DIRECT MEASUREMENTS OF SKIN, EYE LENS AND THYROID DOSE DURING PEDIATRIC BRAIN CT EXAMINATIONS

Agapi Ploussi1, Ioannis Stathopoulos1, Vasileios Syrgiamiotis2

  • 1Second Department of Radiology, University General Hospital 'Attikon', School of Medicine, National and Kapodistrian University of Athens, 12462 Athens, Greece.

Insights

This study measured radiation doses in pediatric patients undergoing brain computed tomography (CT) scans. Results show varying skin, eye lens, and thyroid doses across different age groups, highlighting the need for optimized protocols.

Area of Science:

  • Medical Physics
  • Radiology
  • Pediatric Imaging

Background:

  • Pediatric brain computed tomography (CT) is a common diagnostic procedure.
  • Accurate radiation dose assessment is crucial for minimizing risks in children.

Purpose of the Study:

  • To directly measure skin, eye lens, and thyroid radiation doses in pediatric patients during brain CT examinations.
  • To evaluate radiation dosimetry in different pediatric age groups.

Main Methods:

  • Involved 35 pediatric patients undergoing brain CT, categorized into three age groups (0.8-1, 2.0-4.9, and 5.5-15.5 years).
  • Utilized thermoluminescent dosimeters (TLDs) placed on the eyes, forehead, mastoid, and thyroid gland for in vivo dosimetry.

Main Results:

  • Skin doses were 16.6 ± 1.5, 38.8 ± 5.1, and 41.7 ± 9.4 mGy for the age groups, respectively.
  • Mean eye lens doses were 10.5 ± 3.3, 29.9 ± 8.6, and 34.2 ± 14.9 mGy.
  • Thyroid doses averaged 1.7 ± 0.4, 2.4 ± 0.5, and 1.9 ± 0.4 mGy.
  • Gantry tilting and patient positioning significantly influenced eye lens dose.

Conclusions:

  • In vivo dosimetry using TLDs is an effective method for measuring pediatric radiation doses during brain CT.
  • Radiation doses vary significantly with age, emphasizing the need for age-specific pediatric CT protocols.
  • Optimizing gantry angle and patient setup can help reduce eye lens dose.

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