Multicenter Investigation of the Effective Dose for Whole-body CT Scanning

Autor: Toshimitsu Sato, Yukihiro Saito, Nobutoshi Saito, Makoto Ooba
Rok vydání: 2017
Předmět:
Zdroj: Japanese Journal of Radiological Technology. 73:258-266
ISSN: 1881-4883
0369-4305
DOI: 10.6009/jjrt.2017_jsrt_73.4.258
Popis: Objective To study whether the actual radiation exposure is different between computed tomography (CT) scanners and medical centers when the same patient is scanned, we investigated the actual effective doses for a whole body (Chest-Pelvis) CT scan in a multicenter study. Materials and methods Data from subjects were collected using 12 CT scanners at six medical centers in Yamagata city. Effective-dose data were acquired by scanning the same phantom (ATOM Dosimetry Phantoms Model702-B) using 120 kV tube voltage. Effective doses were calculated using corrected data from a radiophotoluminescent glass dosimeter (GD-302M). GD-302M had energy- dependent issues, which needed to be corrected. Also, differences in sensitivity based on arrangement within the phantom were insignificant. Results The mean effective energy was 48.6 keV (range, 42.5-55.4 keV), and the mean effective dose was 16.3 mSv (range, 8.9-26.0 mSv). The mean effective dose with a hybrid type iterative reconstruction was 10.7 mSv (range, 8.9-16.4 mSv), but the mean effective dose without any iterative reconstruction was 20.3 mSv (range, 16.2-26.0 mSv). We found an approximate linear correlation between dose length product (DLP) on operation consoles and the effective dose. Conclusion We suggest that the actual radiation exposure was different at each medical center when the same patient is scanned.
Databáze: OpenAIRE