ESTIMATION OF RADIATION DOSE TO THYROID GLAND FROM HEAD COMPUTED TOMOGRAPHY: A PILOT STUDY

Ramesh Chand Sharma, Mukesh Jain, Mary Joan, Arun Chougule
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Abstract

Computed Tomography (CT) scans are invaluable tools in medical diagnostics, offering detailed imaging of various anatomical regions. However, concerns regarding radiation exposure, particularly to radiosensitive organs like the thyroid, have prompted to estimate and evaluate the radiation dose to thyroid gland from head CT scans. The amount of radiation exposure varies depending on several factors including the specic type of CT scan, the settings used during the scan, and the individual's size and age. The results were compared with studies reporting thyroid doses from head CT scans, including dose measurements, dose estimation methods, and dose-reduction techniques. The estimated average thyroid dose from the OSLD measurements in the present study was 0.939+- 0.072 mGy. Though ndings of the study is similar to the reported thyroid doses from head CTscans, it is observed that there is a wide variability inuenced by scanner technology, scanning protocols, patient characteristics, and anatomical considerations. Understanding thyroid doses from head CT scans is essential for optimizing imaging protocols and minimizing radiation risks without compromising diagnostic efcacy. Establishing local/ regional and national diagnostic reference levels (DRL) is a recommended way forward. Efforts to further minimize radiation exposures especially in pediatric, women and sensitive populations are highly needed. Further large scale multi-centric studies in the region are highly recommended so that the cumulative population radiation dose may be reduced by rening dose estimation techniques, implementing dose-reduction strategies, and assessing long-term health outcomes to ensure safe and effective CT imaging practices.
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估算头部计算机断层扫描对甲状腺的辐射剂量:试点研究
计算机断层扫描(CT)是医疗诊断中非常宝贵的工具,可提供各种解剖区域的详细成像。然而,由于担心辐射照射,特别是对甲状腺等辐射敏感器官的照射,人们开始估算和评估头部CT扫描对甲状腺的辐射剂量。辐照量因多种因素而异,包括CT扫描的具体c 类型、扫描时使用的设置以及个人的体型和年龄。研究结果与报告头部CT扫描甲状腺剂量的研究结果进行了比较,包括剂量测量、剂量估算方法和剂量降低技术。在本研究中,OSLD测量结果估计的平均甲状腺剂量为0.939+- 0.072 mGy。虽然,该研究的结果与已报道的头部CT扫描甲状腺剂量相似,但据观察,受扫描仪技术、扫描方案、患者特征和解剖学因素的影响,,存在很大差异。了解头部CT扫描的甲状腺剂量对于优化成像方案、最大限度降低辐射风险而不影响诊断cacy 至关重要。建立地方/地区和国家诊断参考水平(DRL)是一个值得推荐的前进方向。亟需努力进一步减少辐射照射,尤其是对儿科、妇女和敏感人群的辐射照射。强烈建议在该地区进一步开展大规模的多中心研究,以便通过重新ning 剂量测定技术、实施剂量削减策略和评估长期健康结果来减少人群的累积辐射剂量,从而确保安全有效的 CT 成像实践。
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