SU-C-217A-02: An Effective Dose Monitoring Program for Computed Radiography

2012 ◽  
Vol 39 (6Part2) ◽  
pp. 3607-3607
Author(s):  
J Johnson ◽  
E Samei ◽  
O Christianson ◽  
D Bower
2021 ◽  
pp. 20210478
Author(s):  
Donald Frush

Medical imaging professionals have an accountability for both quality and safety in the care of patients that have unexpected or anticipated repeated imaging examinations that use ionizing radiation. One measure in the safety realm for repeated imaging is cumulative effective dose (CED). CED has been increasingly scrutinized in patient populations, including adults and children. Recognizing the challenges with effective dose, including the cumulative nature, effective dose is still the most prevalent exposure currency for recurrent imaging examinations. While the responsibility for dose monitoring incorporates an element of tracking an individual patient cumulative radiation record, a more complex aspect is what should be done with this information. This challenge also differs between the pediatric and adult population, including the fact that high cumulative doses (e.g.,>100 mSv) are reported to occur much less frequently in children than in the adult population. It is worthwhile, then, to review the general construct of CED, including the comparison between the relative percentage occurrence in adult and pediatric populations, the relevant pediatric medical settings in which high CED occurs, the advances in medical care that may affect CED determinations in the future, and offer proposals for the application of the CED paradigm, considering the unique aspects of pediatric care.


2020 ◽  
Vol 225 ◽  
pp. 06012
Author(s):  
Dorota Flamíková ◽  
Vladimír Nečas

The deep geological repository system provides long-term protection against the undesirable effects of ionizing radiation on the population and the environment. An important part of the long-term safety strategy is development of a monitoring program that collects information about the behaviour of the deep geological repository throughout its whole lifetime. A simplified model of the disposal system, geosphere, and biosphere was developed using the GoldSim simulation tool to demonstrate the behaviour of the hypothetical deep geological repository located in crystalline rocks. Also an initial model of the reference biosphere was created based on the scenario of an agricultural habitation (normal evolution scenario) and it was developed based on the recommendations provided in the BIOMASS methodology. After a significant period of time, disposal containers will be degraded and evolution changes in the repository system will occur. Several important parameters appear in the annual effective dose calculation for an individual from critical exposure group within the reference biosphere model. One of them are, for example, distribution coefficients and so-called translocation factors that define the transported rate of released radionuclides into the environment. This paper provides a view into the selected part of the deep geological repository through the data obtained by monitoring during the selected period of time. Simulations describing changes in the repository system. The aim of this contribution is to evaluate the impact of selected changes on the annual effective dose for an adult individual from a critical exposure group while it is assumed, that the respondent consumes contaminated crops and animal products. This model includes various biosphere components and multiple exposure pathways such as inhalation, ingestion and external exposure.


2017 ◽  
Vol 59 (3) ◽  
pp. 322-326 ◽  
Author(s):  
Nika Guberina ◽  
Saravanabavaan Suntharalingam ◽  
Kai Naßenstein ◽  
Michael Forsting ◽  
Jens Theysohn ◽  
...  

Background The importance of monitoring of the radiation dose received by the human body during computed tomography (CT) examinations is not negligible. Several dose-monitoring software tools emerged in order to monitor and control dose distribution during CT examinations. Some software tools incorporate Monte Carlo Simulation (MCS) and allow calculation of effective dose and organ dose apart from standard dose descriptors. Purpose To verify the results of a dose-monitoring software tool based on MCS in assessment of effective and organ doses in thoracic CT protocols. Material and Methods Phantom measurements were performed with thermoluminescent dosimeters (TLD LiF:Mg,Ti) using two different thoracic CT protocols of the clinical routine: (I) standard CT thorax (CTT); and (II) CTT with high-pitch mode, P = 3.2. Radiation doses estimated with MCS and measured with TLDs were compared. Results Inter-modality comparison showed an excellent correlation between MCS-simulated and TLD-measured doses ((I) after localizer correction r = 0.81; (II) r = 0.87). The following effective and organ doses were determined: (I) (a) effective dose = MCS 1.2 mSv, TLD 1.3 mSv; (b) thyroid gland = MCS 2.8 mGy, TLD 2.5 mGy; (c) thymus = MCS 3.1 mGy, TLD 2.5 mGy; (d) bone marrow = MCS 0.8 mGy, TLD 0.9 mGy; (e) breast = MCS 2.5 mGy, TLD 2.2 mGy; (f) lung = MCS 2.8 mGy, TLD 2.7 mGy; (II) (a) effective dose = MCS 0.6 mSv, TLD 0.7 mSv; (b) thyroid gland = MCS 1.4 mGy, TLD 1.8 mGy; (c) thymus = MCS 1.4 mGy, TLD 1.8 mGy; (d) bone marrow = MCS 0.4 mGy, TLD 0.5 mGy; (e) breast = MCS 1.1 mGy, TLD 1.1 mGy; (f) lung = MCS 1.2 mGy, TLD 1.3 mGy. Conclusion Overall, in thoracic CT protocols, organ doses simulated by the dose-monitoring software tool were coherent to those measured by TLDs. Despite some challenges, the dose-monitoring software was capable of an accurate dose calculation.


2021 ◽  
Author(s):  
Tuti Amalia ◽  

X-ray-based medical imaging has become one of the most popular imaging modalities today. Computed tomography (CT) and interventional procedures can result in higher radiation exposure for patients compared to other radiographic examinations. There has been an increase in the effective dose of > 100 mSv from some procedures. Recent studies have shown that multiphase CT imaging and repeated imaging provide larger radiation doses in some patients. In considering the effective dose (E) for each patient, it is essential to note that the risk per Sv tends to be greater on average in pediatric patients than in adults. In addition, E can be used to describe the possible risk to the patient. Dose management is essential in monitoring and controlling patient doses. Consistent and systematic monitoring of radiation dose is needed to improve the quality of diagnostic and interventional radiology services. Dose monitoring activities include performance control, optimization of protocols used, corrective actions against non-standard practices, and raising awareness for radiation workers to minimize risks. The use of a dose monitoring system (Dose Monitoring System) responds to concerns about the radiation risk that comes from diagnostic imaging modalities, particularly Computed Tomography (CT) and fluoroscopy in interventional procedures. The dose monitoring system (Dose Monitoring System) has developed into a requirement in monitoring and controlling patient doses and is one of the applications of radiation safety culture that can improve diagnostic and interventional radiology services. Keywords: Computed tomography (CT), effective dose, interventional procedure


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