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Lin HC, Lai TJ, Tseng HC, Lin CH, Tseng YL, Chen CY. Evaluating doses of multi-slice CT in brain examinations using various methods. Comput Assist Surg (Abingdon) 2017; 22:54-60. [PMID: 28938858 DOI: 10.1080/24699322.2017.1379136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Abstract
PURPOSE The effective dose (HE) and organ or tissue equivalent dose (HT) of a Rando phantom undergoing two brain computed tomography (CT) examination protocols were evaluated using thermoluminescent dosimeters (TLD-100H) and dose length product (DLP) methods. MATERIALS AND METHODS TLDs were inserted into the correlated positions of an organ or tissue of Rando phantom, such as thyroid, brain, and salivary gland, using (A) axial scan: scanning the maxillae ranging from external auditory meatus to the parietal bone, and (B) helical scan: scanning from the mandible to the parietal bone. CT examinations were performed on a Philips computer tomography (Brilliance CT) at Lukang Christian Hospital. TLDs were measured using a Harshaw 3500 TLD reader. The HT of organ and tissue during the two protocols was discussed. RESULTS AND CONCLUSION HE were calculated using ICRP 60 and 103 at 2.67 ± 0.18 and 1.89 ± 0.23 mSv based on an axial scan, and 4.70 ± 0.38 and 4.39 ± 0.37 mSv based on a helical scan, respectively. In the DLP method, HE was estimated from CTDIvol that was recorded directly from the console display of the CT unit and then calculated using AAPM 96. Finally, experimental results are compared with those in literature. Radiologists should choose and adjust protocols to prevent unnecessary radiation to patients and satisfying the as low as reasonably achievable (ALARA) principle. These findings will be valuable to patients, physicians, radiologists, and the public.
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Affiliation(s)
- Hung-Chih Lin
- a Institute of Medicine , Chung Shan Medical University , Taichung , Taiwan , Republic of China.,b Department of Radiology , Lukang Christian Hospital of Changhua Christian Medical Foundation , Lukang , Taiwan , Republic of China
| | - Te-Jen Lai
- a Institute of Medicine , Chung Shan Medical University , Taichung , Taiwan , Republic of China.,c Department of Psychiatry , Chung Shan Medical University Hospital, Chung Shan Medical University , Taichung , Taiwan , Republic of China
| | - Hsien-Chun Tseng
- d School of Medicine , Chung Shan Medical University , Taichung , Taiwan , Republic of China.,e Department of Radiation Oncology , Chung Shan Medical University Hospital, Chung Shan Medical University , Taichung , Taiwan , Republic of China
| | - Cheng-Hsun Lin
- f Medical Imaging and Radiological Sciences , Central Taiwan University of Science and Technology , Taichung , Taiwan , Republic of China
| | - Yen-Ling Tseng
- b Department of Radiology , Lukang Christian Hospital of Changhua Christian Medical Foundation , Lukang , Taiwan , Republic of China
| | - Chien-Yi Chen
- e Department of Radiation Oncology , Chung Shan Medical University Hospital, Chung Shan Medical University , Taichung , Taiwan , Republic of China.,g Department of Medical Imaging and Radiological Sciences , Chung Shan Medical University , Taichung , Taiwan , Republic of China
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