用全景图像和CBCT成像进行非最佳患者定位:对剂量的影响
Jonathan Colin LaPrade1, K Brandon Johnson1, Angela M Broome1
1Department of Oral and Maxillofacial Radiology, UNC Adams School of Dentistry, University of North Carolina - Chapel Hill, Chapel Hill, North Carolina.
Oral surgery, oral medicine, oral pathology and oral radiology
|January 5, 2025
概括
不理想的患者定位并没有增加全景或形光束计算机断层扫描 (CBCT) 扫描的辐射暴露. 然而,在CBCT成像过程中部升高显著降低了有效剂量和甲状腺辐射暴露.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 辐射剂量计 辐射剂量计
背景情况:
- 患者的位置对于诊断图像质量和牙科放射学中的辐射安全至关重要.
- 了解位置变化对辐射剂量的影响对于优化暴露方案至关重要.
研究的目的:
- 在全景和形束计算断层扫描 (CBCT) 检查中,评估患者低于最佳位置对有效剂量 (E) 和同等剂量的影响.
- 为了确定影响辐射暴露水平的特定定位错误.
主要方法:
- 模拟的放射性检查是在使用RAYSCAN Alpha Plus 160X射线装置对类似组织的幻体进行的.
- 测试了各种非最佳定位场景,包括前后移动,下巴倾斜,旋转和横移.
- 用光学刺激的发光剂量计来测量有效剂量 (E) 和对特定器官的等效剂量.
主要成果:
- 大多数低于最佳的定位变化没有显著增加全景放射学有效剂量 (E),旋转是例外.
- 在CBCT成像过程中部升高导致10x10厘米和16x10厘米视野的E显著减少.
- 在CBCT手术中,部升高也显著降低了甲状腺相当剂量.
结论:
- 在全景和CBCT放射学中,低于最佳的患者定位通常不会增加辐射暴露.
- 部升高是减少辐射剂量的有效策略,特别是甲状腺,在CBCT成像期间.
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