Skip to main content
Top
Published in: Pediatric Radiology 7/2010

01-07-2010 | Original Article

Radiation dose evaluation in head and neck MDCT examinations with a 6-year-old child anthropomorphic phantom

Authors: Chiyo Yamauchi-Kawaura, Keisuke Fujii, Takahiko Aoyama, Shuji Koyama, Masato Yamauchi

Published in: Pediatric Radiology | Issue 7/2010

Login to get access

Abstract

Background

CT examinations of the head and neck are the most commonly performed CT studies in children, raising concern about radiation dose and their risks to children.

Objective

The purpose of this study was to clarify radiation dose levels for children of 6 years of age undergoing head and neck multidetector CT (MDCT) examinations.

Materials and methods

Radiation doses were measured with small-sized silicon-photodiode dosimeters that were implanted at various tissue and organ positions within a standard 6-year-old anthropomorphic phantom. Organ and effective doses of brain CT were evaluated for 19 protocols in nine hospitals on various (2–320 detector rows) MDCT scanners.

Results

The maximum value of mean organ dose in brain CT was 34.3 mGy for brain. Maximum values of mean doses for the radiosensitive lens and thyroid were 32.7 mGy for lens in brain CT and 17.2 mGy for thyroid in neck CT. seventy-fifth percentile of effective dose distribution in brain CT was approximately the same as the diagnostic reference level (DRL) in the 2003 UK survey.

Conclusion

The results of this study would encourage revision of MDCT protocols in pediatric head and neck CT examinations for dose reduction and protocol standardization.
Literature
1.
go back to reference Brenner DJ, Elliston CD, Hall EJ et al (2001) Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR 176:289–296PubMed Brenner DJ, Elliston CD, Hall EJ et al (2001) Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR 176:289–296PubMed
2.
go back to reference Kawaura C, Aoyama T, Koyama S et al (2006) Organ and effective dose evaluation in diagnostic radiology based on in-phantom dose measurements with novel photodiode-dosemeters. Radiat Prot Dosimetry 118:421–430CrossRefPubMed Kawaura C, Aoyama T, Koyama S et al (2006) Organ and effective dose evaluation in diagnostic radiology based on in-phantom dose measurements with novel photodiode-dosemeters. Radiat Prot Dosimetry 118:421–430CrossRefPubMed
3.
go back to reference McLean D, Malitz N, Lewis S (2003) Survey of effective dose levels from typical pediatric CT protocols. Australas Radiol 47:135–142CrossRefPubMed McLean D, Malitz N, Lewis S (2003) Survey of effective dose levels from typical pediatric CT protocols. Australas Radiol 47:135–142CrossRefPubMed
4.
go back to reference Pages J, Buls N, Osteaux M (2003) CT doses in children: multicentre study. Br J Radiol 76:803–811CrossRefPubMed Pages J, Buls N, Osteaux M (2003) CT doses in children: multicentre study. Br J Radiol 76:803–811CrossRefPubMed
5.
go back to reference Miyazaki O, Kitamura M, Masaki H et al (2005) Current practice of pediatric MDCT in Japan: survey results of demographics and age-based dose reduction. Nippon Igaku Hoshasen Gakkai Zasshi 65:216–223PubMed Miyazaki O, Kitamura M, Masaki H et al (2005) Current practice of pediatric MDCT in Japan: survey results of demographics and age-based dose reduction. Nippon Igaku Hoshasen Gakkai Zasshi 65:216–223PubMed
7.
go back to reference Arch ME, Frush DP (2008) Pediatric body MDCT: a 5-year follow-up survey of scanning parameters used by pediatric radiologists. AJR 191:611–617CrossRefPubMed Arch ME, Frush DP (2008) Pediatric body MDCT: a 5-year follow-up survey of scanning parameters used by pediatric radiologists. AJR 191:611–617CrossRefPubMed
8.
go back to reference Verdun FR, Gutierrez D, Vader JP et al (2008) CT radiation dose in children: a survey to establish age-based diagnostic reference levels in Switzerland. Eur Radiol 18:1980–1986CrossRefPubMed Verdun FR, Gutierrez D, Vader JP et al (2008) CT radiation dose in children: a survey to establish age-based diagnostic reference levels in Switzerland. Eur Radiol 18:1980–1986CrossRefPubMed
9.
go back to reference Brisse HJ, Aubert B (2009) CT exposure from pediatric MDCT: results from the 2007–2008 SFIPP/ISRN survey. J Radiol 90:207–215CrossRefPubMed Brisse HJ, Aubert B (2009) CT exposure from pediatric MDCT: results from the 2007–2008 SFIPP/ISRN survey. J Radiol 90:207–215CrossRefPubMed
10.
go back to reference Munk RD, Strohm PC, Saueressig U et al (2009) Effective dose estimation in whole-body multislice CT in paediatric trauma patients. Pediatr Radiol 39:245–252CrossRefPubMed Munk RD, Strohm PC, Saueressig U et al (2009) Effective dose estimation in whole-body multislice CT in paediatric trauma patients. Pediatr Radiol 39:245–252CrossRefPubMed
11.
go back to reference Nishizawa K, Matsumoto M, Iwai K et al (2004) Survey of CT practice in Japan and collective effective dose estimation. Nippon Igaku Hoshasen Gakkai Zasshi 64:151–158PubMed Nishizawa K, Matsumoto M, Iwai K et al (2004) Survey of CT practice in Japan and collective effective dose estimation. Nippon Igaku Hoshasen Gakkai Zasshi 64:151–158PubMed
12.
go back to reference Ghotbi N, Ohtsuru A, Ogawa Y et al (2006) Pediatric CT scan usage in Japan: results of a hospital survey. Radiat Med 24:560–567CrossRefPubMed Ghotbi N, Ohtsuru A, Ogawa Y et al (2006) Pediatric CT scan usage in Japan: results of a hospital survey. Radiat Med 24:560–567CrossRefPubMed
13.
go back to reference ICRP (1991) ICRP Publication 60: the 1990 Recommendations of the International Commission on Radiological Protection. Elsevier Science, Oxford ICRP (1991) ICRP Publication 60: the 1990 Recommendations of the International Commission on Radiological Protection. Elsevier Science, Oxford
14.
go back to reference ICRP (2007) ICRP Publication 103: The 2007 Recommendations of the International Commission on Radiological Protection, Annals of the ICRP 37(2-3). Elsevier Science, Oxford ICRP (2007) ICRP Publication 103: The 2007 Recommendations of the International Commission on Radiological Protection, Annals of the ICRP 37(2-3). Elsevier Science, Oxford
15.
go back to reference Hiraoka T (1999) The basic data of materials for human body phantom. Iyou Hyoujun Senryou 4:23–28 Hiraoka T (1999) The basic data of materials for human body phantom. Iyou Hyoujun Senryou 4:23–28
16.
go back to reference Fujii K, Aoyama T, Koyama S et al (2007) Comparative evaluation of organ and effective doses for paediatric patients with those for adults in chest and abdominal CT examinations. Br J Radiol 80:657–667CrossRefPubMed Fujii K, Aoyama T, Koyama S et al (2007) Comparative evaluation of organ and effective doses for paediatric patients with those for adults in chest and abdominal CT examinations. Br J Radiol 80:657–667CrossRefPubMed
18.
go back to reference Shrimpton PC, Hillier MC, Lewis MA et al (2006) National survey of doses from CT in the UK: 2003. Br J Radiol 79:968–980CrossRefPubMed Shrimpton PC, Hillier MC, Lewis MA et al (2006) National survey of doses from CT in the UK: 2003. Br J Radiol 79:968–980CrossRefPubMed
19.
go back to reference Brenner DJ (2002) Estimating cancer risks from pediatric CT: going from the qualitative to the quantitative. Pediatr Radiol 32:228–231CrossRefPubMed Brenner DJ (2002) Estimating cancer risks from pediatric CT: going from the qualitative to the quantitative. Pediatr Radiol 32:228–231CrossRefPubMed
20.
go back to reference Fearon T, Vucich J (1987) Normalized pediatric organ-absorbed doses from CT examinations. AJR 148:171–174PubMed Fearon T, Vucich J (1987) Normalized pediatric organ-absorbed doses from CT examinations. AJR 148:171–174PubMed
21.
go back to reference Mazonakis M, Tzedakis A, Damilakis J et al (2007) Thyroid dose from common head and neck CT examinations in children: is there an excess risk for thyroid cancer induction? Eur Radiol 17:1352–1357CrossRefPubMed Mazonakis M, Tzedakis A, Damilakis J et al (2007) Thyroid dose from common head and neck CT examinations in children: is there an excess risk for thyroid cancer induction? Eur Radiol 17:1352–1357CrossRefPubMed
22.
go back to reference Tack D, Gevenois PA (eds) (2007) Radiation dose from adult and pediatric multidetector computed tomography. Springer, Berlin Tack D, Gevenois PA (eds) (2007) Radiation dose from adult and pediatric multidetector computed tomography. Springer, Berlin
23.
go back to reference Fujii K, Aoyama T, Yamauchi-Kawaura C et al (2009) Radiation dose evaluation in 64-slice CT examinations with adult and pediatric anthropomorphic phantoms. Br J Radiol 82:1010–1018 Fujii K, Aoyama T, Yamauchi-Kawaura C et al (2009) Radiation dose evaluation in 64-slice CT examinations with adult and pediatric anthropomorphic phantoms. Br J Radiol 82:1010–1018
24.
go back to reference Nishizawa K, Mori S, Ohno M et al (2008) Patient dose estimation for multi-detector-row CT examinations. Radiat Prot Dosimetry 128:98–105CrossRefPubMed Nishizawa K, Mori S, Ohno M et al (2008) Patient dose estimation for multi-detector-row CT examinations. Radiat Prot Dosimetry 128:98–105CrossRefPubMed
25.
go back to reference Chapple CL, Willis S, Frame J (2002) Effective dose in paediatric computed tomography. Phys Med Biol 47:107–115CrossRefPubMed Chapple CL, Willis S, Frame J (2002) Effective dose in paediatric computed tomography. Phys Med Biol 47:107–115CrossRefPubMed
27.
go back to reference Thomas KE, Wang B (2008) Age-specific effective doses for pediatric MSCT examinations at a large children’s hospital using DLP conversion coefficients: a simple estimation method. Pediatr Radiol 38:645–656CrossRefPubMed Thomas KE, Wang B (2008) Age-specific effective doses for pediatric MSCT examinations at a large children’s hospital using DLP conversion coefficients: a simple estimation method. Pediatr Radiol 38:645–656CrossRefPubMed
28.
go back to reference ICRP (1997) ICRP Publication 73: radiological protection and safety in medicine. Annals of the ICRP 261. Elsevier, Oxford ICRP (1997) ICRP Publication 73: radiological protection and safety in medicine. Annals of the ICRP 261. Elsevier, Oxford
29.
go back to reference Huda W, Lieberman KA, Chang J et al (2004) Patient size and x-ray technique factors in head computed tomography examinations. I. Radiation doses. Med Phys 31:588–594CrossRefPubMed Huda W, Lieberman KA, Chang J et al (2004) Patient size and x-ray technique factors in head computed tomography examinations. I. Radiation doses. Med Phys 31:588–594CrossRefPubMed
Metadata
Title
Radiation dose evaluation in head and neck MDCT examinations with a 6-year-old child anthropomorphic phantom
Authors
Chiyo Yamauchi-Kawaura
Keisuke Fujii
Takahiko Aoyama
Shuji Koyama
Masato Yamauchi
Publication date
01-07-2010
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 7/2010
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-009-1495-z

Other articles of this Issue 7/2010

Pediatric Radiology 7/2010 Go to the issue