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Diagnostic reference level of computed tomography (CT) in Japan
Yasuhiro Fukushima1, Yoshito Tsushima, Hiroyuki Takei
1Department of Radiology, Gunma University Hospital, Maebashi, Gunma, Japan. yfukushi@gunma-u.ac.jp
This study established computed tomography (CT) diagnostic reference levels (DRL) in Japan using dose-length product (DLP). Pediatric head CT DLP in Japan was higher than in other regions, while adult CT DLP was comparable.
Area of Science:
- Medical Imaging
- Radiology
- Radiation Protection
Background:
- Optimizing computed tomography (CT) parameters is crucial for minimizing radiation exposure.
- Diagnostic Reference Levels (DRLs) serve as benchmarks for radiation dose in medical imaging.
Purpose of the Study:
- To establish the DRLs for CT examinations in Japan using dose-length product (DLP).
- To evaluate DLP distributions across different anatomical regions and age groups.
Main Methods:
- Data collection from hospitals/clinics in Gunma prefecture, Japan, for CT scans performed in June 2010.
- Analysis of dose-length product (DLP) distributions for eight anatomical regions and five age groups.
- DRLs defined as the 25th and 75th percentiles of DLP.
Main Results:
- Data from 80 institutions and 26,090 patients were analyzed.
- Pediatric head CT DLP in Japan was found to be higher compared to reported DRLs from the EU and Syria.
- Adult patient DLP levels across various anatomical regions were comparable to international benchmarks.
Conclusions:
- The study provides initial DRLs for CT in Japan, highlighting a need for optimization in pediatric head CT protocols.
- Findings suggest that adult CT protocols in Japan are generally aligned with international standards.
- Further research with larger sample sizes is recommended to refine these DRLs.
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