Abdomen and pelvis computed tomography procedure: Effective dose assessment and establishment of a local diagnostic reference level

Exposure to ionizing radiation may induce cancer risk to the patients proportional to the radiation absorbed dose and the organ sensitivity. Therefore protection of radiation exposure is essential to minimize the radiation cancer risk and prevent the deterministic effects. The International Atomic E...

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Main Authors: Almujally, Abdullah, Alenezi, Saad, Aldosary, Khalid Nasser, Otayni, Ahmed, Sulieman, Abdelmoneim, Abdelghani, Amr, Tamam, Nissren, Mohtasib, Rafat, Masawi, Ahmed, Moftah, Belal, Bradley, D.A. *
Format: Article
Published: Elsevier 2023
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Online Access:http://eprints.sunway.edu.my/2230/
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author Almujally, Abdullah
Alenezi, Saad
Aldosary, Khalid Nasser
Otayni, Ahmed
Sulieman, Abdelmoneim
Abdelghani, Amr
Tamam, Nissren
Mohtasib, Rafat
Masawi, Ahmed
Moftah, Belal
Bradley, D.A. *
author_facet Almujally, Abdullah
Alenezi, Saad
Aldosary, Khalid Nasser
Otayni, Ahmed
Sulieman, Abdelmoneim
Abdelghani, Amr
Tamam, Nissren
Mohtasib, Rafat
Masawi, Ahmed
Moftah, Belal
Bradley, D.A. *
author_sort Almujally, Abdullah
building SU Institutional Repository
collection Online Access
description Exposure to ionizing radiation may induce cancer risk to the patients proportional to the radiation absorbed dose and the organ sensitivity. Therefore protection of radiation exposure is essential to minimize the radiation cancer risk and prevent the deterministic effects. The International Atomic Energy Agency (IAEA) encourages member countries to establish national diagnostic reference levels (DRLs) to reduce unjustified radiation exposure. This study establishes a local DRL for computed tomography (CT) abdomen and pelvis procedures. In total, 1444 CT abdomen procedures were carried out during nine months. CT abdomen procedures were carried out at King Faisal Specialist Hospital and research center using six CT machines from different vendors. The mean and range of patients’ weight (kg) are 50 (42–120). The recommended DRLs values in DLP (mGy.cm) and CTDIvol (mGy)were 900 and 15 per CT abdomen and pelvis procedure, respectively. 3% (41 cases) were higher than the national DRL for CT abdomen and pelvis. The proposed DRL values are slightly higher than the European and the American College of Radiologists (ACR) DRL values in DLP. The purpose of DRL in terms of CTDIvol (mGy) is comparable with the international guidelines. Thus reducing the scan length, is recommended ensuring that patients receive a minimal possible radiation dose while maintaining the image quality.
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spelling sunway-22302023-06-08T14:11:12Z http://eprints.sunway.edu.my/2230/ Abdomen and pelvis computed tomography procedure: Effective dose assessment and establishment of a local diagnostic reference level Almujally, Abdullah Alenezi, Saad Aldosary, Khalid Nasser Otayni, Ahmed Sulieman, Abdelmoneim Abdelghani, Amr Tamam, Nissren Mohtasib, Rafat Masawi, Ahmed Moftah, Belal Bradley, D.A. * RA Public aspects of medicine RC Internal medicine Exposure to ionizing radiation may induce cancer risk to the patients proportional to the radiation absorbed dose and the organ sensitivity. Therefore protection of radiation exposure is essential to minimize the radiation cancer risk and prevent the deterministic effects. The International Atomic Energy Agency (IAEA) encourages member countries to establish national diagnostic reference levels (DRLs) to reduce unjustified radiation exposure. This study establishes a local DRL for computed tomography (CT) abdomen and pelvis procedures. In total, 1444 CT abdomen procedures were carried out during nine months. CT abdomen procedures were carried out at King Faisal Specialist Hospital and research center using six CT machines from different vendors. The mean and range of patients’ weight (kg) are 50 (42–120). The recommended DRLs values in DLP (mGy.cm) and CTDIvol (mGy)were 900 and 15 per CT abdomen and pelvis procedure, respectively. 3% (41 cases) were higher than the national DRL for CT abdomen and pelvis. The proposed DRL values are slightly higher than the European and the American College of Radiologists (ACR) DRL values in DLP. The purpose of DRL in terms of CTDIvol (mGy) is comparable with the international guidelines. Thus reducing the scan length, is recommended ensuring that patients receive a minimal possible radiation dose while maintaining the image quality. Elsevier 2023-02 Article PeerReviewed Almujally, Abdullah and Alenezi, Saad and Aldosary, Khalid Nasser and Otayni, Ahmed and Sulieman, Abdelmoneim and Abdelghani, Amr and Tamam, Nissren and Mohtasib, Rafat and Masawi, Ahmed and Moftah, Belal and Bradley, D.A. * (2023) Abdomen and pelvis computed tomography procedure: Effective dose assessment and establishment of a local diagnostic reference level. Radiation Physics and Chemistry, 203 (Part A). ISSN 0969-806X https://doi.org/10.1016/j.radphyschem.2022.110628 10.1016/j.radphyschem.2022.110628
spellingShingle RA Public aspects of medicine
RC Internal medicine
Almujally, Abdullah
Alenezi, Saad
Aldosary, Khalid Nasser
Otayni, Ahmed
Sulieman, Abdelmoneim
Abdelghani, Amr
Tamam, Nissren
Mohtasib, Rafat
Masawi, Ahmed
Moftah, Belal
Bradley, D.A. *
Abdomen and pelvis computed tomography procedure: Effective dose assessment and establishment of a local diagnostic reference level
title Abdomen and pelvis computed tomography procedure: Effective dose assessment and establishment of a local diagnostic reference level
title_full Abdomen and pelvis computed tomography procedure: Effective dose assessment and establishment of a local diagnostic reference level
title_fullStr Abdomen and pelvis computed tomography procedure: Effective dose assessment and establishment of a local diagnostic reference level
title_full_unstemmed Abdomen and pelvis computed tomography procedure: Effective dose assessment and establishment of a local diagnostic reference level
title_short Abdomen and pelvis computed tomography procedure: Effective dose assessment and establishment of a local diagnostic reference level
title_sort abdomen and pelvis computed tomography procedure: effective dose assessment and establishment of a local diagnostic reference level
topic RA Public aspects of medicine
RC Internal medicine
url http://eprints.sunway.edu.my/2230/
http://eprints.sunway.edu.my/2230/
http://eprints.sunway.edu.my/2230/