BACKGROUND: Diagnostic reference levels (DRLs) have not been established in Japan. OBJECTIVE: To propose DRLs for CT of the head, chest and abdomen for three pediatric age groups. MATERIALS AND METHODS: We sent a nationwide questionnaire by post to 339 facilities. Questions focused on pediatric CT technology, exposure parameters, CT protocols, and radiation doses for age groups <1 year, 1-5 years, and 6-10 years. RESULTS: For the three age groups in the 196 facilities that responded, the 75th percentile values of volume CT dose index based on a 16-cm phantom (CTDIvol 16 [mGy]) for head, chest and abdominal CT were for infants 39.1, 11.1 and 12.0, respectively; for 1-to 5-year-olds 46.9, 14.3 and 16.7, respectively; and for 6-to 10-year-olds 67.7, 15.0 and 17.0, respectively. The corresponding dose–length products (DLP 16 [mGy・cm]) for head, chest and abdominal CT were for infants 526.1, 209.1 and 261.5, respectively; for 1-to 5-year-olds 665.5, 296.0 and 430.8, respectively; and for 6-to 10-year-olds 847.9, 413.0 and 532.2, respectively. CONCLUSION: The majority of CTDIvol 16 and DLP 16 values for the head were higher than DRLs reported from other countries. For risk reduction, it is necessary to establish DRLs for pediatric CT in Japan.
BACKGROUND: Diagnostic reference levels (DRLs) have not been established in Japan. OBJECTIVE: To propose DRLs for CT of the head, chest and abdomen for three pediatric age groups. MATERIALS AND METHODS: We sent a nationwide questionnaire by post to 339 facilities. Questions focused on pediatric CT technology, exposure parameters, CT protocols, and radiation doses for age groups <1 year, 1-5 years, and 6-10 years. RESULTS: For the three age groups in the 196 facilities that responded, the 75th percentile values of volume CT dose index based on a 16-cm phantom (CTDIvol 16 [mGy]) for head, chest and abdominal CT were for infants 39.1, 11.1 and 12.0, respectively; for 1-to 5-year-olds 46.9, 14.3 and 16.7, respectively; and for 6-to 10-year-olds 67.7, 15.0 and 17.0, respectively. The corresponding dose–length products (DLP 16 [mGy・cm]) for head, chest and abdominal CT were for infants 526.1, 209.1 and 261.5, respectively; for 1-to 5-year-olds 665.5, 296.0 and 430.8, respectively; and for 6-to 10-year-olds 847.9, 413.0 and 532.2, respectively. CONCLUSION: The majority of CTDIvol 16 and DLP 16 values for the head were higher than DRLs reported from other countries. For risk reduction, it is necessary to establish DRLs for pediatric CT in Japan.
Authors: Francis R Verdun; Daniel Gutierrez; John Paul Vader; Abbas Aroua; Leonor Trinidad Alamo-Maestre; François Bochud; François Gudinchet Journal: Eur Radiol Date: 2008-04-04 Impact factor: 5.315
Authors: Mackenzie R Cook; Cordelie E Witt; Robert H Bonow; Eileen M Bulger; Ken F Linnau; Saman Arbabi; Bryce R H Robinson; Joseph Cuschieri Journal: J Trauma Acute Care Surg Date: 2018-01 Impact factor: 3.313
Authors: Vijay M Ravindra; Robert J Bollo; Walavan Sivakumar; Hassan Akbari; Robert P Naftel; David D Limbrick; Andrew Jea; Stephen Gannon; Chevis Shannon; Yekaterina Birkas; George L Yang; Colin T Prather; John R Kestle; Jay Riva-Cambrin Journal: J Neurotrauma Date: 2016-07-25 Impact factor: 5.269