scholarly journals Reducing the Breast Cancer Risk and Radiation Dose of Radiography for Scoliosis in Children: A Phantom Study

Diagnostics ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. 753
Author(s):  
Manami Nemoto ◽  
Koichi Chida
Keyword(s):  
Breast Cancer ◽  
Monte Carlo ◽  
Radiation Dose ◽  
Effective Dose ◽  
Imaging Modality ◽  
Organ Dose ◽  
Large Field ◽  
Childhood And Adolescence ◽  
Technical Parameters ◽  
First Choice

Full-spinal radiographs (FRs) are often the first choice of imaging modality in the investigation of scoliosis. However, FRs are strongly related to breast cancer occurrence due to multiple large-field radiographic examinations taken during childhood and adolescence, which may increase the risk for breast cancer in adulthood among women with scoliosis. The purpose of this study was to consider various technical parameters to reduce the patient radiation dose of FRs for scoliosis. To evaluate breast surface doses (BSDs) in FRs, radio photoluminescence dosimeters were placed in contact with a child phantom. Using the PC-based Monte Carlo (PMC) program for calculating patient doses in medical X-ray examinations, the breast organ dose (BOD) and the effective dose were calculated by performing Monte Carlo simulations using mathematical phantom models. The BSDs in the posteroanterior (PA) view were 0.15–0.34-fold those in the anteroposterior (AP) view. The effective dose in the PA view was 0.4–0.61-fold that in the AP view. BSD measurements were almost equivalent to the BODs obtained using PMC at all exposure settings. During FRs, the PA view without an anti-scatter grid significantly reduced the breast dose compared to the AP view with an anti-scatter grid.

scholarly journals Patient-Specific Radiation Dose and Cancer Risk Estimate in Computed Tomography Pulmonary Angiography Examinations Based on Lung Effective Diameter

2019 ◽  
Author(s):  
Hanif Haspi Harun ◽  
Muhammad Khalis Abdul Karim ◽  
Zulkifly Abbas ◽  
Sarawana Chelwan Muniandy ◽  
Akmal Sabarudin ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Radiation Dose ◽  
Cancer Risk ◽  
Radiation Exposure ◽  
Effective Dose ◽  
Organ Dose ◽  
Pulmonary Angiography ◽  
Effective Diameter ◽  
Computed Tomography Pulmonary Angiography ◽  
Radiation Dose Exposure

Computed Tomography (CT) scan examinations has greater demands especially in CT Pulmonary Angiography (CTPA) owing to the public and radiology personnel worries towards CT radiation exposure and risks. The aim of present study is to evaluate the comprehensive radiation exposure in computed tomography pulmonary angiography (CTPA) and its cancer risk. The records of 100 patients who had undergone CTPA were retrieved. The radiation dose exposure, scanning acquisition protocol as well as patient characteristics were noted. Radiation exposure were presented as Volume Computed Tomography Dose Index (CTDIvol), Size-Specific Dose Estimate (SSDE), Dose-Length Product (DLP), and effective dose (E) and organ dose. Effective cancer risk per million procedure was calculated by referring to the International Commission on Radiological Protection Publication 103. The CTDIvol, SSDE, DLP were comparable within different effective diameter groups. The average effective dose received by a patient was 8.68 mSv. The organ dose and effective cancer risk attained for breast, lung and liver were 17.05 ± 10.40 mGy (194 per one million procedure), 17.55 ± 10.86 mGy (192 per one million procedure) and 15.04 ± 9.75 mGy (53 per one million procedure), respectively. In conclusion, CTDIvol was undervalued and SSDE was more accurate in describing radiation dose exposure. The lungs and breast of subjects with large effective diameter were higher risk of developing cancer as they received the highest exposure. Therefore, extra safety measures should be considered for large-sized patients undergoing CTPA.Purpose: This study evaluates the comprehensive radiation exposure in computed tomography pulmonary angiography (CTPA) and its cancer risk.

scholarly journals Exposure of the breast, corresponding radiation risks and radiation protection for women, undergoing conventional X-ray examinations

2020 ◽  
Vol 13 (3) ◽  
pp. 110-122
Author(s):  
S. A. Kalnitsky ◽  
E. R. Ladanova
Keyword(s):  
Breast Cancer ◽  
Effective Dose ◽  
Radiation Protection ◽  
Organ Dose ◽  
Female Breast Cancer ◽  
Mean Value ◽  
Breast Irradiation ◽  
Lateral Projection ◽  
X Ray ◽  
Female Breast

The purpose of this work is to investigative radiation protection of the female breast in different X-ray examinations, including radiography. It is actual, because Publication ICRP №103 takes female breast to maximum irradiating organs. Analysed: risk of ionizing radiation, FB cancer, volume and dynamics X-ray examinations, female breast organ dose and effective dose. In conformity with data of Publication ICRP №103, effective dose of patients at mammography increased in 2,4 time and reach 0,48 mSv for examination as compared with 0,20 mSv with data of Publication ICRP №60. It is shown, that among different cancer, female breast cancer takes first place and constancy increased. Quantity of mammograms for 10 years increased in 2 time and collective dose increased in 2 times at last 7 years. Female breast average organ dose in mammography is 0,96 mGy and effective dose 0,05 mSv. It is only a part of summary irradiation from all X-ray examinations. The average mean value female breast organ dose of all radiography is 1,84 mGy (anterio-posterior projection – 1,57 mGy, lateral – 2,91 mGy) and effective dose – 0,25 mSv (anterioposterior – 0,26 mSv, lateral – 0,17 mSv). Considerable female breast irradiation is caused by X-ray spine examinations (thorax and lumbar). It is necessary to ensure radiation protection of female breast in diagnostic radiology, including quality control and optimization. Also need to shut female breast by X-ray protection apron, particularly in the lateral projection.

scholarly journals Assessment of the Radiation Dose during 16 Slices CT Examinations

2019 ◽  
Vol 8 (4) ◽  
pp. 4652-4657
Keyword(s):  
Experimental Study ◽  
Monte Carlo ◽  
Radiation Dose ◽  
Effective Dose ◽  
Clinical Applications ◽  
Clinical Protocols ◽  
Dose Length Product ◽  
Conversion Factors ◽  
Current Tube ◽  
Tube Current

In this work. Two studies were presented. The first one is an experimental study of the influence of different scan parameters (potential tube. current tube and pitch) on the radiation dose is presented. It has been demonstrated that the radiation dose increases if we increase the tube current or the potential current. Contrary to the pitch. the radiation dose is reduced when the pitch increases. The second study is a Monte Carlo validation of a CT named SOMATION emotion from Siemens using GATE. Results were carried out for different voltage 80.110.130 kVp. Results of the simulation are presented and good agreements are observed (less than 2.6% for head phantom. and less than 4.6% for body phantom for all applied voltages). The influence of changing the phantom diameter on the CTDIw was also presented. the CTDIw decreased nonlinearly with increasing the phantom diameter. Moreover. the CTDIw differences decreased if the phantom diameter increased. It was demonstrated that the CTDI100 values can be characterized as functions of the kVp. mAs and diameter of phantoms. Based on these results. it is possible to optimize the CT parameters in clinical applications. Finally the effective dose was calculated using the method dose length product and the conversion factors for four clinical protocols.

SU-GG-BRC-04: Electronic Versus HDR Ir-192 Brachytherapy: Organ Dose Comparisons for Breast Cancer Using a Monte Carlo Patient Phantom

2009 ◽  
Vol 36 (6Part20) ◽  
pp. 2682-2682
Author(s):  
M Mille ◽  
J Zhang ◽  
X Xu ◽  
M Rivard
Keyword(s):  
Breast Cancer ◽  
Monte Carlo ◽  
Organ Dose

scholarly journals Dose assessment in dental cone beam computed tomography: comparison of optically stimulated luminescence dosimetry with the Monte Carlo method

2019 ◽  
Author(s):  
Chena Lee ◽  
Jeongmin Yoon ◽  
Sang-Sun Han ◽  
Ji Yeon Na ◽  
Jeong-Hee Lee ◽  
...  
Keyword(s):  
Monte Carlo ◽  
Effective Dose ◽  
Organ Dose ◽  
Optically Stimulated Luminescence ◽  
Dose Assessment ◽  
High Dose ◽  
Organ Doses ◽  
Dose Evaluation ◽  
Luminescence Dosimetry ◽  
Mc Simulation

AbstractThe usage and the model variety of CBCT machine has been rapidly increasing, the dose evaluation of individual devices became an important issue. Patient dose from CBCT was assessed with two different methods, optically stimulated luminescence dosimeter (OSLD) measured and monte carlo (MC) simulation, in four different examination modes. Through the measurement process and obtained value, more practical and efficient method in acquiring CBCT effective dose would be suggested. Twenty-five OSLD were calibrated and equipped in human phantom of head and neck organs. This was exposed on 2 CBCT units, CS9300 (Carestream Dental LLC, Atlanta, Georgia) and RAYSCAN α+ (Ray Co. Ltd, Hwaseong-si, Korea) with 2 different examination modes. Dose recorded in dosimetry was obtained and organ dose as well as an effective dose were obtained in each units of examination modes. Those values were also calculated using MC software, PCXMC (STUK, Helsinki, Finland). The organ doses and effective doses from both methods were compared by each examination mode of individual unit. OSLD measured effective dose value was higher than that obtained with MC method in each examination mode, except dual jaw mode of CS9300. The percent difference of effective dose between the two methods were ranged from 4.0 to 14.3 %. The dose difference between the methods was decreased as the examination FOV decreased. Organ dose values were varied according to the method, while overall trend was similar in both methods. The organs showing high dose were mostly consistent in both methods. In this study, the effective dose obtained by OSLD measurement and MC simulation were compared and both methods were described in detail. Consequently, as relatively efficient and easy-handling method, we carefully suggest MC simulation for further dose evaluation.

scholarly journals Multi-detector computed tomography in traumatic abdominal lesions: value and radiation control

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Hala Maher Ahmed ◽  
Mohamed Borg ◽  
Abd El-Aal Saleem ◽  
Amira Ragab
Keyword(s):  
Radiation Dose ◽  
Effective Dose ◽  
Imaging Modality ◽  
Radiation Risk ◽  
Fluid Collection ◽  
Pancreatic Injury ◽  
Post Contrast ◽  
Technical Features ◽  
The Individual ◽  
Abdominal Lesions

Abstract Background, The context A prospective study was conducted involving 81 patients (mean age, 20.79 years) with abdominal trauma who underwent ultrasonography and post-contrast CT on MDCT scanner. The total DLP for each patient was reviewed, and the effective dose was calculated. Purpose of the study to: explore the role of MDCT in assessing traumatic abdominal lesions, demonstrate radiation dose delivered by MDCT, and describe specific CT technical features to minimize radiation. Results The spleen was the most commonly injured organ (49.4%) followed by liver (39.5%) and kidney (24.7%). Pancreatic injury occurred in seven patients, whereas only two patients had intestinal injuries. One patient had adrenal injury. Minimal, mild and moderate free intra-peritoneal fluid collection was detected in 21 (25.9%), 47 (58%) and 10 (12.3%) patients, respectively. Only three (3.7%) patients had no collection. One patient had active uncontrolled bleeding and died. Radiation dose was below the detrimental level (calculated effective dose), with optimal image quality. Conclusions MDCT is sensitive to all types of traumatic abdominal lesions. Not only in determining the injury, but also in its grading. MDCT has affected the treatment directions, spotting a focus on conservative treatment by raising the diagnostic confidence. FAST cannot be the sole imaging modality. The individual radiation risk is small but real. Advancements in medical imaging reduce radiation risk.

scholarly journals Conditional CT Strategy—An Effective Tool to Reduce Negative Appendectomy Rate and the Overuse of the CT

2021 ◽  
Vol 10 (11) ◽  
pp. 2456
Author(s):  
Raminta Luksaite-Lukste ◽  
Ruta Kliokyte ◽  
Arturas Samuilis ◽  
Eugenijus Jasiunas ◽  
Martynas Luksta ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Acute Appendicitis ◽  
Sensitivity And Specificity ◽  
Surgical Outcomes ◽  
Imaging Modality ◽  
Ct Scans ◽  
Negative Appendectomy ◽  
Transabdominal Ultrasound ◽  
First Choice ◽  
Negative Appendectomy Rate

(1) Background: Diagnosis of acute appendicitis (AA) remains challenging; either computed tomography (CT) is universally used or negative appendectomy rates of up to 30% are reported. Transabdominal ultrasound (TUS) as the first-choice imaging modality might be useful in adult patients to reduce the need for CT scans while maintaining low negative appendectomy (NA) rates. The aim of this study was to report the results of the conditional CT strategy for the diagnosis of acute appendicitis. (2) Methods: All patients suspected of acute appendicitis were prospectively registered from 1 January 2016 to 31 December 2018. Data on their clinical, radiological and surgical outcomes are presented. (3) Results: A total of 1855 patients were enrolled in our study: 1206 (65.0%) were women, 649 (35.0%) were men, and the median age was 34 years (IQR, 24.5–51). TUS was performed in 1851 (99.8%) patients, and CT in 463 (25.0%) patients. Appendices were not visualized on TUS in 1320 patients (71.3%). Furthermore, 172 (37.1%) of 463 CTs were diagnosed with AA, 42 (9.1%) CTs revealed alternative emergency diagnosis and 249 (53.8%) CTs were normal. Overall, 519 (28.0%) patients were diagnosed with AA: 464 appendectomies and 27 diagnostic laparoscopies were performed. The NA rate was 4.2%. The sensitivity and specificity for TUS and CT are as follows: 71.4% and 96.2%; 93.8% and 93.6%. (4) Conclusion: A conditional CT strategy is effective in reducing NA rates and avoids unnecessary CT in a large proportion of patients. Observation and repeated TUS might be useful in unclear cases.

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