Association of Radiation Doses and Cancer Risks from CT Pulmonary Angiography Examinations in Relation to Body Diameter

In this study, we aimed to estimate the probability of cancer risk induced by CT pulmonary angiography (CTPA) examinations concerning effective body diameter. One hundred patients who underwent CTPA examinations were recruited as subjects from a single institution in Kuala Lumpur. Subjects were cate...

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Main Authors: Hanif Haspi Harun, Muhammad Khalis Abdul Karim, Zulkifly Abbas, Mohd Amir Abdul Rahman, Akmal Sabarudin, Kwan Hoong Ng
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/10/9/681
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author Hanif Haspi Harun
Muhammad Khalis Abdul Karim
Zulkifly Abbas
Mohd Amir Abdul Rahman
Akmal Sabarudin
Kwan Hoong Ng
author_facet Hanif Haspi Harun
Muhammad Khalis Abdul Karim
Zulkifly Abbas
Mohd Amir Abdul Rahman
Akmal Sabarudin
Kwan Hoong Ng
author_sort Hanif Haspi Harun
collection DOAJ
description In this study, we aimed to estimate the probability of cancer risk induced by CT pulmonary angiography (CTPA) examinations concerning effective body diameter. One hundred patients who underwent CTPA examinations were recruited as subjects from a single institution in Kuala Lumpur. Subjects were categorized based on their effective diameter size, where 19–25, 25–28, and >28 cm categorized as Groups 1, 2, and 3, respectively. The mean value of the body diameter of the subjects was 26.82 ± 3.12 cm, with no significant differences found between male and female subjects. The risk of cancer in breast, lung, and liver organs was 0.009%, 0.007%, and 0.005% respectively. The volume-weighted CT dose index (CTDI<sub>vol</sub>) was underestimated, whereas the size-specific dose estimates (SSDEs) provided a more accurate description of the radiation dose and the risk of cancer. CTPA examinations are considered safe but it is essential to implement a protocol optimized following the As Low as Reasonably Achievable (ALARA) principle.
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spelling doaj.art-e9c01b71a63747adbbbcdc14a029d0262023-11-20T13:08:41ZengMDPI AGDiagnostics2075-44182020-09-0110968110.3390/diagnostics10090681Association of Radiation Doses and Cancer Risks from CT Pulmonary Angiography Examinations in Relation to Body DiameterHanif Haspi Harun0Muhammad Khalis Abdul Karim1Zulkifly Abbas2Mohd Amir Abdul Rahman3Akmal Sabarudin4Kwan Hoong Ng5Department of Physics, Faculty of Science, Universiti Putra Malaysia, Serdang 43400, Selangor, MalaysiaDepartment of Physics, Faculty of Science, Universiti Putra Malaysia, Serdang 43400, Selangor, MalaysiaDepartment of Physics, Faculty of Science, Universiti Putra Malaysia, Serdang 43400, Selangor, MalaysiaDepartment of Physics, Faculty of Science, Universiti Putra Malaysia, Serdang 43400, Selangor, MalaysiaDepartment of Diagnostic & Applied Health Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, MalaysiaDepartment of Biomedical Imaging, Faculty of Medicine, Universiti Malaya, Kuala Lumpur 50603, MalaysiaIn this study, we aimed to estimate the probability of cancer risk induced by CT pulmonary angiography (CTPA) examinations concerning effective body diameter. One hundred patients who underwent CTPA examinations were recruited as subjects from a single institution in Kuala Lumpur. Subjects were categorized based on their effective diameter size, where 19–25, 25–28, and >28 cm categorized as Groups 1, 2, and 3, respectively. The mean value of the body diameter of the subjects was 26.82 ± 3.12 cm, with no significant differences found between male and female subjects. The risk of cancer in breast, lung, and liver organs was 0.009%, 0.007%, and 0.005% respectively. The volume-weighted CT dose index (CTDI<sub>vol</sub>) was underestimated, whereas the size-specific dose estimates (SSDEs) provided a more accurate description of the radiation dose and the risk of cancer. CTPA examinations are considered safe but it is essential to implement a protocol optimized following the As Low as Reasonably Achievable (ALARA) principle.https://www.mdpi.com/2075-4418/10/9/681radiation dosecancer riskCTPA examinationsbody diameterSSDE
spellingShingle Hanif Haspi Harun
Muhammad Khalis Abdul Karim
Zulkifly Abbas
Mohd Amir Abdul Rahman
Akmal Sabarudin
Kwan Hoong Ng
Association of Radiation Doses and Cancer Risks from CT Pulmonary Angiography Examinations in Relation to Body Diameter
Diagnostics
radiation dose
cancer risk
CTPA examinations
body diameter
SSDE
title Association of Radiation Doses and Cancer Risks from CT Pulmonary Angiography Examinations in Relation to Body Diameter
title_full Association of Radiation Doses and Cancer Risks from CT Pulmonary Angiography Examinations in Relation to Body Diameter
title_fullStr Association of Radiation Doses and Cancer Risks from CT Pulmonary Angiography Examinations in Relation to Body Diameter
title_full_unstemmed Association of Radiation Doses and Cancer Risks from CT Pulmonary Angiography Examinations in Relation to Body Diameter
title_short Association of Radiation Doses and Cancer Risks from CT Pulmonary Angiography Examinations in Relation to Body Diameter
title_sort association of radiation doses and cancer risks from ct pulmonary angiography examinations in relation to body diameter
topic radiation dose
cancer risk
CTPA examinations
body diameter
SSDE
url https://www.mdpi.com/2075-4418/10/9/681
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