Determination of relative dose of ionizing radiation in the thyroid gland using a panoramic device with different protocols.

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International journal of paediatric dentistry Pub Date : 2024-05-23 DOI:10.1111/ipd.13213
Jéssica Silvestre Vanni, Eduardo Thomazi, Janete Eunice Zorzi, Cláudio Antônio Perottoni, Thiago Oliveira Gamba
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Abstract

Background: The use of panoramic radiography (PR) is a complementary examination to aid in the diagnosis of cases in paediatric dentistry. The lack of specific protocols for these devices, however, can result in high doses of radiation, affecting critical organs such as the thyroid.

Aim: To evaluate the discrepancies in ionizing radiation received by the thyroid during PR examinations using anthropomorphic paediatric simulators built from computed tomography images.

Design: Two anthropomorphic paediatric phantoms were printed and used, representing children aged 6 and 11 years, with an opening in the thyroid region for the insertion of dosimetric radiographic films. The simulators were subjected to different pre-existing protocols in the PR devices. The radiographic films were processed and analysed using a luxmeter.

Results: The radiation dose to the thyroid was higher in the 6-year-old phantom than in the 11-year-old phantom, for given exposure factors. In addition, there was an increase in dose in children's protocols compared with small adult protocols.

Conclusion: Therefore, companies that develop PR equipment must develop child protocols for separate age groups that will consequently reduce the radiation dose in children, especially in their critical organs.

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使用不同方案的全景设备测定甲状腺的电离辐射相对剂量。
背景:使用全景放射摄影(PR)是一种辅助检查,可帮助诊断儿童牙科病例。目的:使用根据计算机断层扫描图像制作的拟人化儿科模拟模型,评估在进行全景放射摄影检查时甲状腺所接受的电离辐射的差异:打印并使用了两个拟人化的儿科模型,分别代表 6 岁和 11 岁的儿童,在甲状腺区域有一个开口,用于插入剂量放射胶片。在 PR 设备中对模拟人进行了不同的预处理。使用照度计对射线胶片进行处理和分析:结果:在给定的照射系数下,6 岁模型的甲状腺辐射剂量高于 11 岁模型。此外,儿童方案的剂量比成人小方案有所增加:因此,研发公关设备的公司必须为不同年龄段的儿童制定不同的方案,从而降低儿童的辐射剂量,尤其是儿童重要器官的辐射剂量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.50
自引率
2.60%
发文量
82
审稿时长
6-12 weeks
期刊介绍: The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.
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