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Patient radiation doses from adult and pediatric CT.
AJR Am J Roentgenol. 2007 Feb; 188(2):540-6.AA

Abstract

OBJECTIVE

The purpose of our study was to determine typical organ doses, and the corresponding effective doses, to adult and pediatric patients undergoing a single CT examination.

MATERIALS AND METHODS

Heads, chests, and abdomens of patients ranging from neonates to oversized adults (120 kg) were modeled as uniform cylinders of water. Monte Carlo dosimetry data were used to obtain average doses in the directly irradiated region. Dosimetry data were used to compute the total energy imparted, which was converted into the corresponding effective dose using patient-size-dependent effective-dose-per-unit-energy-imparted coefficients. Representative patient doses were obtained for scanning protocols that take into account the size of the patient being scanned by typical MDCT scanners.

RESULTS

Relative to CT scanners from the early 1990s, present-day MDCT scanners result in doses that are approximately 1.5 and approximately 1.7 higher per unit mAs in head and body phantoms, respectively. Organ absorbed doses in head CT scans increase from approximately 30 mGy in newborns to approximately 40 mGy in adults. Patients weighing less than approximately 20 kg receive body organ absorbed doses of approximately 7 mGy, which is a factor of 2 less than for normal-sized (70-kg) adults. Adult head CT effective doses are approximately 0.9 mSv, four times less than those for the neonate. Effective doses for neonates undergoing body CT are approximately 2.5 mSv, whereas those for normal-sized adults are approximately 3.5 mSv.

CONCLUSION

Representative organ absorbed doses in CT are substantially lower than threshold doses for the induction of deterministic effects, and effective doses are comparable to annual doses from natural background radiation.

Authors+Show Affiliations

Department of Radiology, SUNY Upstate Medical University, 750 E Adams St., Syracuse, NY 13210-2306, USA. hudaw@upstate.eduNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

17242266

Citation

Huda, Walter, and Awais Vance. "Patient Radiation Doses From Adult and Pediatric CT." AJR. American Journal of Roentgenology, vol. 188, no. 2, 2007, pp. 540-6.
Huda W, Vance A. Patient radiation doses from adult and pediatric CT. AJR Am J Roentgenol. 2007;188(2):540-6.
Huda, W., & Vance, A. (2007). Patient radiation doses from adult and pediatric CT. AJR. American Journal of Roentgenology, 188(2), 540-6.
Huda W, Vance A. Patient Radiation Doses From Adult and Pediatric CT. AJR Am J Roentgenol. 2007;188(2):540-6. PubMed PMID: 17242266.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patient radiation doses from adult and pediatric CT. AU - Huda,Walter, AU - Vance,Awais, PY - 2007/1/24/pubmed PY - 2007/2/21/medline PY - 2007/1/24/entrez SP - 540 EP - 6 JF - AJR. American journal of roentgenology JO - AJR Am J Roentgenol VL - 188 IS - 2 N2 - OBJECTIVE: The purpose of our study was to determine typical organ doses, and the corresponding effective doses, to adult and pediatric patients undergoing a single CT examination. MATERIALS AND METHODS: Heads, chests, and abdomens of patients ranging from neonates to oversized adults (120 kg) were modeled as uniform cylinders of water. Monte Carlo dosimetry data were used to obtain average doses in the directly irradiated region. Dosimetry data were used to compute the total energy imparted, which was converted into the corresponding effective dose using patient-size-dependent effective-dose-per-unit-energy-imparted coefficients. Representative patient doses were obtained for scanning protocols that take into account the size of the patient being scanned by typical MDCT scanners. RESULTS: Relative to CT scanners from the early 1990s, present-day MDCT scanners result in doses that are approximately 1.5 and approximately 1.7 higher per unit mAs in head and body phantoms, respectively. Organ absorbed doses in head CT scans increase from approximately 30 mGy in newborns to approximately 40 mGy in adults. Patients weighing less than approximately 20 kg receive body organ absorbed doses of approximately 7 mGy, which is a factor of 2 less than for normal-sized (70-kg) adults. Adult head CT effective doses are approximately 0.9 mSv, four times less than those for the neonate. Effective doses for neonates undergoing body CT are approximately 2.5 mSv, whereas those for normal-sized adults are approximately 3.5 mSv. CONCLUSION: Representative organ absorbed doses in CT are substantially lower than threshold doses for the induction of deterministic effects, and effective doses are comparable to annual doses from natural background radiation. SN - 1546-3141 UR - https://www.unboundmedicine.com/medline/citation/17242266/Patient_radiation_doses_from_adult_and_pediatric_CT_ L2 - https://www.ajronline.org/doi/10.2214/AJR.06.0101 DB - PRIME DP - Unbound Medicine ER -