Literature DB >> 20028922

Radiation dose from cone beam CT in a pediatric phantom: risk estimation of cancer incidence.

Sangroh Kim1, Terry T Yoshizumi, Donald P Frush, Greta Toncheva, Fang-Fang Yin.   

Abstract

OBJECTIVE: The objective of our study was to measure absorbed doses and calculate effective dose (ED) from cone beam CT (CBCT) with metal oxide semiconductor field effect transistor (MOSFET) detectors in an anthropomorphic phantom and to estimate the risk of cancer incidence for CBCT.
MATERIALS AND METHODS: Abdominal CBCT was performed in an anthropomorphic phantom of a 5-year-old child using the On-Board Imager with arbitrarily designated standard-dose (125 kVp, 80 mA, 25 milliseconds) and low-dose (125 kVp, 40 mA, 10 milliseconds) modes. The full-fan mode was used, and 20 MOSFET dosimeters were used to measure the absorbed doses in various organs. We calculated the ED, the lifetime attributable risk (LAR) for cancer incidence, and relative risk (RR) of cancer induction from a single scan for both standard- and low-dose modes in 5-year-old children.
RESULTS: The highest absorbed doses were found in the skin, ascending colon, and stomach. The mean ED was 37.8+/-0.7 (SD) mSv for the standard-dose mode and 8.1+/-0.2 mSv for the low-dose mode. The LAR of cancer incidence ranged from 23 to 144 cases per 100,000 exposed persons for the standard-dose mode and from five to 31 cases per 100,000 exposed persons for the low-dose mode. The RR of cancer incidence ranged from 1.003 to 1.054 for the standard-dose mode and from 1.001 to 1.012 for the low-dose mode.
CONCLUSION: The ED from pediatric CBCT using the standard-dose mode was considerably higher than that of MDCT, whereas the ED for CBCT using the low-dose mode was comparable to that of abdominal MDCT. For abdominal CBCT in the pediatric phantom, the highest LARs were for colon and bladder cancers and the highest RRs were for stomach and liver cancers.

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Year:  2010        PMID: 20028922     DOI: 10.2214/AJR.08.2168

Source DB:  PubMed          Journal:  AJR Am J Roentgenol        ISSN: 0361-803X            Impact factor:   3.959


  15 in total

Review 1.  Cancer risk related to gastrointestinal diagnostic radiation exposure.

Authors:  Mimi L Chang; Jason K Hou
Journal:  Curr Gastroenterol Rep       Date:  2011-10

2.  Progressive cone beam CT dose control in image-guided radiation therapy.

Authors:  Hao Yan; Xin Zhen; Laura Cerviño; Steve B Jiang; Xun Jia
Journal:  Med Phys       Date:  2013-06       Impact factor: 4.071

3.  Use of PET/CT instead of CT-only when planning for radiation therapy does not notably increase life years lost in children being treated for cancer.

Authors:  Josefine S Kornerup; Patrik Brodin; Charlotte Birk Christensen; Thomas Björk-Eriksson; Anne Kiil-Berthelsen; Lise Borgwardt; Per Munck Af Rosenschöld
Journal:  Pediatr Radiol       Date:  2014-11-07

4.  Paediatric urological investigations--dose comparison between urology-related and CT irradiation.

Authors:  Mark Page; Cosmin Florescu; Lilian Johnstone; Daniel Habteslassie; Michael Ditchfield
Journal:  Pediatr Radiol       Date:  2013-02-05

5.  Radiation dose reduction in medical x-ray CT via Fourier-based iterative reconstruction.

Authors:  Benjamin P Fahimian; Yunzhe Zhao; Zhifeng Huang; Russell Fung; Yu Mao; Chun Zhu; Maryam Khatonabadi; John J DeMarco; Stanley J Osher; Michael F McNitt-Gray; Jianwei Miao
Journal:  Med Phys       Date:  2013-03       Impact factor: 4.071

Review 6.  Stones in special situations.

Authors:  Mordechai Duvdevani; Stavros Sfoungaristos; Karim Bensalah; Benoit Peyronnet; Amy Krambeck; Sanjay Khadji; Ahmet Muslumanuglu; David Leavitt; Jude Divers; Zeph Okeke; Arthur Smith; Janelle Fox; Michael Ost; Andreas J Gross; Hassan Razvi
Journal:  World J Urol       Date:  2017-03-07       Impact factor: 4.226

7.  Effective dose assessment in the maxillofacial region using thermoluminescent (TLD) and metal oxide semiconductor field-effect transistor (MOSFET) dosemeters: a comparative study.

Authors:  J Koivisto; D Schulze; J Wolff; D Rottke
Journal:  Dentomaxillofac Radiol       Date:  2014-08-21       Impact factor: 2.419

8.  Effect of dose reduction on image registration and image quality for cone-beam CT in radiotherapy.

Authors:  B Loutfi-Krauss; J Köhn; N Blümer; K Freundl; T Koch; E Kara; C Scherf; C Rödel; U Ramm; J Licher
Journal:  Strahlenther Onkol       Date:  2014-09-20       Impact factor: 3.621

Review 9.  Radiation risks associated with serial imaging in colorectal cancer patients: should we worry?

Authors:  Jeong Suk Oh; Jonathan B Koea
Journal:  World J Gastroenterol       Date:  2014-01-07       Impact factor: 5.742

10.  Quantitative color-coded digital subtraction neuroangiography for pediatric arteriovenous shunting lesions.

Authors:  Grace M Y Ma; Adam A Dmytriw; Premal A Patel; Nicholas Shkumat; Timo Krings; Manohar M Shroff; Prakash Muthusami
Journal:  Childs Nerv Syst       Date:  2019-07-06       Impact factor: 1.475

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