Establishing diagnostic reference levels for computed tomography examinations in Terengganu: Head, thorax and abdomen

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collectionurl https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072
date 2024-09-09 15:26:13
eventvenue Virtual, Kuala Lumpur
format Restricted Document
id 10443
institution UniSZA
originalfilename 4421-01-FH03-FSK-21-53993.pdf
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spelling 10443 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=10443 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection407072 Restricted Document Conference Conference Paper application/pdf 2 1.6 Adobe Acrobat Pro DC 20 Paper Capture Plug-in 2024-09-09 15:26:13 4421-01-FH03-FSK-21-53993.pdf UniSZA Private Access Establishing diagnostic reference levels for computed tomography examinations in Terengganu: Head, thorax and abdomen Objective: Computed Tomography (CT) is commonly used for various diagnostic examinations. Despite constant improvements to imaging technologies, the radiation dose to patients remains a concern. Diagnostic reference levels (DRLs) are used to identify any facility when using high radiation dose during CT. This study aims to assess current patient dose and establish new local diagnostic levels (LDRLs) for Computed Tomography (CT) examinations of brain, thorax, and abdomen at multiple sites in Terengganu, Malaysia. Materials and Methods: A comprehensive booklet survey was designed to record patient data and scanning protocols for three CT examinations. Data were collected retrospectively from the participating centers. LDRLs were defined as the values within 75th and 50th of volumetric CT dose index (CTDIvol) and dose length product (DLP). Data sets collected were related to 82 of CT brain, 96 of CT thorax, and 120 of CT abdomen. Results: LDRLs for CTDIvol and DLP for CT brain, thorax, and abdomen were 52.08 ± 7.62 mGy/960.57 ± 756.67 mGy∙cm, 14.58 ± 7.49 mGy/960.57 ± 756.67 mGy∙cm and 17.97 ± 11.35 mGy/842.67 ± 541.59 mGy∙cm, respectively. Conclusion: As compared to national DRLs, the LDRLs are comparable and within the range of acceptable percentiles, except for DLP values for thorax and abdomen are slightly exceeded. Major variations in patient dose during CT examination occur due to differences in CT scanners, scanning protocols, and modes. 19th Asian Oceanian Congress of Radiology Virtual, Kuala Lumpur
spellingShingle Establishing diagnostic reference levels for computed tomography examinations in Terengganu: Head, thorax and abdomen
summary Objective: Computed Tomography (CT) is commonly used for various diagnostic examinations. Despite constant improvements to imaging technologies, the radiation dose to patients remains a concern. Diagnostic reference levels (DRLs) are used to identify any facility when using high radiation dose during CT. This study aims to assess current patient dose and establish new local diagnostic levels (LDRLs) for Computed Tomography (CT) examinations of brain, thorax, and abdomen at multiple sites in Terengganu, Malaysia. Materials and Methods: A comprehensive booklet survey was designed to record patient data and scanning protocols for three CT examinations. Data were collected retrospectively from the participating centers. LDRLs were defined as the values within 75th and 50th of volumetric CT dose index (CTDIvol) and dose length product (DLP). Data sets collected were related to 82 of CT brain, 96 of CT thorax, and 120 of CT abdomen. Results: LDRLs for CTDIvol and DLP for CT brain, thorax, and abdomen were 52.08 ± 7.62 mGy/960.57 ± 756.67 mGy∙cm, 14.58 ± 7.49 mGy/960.57 ± 756.67 mGy∙cm and 17.97 ± 11.35 mGy/842.67 ± 541.59 mGy∙cm, respectively. Conclusion: As compared to national DRLs, the LDRLs are comparable and within the range of acceptable percentiles, except for DLP values for thorax and abdomen are slightly exceeded. Major variations in patient dose during CT examination occur due to differences in CT scanners, scanning protocols, and modes.
title Establishing diagnostic reference levels for computed tomography examinations in Terengganu: Head, thorax and abdomen
title_full Establishing diagnostic reference levels for computed tomography examinations in Terengganu: Head, thorax and abdomen
title_fullStr Establishing diagnostic reference levels for computed tomography examinations in Terengganu: Head, thorax and abdomen
title_full_unstemmed Establishing diagnostic reference levels for computed tomography examinations in Terengganu: Head, thorax and abdomen
title_short Establishing diagnostic reference levels for computed tomography examinations in Terengganu: Head, thorax and abdomen
title_sort establishing diagnostic reference levels for computed tomography examinations in terengganu: head, thorax and abdomen