Effective radiation dose and radiogenic cancer risk during contrast enhanced abdominal computed tomography examinations

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作者
Sulieman, A. [1 ]
Tamam, N. [2 ]
Elnour, Abdelrahman [3 ]
Alkhorayef, M. [4 ,5 ]
Babikir, E. [6 ]
Al-Mohammed, Huda I. [7 ]
Abuhadi, N. [8 ]
Khandaker, Mayeen Uddin [9 ,10 ]
Bradley, David A. [5 ,10 ]
机构
[1] Prince Sattam Bin Abdulaziz University, College of Applied Medical Sciences, Radiology and Medical Imaging Department, P.O.Box 422, Alkharj,11942, Saudi Arabia
[2] Department of Physics, College of Sciences, Princess Nourah bint Abdulrahman University, P.O Box 84428, Riyadh,11671, Saudi Arabia
[3] Radiologic Science Department, College of Radiologyand Nuclear Medicine, The National Ribat University, Khartoum, Sudan
[4] Department of Radiological Sciences, College of Applied Medical Sciences, King Saud University, P.O Box 10219 Riyadh, 11433, Saudi Arabia
[5] Centre for Nuclear and Radiation Physics, Department of Physics, University of Surrey, Surrey GU2 7XH, Guildford, United Kingdom
[6] Radiologic Technology Program, College of Health and Sport Sciences, University of Bahrain, P.O. Box 32038, Manama, Bahrain
[7] Department of Radiological Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, P.O. Box 84428, Riyadh,11671, Saudi Arabia
[8] Diagnotic Radiographic Technology Department, College of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia
[9] Department of General Educational Development, Faculty of Science and Information Technology, Daffodil International University, DIU Rd, Dhaka,1341, Bangladesh
[10] Centre for Applied Physics and Radiation Technologies, School of Engineering and Technology, Sunway University, Bandar Sunway, Selangor, 47500, Malaysia
关键词
Computerized tomography - Diagnosis - Diseases - Ionizing radiation - Medical imaging - Radiotherapy;
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摘要
Pediatrics and children have higher radiosensitivity to ionizing radiation and radiogenic risks than adults due to their rapidly dividing tissues. This study explores the infant and children radiation doses during computed tomography (CT) abdomen and estimates the cancer risk from the procedure. In total, 87 were examined for CT enhanced abdominal examination. The abdominal CT scan with contrast was performed using a 128-slice multi slice CT (MSCT) scan. The mean, standard deviation, and range of patients' age (years) are 13 ± 4.5 (2–17). The mean and range of the air kerma length product (PKL(mGy.cm)) and volume CT air kerma index (Cvol (mGy)) were 1740 (157.8–8440.3) (mGy.cm) and 9.8 (2.09–45.77) (mGy) per CT abdomen procedure, respectively. The mean and range of the effective dose (mSv) per procedure are 34 (3.14–176.8). The average radiogenic risk per CT procedure is one cancer incidence per 250 CT enhanced abdomen procedures. The mean and range of total irradiation even are 4.0 (2.0–8.0) times per procedure. The results of this study showed that child risk is high compared to other CT examinations. Therefore, patients’ dose optimization and proper establishment of a diagnostic reference level (DRL) are necessary to preventing avoidable radiation risks. © 2022 Elsevier Ltd
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