全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Life Time Attributable Cancer Risk Estimated Using Scanner Reported Dose Length Product during Chest Computed Tomography Imaging in Young Children

DOI: 10.4236/ojrad.2024.142008, PP. 74-82

Keywords: Cancer Risk, LAR, Chest CT, Pediatric Radiology, Radiation Dose, DLP

Full-Text   Cite this paper   Add to My Lib

Abstract:

This study aims to estimate the lifetime attributable cancer risk (LAR) for pediatric chest computed tomography (CT) examinations in five age groups using recently published age and region-specific conversion coefficients multiplying the widely available scanner registered dose length products (DLP) displayed on the CT console and hence calculating the Effective Dose (ED). The ED is then multiplied by the International Commission on Radiological Protection (ICRP) published risk factor for LAR. The obtained LAR values are compared with the international literature. Factors that may affect the LAR value are reported and discussed. The study included one hundred twenty five chest CT examinations for both males and females aged from less than one year to fifteen years. The patients’ reported data are from one single medical institution and using two CT scanners from June 2022 to December 2023. The results of this study may serve as benchmark for institutional radiation dose reference levels and risk estimation.

References

[1]  Gao, Y., Quinn, B., Mahmood, U., Long, D., Erdi, Y., St. Germain, J., Pandit-Taskar, N., Xu, X.G., Bolch, W.E. and Dauer, L.T. (2017) A Comparison of Pediatric and Adult CT Organ Dose Estimation Methods. BMC Medical Imaging, 17, Article No. 28.
https://doi.org/10.1186/s12880-017-0199-3
[2]  UNSCEAR (2013) Sources, Effects and Risks Of Ionizing Radiation, UNSCEAR Publications. United Nations Scientific Committee on the Effects of Atomic Radiation, New York, Vol. II.
[3]  Harrison, J.D., Haylock, R.G., Jansen, J.T., Zhang, W. and Wakeford, R. (2023) Effective Doses and Risks from Medical Diagnostic X-Ray Examinations for Male and Female Patients from Childhood to Old Age. Journal of Radiological Protection, 43, Article No. 011518.
https://doi.org/10.1088/1361-6498/acbda7
[4]  International Atomic Energy Agency (2023) Patient Radiation Exposure Monitoring in Medical Imaging. IAEA Safety Reports Series, IAEA, Vienna.
[5]  (2007) The 2007 Recommendations of the International Commission on Radiological Protection. ICRP Publication 103. Annals of the ICRP, 37, 1-332.
[6]  Deak, P.D., Smal, Y. and Kalender, W.A. (2010) Multisection CT Protocols: Sex and Age-Specific Conversion Factors Used to Determine Effective Dose from Dose-Length Product. Radiology, 257, 158-166.
https://doi.org/10.1148/radiol.10100047
[7]  Valentin, J. and ICRP (2007) Managing Patient Dose in Multi-Detector Computed Tomography (MDCT). ICRP Publication 102. Annals of the ICRP, 37, 1-79.
[8]  International Atomic Energy Agency (2014) Dosimetry in Diagnostic Radiology for Paediatric Patients, IAEA Human Health Series No. 24, IAEA, Vienna.
[9]  National Research Council of the National Academies (2006) Health Risks from Expo-sure to Low Levels of Ionizing Radiation: BEIR VII Phase 2. The National Academies Press, Washington, DC, 245 p.
https://doi.org/10.17226/11340
[10]  Newman, B., Ganguly, A., Kim, J.E. and Robinson, T. (2012) Comparison of Different Methods of Calculating CT Radiation Effective Dose in Children. American Journal of Roentgenology, 199, W232-W239.
https://doi.org/10.2214/AJR.10.5895
[11]  Costa, P.R., Tomal, A., de Oliveira Castro, J.C., Nunes, I.P., Nersissian, D.Y., Sawamura, M.V., Leão Filho, H. and Lee, C. (2023) Diagnostic Reference Level Quantities for Adult Chest and Abdomen-Pelvis CT Examinations: Correlation with Organ Doses. Insights into Imaging, 14, Article No. 60.
https://doi.org/10.1186/s13244-023-01403-y
[12]  Tsalafoutas, I.A., Harita, M.H., Al-Naemi, H.Y., and Kalra, M.K. (2020) Radiation Dose Monitoring in Computed Tomography: Status, Options and Limitations. Phys Med, 79, 1-15.
https://doi.org/10.1016/j.ejmp.2020.08.020
[13]  Fu, W., Ria, F., Segars, W.P., Choudhury, K.R., Wilson, J.M., Kapadia, A.J. and Samei, E. (2021) Patient-Informed Organ Dose Estimation in Clinical CT: Implementation and Effective Dose Assessment in 1048 Clinical Patients. AJR. American Journal of Roentgenology, 216, Article No. 824.
https://doi.org/10.2214/AJR.19.22482
[14]  Kim, J.E. and Newman, B. (2010) Evaluation of a Radiation Dose Reduction Strategy for Pediatric Chest CT. American Journal of Roentgenology, 194, 1188-1193.
https://doi.org/10.2214/AJR.09.3726
[15]  Li, X., Samei, E., Segars, W.P., et al. (2011) Patient-Specific Radiation Dose and Cancer Risk Estimation in CT: Part II. Application to Patients. Medical Physics, 38, 408-419.
https://doi.org/10.1118/1.3515864
[16]  Bernier, M.O., Rehel, J.L., Brisse, H.J., Wu-Zhou, X., Caer-Lorho, S., Jacob, S., et al. (2012) Radiation Exposure from CT in Early Childhood: A French Large-Scale Multicentre Study. British Journal of Radiology, 85, 53-60.
https://doi.org/10.1259/bjr/90758403
[17]  Strauss, K.J., Somasundaram, E., Sengupta, D., Marin, J.R. and Brady, S.L. (2019) Radiation Dose for Pediatric CT: Comparison of Pediatric Versus Adult Imaging Facilities. Radiology, 291, 158-167.
https://doi.org/10.1148/radiol.2019181753
[18]  Chu, P.W., Kofler, C., Mahendra, M., Wang, Y., Chu, C.A., Stewart, C., Delman, B.N., Haas, B., Lee, C., Bolch, W.E. and Smith-Bindman, R. (2023) Dose Length Product to Effective Dose Coefficients in Children. Pediatric Radiology, 53, 1659-1668.
https://doi.org/10.1007/s00247-023-05638-1

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133