The effectiveness of bismuth breast shielding with protocol optimization in CT scans of the thorax

Background: Numerous techniques had been proposed to reduce radiation exposure in computed tomography (CT) including the use of radiation shielding. Objective: This study aims to evaluate efficacy of using a bismuth breast shield and optimized scanning parameter to reduce breast absorbed doses from...

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Main Authors: Abdul Karim, Muhammad Khalis, Rahim, N. A., Matsubara, K., Hashim, Suad, Abu Mhareb, Mohammad Hasan, Musa, Yahaya
Format: Article
Language:English
Published: IOS Press 2018
Online Access:http://psasir.upm.edu.my/id/eprint/74161/1/The%20effectiveness%20of%20bismuth%20breast%20shielding%20with%20protocol%20optimization%20in%20CT%20scans%20of%20the%20thorax.pdf
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author Abdul Karim, Muhammad Khalis
Rahim, N. A.
Matsubara, K.
Hashim, Suad
Abu Mhareb, Mohammad Hasan
Musa, Yahaya
author_facet Abdul Karim, Muhammad Khalis
Rahim, N. A.
Matsubara, K.
Hashim, Suad
Abu Mhareb, Mohammad Hasan
Musa, Yahaya
author_sort Abdul Karim, Muhammad Khalis
collection UPM
description Background: Numerous techniques had been proposed to reduce radiation exposure in computed tomography (CT) including the use of radiation shielding. Objective: This study aims to evaluate efficacy of using a bismuth breast shield and optimized scanning parameter to reduce breast absorbed doses from CT thorax examination. Methods: Five protocols comprising the standard CT thorax clinical protocol (CP1) and four modified protocols (CP2 to CP5) were applied in anthropomorphic phantom scans. The phantom was configured as a female by placing a breast component on the chest. The breast component was divided into four quadrants, where 2 thermoluminescence dosimeters (TLD-100) were inserted into each quadrant to measure the absorbed dose. The bismuth shield was placed over the breast component during CP4 and CP5 scans. Results: The pattern of absorbed doses in each breast and quadrant were approximately the same for all protocols, where the 4th quadrant > 3rd quadrant > 2nd quadrant > 1st quadrant. The mean absorbed dose value in CP3 was reduced to almost 34% of CP1's mean absorbed dose. It was reduced even lower to 15% of CP1's mean absorbed dose when the breast shield was used in CP5. Conclusion: This study showed that CT radiation exposure on the breast could be reduced by using a bismuth shield and low tube potential protocol without compromising the image quality.
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spelling upm.eprints-741612020-04-27T14:47:07Z http://psasir.upm.edu.my/id/eprint/74161/ The effectiveness of bismuth breast shielding with protocol optimization in CT scans of the thorax Abdul Karim, Muhammad Khalis Rahim, N. A. Matsubara, K. Hashim, Suad Abu Mhareb, Mohammad Hasan Musa, Yahaya Background: Numerous techniques had been proposed to reduce radiation exposure in computed tomography (CT) including the use of radiation shielding. Objective: This study aims to evaluate efficacy of using a bismuth breast shield and optimized scanning parameter to reduce breast absorbed doses from CT thorax examination. Methods: Five protocols comprising the standard CT thorax clinical protocol (CP1) and four modified protocols (CP2 to CP5) were applied in anthropomorphic phantom scans. The phantom was configured as a female by placing a breast component on the chest. The breast component was divided into four quadrants, where 2 thermoluminescence dosimeters (TLD-100) were inserted into each quadrant to measure the absorbed dose. The bismuth shield was placed over the breast component during CP4 and CP5 scans. Results: The pattern of absorbed doses in each breast and quadrant were approximately the same for all protocols, where the 4th quadrant > 3rd quadrant > 2nd quadrant > 1st quadrant. The mean absorbed dose value in CP3 was reduced to almost 34% of CP1's mean absorbed dose. It was reduced even lower to 15% of CP1's mean absorbed dose when the breast shield was used in CP5. Conclusion: This study showed that CT radiation exposure on the breast could be reduced by using a bismuth shield and low tube potential protocol without compromising the image quality. IOS Press 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/74161/1/The%20effectiveness%20of%20bismuth%20breast%20shielding%20with%20protocol%20optimization%20in%20CT%20scans%20of%20the%20thorax.pdf Abdul Karim, Muhammad Khalis and Rahim, N. A. and Matsubara, K. and Hashim, Suad and Abu Mhareb, Mohammad Hasan and Musa, Yahaya (2018) The effectiveness of bismuth breast shielding with protocol optimization in CT scans of the thorax. Journal of X-Ray Science and Technology, 27 (1). pp. 139-147. ISSN 0895-3996; ESSN: 1095-9114 10.3233/XST-180397
spellingShingle Abdul Karim, Muhammad Khalis
Rahim, N. A.
Matsubara, K.
Hashim, Suad
Abu Mhareb, Mohammad Hasan
Musa, Yahaya
The effectiveness of bismuth breast shielding with protocol optimization in CT scans of the thorax
title The effectiveness of bismuth breast shielding with protocol optimization in CT scans of the thorax
title_full The effectiveness of bismuth breast shielding with protocol optimization in CT scans of the thorax
title_fullStr The effectiveness of bismuth breast shielding with protocol optimization in CT scans of the thorax
title_full_unstemmed The effectiveness of bismuth breast shielding with protocol optimization in CT scans of the thorax
title_short The effectiveness of bismuth breast shielding with protocol optimization in CT scans of the thorax
title_sort effectiveness of bismuth breast shielding with protocol optimization in ct scans of the thorax
url http://psasir.upm.edu.my/id/eprint/74161/1/The%20effectiveness%20of%20bismuth%20breast%20shielding%20with%20protocol%20optimization%20in%20CT%20scans%20of%20the%20thorax.pdf
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