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韩国成年男性和女性CT扫描中的器官剂量转换系数。

Organ dose conversion coefficients in CT scans for Korean adult males and females.

作者信息

Lee Choonsik, Won Tristan, Yeom Yeon Soo, Griffin Keith, Lee Choonik, Kim Kwang Pyo

机构信息

Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD, USA.

Churchhill High School, Potomac, MD, USA.

出版信息

Nucl Eng Technol. 2022 Feb;54(2):681-688. doi: 10.1016/j.net.2021.08.008. Epub 2021 Aug 7.

Abstract

Dose monitoring in CT patients requires accurate dose estimation but most of the CT dose calculation tools are based on Caucasian computational phantoms. We established a library of organ dose conversion coefficients for Korean adults by using four Korean adult male and two female voxel phantoms combined with Monte Carlo simulation techniques. We calculated organ dose conversion coefficients for head, chest, abdomen and pelvis, and chest-abdomen-pelvis scans, and compared the results with the existing data calculated from Caucasian phantoms. We derived representative organ doses for Korean adults using Korean CT dose surveys combined with the dose conversion coefficients. The organ dose conversion coefficients from the Korean adult phantoms were slightly greater than those of the ICRP reference phantoms: up to 13% for the brain doses in head scans and up to 10% for the dose to the small intestine wall in abdominal scans. We derived Korean representative doses to major organs in head, chest, and AP scans using mean CTDI values extracted from the Korean nationwide surveys conducted in 2008 and 2017. The Korean-specific organ dose conversion coefficients should be useful to readily estimate organ absorbed doses for Korean adult male and female patients undergoing CT scans.

摘要

对CT检查患者进行剂量监测需要准确估算剂量,但大多数CT剂量计算工具是基于白种人的计算体模。我们通过使用四个韩国成年男性和两个女性体素体模并结合蒙特卡洛模拟技术,建立了韩国成年人器官剂量转换系数库。我们计算了头部、胸部、腹部和骨盆以及胸部-腹部-骨盆扫描的器官剂量转换系数,并将结果与从白种人体模计算出的现有数据进行比较。我们结合韩国CT剂量调查和剂量转换系数,得出了韩国成年人的代表性器官剂量。韩国成年体模的器官剂量转换系数略高于国际辐射防护委员会(ICRP)参考体模的系数:头部扫描中脑剂量高达13%,腹部扫描中小肠壁剂量高达10%。我们利用2008年和2017年韩国全国性调查提取的平均CTDI值,得出了韩国人头部、胸部和前后位扫描中主要器官的代表性剂量。韩国特定的器官剂量转换系数应有助于方便地估算接受CT扫描的韩国成年男性和女性患者的器官吸收剂量。

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