Evaluation of arising exposure of ionizing radiation from computed tomography and the associated health concerns
JOURNAL OF RADIATION RESEARCH AND APPLIED SCIENCES
Authors: Abuelhia, Elfatih; Alghamdi, Ali
Abstract
Computed tomography (CT) scans involve exposure to ionizing radiation, which can present unavoidable risks. CT is one of the largest contributors to man-made radiation dose in medical populations. Despite the clinical benefits and the increase of CT imaging usage, the concern of arising exposure of ionizing radiation associated with CT imaging may pose significant health risks. This paper investigates the arising exposure of ionizing radiation from CT and associated radiation dose in the study area. The exposure of ionizing radiation from CT scans was assessed in four hospitals using active detection methods. CT scan operators were exposed to an annual effective dose (mean +/- SD) ranged from 2.83 +/- 0.4 mSv/y to 12 +/- 2.4 mSv/y. The public was exposed to annual effective dose ranged from 0.40 +/- 0.04 mSv/y to 0.87 +/- 0.04 mSv/y. Patients were exposed to minimum effective dose of 1.03 mSv (head scan) and maximum effective dose of 24.45 mSv (abdomen pelvis). The results show the occupational annual effective dose and the public annual effective dose were within the ICRP recommended dose limits. Its first kind of study in this area and the data obtained emphasizes the importance of applying strategies to optimize the radiation dose from CT scans.
Conversion factors for effective dose and organ doses with the air kerma area product in patients undergoing percutaneous transhepatic biliary drainage and trans arterial chemoembolization
PHYSICA MEDICA-EUROPEAN JOURNAL OF MEDICAL PHYSICS
Authors: Brambilla, M.; Cannillo, B.; Guzzardi, G.; D'Alessio, Andrea; Galbiati, Andrea; Matheoud, Roberta; Carriero, A.
Abstract
Conversion factors used to estimate effective (E) and organ doses (H-T) from air Kerma area product (KAP) are required to estimate population doses in percutaneous transhepatic biliary drainage (PTBD) and trans arterial chemoembolization (TACE) interventional procedures. In this study, E and H-T for ten critical organs/tissues, were derived in 64 PTBD and 48 TACE procedures and in 14,540 irradiation events from dosimetric, technical and geometrical information included in the radiation dose structured report using the PCXMC Monte Carlo model, and the ICRP 103 organ weighting factors. Conversion factors of: 0.13; 0.19; 0.26 and 0.32 mSv Gy (-1) cm(-2) were established for irradiation events characterized by a Cu filtration of 0.0; 0.1; 0.4 and 0.9 mm, respectively. While a single coefficient of conversion is not able to provide estimates of E with enough accuracy, a high agreement is obtained between E estimated through Monte Carlo methods and E estimated through E/KAP conversion factors accounting separately for the different modes of fluoroscopy and the fluorography component of the procedures. An algorithm for the estimation of effective and organ doses from KAP has been established in biliary procedures which considers the Cu filtration in the X-ray irradiation events. A similar algorithm could be easily extended to other interventional procedures and incorporated in radiation dose monitoring systems to provide dosimetric estimates automatically with enough accuracy to assess population doses.