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Estimation of patient dose in computed tomography: an extension of IAEA Project in Brazil; Estimativa de doses em pacientes submetidos a exames de tomografia computadorizada: uma extensao do Projeto IAEA no Brasil

Abstract

The aim of this paper was to estimate the patient's dose in routine procedures in Brazil and to identify the potential of optimization in adults and pediatric procedures. The sample included ten hospitals distributed in different states of the country. In each hospital, the routine protocols of head, chest, high resolution chest, abdomen, and pelvis were recorded. The values of C{sub w}, C{sub vol} and P{sub kl} were estimated based on the n{sub Cw} values provided by IMPACT. For the same procedure, significant differences in patient's doses were verified between the hospitals and also in the same department. In some cases, the technical factors are so low that suggest a rigorous evaluation of the image quality. Problems were also observed regarding procedures records, and the information about the procedure is insufficient. This study indicated the necessity of an implementation of an action plan that includes training program to operate the scanner in an optimized mode, to carry out the dosimetry, and to evaluate the image quality. The large range of patient's doses indicated that there is an expressive potential of patient's dose reduction and optimization maintaining the diagnostic information. (author)
Authors:
Delduck, Romulo S; Kodlulovichm, Simone; Silveira, Vinicius C; [1]  Oliveira, Larissa C; [2]  Silva, Humberto O; [3]  Khoury, Helen; [4]  Nader, Alejandro [5] 
  1. Instituto de Radioprotecao e Dosimetria (IRD/CNEN-RJ), Rio de Janeiro, RJ (Brazil)
  2. Universidade Federal do Rio de Janeiro (COPPE/UFRJ), Rio de Janeiro, RJ (Brazil). Instituto Alberto Luiz Coimbra de Pos-Graduacao e Pesquisa de Engenharia. Nuclear Instrumentation Laboratory
  3. Hospital Copa D'Or, Rio de Janeiro, RJ (Brazil)
  4. Universidade Federal de Pernambuco (UFPE), Recife, PE (Brazil). Dept. of Nuclear Energy
  5. International Atomic Energy Agency (IAEA), Vienna (Austria)
Publication Date:
Jul 01, 2011
Product Type:
Journal Article
Resource Relation:
Journal Name: Revista Brasileira de Fisica Medica (Online); Journal Volume: 5; Journal Issue: 1
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BIOMEDICAL RADIOGRAPHY; COMPUTERIZED TOMOGRAPHY; DOSE COMMITMENTS; DOSES; IMAGE PROCESSING; IRRADIATION; PATIENTS; RADIATION DOSES; DIAGNOSTIC TECHNIQUES; MEDICINE; NUCLEAR MEDICINE; PROCESSING; RADIOLOGY; TOMOGRAPHY
OSTI ID:
21560967
Country of Origin:
Brazil
Language:
Portuguese
Other Identifying Numbers:
Journal ID: ISSN 1984-9001; TRN: BR12V0077038556
Availability:
Available from http://www.abfm.org.br/rbfm/publicado/RBFM_v5n1_FullPaper_p73-8.pdf
Submitting Site:
BRN
Size:
page(s) 73-78
Announcement Date:
Jun 11, 2012

Citation Formats

Delduck, Romulo S, Kodlulovichm, Simone, Silveira, Vinicius C, Oliveira, Larissa C, Silva, Humberto O, Khoury, Helen, and Nader, Alejandro. Estimation of patient dose in computed tomography: an extension of IAEA Project in Brazil; Estimativa de doses em pacientes submetidos a exames de tomografia computadorizada: uma extensao do Projeto IAEA no Brasil. Brazil: N. p., 2011. Web.
Delduck, Romulo S, Kodlulovichm, Simone, Silveira, Vinicius C, Oliveira, Larissa C, Silva, Humberto O, Khoury, Helen, & Nader, Alejandro. Estimation of patient dose in computed tomography: an extension of IAEA Project in Brazil; Estimativa de doses em pacientes submetidos a exames de tomografia computadorizada: uma extensao do Projeto IAEA no Brasil. Brazil.
Delduck, Romulo S, Kodlulovichm, Simone, Silveira, Vinicius C, Oliveira, Larissa C, Silva, Humberto O, Khoury, Helen, and Nader, Alejandro. 2011. "Estimation of patient dose in computed tomography: an extension of IAEA Project in Brazil; Estimativa de doses em pacientes submetidos a exames de tomografia computadorizada: uma extensao do Projeto IAEA no Brasil." Brazil.
@misc{etde_21560967,
title = {Estimation of patient dose in computed tomography: an extension of IAEA Project in Brazil; Estimativa de doses em pacientes submetidos a exames de tomografia computadorizada: uma extensao do Projeto IAEA no Brasil}
author = {Delduck, Romulo S, Kodlulovichm, Simone, Silveira, Vinicius C, Oliveira, Larissa C, Silva, Humberto O, Khoury, Helen, and Nader, Alejandro}
abstractNote = {The aim of this paper was to estimate the patient's dose in routine procedures in Brazil and to identify the potential of optimization in adults and pediatric procedures. The sample included ten hospitals distributed in different states of the country. In each hospital, the routine protocols of head, chest, high resolution chest, abdomen, and pelvis were recorded. The values of C{sub w}, C{sub vol} and P{sub kl} were estimated based on the n{sub Cw} values provided by IMPACT. For the same procedure, significant differences in patient's doses were verified between the hospitals and also in the same department. In some cases, the technical factors are so low that suggest a rigorous evaluation of the image quality. Problems were also observed regarding procedures records, and the information about the procedure is insufficient. This study indicated the necessity of an implementation of an action plan that includes training program to operate the scanner in an optimized mode, to carry out the dosimetry, and to evaluate the image quality. The large range of patient's doses indicated that there is an expressive potential of patient's dose reduction and optimization maintaining the diagnostic information. (author)}
journal = []
issue = {1}
volume = {5}
place = {Brazil}
year = {2011}
month = {Jul}
}