Estimation of radiation cancer risk in CT-KUB

The increased demand for computed tomography (CT) in radiological scanning examinations raises the question of a potential health impact from the associated radiation exposures. Focusing on CT kidney-ureter-bladder (CT-KUB) procedures, this work was aimed at determining organ equivalent dose using a...

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Main Authors: Abdul Karim, Muhammad Khalis, Hashim, Suhairul, Abu Bakar, Khomsaton, Bradley, D. A., Ang, W. C., Bahrudin, N. A., Mhareb, Mohammad Abu
Format: Article
Language:English
Published: Elsevier 2017
Online Access:http://psasir.upm.edu.my/id/eprint/61765/1/Estimation%20of%20radiation%20cancer%20risk%20in%20CT-KUB.pdf
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author Abdul Karim, Muhammad Khalis
Hashim, Suhairul
Abu Bakar, Khomsaton
Bradley, D. A.
Ang, W. C.
Bahrudin, N. A.
Mhareb, Mohammad Abu
author_facet Abdul Karim, Muhammad Khalis
Hashim, Suhairul
Abu Bakar, Khomsaton
Bradley, D. A.
Ang, W. C.
Bahrudin, N. A.
Mhareb, Mohammad Abu
author_sort Abdul Karim, Muhammad Khalis
collection UPM
description The increased demand for computed tomography (CT) in radiological scanning examinations raises the question of a potential health impact from the associated radiation exposures. Focusing on CT kidney-ureter-bladder (CT-KUB) procedures, this work was aimed at determining organ equivalent dose using a commercial CT dose calculator and providing an estimate of cancer risks. The study, which included 64 patients (32 males and 32 females, mean age 55.5 years and age range 30–80 years), involved use of a calibrated CT scanner (Siemens-Somatom Emotion 16-slice). The CT exposures parameter including tube potential, pitch factor, tube current, volume CT dose index (CTDIvol) and dose-length product (DLP) were recorded and analyzed using CT-EXPO (Version 2.3.1, Germany). Patient organ doses, including for stomach, liver, colon, bladder, red bone marrow, prostate and ovaries were calculated and converted into cancer risks using age- and sex-specific data published in the Biological Effects of Ionizing Radiation (BEIR) VII report. With a median value scan range of 36.1 cm, the CTDIvol, DLP, and effective dose were found to be 10.7 mGy, 390.3 mGy cm and 6.2 mSv, respectively. The mean cancer risks for males and females were estimated to be respectively 25 and 46 out of 100,000 procedures with effective doses between 4.2 mSv and 10.1 mSv. Given the increased cancer risks from current CT-KUB procedures compared to conventional examinations, we propose that the low dose protocols for unenhanced CT procedures be taken into consideration before establishing imaging protocols for CT-KUB.
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spelling upm.eprints-617652019-01-23T03:34:07Z http://psasir.upm.edu.my/id/eprint/61765/ Estimation of radiation cancer risk in CT-KUB Abdul Karim, Muhammad Khalis Hashim, Suhairul Abu Bakar, Khomsaton Bradley, D. A. Ang, W. C. Bahrudin, N. A. Mhareb, Mohammad Abu The increased demand for computed tomography (CT) in radiological scanning examinations raises the question of a potential health impact from the associated radiation exposures. Focusing on CT kidney-ureter-bladder (CT-KUB) procedures, this work was aimed at determining organ equivalent dose using a commercial CT dose calculator and providing an estimate of cancer risks. The study, which included 64 patients (32 males and 32 females, mean age 55.5 years and age range 30–80 years), involved use of a calibrated CT scanner (Siemens-Somatom Emotion 16-slice). The CT exposures parameter including tube potential, pitch factor, tube current, volume CT dose index (CTDIvol) and dose-length product (DLP) were recorded and analyzed using CT-EXPO (Version 2.3.1, Germany). Patient organ doses, including for stomach, liver, colon, bladder, red bone marrow, prostate and ovaries were calculated and converted into cancer risks using age- and sex-specific data published in the Biological Effects of Ionizing Radiation (BEIR) VII report. With a median value scan range of 36.1 cm, the CTDIvol, DLP, and effective dose were found to be 10.7 mGy, 390.3 mGy cm and 6.2 mSv, respectively. The mean cancer risks for males and females were estimated to be respectively 25 and 46 out of 100,000 procedures with effective doses between 4.2 mSv and 10.1 mSv. Given the increased cancer risks from current CT-KUB procedures compared to conventional examinations, we propose that the low dose protocols for unenhanced CT procedures be taken into consideration before establishing imaging protocols for CT-KUB. Elsevier 2017-08 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/61765/1/Estimation%20of%20radiation%20cancer%20risk%20in%20CT-KUB.pdf Abdul Karim, Muhammad Khalis and Hashim, Suhairul and Abu Bakar, Khomsaton and Bradley, D. A. and Ang, W. C. and Bahrudin, N. A. and Mhareb, Mohammad Abu (2017) Estimation of radiation cancer risk in CT-KUB. Radiation Physics and Chemistry, 137. 130 - 134. ISSN 0969-806X; ESSN: 1879-0895 https://www.sciencedirect.com/science/article/pii/S0969806X16306260#! 10.1016/j.radphyschem.2016.10.024
spellingShingle Abdul Karim, Muhammad Khalis
Hashim, Suhairul
Abu Bakar, Khomsaton
Bradley, D. A.
Ang, W. C.
Bahrudin, N. A.
Mhareb, Mohammad Abu
Estimation of radiation cancer risk in CT-KUB
title Estimation of radiation cancer risk in CT-KUB
title_full Estimation of radiation cancer risk in CT-KUB
title_fullStr Estimation of radiation cancer risk in CT-KUB
title_full_unstemmed Estimation of radiation cancer risk in CT-KUB
title_short Estimation of radiation cancer risk in CT-KUB
title_sort estimation of radiation cancer risk in ct kub
url http://psasir.upm.edu.my/id/eprint/61765/1/Estimation%20of%20radiation%20cancer%20risk%20in%20CT-KUB.pdf
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