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An estimate of patient dose, patient size should be used to normalise the output dose of CT machine in the terms of volume CT dose index, CTDIvol. There are two metrics to characterise the patient size, i.e. the effective diameter (Deff) and the water-equivalent diameter (Dw). These two metrics could be estimated by patient age. However, to date, relationships between the age and head patient size (Deff and Dw) have not been established for the pediatric patients. The aim of this study was to establish the relationships between the age and head patient size (Deff and the Dw) as the basis for calculating the size-specific dose estimate (SSDE) for paediatric head CT examination. The data were retrospectively collected from serial images of the CT head in the DICOM file from one hundred and thirteen paediatric patients aged 0-17 years (63 male and 50 female patients) underwent head CT examinations. The patient’s sizes (Deff and Dw) were calculated from the patient’s images using the IndoseCT version 15a software. The Deff and Dw values were correlated with age of patients using regression analysis. It was found that patient size (Deff and Dw) correlated well with the age of the patient with R2 more than 0.8. The size of the Dw is bigger than the Deff. The Deff values for male patients are 12.38 to 16.21 cm, and Dw values are 11.96 to 18.16 cm, respectively. For female patients, the values of Deff are from 11.54 to 16.87 cm, and the values of Dw are from 11.60 to 17.86 cm, respectively.
Rocznik
Tom
Strony
229--235
Opis fizyczny
Bibliogr. 36 poz., rys.
Twórcy
autor
- Department of Physics, Faculty of Sciences and Mathematics, Diponegoro University, Semarang, Indonesia
autor
- Department of Physics, Faculty of Sciences and Mathematics, Diponegoro University, Semarang, Indonesia
autor
- Department of Physics, Faculty of Sciences and Mathematics, Diponegoro University, Semarang, Indonesia
autor
- Discipline of Medical Imaging Science, Faculty of Health Sciences, The University of Sydney, 2141, Lidcombe, Australia
autor
- Department of Medical and Radiation Imaging, , Jakarta, Indonesia
Bibliografia
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- [2] Tootell A, Szczepura A, Hogg P. Analysis of effective and organ dose estimation in CT when using mA modulation: a single scanner pilot study. Radiography. 2017;23(2):159-166.
- [3] Saito H, Ito T, Tsujiguchi T, et al. Characteristics of temporal resolution in 16- and 64-row computed tomography scanners. Radiol Phys Technol. 2018;11(1):100-108.
- [4] Griffey RT, Sodickson A. Cumulative radiation exposure and cancer risk estimates in emergency department patients undergoing repeat or multiple CT. Am J Radiol. 2009;192(4):887-892.
- [5] Anam C, Budi WS, Adi K, et al. Assessment of patient dose and noise level of clinical CT images: Automated measurements. J Radiol Prot. 2019;39(3):783-793.
- [6] Brenner DJ. Should we be concerned about the rapid increase in CT usage? Rev Environ Health. 2010;25(1):63-67.
- [7] Brenner DJ, Hall EJ. Computed tomography–an increasing source of radiation exposure. N Engl J Med. 2007;357(22):2277-2284.
- [8] Frush DP, Donnelly LF, Rosen NS. Computed tomography and radiation risks: what paediatric health care providers should know. Paediatrics. 2003;112(4):951-957.
- [9] Kalender WA. Dose in x-ray computed tomography. Phys Med Biol. 2014;59(3):R129-R150.
- [10] Zacharias C, Alessio AM, Otto RK, et al. Pediatric CT: Strategies to lower radiation dose. Am J Roentgenol. 2013;200(5):950-956.
- [11] Anam C, Fujibuchi T, Haryanto F, et al. An evaluation of computed tomography dose index measurements using a pencil ionisation chamber and small detectors. J Radiol Prot. 2019;39(1):112-124.
- [12] Leng S, Shiung M, Duan X, et al. Size-specific dose estimates for chest, abdominal, and pelvic CT: Effect of intra-patient variability in water-equivalent diameter. Radiology. 2015;276(1):184-190.
- [13] The Report of AAPM Task Group 204. Size-specific dose estimates (SSDE) in paediatric and adult body CT examinations. 2011. https://www.aapm.org/pubs/reports/RPT_204.pdf.
- [14] The Report of AAPM Task Group 220. Use of water equivalent diameter for calculating patient size and size-specific dose estimates (SSDE) in CT. 2014. https://www.aapm.org/pubs/reports/RPT_220.pdf.
- [15] Anam C, Haryanto F, Widita R, et al. The evaluation of the effective diameter (Deff) calculation and its impact on the size-specific dose estimate (SSDE). Atom Indonesia. 2017;43(1):55-60.
- [16] Anam C, Fujibuchi T, Toyoda T, et al. A simple method for calibrating pixel values of the CT localizer radiograph for calculating water-equivalent diameter and size-specific dose estimate. Radiat Prot Dosimetry. 2018;179(2):158-168.
- [17] Wang J, Duan X, Christner JA, et al. Attenuation-based estimation of patient size for the purpose of size specific dose estimation in CT. Part I. Development and validation of methods using the CT image. Med Phys. 2012;39(11):6764-6771.
- [18] Wang J, Christner JA, Duan Y, et al. Attenuation-based estimation of patient size for the purpose of size specific dose estimation in CT. Part II. Implementation on abdomen and thorax phantoms using cross sectional CT images and scanned projection radiograph images. Med Phys. 2012;39(11):6772-6778.
- [19] Anam C, Haryanto F, Widita R, Arif I. Automated estimation of patient’s size from 3D image of patient for size-specific dose estimates (SSDE). Adv Sci Eng Med. 2015;7(10):892-896.
- [20] Huda W, Scalzetti EM, Roskopf M. Effective doses to patients undergoing thoracic computed tomography examinations. Med Phys. 2000;27(5):838-844.
- [21] Menke J. Comparison of different body size parameters for individual dose adaptation in body CT of adults. Radiology. 2005;236(2):565-571.
- [22] Toth T, Ge Z, Daly MP. The influence of patient centering on CT dose and image noise. Med Phys. 2007;34(7):3093-3101.
- [23] Anam C, Haryanto F, Widita R, et al. The size-specific dose estimate (SSDE) for truncated computed tomography images. Radiat Prot Dosimetry. 2017;175(3):313-320.
- [24] Anam C, Haryanto F, Widita R, et al. A fully automated calculation of size-specific dose estimates (SSDE) in thoracic and head CT examinations. J Phys: Conf Series. 2016;694:012030.
- [25] Anam C, Haryanto F, Widita R, et al. The impact of patient table on size-specific dose estimate (SSDE). Australas Phys Eng Sci Med. 2017;40(1):153-158.
- [26] The Report of AAPM Task Group 293. Size-specific dose estimate (SSDE) for head CT. 2019. https://www.aapm.org/pubs/reports/RPT_293.pdf
- [27] Menke J. Comparison of different body size parameters for individual dose adaptation in body CT of adults. Radiology. 2005;236(2):565-571.
- [28] Boos J, Kröpil P, Bethge OT. Accuracy of size-specific dose estimate calculation from center slice in computed tomography. Radiat Prot Dosimetry. 2018;178(1):8-19.
- [29] ICRU. International Commission on Radiation Units and Measurements. Patient dosimetry for X rays used in medical imaging. ICRU Report 74. J ICRU. 2005;5(2):89.
- [30] Cheng PM, Vachon LA, Duddalwar VA. Automated paediatric abdominal effective diameter measurements versus age-predicted body size for normalization of CT dose. J Digit Imaging. 2013;26(6):1151-1155.
- [31] Kleinman PL, Strauss KJ, Zurakowski D, et al. Patient size measured on CT images as a function of age at a tertiary care children’s hospital. Am J Radiol. 2010;194(6):1611-1619.
- [32] Anam C, Haryanto F, Widita R, et al. Volume computed tomography dose index (CTDIvol) and size-specific dose estimate (SSDE) for tube current modulation (TCM) in CT scanning. Int J Radiat Res. 2018;16(3):289-297.
- [33] Anam C, Haryanto F, Widita R, et al. Automated calculation of water-equivalent diameter (DW) based on AAPM report TG. 220. J Appl Clin Med Phys. 2016;17(4):320-333.
- [34] Gabusia M, Riccardia L, Alibertib C, et al. Radiation dose in chest CT: Assessment of size-specific dose estimates based on waterequivalent correction. Phys Med. 2016;32(2):393-397.
- [35] Burton CS, Szczykutowicz TP. Evaluation of AAPM reports 204 and 220: Estimation of effective diameter, water-equivalent diameter, and ellipticity ratios for chest, abdomen, pelvis, and head CT scans. J Appl Clin Med Phys. 2018;19(1):228-238.
- [36] AAPM, Paediatric Routine Head CT Protocols Version 1.1. https://www.aapm.org/pubs/CTProtocols/documents/PediatricRoutineHeadCT.pdf
Uwagi
Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2020).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-f476c51c-0c8e-4d1a-89df-a53d46164ddd