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全景X线摄影、头影测量X线摄影和锥形束计算机断层扫描(CBCT)患者的吸收剂量。

Absorbed doses for patients undergoing panoramic radiography, cephalometric radiography and CBCT.

作者信息

Wrzesień Małgorzata, Olszewski Jerzy

机构信息

University of Lodz, Łódź, Poland (Department of Nuclear Physics and Radiation Safety).

Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Radiological Protection).

出版信息

Int J Occup Med Environ Health. 2017 Jul 17;30(5):705-713. doi: 10.13075/ijomeh.1896.00960. Epub 2017 May 12.

Abstract

OBJECTIVES

Contemporary dental radiology offers a wide spectrum of imaging methods but it also contributes to an increase in the participation of dental radiological diagnosis in the patient's exposure to ionizing radiation. The aim of this study is to determine the absorbed doses of the brain, spinal column, thyroid and eye lens for patients during panoramic radiography, cephalometric radiography and cone beam computed tomography (CBCT).

MATERIAL AND METHODS

The thermoluminescent dosimetry and anthropomorphic phantom was used for measuring the doses. The 15 panoramic, 4 cephalometric and 4 CBCT exposures were performed by placing high-sensitivity thermoluminescent detectors (TLD) in 18 anatomical points of the phantom.

RESULTS

The maximum absorbed dose recorded during performed measurements corresponds to the point representing the brainstem and it is 10 mGy. The dose value recorded by the TLD placed in the thyroid during CBCT imaging in relation to the panoramic radiography differs by a factor of 13.5.

CONCLUSIONS

Cone beam computed tomography, in comparison with panoramic or cephalometric imaging technique, provides higher radiation doses to the patients. Int J Occup Med Environ Health 2017;30(5):705-713.

摘要

目的

当代牙科放射学提供了广泛的成像方法,但也导致牙科放射诊断在患者接受电离辐射方面的参与度增加。本研究的目的是确定患者在全景X线摄影、头影测量X线摄影和锥形束计算机断层扫描(CBCT)过程中大脑、脊柱、甲状腺和晶状体的吸收剂量。

材料与方法

采用热释光剂量测定法和人体模型测量剂量。通过将高灵敏度热释光探测器(TLD)放置在模型的18个解剖部位进行15次全景、4次头影测量和4次CBCT照射。

结果

在进行测量期间记录的最大吸收剂量对应于代表脑干的点,为10 mGy。CBCT成像期间放置在甲状腺中的TLD记录的剂量值与全景X线摄影相比相差13.5倍。

结论

与全景或头影测量成像技术相比,锥形束计算机断层扫描给患者提供的辐射剂量更高。《国际职业医学与环境卫生杂志》2017年;30(5):705 - 713。

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