Yepes Juan F, Booe Megan R, Sanders Brian J, Jones James E, Ehrlich Ygal, Ludlow John B, Johnson Brandon
Associate professor of pediatric dentistry, in the Department of Pediatric Dentistry, at Indiana University School of Dentistry, James Whitcomb Riley Hospital for Children, Indianapolis, Ind., USA;, Email:
Pediatric dentistry resident, in the Department of Pediatric Dentistry, at Indiana University School of Dentistry, James Whitcomb Riley Hospital for Children, Indianapolis, Ind., USA.
Pediatr Dent. 2017 May 15;39(3):229-232.
The purpose of the study was to evaluate the radiation dose of the Kodak 9000 cone-beam computed tomography (CBCT) device for different anatomical areas using a pediatric phantom.
Absorbed doses resulting from maxillary and mandibular region three by five cm CBCT volumes of an anthropomorphic 10-year-old child phantom were acquired using optical stimulated dosimetry. Equivalent doses were calculated for radiosensitive tissues in the head and neck area, and effective dose for maxillary and mandibular examinations were calculated following the 2007 recommendations of the International Commission on Radiological Protection (ICRP).
Of the mandibular scans, the salivary glands had the highest equivalent dose (1,598 microsieverts [μSv]), followed by oral mucosa (1,263 μSv), extrathoracic airway (pharynx, larynx, and trachea; 859 μSv), and thyroid gland (578 μSv). For the maxilla, the salivary glands had the highest equivalent dose (1,847 μSv), followed closely by oral mucosa (1,673 μSv), followed by the extrathoracic airway (pharynx, larynx, and trachea; 1,011 μSv) and lens of the eye (202 μSv).
Compared to previous research of the Kodak 9000, completed with the adult phantom, a child receives one to three times more radiation for mandibular scans and two to 10 times more radiation for maxillary scans.
本研究的目的是使用儿童体模评估柯达9000锥形束计算机断层扫描(CBCT)设备对不同解剖区域的辐射剂量。
使用光激励剂量法获取了一个10岁儿童拟人化体模上颌和下颌区域3×5厘米CBCT容积产生的吸收剂量。计算了头颈部放射敏感组织的当量剂量,并根据国际放射防护委员会(ICRP)2007年的建议计算了上颌和下颌检查的有效剂量。
在下颌扫描中,唾液腺的当量剂量最高(1598微西弗[μSv]),其次是口腔黏膜(1263μSv)、胸外气道(咽、喉和气管;859μSv)和甲状腺(578μSv)。在上颌扫描中,唾液腺的当量剂量最高(1847μSv),紧随其后的是口腔黏膜(1673μSv),然后是胸外气道(咽、喉和气管;1011μSv)和晶状体(202μSv)。
与之前使用成人体模完成的柯达9000研究相比,儿童下颌扫描接受的辐射多一至三倍,上颌扫描接受的辐射多两至十倍。