Keshtkar Mohammad, Blouri Basir, Mahmoudabadi Alireza, Alami Ali
Medical Physics and Radiology Department, Faculty of Medicine, Infectious Diseases Research Center, Gonabad University of Medical Sciences, Sento road, Gonabad, Iran.
Student of General Medicine, Faculty of Medicine, Gonabad University of Medical Sciences, Sento road, Gonabad, Iran.
Radiat Prot Dosimetry. 2023 Feb 15;199(2):146-151. doi: 10.1093/rpd/ncac249.
The aim of the present study is to fabricate a new shield with an optimal combination of copper and bismuth to protect the eyes in the head computed tomography (CT) examinations without compromising image quality. Radiation shields with different compositions were constructed. Computed Tomography Dose Index phantom was used to evaluate the effectiveness of shields in dose reduction and their impact on image quality quantitatively. The shield that caused the least noise in the phantom study was selected for human study. The 10%Bi-90%Cu shield had the least effect on increasing the image noise, and also no remarkable artifact was seen in the CT image of the phantom. The patient study showed that only in 25% of the study group the artifact was observed so that it did not distort the interpretation of the image. It can be concluded that the 10%Bi-90%Cu shield is flexible and durable and would be safely used in the clinic to reduce the eye radiation dose in head CT imaging without compromising image quality.
本研究的目的是制造一种新的屏蔽物,其铜和铋的组合达到最佳,以便在头部计算机断层扫描(CT)检查中保护眼睛,同时不影响图像质量。构建了具有不同成分的辐射屏蔽物。使用计算机断层扫描剂量指数体模定量评估屏蔽物在降低剂量方面的有效性及其对图像质量的影响。在体模研究中产生最少噪声的屏蔽物被选用于人体研究。含10%铋-90%铜的屏蔽物对增加图像噪声的影响最小,并且在体模的CT图像中也未观察到明显的伪影。患者研究表明,在研究组中只有25%观察到伪影,且其并未扭曲图像的解读。可以得出结论,含10%铋-90%铜的屏蔽物灵活耐用,可安全用于临床,在不影响图像质量的情况下减少头部CT成像中的眼部辐射剂量。