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铅衣屏蔽对锥束计算机断层扫描吸收剂量的影响。

Influence of lead apron shielding on absorbed doses from cone-beam computed tomography.

作者信息

Rottke Dennis, Andersson Jonas, Ejima Ken-Ichiro, Sawada Kunihiko, Schulze Dirk

机构信息

Digital Diagnostic Center, Kaiser-Joseph-Str. 263, 79098 Freiburg im Breisgau, Germany.

Department of Odontology, Oral and Maxillofacial Radiology, Faculty of Medicine, Umeå University, Umeå,  Sweden.

出版信息

Radiat Prot Dosimetry. 2017 Jun 1;175(1):110-117. doi: 10.1093/rpd/ncw275.

Abstract

The aim of the present work was to investigate absorbed and to calculate effective doses (EDs) in cone-beam computed tomography (CBCT). The study was conducted using examination protocols with and without lead apron shielding. A full-body male RANDO® phantom was loaded with 110 GR200A thermoluminescence dosemeter chips at 55 different sites and set up in two different CBCT systems (CS 9500®, ProMax® 3D). Two different protocols were performed: the phantom was set up (1) with and (2) without a lead apron. No statistically significant differences in organ and absorbed doses from regions outside the primary beam could be found when comparing results from exposures with and without lead apron shielding. Consequently, calculating the ED showed no significant differences between the examination protocols with and without lead apron shielding. For the ProMax® 3D with shielding, the ED was 149 µSv, and for the examination protocol without shielding 148 µSv (SD = 0.31 µSv). For the CS 9500®, the ED was 88 and 86 µSv (SD = 0.95 µSv), respectively, with and without lead apron shielding. The results revealed no statistically significant differences in the absorbed doses between examination with and without lead apron shielding, especially in organs outside the primary beam.

摘要

本研究的目的是调查锥形束计算机断层扫描(CBCT)中的吸收剂量并计算有效剂量(ED)。该研究使用了有铅围裙屏蔽和无铅围裙屏蔽的检查方案。一个全身男性RANDO®体模在55个不同部位放置了110个GR200A热释光剂量计芯片,并在两种不同的CBCT系统(CS 9500®、ProMax® 3D)中进行设置。执行了两种不同的方案:体模设置为(1)有铅围裙和(2)无铅围裙。比较有铅围裙屏蔽和无铅围裙屏蔽的照射结果时,在原射线束以外区域的器官剂量和吸收剂量方面未发现统计学上的显著差异。因此,计算有效剂量显示有铅围裙屏蔽和无铅围裙屏蔽的检查方案之间没有显著差异。对于有屏蔽的ProMax® 3D,有效剂量为149 µSv,无屏蔽的检查方案为148 µSv(标准差=0.31 µSv)。对于CS 9500®,有铅围裙屏蔽和无铅围裙屏蔽时的有效剂量分别为88和86 µSv(标准差=0.95 µSv)。结果表明,有铅围裙屏蔽和无铅围裙屏蔽检查的吸收剂量之间没有统计学上的显著差异,尤其是在原射线束以外的器官。

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