
Foot And Ankle ◽  
X Ray

Category: Other Introduction/Purpose: Foot and ankle surgeons routinely prescribe diagnostic imaging that exposes patients to potentially harmful ionizing radiation. The purpose of this study is to characterize patients’ knowledge regarding radiation exposure associated with common forms of foot and ankle imaging. Methods: A survey was administered to all new patients prior to their first foot and ankle clinic appointments. Patients were asked to compare the amount of harmful radiation associated with chest x-rays to that associated with various types of foot and ankle imaging. Results were tabulated and compared to actual values of radiation exposure from the published literature. Results: A total of 890 patients were invited to participate, of whom 791 (88.9%) completed the survey. The majority of patients believed that a foot x-ray, an ankle x-ray, a “low dose” CT scan of the foot and ankle (alluding to cone-beam CT), and a traditional CT scan of the foot and ankle all contain similar amounts of harmful ionizing radiation to a chest x-ray (Table 1). This is in contrast to the published literature, which suggests that foot x-rays, ankle x-rays, cone beam CT scans of the foot and ankle, and traditional CT scans of the foot and ankle expose patients to 0.006, 0.006, 0.127, and 0.833 chest x-rays worth of radiation. Conclusion: The results of the present study suggest that patients greatly over-estimate the amount of harmful ionizing radiation associated with plain film and cone-beam CT scans of the foot and ankle. Interestingly, their estimates of radiation associated with traditional CT scans of the foot and ankle were relatively accurate. Results suggest that patients may benefit from increased counseling by surgeons regarding the relatively low risk of radiation exposure associated with plain film and cone-beam CT imaging of the foot and ankle.

scholarly journals Effective doses from panoramic radiography and CBCT (cone beam CT) using dose area product (DAP) in dentistry

2014 ◽  
Vol 43 (5) ◽  
pp. 20130439 ◽  
Author(s):  
H S Shin ◽  
K C Nam ◽  
H Park ◽  
H U Choi ◽  
H Y Kim ◽  
...  
Keyword(s):  
Panoramic Radiography ◽  
Cone Beam Ct ◽  
Cone Beam ◽  
Dose Area Product ◽  
Effective Doses ◽  
Area Product
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