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Updated: Apr 15, 2026

X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging
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X-ray Dose Reduction through Adaptive Exposure in Fluoroscopic Imaging

Published on: September 11, 2011

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Fetal radiation dose in computed tomography

Anna Kelaranta1, Touko Kaasalainen2, Raija Seuri3

  • 1HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, PO Box 340, FI-00290 Helsinki, Finland Department of Physics, University of Helsinki, PO Box 64, FI-00014 Helsinki, Finland anna.kelaranta@alumni.helsinki.fi.

Radiation Protection Dosimetry
|April 4, 2015
PubMed

The connection between recorded volumetric CT dose index (CTDI vol) and determined mean fetal dose (Df) was examined from metal-oxide-semiconductor field-effect transistor dose measurements on an anthropomorphic female phantom in four stages of pregnancy in a 64-slice CT scanner. Automated tube current modulation kept the mean Df fairly constant through all pregnancy stages in trauma (4.4-4.9 mGy) and abdomino-pelvic (2.1-2.4 mGy) protocols. In pulmonary angiography protocol, the mean Df increased exponentially as the distance from the end of the scan range decreased (0.01-0.09 mGy). For trauma protocol, the relative mean Df as a function of gestational age were in the range 0.80-0.97 compared with the mean CTDI vol. For abdomino-pelvic protocol, the relative mean Df was 0.57-0.79 and for pulmonary angiography protocol, 0.01-0.05 compared with the mean CTDI vol, respectively. In conclusion, if the fetus is in the primary beam, the CTDI vol can be used as an upper estimate of the fetal dose. If the fetus is not in the primary beam, the fetal dose can be estimated by considering also the distance of the fetus from the scan range.

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