scholarly journals The potential cancer risk on body organs as abdomen CT-scan exposure result

2021 ◽  
Vol 5 (3) ◽  
pp. 171-178
Author(s):  
Ida Bagus Made Suryatika ◽  
S. Poniman ◽  
Ida Bagus Putra Manuaba ◽  
I Wayan Putu Sutirta Yasa ◽  
Gusti Ngurah Sutapa

Research has been carried out on the Potential Risk of Cancer in Body Organs Due to Abdomen CT Scan Radiation. The use of a CT-Scan tool that emits radiation has the potential to have quite a serious impact. An abdominal CT-Scan is one part of the examination that is often done because in that section many organs are very vital. The organs found in the abdomen include the liver, spleen, stomach, intestines, kidneys, gonads, pancreas, bladder, and ureters. The study used data on abdominal CT-Scan patients at Sanglah Hospital Denpasar, in the age range from 41 years to 56 years without distinguishing gender. From the CT-Scan data, the CTDIVol and DLP values ??of each patient can be taken. Furthermore, it is analyzed to determine the patient's effective dose so that the percentage of cancer risk in each of these organs can be known. The results showed that the potential risk of cancer for critical organs such as the bladder, stomach, and gonads, was 0.218 %, 0.262 %, and 0.390 % respectively. The most at risk for potential cancer occurs in the gonads.

2015 ◽  
Vol 1 (2) ◽  
pp. 86-88
Author(s):  
Titien Sumarni ◽  
Bagus Abimanyu ◽  
Dartini Dartini

Background: Have been done research on inspection procedures examination in the case of abdominal CT Scan cholecystitis at Radiology installationProf. Dr. Margono Soekarjo Purwokerto Hospital. This study aims to determine the inspection procedure examination in the case of abdominal CT Scan cholecystitis not using the biphase technique diagnosis and to find out information on examination in the case of abdominal CT Scan cholecystitis with monophase technique at Radiology installationProf. Dr. Margono Soekarjo Purwokerto Hospital.Methods:This type of research is aqualitaive research case study approach. The data collection methods with unstructured observation , depth interview with 3  radiographers, 1 radiologist, a sending doctor and a patient, and the documentation of the results of reading radiographs and photographs. The data obtained  then reduced, classified, dried and then interpreted in the form   then  concluded kuotasi and suggestions.Results: The result showed that the procedure examination abdomen ct scan in case of colecystitis at radiology installation Prof. Dr. Margono Soekarjo Purwokerto Hospital before the hearing preparation charge informed consent of patients, perform laboratory checks urium creatinin, fasting from the night and drank appoxcimately 1000 ml of Water the morning before the examination. While the position of the patient supine feet first and the administration of contrast media intra vena with a volume of 80 ml plus 20 ml Na Cl and arrangements flow rate 2,0 ml/sec with a scan delay of 40 seconds. Reason not to do engenering biphase technique examination in the case of abdominal CT Scan cholecystitis because only monophase technique, arterial phase alone can establish the diagnosis of cholecystitis.Conclusion: Information on CT Scan diagnosis in Radiology Installation  Prof. Dr. Margono Soekarjo Purwokerto Hospital was able to show in indication of cholecystitis but have not been able to show the mass and metastase to the surrounding organs lake the liver gallbladder and pancreas, intrahhepatic and extrahepatic tract.


Author(s):  
C. A. Aborisade ◽  
O. C. Famurewa ◽  
F. I. Ibitoye ◽  
F. A. Balogun

Aims: The aim of this research work is to estimate the organ dose distribution and the associated radiation induced cancer risk for some commonly performed Computerized Tomography (CT) examinations in a tertiary medical facility in South Nigeria. Study Design:  The study was designed to estimate the radiological implications of radiation dose that the paediatric patients were exposed to during routine CT examinations. Place and Duration of Study: Department of Radiology, Obafemi Awolowo University Teaching Hospital Complex, (OAUTHC), Ile-Ife, Nigeria, between August 16,  2011 to August 15 2012. Methodology: Well calibrated thermoluminescent dosimeters (LiF-100) were attached to the skin of paediatric patients such as skull, chest, abdomen, and pelvic in the path of the primary X-ray beam to determine radiation exposure during CT examination. The effective dose was calculated from the equivalent dose obtained from OAUTHC, and the cancer risk associated was estimated by multiply age-dependent lifetime cancer mortality risk (per unit dose) with estimated age-dependent doses produced by various CT examinations. Results: Out of 258 paediatric patients scanned the equivalent dose measured for abdominal CT scan ranged from 23.49 - 55. 26 mSv; skull CT scan ranged from 10.07 – 69.94 mSv and chest CT scan ranged from 8.60 – 31.94 mSv. The peak tube voltage (kVp) used range from 80 – 140 while the exposure current-time product (mA) range from 30 – 300.  The abdominal CT scan had the highest cancer risk ranging from digestive 37.5% to lung cancer risk of 0.4%. The risks estimated in this work were higher than the ICRP recommended value. Reducing the millampere-second setting of the equipment for paediatric without significant loss of radiological information will reduce this risk. Conclusion: In this study the estimated cancer risk to paediatric patients undergoing CT is high.  This is in keeping with findings in a previous study thus emphasizing the need to standardize and optimize radiation dose in paediatric patients undergoing CT in Nigeria so as to keep cancer risk at the minimum.


2020 ◽  
Vol 4 (1) ◽  
pp. 52-57
Author(s):  
Noflih Sulistia ◽  
Bambang Soeprijanto ◽  
Indrastuti Normahayu ◽  
Lenny Violetta

Renal trauma in children is more common than in adults. Clinically in pediatric patients with renal trauma do not always describe the degreeof trauma. Radiological examination, especially abdominal CT-scan with contrast, can help evaluate the damage to the kidneys so that it candetermine the degree of trauma.


2018 ◽  
Vol 20 (2) ◽  
pp. 123-132
Author(s):  
Dae-hyun Park ◽  
Young-Kyoon Kim ◽  
Jong-Ho Ahn ◽  
Kwang-Hyun Chang ◽  
Yoon-Chul Nam ◽  
...  

Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 997-1002
Author(s):  
Hao Wu ◽  
Rui Zheng

AbstractOrgan abscesses caused by Streptococcus anginosus are relatively rare. We report the case of an elderly woman with splenic abscess caused by S. anginosus bacteremia after urinary tract infection. An 82-year-old woman had a history of frequency of urination, urgency, and fever with chills for over 10 days prior to admission. An abdominal computed tomography (CT) scan performed in the emergency room revealed a low-density lesion in the spleen, kidney cysts, some exudation around the kidney, and cystitis should be valued. She was treated with ceftriaxone and imipenem/cilastatin. After admission, the blood culture yielded positive results for S. anginosus. A contrast-enhanced abdominal CT scan showed that the low-density lesion previously found in the spleen was smaller than before. After percutaneous drainage of the splenic abscess and treatment with piperacillin/tazobactam based on the antibiotic sensitivity pattern, repeated abdominal CT scan revealed a significant reduction in the low-density lesion. The patient was discharged without recurrence or complications. A systematic review of organ abscess caused by S. anginosus bacteremia was performed. To our knowledge, there has been no report of splenic abscess caused by S. anginosus bacteremia secondary to urinary system tract infection, although urinary tract infections are also an important source.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Zhicheng Zhang ◽  
Xiaowei Huang ◽  
Qian Chen ◽  
Demin Li ◽  
Qi Zhou ◽  
...  

Abstract Background Small intestine duplication cysts (SIDCs) are rare congenital anatomical abnormalities of the digestive tract and a rare cause of hematochezia. Case presentation We describe an adult female presented with recurrent hematochezia. The routine gastric endoscope and colonic endoscope showed no positive findings. Abdominal CT scan indicated intussusception due to the "doughnut" sign, but the patient had no typical symptoms. Two subsequent capsule endoscopes revealed a protruding lesion with bleeding in the distal ileum. Surgical resection was performed and revealed a case of SIDC measuring 6 * 2 cm located inside the ileum cavity. The patient remained symptom-free throughout a 7-year follow-up period. Conclusion SIDCs located inside the enteric cavity can easily be misdiagnosed as intussusception by routine radiologic examinations.


2014 ◽  
Vol 64 (6) ◽  
pp. 929-935
Author(s):  
Seon-Chil Kim ◽  
Young-Jae Kim ◽  
Joon-Seok Lee ◽  
Kyung-Rae Dong ◽  
Woon-Kwan Chung ◽  
...  

Trauma ◽  
2017 ◽  
Vol 20 (3) ◽  
pp. 194-202
Author(s):  
El Yamani Fouda ◽  
Alaa Magdy ◽  
Sameh Hany Emile

Background and aim Selective non-operative management of patients with penetrating abdominal stabs is the preferred treatment strategy. The present study aimed to assess the efficacy and safety of non-operative management with emphasis on the value of follow-up abdominal CT scanning in management of patients with penetrating anterior abdominal stab. Patients and methods This is a retrospective chart review of stable patients with anterior abdominal stab wounds. Patients were divided in terms of initial decisions into two groups: laparotomy group and non-operative management group. Abdominal CT scan was performed for patients in the non-operative management group on admission and follow-up CT scanning was performed in cases of clinical and/or biochemical deterioration. Results The laparotomy group included 82 patients and 68.2% of them had unnecessary laparotomies. The non-operative management group comprised 97 patients and 90.7% of them did not require subsequent laparotomy. Abdominal CT scan had a sensitivity of 88.9% and specificity of 100% in detection of intra-abdominal injuries. Follow-up CT scanning detected bowel injuries missed by initial CT scan in three patients. The non-operative management group had significantly lower post-operative complication rate than the laparotomy group (4.1% vs. 18.3%), with a significantly shorter length of stay. Conclusions Non-operative management is the optimal management strategy for stable patients with penetrating anterior abdominal stab to decrease unnecessary laparotomy rates, hospital stay and costs. Follow-up abdominal CT scanning facilitated the decision making for patients selected for non-operative management and is highly sensitive in the diagnosis of patients who require subsequent exploration.


1999 ◽  
Vol 17 (7) ◽  
pp. 702-704 ◽  
Author(s):  
Janet G.H Eng ◽  
Steven E Aks ◽  
Rachel Waldron ◽  
Christopher Marcus ◽  
Stuart Issleib

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Chelsea Kennedy-Snodgrass ◽  
Vivian Keenan ◽  
Douglas S. Katz

Dropped gallstones are a relatively common complication, occurring in 3% to 32% of laparoscopic cholecystectomies performed, depending on various intraoperative risk factors. However, complications arising from dropped gallstones are relatively rare, occurring in fewer than 1% of such patients, and can include abscesses and inflammatory masses confined to the subhepatic space, presenting days to years later. We report a patient who developed an infected renal cyst as a result of dropped gallstones, which created a fistula from the duodenum to a previously simple right renal cyst, which was initially identified on an abdominal CT scan. Dropped gallstones can result in substantial morbidity in a minority of patients following cholecystectomy performed for cholecystitis, and a high clinical as well as radiological index of suspicion may be required for accurate early recognition and treatment.


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