Literature DB >> 25298299

Local diagnostic reference level based on size-specific dose estimates: assessment of pediatric abdominal/pelvic computed tomography at a Japanese national children's hospital.

Rumi Imai1, Osamu Miyazaki, Tetsuya Horiuchi, Hideo Kurosawa, Shunsuke Nosaka.   

Abstract

BACKGROUND: A child's body size is not accurately reflected by volume CT dose index (CTDIvol) and dose-length product (DLP). Size-specific dose estimation (SSDE) was introduced recently as a new index of radiation dose. However, it has not yet been established as a diagnostic reference level (DRL).
OBJECTIVE: To calculate the SSDE of abdominal/pelvic CT and compare the SSDE with CTDIvol. To calculate the DRLs of CTDIvol and SSDE. Our hypotheses are: SSDE values will be greater than CTDIvol, and our DRL will be smaller than the known DRLs of other countries.
MATERIALS AND METHODS: The CTDIvol and DLP of 117 children who underwent abdominal/pelvic CT were collected retrospectively. The SSDE was calculated from the sum of the lateral and anteroposterior diameters. The relationships between body weight and effective diameter and between effective diameter and CTDIvol/SSDE were compared. Further, the local DRL was compared with the DRLs of other countries.
RESULTS: Body weight and effective diameter and effective diameter and SSDE were positively correlated. In children ages 1, 5 and 10 years, the SSDE is closer to the exposure dose of CTDIvol for the 16-cm phantom, while in children ages 15 years, the SSDE falls between CTDIvol for the 16-cm phantom and that for the 32-cm phantom. The local DRL was lower than those of other countries.
CONCLUSION: With SSDE, the radiation dose increased with increasing body weight. Since SSDE takes body size into account, it proved to be a useful indicator for estimating the exposure dose.

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Year:  2014        PMID: 25298299     DOI: 10.1007/s00247-014-3189-4

Source DB:  PubMed          Journal:  Pediatr Radiol        ISSN: 0301-0449


  16 in total

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Authors:  Osamu Miyazaki; Tetsuya Horiuchi; Hidekazu Masaki; Shunsuke Nosaka; Mikiko Miyasaka; Yoshiyuki Tsutsumi; Yoshiyuki Okada; Masayuki Kitamura
Journal:  Radiat Med       Date:  2008-02-27

10.  Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians.

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Journal:  BMJ       Date:  2013-05-21
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  6 in total

1.  Validity of the size-specific dose estimate in adults undergoing coronary CT angiography: comparison with the volume CT dose index.

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2.  Establishment of Local Diagnostic Reference Levels of Pediatric Abdominopelvic and Chest CT Examinations Based on the Body Weight and Size in Korea.

Authors:  Jae Yeon Hwang; Young Hun Choi; Hee Mang Yoon; Young Jin Ryu; Hyun Joo Shin; Hyun Gi Kim; So Mi Lee; Sun Kyung You; Ji Eun Park
Journal:  Korean J Radiol       Date:  2021-04-01       Impact factor: 3.500

3.  Consideration of the usefulness of a size-specific dose estimate in pediatric CT examination.

Authors:  Takakiyo Tsujiguchi; Hideki Obara; Shuichi Ono; Yoko Saito; Ikuo Kashiwakura
Journal:  J Radiat Res       Date:  2018-07-01       Impact factor: 2.724

4.  Can Patient's Body Weight Represent Body Diameter for Pediatric Size-Specific Dose Estimate in Thoracic and Abdominal Computed Tomography?

Authors:  Supika Kritsaneepaiboon; Suwadee Eng-Chuan; Saowapark Yoykaew
Journal:  J Clin Imaging Sci       Date:  2019-05-24

5.  Computed tomography urography with iterative reconstruction algorithm in congenital urinary tract abnormalities in children - association of radiation dose with image quality.

Authors:  Przemysław Bombiński; Michał Brzewski; Stanisław Warchoł; Agnieszka Biejat; Marcin Banasiuk; Marek Gołębiowski
Journal:  Pol J Radiol       Date:  2018-04-27

6.  Comparison of Application Value of Different Radiation Dose Evaluation Methods in Evaluating Radiation Dose of Adult Thoracic and Abdominal CT Scan.

Authors:  Jimin He; Guanwei Dong; Yi Deng; Jun He; ZhiGang Xiu; Fanzi Feng
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  6 in total

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