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Comparison of radiation doses between newborns and 6-y-old children undergoing head, chest and abdominal CT
Naruto Sugimoto1, Takahiko Aoyama, Shuji Koyama
1Graduate school of Medicine, Nagoya University, Daikominami, Higashi-ku, Nagoya, Japan. s-naruto@umin.ac.jp
Insights
Radiation doses from paediatric computed tomography (CT) scans were measured using phantoms. Newborns and 6-year-olds received similar organ doses, but newborns had higher effective head CT doses.
Area of Science:
- Medical Physics
- Radiology
- Pediatric Imaging
Background:
- Computed tomography (CT) is a vital diagnostic tool in pediatric imaging.
- Accurate assessment of radiation doses in pediatric CT is crucial for minimizing risks.
- Variations in scanner technology may influence radiation exposure levels.
Purpose of the Study:
- To investigate and compare radiation doses in recent pediatric CT scanners.
- To evaluate organ and effective doses for newborn and 6-year-old pediatric phantoms.
- To identify potential differences in radiation exposure between age groups.
Main Methods:
- Utilized newborn and 6-year-old phantoms with implanted silicon-photodiode dosemeters.
- Performed CT scans of the head, chest, and abdomen on the phantoms.
- Measured organ doses (mGy) and calculated effective doses (mSv) for each scan type and phantom.
Main Results:
- Organ doses for newborn and 6-year-old phantoms were comparable across head, chest, and abdominal CT.
- Effective doses for newborns ranged from 2.1-3.3 mSv (head), 2.0-6.0 mSv (chest), and 2.2-10.0 mSv (abdomen).
- Effective doses for 6-year-olds ranged from 1.0-2.0 mSv (head), 1.2-6.6 mSv (chest), and 2.9-11.8 mSv (abdomen).
- Newborns exhibited 1.8 times higher effective doses in head CT compared to 6-year-olds.
Conclusions:
- Radiation doses in pediatric CT are generally similar between newborn and 6-year-old phantoms.
- Effective doses in head CT are notably higher for newborns, warranting careful consideration.
- Findings highlight the importance of age-specific dose optimization in pediatric CT protocols.
Abstract:
Radiation doses in paediatric computed tomography (CT) were investigated for various types of recent CT scanners with newborn and 6-y-old phantoms in which silicon-photodiode dosemeters were implanted at various organ positions. In the head, chest and abdominal CT for the newborn phantom, doses for organs within the scan region were 21-40, 3-8 and 3-12 mGy, respectively. The corresponding doses for the child phantom were 20-37, 2-11 and 4-17 mGy, respectively. In the head, chest and abdominal CT, the effective doses were respectively 2.1-3.3, 2.0-6.0 and 2.2-10.0 mSv for the newborn, and 1.0-2.0, 1.2-6.6 and 2.9-11.8 mSv for the child. Radiation doses for the newborn were at the same levels as those for the child, excepting effective doses in head CT for the newborn, which were 1.8 times higher than those for the child.
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