Radiation exposure during paediatric CT in Sudan: CT dose, organ and effective doses

2014 ◽  
Vol 167 (4) ◽  
pp. 513-518 ◽  
Author(s):  
I. I. Suliman ◽  
H. M. Khamis ◽  
T. H. Ombada ◽  
K. Alzimami ◽  
M. Alkhorayef ◽  
...  
2019 ◽  
Vol 186 (2-3) ◽  
pp. 386-390
Author(s):  
V Dufek ◽  
H Zackova ◽  
L Kotik ◽  
I Horakova

Abstract About 26 000 patients are treated per year with radiotherapy for non-malignant diseases in the Czech Republic. Approximately 75% of them are treated on X-ray therapy units and most of these patients undergo radiotherapy of heel spurs. The evaluation of radiation exposure of these patients was based on measured organ doses and on data from clinical practice. Collective effective doses for particular diagnoses were calculated in order to compare doses resulting from different diagnoses treated on X-ray therapy units. The collective effective dose from radiotherapy of heel spurs in the Czech Republic in 2013 was evaluated to 77 manSv. It represents 25.6% of the total collective effective dose for all diagnoses of radiotherapy for non-malignant diseases treated on X-ray therapy units.


2020 ◽  
Vol 189 (4) ◽  
pp. 466-474
Author(s):  
Wiam Elshami ◽  
Mohamed Abuzaid ◽  
Antti Pekkarinen ◽  
Mika Kortesniemi

Abstract Purpose Occupational radiation exposure for medical workers in radiology and cardiology was analyzed in nine hospitals in the UAE between 2002 and 2016. The purpose of the study was to determine the time trend and the differences in occupational radiation exposure among worker groups and hospitals in the country. Methods Readings of 5700 thermoluminescence dosimeters (TLDs) were obtained from 1011 medical workers and grouped into 5 worker groups (radiographers, diagnostic radiologists, nurses, cardiologists and physicians). Results The mean annual effective dose was from 0.38 to 0.62 mSv per worker. Even though an increase in the collective effective dose has been noticed during the study period, no significant time trend was observed in the mean effective dose. Furthermore, cardiologists received higher mean and maximum effective doses than the other worker groups. Conclusion The annual effective doses were below the limits set by national legislation and international standards, and for the average worker, the likelihood of high exposure is small. However, improvements in radiation protection practices could be implemented to reduce occupational radiation dose to cardiologists, who were the most exposed worker group in this study.


2020 ◽  
Vol 65 (1) ◽  
pp. 13-16
Author(s):  
S. Somov

Purpose: Improving the quality of radiation assessment of patients of the medical institution of the dental profile using the calculated values of effective doses. Material and methods: Using the RED-2018 and ORTO-2018 programs, the values of effective patient exposure doses for 29 medical organizations of the dental profile were calculated. The obtained values of the effective dose were compared with the values specified in the methodological recommendations MP 0100 / 1659-07-26 of February 16, 2007 “Filling of forms of federal state statistical observation 3-DOZ”. Results: The analysis showed that the doses obtained using the RED-2018 and ORTO-2018 computer programs, respectively, are 21 and 14 times lower than the doses indicated in the methodological recommendations MP 0100 / 1659-07-26. Conclusion: It is shown that the developed computer programs can be applied by a dentist practicing physician who performs an x-ray examination in order to automatically and reliably determine the patient’s dose when performing x-ray-mathematical studies in accordance with the guidelines of MU 2.6.1.2944-11 “Monitoring effective doses of patients during x-ray examinations” also used in the preparation of radiation hygienic passports of organizations and statistical form 3-DOZ. The indication of the actually calculated values of the effective dose of the patient, rather than repeatedly overestimated averages, will reduce the level of radiophobia in society.


PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e4222 ◽  
Author(s):  
Makiko Orita ◽  
Yuko Kimura ◽  
Yasuyuki Taira ◽  
Toshiki Fukuda ◽  
Jumpei Takahashi ◽  
...  

Mushrooms are recognized as one of the main contributors to internal radiation exposure from the activity concentration of radiocesium released by the accident at the Chernobyl nuclear power plant (CNNP). We evaluated the activity concentrations of the artificial radionuclides (radiocesium) in wild mushrooms collected in 2015 from Korosten and Lugine, Zhitomir region, Ukraine, located 120 km away from the CNPP. Cesium-137 was detected in 110 of 127 mushroom samples (86.6%). Based on the average mushroom consumption (5 kg per year), we calculated committed effective doses ranging from 0.001–0.12 mSv. Cesium-137 remains in the wild mushrooms even 30 years after the accident, but the committed effective doses are limited by the amount of contaminated mushrooms consumed. However, evaluation of internal radiation exposure and assessment of environmental radioactivity in the surrounding area affected by the nuclear accident are still necessary in order to relieve anxiety about internal radiation exposure, as long as the possibility of consumption of contaminated mushrooms remains.


2020 ◽  
Vol 191 (4) ◽  
pp. 400-408
Author(s):  
M Benmessaoud ◽  
A Dadouch ◽  
M Talbi ◽  
M Tahiri ◽  
Y El-ouardi

Abstract The purpose of this study was to establish the diagnostic reference levels (DRLs) for paediatric head computed tomography (CT) in Morocco and to assess the effective doses received during head CT examinations. The data of 1007 patients were collected retrospectively from Moroccan university children’s hospitals. The sample was classified per age group:<1, 1–5, 5–10 and 10–15 years. The proposed DRLs were defined as 75th percentile of the distributions, which were in terms of CT dose index of 26.98, 28.88, 34.00 and 38.20 mGy and dose length product of 461.64, 540.06, 627.20 and 705.98 mGy.cm, respectively. The effective doses estimated were 3.6, 2.9, 2 and 1.79 mSv, respectively. The DRLs reported in Morocco were compared with those of other countries, which were based on the same age grouping method, including Thailand, Switzerland, Japan and the international DRLs. Our initiative via the determination of the first Moroccan diagnostic reference levels for paediatric head CT must be a starting point to spread this investigation towards other examinations and imaging modalities.


2021 ◽  
pp. 028418512110032
Author(s):  
Sebastian Zensen ◽  
Denise Bos ◽  
Marcel Opitz ◽  
Johannes Haubold ◽  
Michael Forsting ◽  
...  

Background In the assessment of diseases causing skeletal lesions such as multiple myeloma (MM), whole-body low-dose computed tomography (WBLDCT) is a sensitive diagnostic imaging modality, which has the potential to replace the conventional radiographic survey. Purpose To optimize radiation protection and examine radiation exposure, and effective and organ doses of WBLDCT using different modern dual-source CT (DSCT) devices, and to establish local diagnostic reference levels (DRL). Material and Methods In this retrospective study, 281 WBLDCT scans of 232 patients performed between January 2017 and April 2020 either on a second- (A) or third-generation (B) DSCT device could be included. Radiation exposure indices and organ and effective doses were calculated using a commercially available automated dose-tracking software based on Monte-Carlo simulation techniques. Results The radiation exposure indices and effective doses were distributed as follows (median, interquartile range): (A) second-generation DSCT: volume-weighted CT dose index (CTDIvol) 1.78 mGy (1.47–2.17 mGy); dose length product (DLP) 282.8 mGy·cm (224.6–319.4 mGy·cm), effective dose (ED) 1.87 mSv (1.61–2.17 mSv) and (B) third-generation DSCT: CTDIvol 0.56 mGy (0.47–0.67 mGy), DLP 92.0 mGy·cm (73.7–107.6 mGy·cm), ED 0.61 mSv (0.52–0.69 mSv). Radiation exposure indices and effective and organ doses were significantly lower with third-generation DSCT ( P < 0.001). Local DRLs could be set for CTDIvol at 0.75 mGy and DLP at 120 mGy·cm. Conclusion Third-generation DSCT requires significantly lower radiation dose for WBLDCT than second-generation DSCT and has an effective dose below reported doses for radiographic skeletal surveys. To ensure radiation protection, DRLs regarding WBLDCT are required, where our locally determined values may help as benchmarks.


1988 ◽  
Vol 24 (1-4) ◽  
pp. 159-161 ◽  
Author(s):  
M.A. Pires do Rio ◽  
J.M. Godoy ◽  
E.C.S. Amaral

Abstract The Brazilian production of bottled mineral water is about 560 million litres per year. The states of Sao Paulo, Rio de Janeiro, Minas Gerais and Pernambuco are responsible for more than 65% of the total production. Over twenty samples of bottle mineral waters from these states were analysed for 226Ra, 228Ra and 210Pb content. Mean values of 27 mBq.l-1 for 226Ra and 77 mBq.l-1 for 210Pb were found. 228Ra was found in only two samples and the highest value was 300 mBq.l-1. Dose calculations were performed in order to evaluate the relative importance of the radionuclides to the radiation exposure of the Brazilian population. Based upon the production rate and the measured concentrations, collective committed effective doses per year of 1.5 manSv for 226Ra, 1.4 manSv for 228Ra and 17 manSv for 210Pb were obtained. These results show that the 210Pb is the main contributor to radiation exposure of the population because of their ingestion of bottled mineral water.


Author(s):  
Christoph I. Lee

This chapter, found in the radiation exposure from medical imaging section of the book, provides a succinct synopsis of a key study examining low-dose ionizing radiation exposure and radiation-induced cancer risks. This summary outlines the study methodology and design, major results, limitations and criticisms, related studies and additional information, and clinical implications. The study reported that a substantial proportion of the nonelderly US population is exposed to medium to very high annual effective doses from medical imaging procedures. Strategies ensuring the appropriate use of medical imaging associated with ionizing radiation should be developed and adopted widely. In addition to outlining the most salient features of the study, a clinical vignette is included in order to provide relevant clinical context.


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