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使用特定尺寸剂量估算值确定苏丹医院儿童腹部CT检查中的辐射剂量

RADIATION DOSE DETERMINATION IN ABDOMINAL CT EXAMINATIONS OF CHILDREN AT SUDANESE HOSPITALS USING SIZE-SPECIFIC DOSE ESTIMATES.

作者信息

Bashier Einas H, Suliman I I

机构信息

Sudan Atomic Energy Commission, Radiation Safety Institute, Khartoum, Sudan.

Al Imam Mohammad Ibn Saud Islamic University (IMSIU), College of Science, Physics Department, Committee on Radiation and Environmental Pollution Protection, Riyadh, Saudi Arabia.

出版信息

Radiat Prot Dosimetry. 2019 Jun 1;183(4):443-448. doi: 10.1093/rpd/ncy164.

Abstract

In this study, we thought to estimate the radiation exposure of children undergoing multi-detector CT examinations using size-specific dose estimates (SSDE). Console-displayed volume computed tomography dose index (CTDIvol) were recorded for a total of 78 paediatric abdominal CT examinations performed in six hospitals. Measurements of the patient diameters were taken from the mid-slice location on the transverse and scout CT images. Size-specific conversion coefficients were used to translate CTDIvol to the SSDE, according AAPM Report 204. For children aged 0-1 y, CTDIvol, SSDEtrans (from transverse images) and SSDEsco (from scout images) were: 12.80 ± 16.10, 14.43 ± 13.22; and 14.37 ± 13.03 mGy; respectively. For children aged 1-5 y, CTDIvol, SSDEtrans and SSDEsco were: 12.11 ± 14.47, 18.8 ± 18.61 and 16.51 ± 13.55 mGy; respectively. The obtained doses are higher than the corresponding diagnostic reference levels. SSDE increase with patient size as results of tube current modulation and is therefore a valuable tool for dose optimisation.

摘要

在本研究中,我们试图使用尺寸特异性剂量估计值(SSDE)来估算接受多排CT检查的儿童的辐射暴露量。记录了在六家医院进行的总共78例儿科腹部CT检查的控制台显示的容积CT剂量指数(CTDIvol)。在横断面和定位CT图像的中间层面测量患者直径。根据美国医学物理师协会(AAPM)第204号报告,使用尺寸特异性转换系数将CTDIvol转换为SSDE。对于0至1岁的儿童,CTDIvol、SSDEtrans(来自横断面图像)和SSDEsco(来自定位图像)分别为:12.80±16.10、14.43±13.22和14.37±13.03 mGy。对于1至5岁的儿童,CTDIvol、SSDEtrans和SSDEsco分别为:12.11±14.47、18.8±18.61和16.51±13.55 mGy。所获得的剂量高于相应的诊断参考水平。由于管电流调制,SSDE随患者体型增大而增加,因此是剂量优化的一个有价值的工具。

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