Radiation dosimetry assessment of routine CT scanning protocols used in Western Australia

Technical data on local CT practice in Western Australia were collected for five major CT providers using a self-completed questionnaire. The CTDIvol DLP and effective dose for each protocol were obtained and providers were ranked according to radiation burden for each clinical scenario. The mean...

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Main Authors: Moorin, Rachael, Forsyth, Rene, Gibson, D., Fox, Richard
Format: Journal Article
Published: IOP Publishing 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/44517
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author Moorin, Rachael
Forsyth, Rene
Gibson, D.
Fox, Richard
author_facet Moorin, Rachael
Forsyth, Rene
Gibson, D.
Fox, Richard
author_sort Moorin, Rachael
building Curtin Institutional Repository
collection Online Access
description Technical data on local CT practice in Western Australia were collected for five major CT providers using a self-completed questionnaire. The CTDIvol DLP and effective dose for each protocol were obtained and providers were ranked according to radiation burden for each clinical scenario. The mean, median, 75th percentile and standard deviation were calculated for both effective dose and DLP for each scenario and these values were compared with published data. CT utilisation data were used to estimate the attributable radiation dose to the WA population and the potential change in population annual effective dose according to the protocol used was estimated. We found that wide variations in technique and radiation dose exist across providers for similar examinations, producing a higher radiation burden than reported internationally. As expected, the CT protocol used dramatically affects the radiation dose received, and this has a significant effect on annual population dose. This study highlights the need for recognition and understanding of both the degree of variation in radiation dose across providers and the relatively high radiation burden afforded by protocols in use in Western Australia so that necessary dialogue can be launched for practitioner consensus on appropriate diagnostic reference levels in CT scanning.
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spelling curtin-20.500.11937-445172017-09-13T16:05:30Z Radiation dosimetry assessment of routine CT scanning protocols used in Western Australia Moorin, Rachael Forsyth, Rene Gibson, D. Fox, Richard CT scanning protocols effective dose radiation dose radiation burden Technical data on local CT practice in Western Australia were collected for five major CT providers using a self-completed questionnaire. The CTDIvol DLP and effective dose for each protocol were obtained and providers were ranked according to radiation burden for each clinical scenario. The mean, median, 75th percentile and standard deviation were calculated for both effective dose and DLP for each scenario and these values were compared with published data. CT utilisation data were used to estimate the attributable radiation dose to the WA population and the potential change in population annual effective dose according to the protocol used was estimated. We found that wide variations in technique and radiation dose exist across providers for similar examinations, producing a higher radiation burden than reported internationally. As expected, the CT protocol used dramatically affects the radiation dose received, and this has a significant effect on annual population dose. This study highlights the need for recognition and understanding of both the degree of variation in radiation dose across providers and the relatively high radiation burden afforded by protocols in use in Western Australia so that necessary dialogue can be launched for practitioner consensus on appropriate diagnostic reference levels in CT scanning. 2013 Journal Article http://hdl.handle.net/20.500.11937/44517 10.1088/0952-4746/33/2/295 IOP Publishing fulltext
spellingShingle CT scanning
protocols
effective dose
radiation dose
radiation burden
Moorin, Rachael
Forsyth, Rene
Gibson, D.
Fox, Richard
Radiation dosimetry assessment of routine CT scanning protocols used in Western Australia
title Radiation dosimetry assessment of routine CT scanning protocols used in Western Australia
title_full Radiation dosimetry assessment of routine CT scanning protocols used in Western Australia
title_fullStr Radiation dosimetry assessment of routine CT scanning protocols used in Western Australia
title_full_unstemmed Radiation dosimetry assessment of routine CT scanning protocols used in Western Australia
title_short Radiation dosimetry assessment of routine CT scanning protocols used in Western Australia
title_sort radiation dosimetry assessment of routine ct scanning protocols used in western australia
topic CT scanning
protocols
effective dose
radiation dose
radiation burden
url http://hdl.handle.net/20.500.11937/44517