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Organ Dose Evaluation of Head Computed Tomography Scans Using a Male Anthropomorphic Phantom

Published in Innovation (Volume 3, Issue 1)
Received: 5 January 2022    Accepted: 3 February 2022    Published: 16 February 2022
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Abstract

Computed Tomography (CT) has been one of the most used exams for radiologic diagnostic in medicine. The increase in CT scans is a global concern due to the increase in radiation doses in the population. The head CT scans helps to diagnose disorders that affect the brain, including tumors, infarction, bleeding within the brain, hematoma, and other diseases. The aim of this work is to verify the reduction of absorbed dose in patients in head CT scans with the use of bismuth shielding and positioning with the head tilted. An anthropomorphic male phantom model CIRS ATOM 701 were used to perform the head CT scans, from the cervical vertebra C1 to the top of skull, in a Toshiba CT scanner, Prime Aquillion model with 80 channels. Radiochromic film strips were used to evaluate the doses in the organs such as lenses, thyroid, hypophysis, spinal cord, breasts and salivary glands. Three head CT scans were performed, with the phantom in supine position, using the same acquisition protocol, with and without bismuth shielding and with the head tilted without the bismuth shielding. The results of these experiments showed absorbed doses ranging from 0.66 to 47.16 mGy. The highest dose of 47.16 mGy were in the lenses without bismuth shielding and with bismuth shielding was 33.01 mGy. Also, the dose with the head tilted was 20.42 mGy. The recorded doses were lower with the head tilted for all organs, mainly in the lenses. The analysis of noise in the image of the head central slice presented acceptable values for soft tissues, less than 1%.

Published in Innovation (Volume 3, Issue 1)
DOI 10.11648/j.innov.20220301.13
Page(s) 13-17
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Computed Tomography, Dosimetry, Bismuth Shielding

References
[1] Hoang, J. K., Yoshizumi, T. T., Choudhury, K. R., Nguyen, G. B., Toncheva, G., Gafton, A. R., Hurwitz, L. M. (2012). Organ-Based Dose Current Modulation and Thyroid Shields: Techniques of Radiation Dose Reduction for Neck CT. American Journal of Roentgenology, 198 (5), 1132–1138. doi: 10.2214/ajr.11.7445.
[2] Ciarmatori, A., Nocetti, L., Mistretta, G., Zambelli, G., & Costi, T. (2016). Reducing absorbed dose to eye lenses in head CT examinations: the effect of bismuth shielding. Australasian Physical & Engineering Sciences in Medicine, 39 (2), 583–589. doi: 10.1007/s13246-016-0445-y.
[3] ICRP, Eckerman K, Harrison J, Menzel HG, Clement CH. ICRP publication 119: Compendium of dose coefficients based on ICRP publication 60. Ann ICRP 2012; 41 Suppl 1: 1-30.
[4] Yang, Ching-Ching. (2020). Evaluation of Impact of Factors Affecting CT Radiation Dose for Optimizing Patient Dose Levels. Diagnostics, 787, 1-14. doi: 10.3390/diagnostics10100787.
[5] Ko, C-H., Lee, S-P., Hsieh, Y-C., Lee, Y-H., Yao, M. M., Chan, W. P. (2021). “Bismuth breast-shield use in chest computed tomography for efficient dose reduction and sufficient image quality”. Medicine, 100, 1-7. doi: 10.1097/MD.000000000002 277.
[6] Mourão, A. P., Aburjaile, W. N., & Santos, F. S. (2019). Dosimetry and Protocol Optimization of Computed Tomography Scans using Adult Chest Phantoms. Int J Radiol Imaging Technol, 5, 050. Doi; 10.23937/2572-3235.1510050.
[7] Lee, Y. H., Yang, S. H., Lin, Y. K., Glickman, R. D., Chen, C. Y., & Chan, W. P. (2020). Eye shielding during head CT scans: Dose reduction and image quality evaluation. Academic radiology, 27 (11), 1523-1530. doi: https://doi.org/10.1016/j.acra.2019.12.011.
[8] Saeed, M. K., and Y. Almalki. (2021). "Assessment of computed tomography radiation doses for paediatric head and chest examinations using paediatric phantoms of three different ages." Radiography, 27 (2), 332-339. https://doi.org/10.1016/j.radi.2020.09.007.
[9] Angel, E., Yaghmai, N., Jude, C. M., DeMarco, J. J., Cagnon, C. H., Goldin, J. G.,… McNitt-Gray, M. F. (2009). Dose to Radiosensitive Organs During Routine Chest CT: Effects of Tube Current Modulation. American Journal of Roentgenology, 193 (5), 1340–1345. doi: 10.2214/ajr.09.2886.
[10] Lai, N.-K., Liao, Y.-L., Chen, T.-R., Tyan, Y.-S., & Tsai, H.-Y. (2011). Real-time estimation of dose reduction for pediatric CT using bismuth shielding. Radiation Measurements, 46 (12), 2039–2043. doi: 10.1016/j.radmeas.2011.09.010.
[11] Colletti, P. M., Micheli, O. A., & Lee, K. H. (2013). To Shield or Not to Shield: Application of Bismuth Breast Shields. American Journal of Roentgenology, 200 (3), 503–507. doi: 10.2214/ajr.12.9997.
[12] Gbelcova, L., Nikodemova, D., & Horvathova, M. (2011). Dose reduction using bismuth shielding during paediatric CT examinations in Slovakia. Radiation Protection Dosimetry, 147 (1-2), 160–163. doi: 10.1093/rpd/ncr336.
[13] Giaddui, T., Cui, Y., Galvin, J., Chen, W., Yu, Y., & Xiao, Y. (2012). Characteristics of Gafchromic XRQA2 films for kV image dose measurement. Medical Physics, 39 (2), 842–850. doi: 10.1118/1.3675398.
[14] Mourão, A. P., Alonso, T. C., & DaSilva, T. A. (2014). Dose profile variation with voltage in head CT scans using radiochromic films. Radiation Physics and Chemistry, 95, 254–257. doi: 10.1016/j.radphyschem.2013.05.013.
[15] Costa, K. C., Gomez, A. M. L., Alonso, T. C., & Mourao, A. P. (2017). Radiochromic film calibration for the RQT9 quality beam. Radiation Physics and Chemistry, 140, 370–372. doi: 10.1016/j.radphyschem.2017.02.032.
[16] Alonso, T. C., Mourão, A. P., Santana, P. C., & da Silva, T. A. (2016). Assessment of breast absorbed doses during thoracic computed tomography scan to evaluate the effectiveness of bismuth shielding. Applied Radiation and Isotopes, 117, 55–57. doi: 10.1016/j.apradiso.2016.03.018.
[17] National Institute of Standards and Technology. NIST. http:www.nist.gov. Access Nov 17th 2021.
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  • APA Style

    Fernanda Stephanie Santos, Wadia Namen Aburjaile, Arnaldo Prata Mourão. (2022). Organ Dose Evaluation of Head Computed Tomography Scans Using a Male Anthropomorphic Phantom. Innovation, 3(1), 13-17. https://doi.org/10.11648/j.innov.20220301.13

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    ACS Style

    Fernanda Stephanie Santos; Wadia Namen Aburjaile; Arnaldo Prata Mourão. Organ Dose Evaluation of Head Computed Tomography Scans Using a Male Anthropomorphic Phantom. Innovation. 2022, 3(1), 13-17. doi: 10.11648/j.innov.20220301.13

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    AMA Style

    Fernanda Stephanie Santos, Wadia Namen Aburjaile, Arnaldo Prata Mourão. Organ Dose Evaluation of Head Computed Tomography Scans Using a Male Anthropomorphic Phantom. Innovation. 2022;3(1):13-17. doi: 10.11648/j.innov.20220301.13

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  • @article{10.11648/j.innov.20220301.13,
      author = {Fernanda Stephanie Santos and Wadia Namen Aburjaile and Arnaldo Prata Mourão},
      title = {Organ Dose Evaluation of Head Computed Tomography Scans Using a Male Anthropomorphic Phantom},
      journal = {Innovation},
      volume = {3},
      number = {1},
      pages = {13-17},
      doi = {10.11648/j.innov.20220301.13},
      url = {https://doi.org/10.11648/j.innov.20220301.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.innov.20220301.13},
      abstract = {Computed Tomography (CT) has been one of the most used exams for radiologic diagnostic in medicine. The increase in CT scans is a global concern due to the increase in radiation doses in the population. The head CT scans helps to diagnose disorders that affect the brain, including tumors, infarction, bleeding within the brain, hematoma, and other diseases. The aim of this work is to verify the reduction of absorbed dose in patients in head CT scans with the use of bismuth shielding and positioning with the head tilted. An anthropomorphic male phantom model CIRS ATOM 701 were used to perform the head CT scans, from the cervical vertebra C1 to the top of skull, in a Toshiba CT scanner, Prime Aquillion model with 80 channels. Radiochromic film strips were used to evaluate the doses in the organs such as lenses, thyroid, hypophysis, spinal cord, breasts and salivary glands. Three head CT scans were performed, with the phantom in supine position, using the same acquisition protocol, with and without bismuth shielding and with the head tilted without the bismuth shielding. The results of these experiments showed absorbed doses ranging from 0.66 to 47.16 mGy. The highest dose of 47.16 mGy were in the lenses without bismuth shielding and with bismuth shielding was 33.01 mGy. Also, the dose with the head tilted was 20.42 mGy. The recorded doses were lower with the head tilted for all organs, mainly in the lenses. The analysis of noise in the image of the head central slice presented acceptable values for soft tissues, less than 1%.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Organ Dose Evaluation of Head Computed Tomography Scans Using a Male Anthropomorphic Phantom
    AU  - Fernanda Stephanie Santos
    AU  - Wadia Namen Aburjaile
    AU  - Arnaldo Prata Mourão
    Y1  - 2022/02/16
    PY  - 2022
    N1  - https://doi.org/10.11648/j.innov.20220301.13
    DO  - 10.11648/j.innov.20220301.13
    T2  - Innovation
    JF  - Innovation
    JO  - Innovation
    SP  - 13
    EP  - 17
    PB  - Science Publishing Group
    SN  - 2994-7138
    UR  - https://doi.org/10.11648/j.innov.20220301.13
    AB  - Computed Tomography (CT) has been one of the most used exams for radiologic diagnostic in medicine. The increase in CT scans is a global concern due to the increase in radiation doses in the population. The head CT scans helps to diagnose disorders that affect the brain, including tumors, infarction, bleeding within the brain, hematoma, and other diseases. The aim of this work is to verify the reduction of absorbed dose in patients in head CT scans with the use of bismuth shielding and positioning with the head tilted. An anthropomorphic male phantom model CIRS ATOM 701 were used to perform the head CT scans, from the cervical vertebra C1 to the top of skull, in a Toshiba CT scanner, Prime Aquillion model with 80 channels. Radiochromic film strips were used to evaluate the doses in the organs such as lenses, thyroid, hypophysis, spinal cord, breasts and salivary glands. Three head CT scans were performed, with the phantom in supine position, using the same acquisition protocol, with and without bismuth shielding and with the head tilted without the bismuth shielding. The results of these experiments showed absorbed doses ranging from 0.66 to 47.16 mGy. The highest dose of 47.16 mGy were in the lenses without bismuth shielding and with bismuth shielding was 33.01 mGy. Also, the dose with the head tilted was 20.42 mGy. The recorded doses were lower with the head tilted for all organs, mainly in the lenses. The analysis of noise in the image of the head central slice presented acceptable values for soft tissues, less than 1%.
    VL  - 3
    IS  - 1
    ER  - 

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Author Information
  • Department of Nuclear Engineering, Federal University of Minas Gerais, Belo Horizonte, Brazil

  • Department of Nuclear Engineering, Federal University of Minas Gerais, Belo Horizonte, Brazil

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