Comparison of methods for calculating effective doses for children during CT examinations of the chest organs

Computed tomography is associated with high patient doses. CT is actively used for pediatric, however, currently there is no reliable data on the pediatric patient doses in the Russian Federation. The current study presents the data on the anthropometric characteristics of 5, 10 and 15-year-old pedi...

Full description

Saved in:
Bibliographic Details
Main Authors: P. S. Druzhinina, A. V. Pozdnyakov, Yu. N. Kapyrina, D. O. Ivanov, Yu. V. Petrenko, V. G. Puzyrev
Format: Article
Language:English
Published: Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev 2021-10-01
Series:Радиационная гигиена
Subjects:
Online Access:https://www.radhyg.ru/jour/article/view/821
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849340765864460288
author P. S. Druzhinina
A. V. Pozdnyakov
Yu. N. Kapyrina
D. O. Ivanov
Yu. V. Petrenko
V. G. Puzyrev
author_facet P. S. Druzhinina
A. V. Pozdnyakov
Yu. N. Kapyrina
D. O. Ivanov
Yu. V. Petrenko
V. G. Puzyrev
author_sort P. S. Druzhinina
collection DOAJ
description Computed tomography is associated with high patient doses. CT is actively used for pediatric, however, currently there is no reliable data on the pediatric patient doses in the Russian Federation. The current study presents the data on the anthropometric characteristics of 5, 10 and 15-year-old pediatric patients, as well as the results of a comparative assessment of the effective doses of these patients during CT-examinations of chest, considering their anthropometric data. The effective doses were calculated using three methods: based on the actual guidelines (MU 2.6.1.3584-19) using the age specific conversion coefficients; using the conversion coefficients considered patient body mass and effective diameter; using a specialized software NCICT 3.0. The difference between effective doses according to actual guidelines and considering patient body mass and effective diameter was about 7.1 % (max-65 %). High deviations were observed in patients with abnormally large or abnormally low body mass. Effective doses calculated using NCICT 3.0 were higher compared to doses calculated according to actual guidelines on average by 18 % (max — 53 %). Such differences are explained by the fact that in MU 2.6.1.3584-19 conversion coefficients are presented for the most common CT-scan parameters of protocols, and in NCICT 3.0 the calculation considers individual scan parameters for each patient. The difference between effective doses according to NCICT 3.0 and considering patient body mass and effective diameter was about 32 % (max-70 %). This difference can be explained by the differences in the anthropometric data of some patients, and by the use of different types of phantoms: a stylized phantom (Golikov et al) and a voxel phantom in NCICT 3.0.
format Article
id doaj-art-c29869adc8a441acbb6a75c5d012298b
institution Kabale University
issn 1998-426X
language English
publishDate 2021-10-01
publisher Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev
record_format Article
series Радиационная гигиена
spelling doaj-art-c29869adc8a441acbb6a75c5d012298b2025-08-20T03:43:50ZengSaint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. RamzaevРадиационная гигиена1998-426X2021-10-011439110010.21514/1998-426X-2021-14-3-91-100715Comparison of methods for calculating effective doses for children during CT examinations of the chest organsP. S. Druzhinina0A. V. Pozdnyakov1Yu. N. Kapyrina2D. O. Ivanov3Yu. V. Petrenko4V. G. Puzyrev5Saint-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Federal Service for Surveillance on Consumer Rights Protection and Human Well-BeingSaint-Petersburg State Pediatric Medical UniversitySaint-Petersburg State Pediatric Medical UniversitySaint-Petersburg State Pediatric Medical UniversitySaint-Petersburg State Pediatric Medical UniversitySaint-Petersburg State Pediatric Medical UniversityComputed tomography is associated with high patient doses. CT is actively used for pediatric, however, currently there is no reliable data on the pediatric patient doses in the Russian Federation. The current study presents the data on the anthropometric characteristics of 5, 10 and 15-year-old pediatric patients, as well as the results of a comparative assessment of the effective doses of these patients during CT-examinations of chest, considering their anthropometric data. The effective doses were calculated using three methods: based on the actual guidelines (MU 2.6.1.3584-19) using the age specific conversion coefficients; using the conversion coefficients considered patient body mass and effective diameter; using a specialized software NCICT 3.0. The difference between effective doses according to actual guidelines and considering patient body mass and effective diameter was about 7.1 % (max-65 %). High deviations were observed in patients with abnormally large or abnormally low body mass. Effective doses calculated using NCICT 3.0 were higher compared to doses calculated according to actual guidelines on average by 18 % (max — 53 %). Such differences are explained by the fact that in MU 2.6.1.3584-19 conversion coefficients are presented for the most common CT-scan parameters of protocols, and in NCICT 3.0 the calculation considers individual scan parameters for each patient. The difference between effective doses according to NCICT 3.0 and considering patient body mass and effective diameter was about 32 % (max-70 %). This difference can be explained by the differences in the anthropometric data of some patients, and by the use of different types of phantoms: a stylized phantom (Golikov et al) and a voxel phantom in NCICT 3.0.https://www.radhyg.ru/jour/article/view/821computed tomographypediatric patientseffective dosesanthropometric characteristic
spellingShingle P. S. Druzhinina
A. V. Pozdnyakov
Yu. N. Kapyrina
D. O. Ivanov
Yu. V. Petrenko
V. G. Puzyrev
Comparison of methods for calculating effective doses for children during CT examinations of the chest organs
Радиационная гигиена
computed tomography
pediatric patients
effective doses
anthropometric characteristic
title Comparison of methods for calculating effective doses for children during CT examinations of the chest organs
title_full Comparison of methods for calculating effective doses for children during CT examinations of the chest organs
title_fullStr Comparison of methods for calculating effective doses for children during CT examinations of the chest organs
title_full_unstemmed Comparison of methods for calculating effective doses for children during CT examinations of the chest organs
title_short Comparison of methods for calculating effective doses for children during CT examinations of the chest organs
title_sort comparison of methods for calculating effective doses for children during ct examinations of the chest organs
topic computed tomography
pediatric patients
effective doses
anthropometric characteristic
url https://www.radhyg.ru/jour/article/view/821
work_keys_str_mv AT psdruzhinina comparisonofmethodsforcalculatingeffectivedosesforchildrenduringctexaminationsofthechestorgans
AT avpozdnyakov comparisonofmethodsforcalculatingeffectivedosesforchildrenduringctexaminationsofthechestorgans
AT yunkapyrina comparisonofmethodsforcalculatingeffectivedosesforchildrenduringctexaminationsofthechestorgans
AT doivanov comparisonofmethodsforcalculatingeffectivedosesforchildrenduringctexaminationsofthechestorgans
AT yuvpetrenko comparisonofmethodsforcalculatingeffectivedosesforchildrenduringctexaminationsofthechestorgans
AT vgpuzyrev comparisonofmethodsforcalculatingeffectivedosesforchildrenduringctexaminationsofthechestorgans