Abstract:
OBJECTIVE:To estimate thyroid doses and cancer risk for paediatric patients undergoing neck computed tomography (CT). METHODS:We used average CTDI(vol) (mGy) values from 75 paediatric neck CT examinations to estimate thyroid dose in a mathematical anthropomorphic phantom (ImPACT Patient CT Dosimetry Calculator). Patient dose was estimated by modelling the neck as mass equivalent water cylinder. A patient size correction factor was obtained using published relative dose data as a function of water cylinder size. Additional correction factors included scan length and radiation intensity variation secondary to tube-current modulation. RESULTS:The mean water cylinder diameter that modelled the neck was 14 ± 3.5 cm. The mathematical anthropomorphic phantom has a 16.5-cm neck, and for a constant CT exposure, would have thyroid doses that are 13-17% lower than the average paediatric patient. CTDI(vol) was independent of age and sex. The average thyroid doses were 31 ± 18 mGy (males) and 34 ± 15 mGy (females). Thyroid cancer incidence risk was highest for infant females (0.2%), lowest for teenage males (0.01%). CONCLUSIONS:Estimated absorbed thyroid doses in paediatric neck CT did not significantly vary with age and gender. However, the corresponding thyroid cancer risk is determined by gender and age. KEY POINTS:• Thyroid doses can be estimated from the CTDI(vol) in paediatric neck CT . • Scan length, neck size, and radiation intensity variation should be accounted for. • Estimated absorbed thyroid doses did not significantly vary with age and gender. • Thyroid cancer incidence risk is primarily determined by gender and age.
journal_name
Eur Radioljournal_title
European radiologyauthors
Spampinato MV,Tipnis S,Tavernier J,Huda Wdoi
10.1007/s00330-015-3590-xsubject
Has Abstractpub_date
2015-07-01 00:00:00pages
1883-90issue
7eissn
0938-7994issn
1432-1084journal_volume
25pub_type
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journal_title:European radiology
pub_type: 杂志文章
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