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牙科放射摄影中用于诊断参考水平的剂量面积乘积测量及患者剂量分析。

Dose area product measurement for diagnostic reference levels and analysis of patient dose in dental radiography.

作者信息

Han Suchul, Lee Boram, Shin Gwisoon, Choi Jonghak, Kim Jungmin, Park Changseo, Park Hyok, Lee Kisung, Kim Youhyun

机构信息

Department of Radiological Science, College of Health Science, Korea University, Seoul, Korea.

出版信息

Radiat Prot Dosimetry. 2012 Jul;150(4):523-31. doi: 10.1093/rpd/ncr439. Epub 2011 Dec 5.

Abstract

In this study, diagnostic reference levels (DRLs) were suggested and patient doses were analysed through the dose-area product value in dental radiography. In intraoral radiography, at three sites, i.e. molar, premolar and incisor on the maxilla and acquired third quartile values: 55.5, 46 and 36.5 mGy cm(2), respectively, were measured. In panoramic, cephalometric and cone beam computed tomography, the values were 120.3, 146 and 3203 mGy cm(2) (16 × 18 cm), respectively. It has been shown that, in intraoral radiography, the patient dose changes proportionally to the value of mA s, but the change in extraoral radiography in response to mA s could not be confirmed. The authors could confirm, however, the difference in dose according to the manufacturer in all dental radiography examinations, except for panoramic radiography. Depending on the size of hospital, there were some differences in patient dose in intraoral radiography, but no difference in patient dose in extraoral radiography.

摘要

在本研究中,提出了诊断参考水平(DRLs),并通过牙科放射摄影中的剂量面积积值分析患者剂量。在口腔内放射摄影中,在上颌的三个部位,即磨牙、前磨牙和切牙处,测量得到第三四分位数的值分别为:55.5、46和36.5 mGy cm²。在全景、头影测量和锥形束计算机断层扫描中,这些值分别为120.3、146和3203 mGy cm²(16×18 cm)。结果表明,在口腔内放射摄影中,患者剂量与毫安秒值成比例变化,但无法确定口腔外放射摄影中患者剂量随毫安秒的变化情况。然而,作者能够确认,除全景放射摄影外,在所有牙科放射摄影检查中,根据制造商不同,剂量存在差异。根据医院规模不同,口腔内放射摄影中的患者剂量存在一些差异,但口腔外放射摄影中的患者剂量没有差异。

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