Are Bismuth Shields Useful in Dentomaxillofacial Radiology Practice for the Protection of Eyes and Thyroid Glands from Ionizing Radiation?

Autor: Erhan Çene, Emre Aytuğar, Birsay Gümrü, Doğan Yaşar, Ahmet Mihmanli, Taha Emre Köse, Tugce Bicer Aytugar
Přispěvatelé: Aytugar, Emre, Kose, Taha Emre, Gumru, Birsay, Aytugar, Tugce Bicer, Yasar, Dogan, Cene, Erhan, Mihmanli, Ahmet
Rok vydání: 2018
Předmět:
medicine.medical_specialty
Cone beam computed tomography
Periapical Radiography
Panoramic Radiography
Radiography
Dose profile
chemistry.chemical_element
BREAST
030218 nuclear medicine & medical imaging
Ionizing radiation
Bismuth
03 medical and health sciences
0302 clinical medicine
Cone Beam Computed Tomography
stomatognathic system
AYTUĞAR E.
Kose T. E.
GÜMRÜ TARÇIN B.
Aytugar T. B.
Yasar D.
ÇENE E.
Mihmanli A.
-Are Bismuth Shields Useful in Dentomaxillofacial Radiology Practice for the Protection of Eyes and Thyroid Glands from Ionizing Radiation?-
IRANIAN JOURNAL OF RADIOLOGY
cilt.15
2018

medicine
Radiology
Nuclear Medicine and imaging

Bismuth Shielding
business.industry
DOSE REDUCTION
Thyroid
030206 dentistry
equipment and supplies
digestive system diseases
stomatognathic diseases
medicine.anatomical_structure
chemistry
Electromagnetic shielding
Radiology
Thermoluminescent dosimeter
business
CT
Popis: Background: The eye lens and thyroid gland are sensitive to radiation and have a risk of being exposed to primary beams and scattered radiation during dental radiographic examinations. Objectives: The present study was aimed to evaluate the effectiveness of bismuth shielding in decreasing eye lens and thyroid radiation dose in periapical radiography (PR), orthopantomography (OPTG), and cone beam computed tomography (CBCT) examinations. There is no information in relevant literature regarding the use of bismuth shielding in dental radiology. Materials and Methods: Dose measurements for PR, OPTG and CBCT were conducted by placing thermoluminescent dosimeter chips on the eye and thyroid location in a standard head phantom. Each one of the scan techniques was performed without any bismuth shielding, and they were then repeated with bismuth shielding in place. The percent dose reduction from bismuth shielding was calculated by dividing the dose measured with bismuth shielding by the dose measured without bismuth shielding. Results: The eye dose was observed to decrease in bismuth shielding group in PR, however it was not statistically significant. The thyroid dose was found to be significantly decreased in PR (P < 0.05). In OPTG and CBCT scans, both the dose to the eye and the thyroid gland was observed to increase by using bismuth shielding. Among these, only the increase in the eye dose in CBCT was not statistically significant (P > 0.05). Conclusion: This study demonstrated higher thyroid and eye lens dose with the use of bismuth shielding in OPTG and CBCT scanning. However, due to the significantly decreased thyroid dose in PR, it may be recommended as an alternative to leaded shielding in periapical radiographic examinations.
Databáze: OpenAIRE