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Status and Trend of Occupational Radiation Exposure in Radiotherapy and Diagnostic X-ray Practices in Bangladesh 孟加拉国放射治疗和诊断x射线实践中职业辐射暴露的现状和趋势
Q3 Health Professions Pub Date : 2020-10-26 DOI: 10.22038/IJMP.2020.51707.1850
S. Banik, S. Pervin, M. Siraz, A. Rahman, M. S. Rahman, S. Yeasmin
Introduction: The evaluation of occupational exposure and related trends due to external ionizing radiation in diagnostic and therapeutic purposes has become crucial to understand the implementation of regulatory acts and technological advancement. This study describes the status of occupational radiation exposure in radiotherapy (RADT) and diagnostic X-ray (DRA) sector and the comparison with related research.Materials and Methods: Overall, 12141 number of radiation workers were monitored using thermoluminescent dosimeters (TLDs) which read-out by Harshaw TLD Reader (Model 4500) on a quarterly basis. Several parameters such as annual collective effective dose, average annual effective dose, collective and individual dose distribution, and the probability of cancer risk were analyzed.Results: The number of monitored workers increased by around 35%, whereas the number of radiation workers received a measurable amount of doses decreased by around 37% during 2014-2018. The annual average effective doses in RADT and DRA were in the range of 0.017-0.1112 and 0.076-0.1702 mSv, respectively. The results indicate that more than 94% of the total collective dose was for the non-physician group. Among exposed radiation workers, almost 78% received doses below 1mSv and
引言:评估诊断和治疗目的的外部电离辐射造成的职业暴露和相关趋势,对于了解监管法案的实施和技术进步至关重要。本研究描述了放射治疗(RADT)和诊断X射线(DRA)部门的职业辐射暴露状况,并与相关研究进行了比较。材料和方法:总体而言,12141名辐射工作者使用热释光剂量计(TLD)进行了监测,该剂量计由Harshaw TLD阅读器(4500型)每季度读取一次。分析了年集体有效剂量、年平均有效剂量、集体和个体剂量分布以及癌症风险概率等参数。结果:2014-2018年期间,受监测的工作人员数量增加了约35%,而接受可测量剂量的放射工作人员数量减少了约37%。RADT和DRA的年平均有效剂量分别在0.017-0.1112和0.076-0.1702 mSv范围内。结果表明,超过94%的总集体剂量用于非医师组。在暴露于辐射的工作人员中,近78%的人接受的剂量低于1mSv
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引用次数: 0
Dosimetric comparison of collapsed cone convolution/superposition and anisotropic analytic algorithms in the presence of eXaSkin bolus in radiotherapy 放疗中eXaSkin丸存在时塌陷锥卷积/叠加和各向异性分析算法的剂量学比较
Q3 Health Professions Pub Date : 2020-10-24 DOI: 10.22038/IJMP.2020.49078.1789
Leila Mohammadian, Mohsen Bakhshandeh, E. Saeedzadeh, A. J. Arfaee, R. Abedi-Firouzjah
Introduction: Bolus type materials are needed in case of superficial lesions radiotherapy. This work determined the dosimetric accuracy of two commercial treatment planning systems (TPS) for the calculation of photon dose distribution in the presence of eXaSkin bolus.Material and methods: Dose calculations were performed on collapsed cone convolution/superposition (CCC) and anisotropic analytical algorithm (AAA) using computed tomography (CT) images of heterogeneous CIRS phantom. EBT3 film was used for obtaining percentage depth dose (PDD) curves and gamma index was utilized for comparing the accuracy of the two algorithms. The passing rate of global gamma index with the passing criterion of 3mm/3% as the standard criterion was considered 95% in this study. Results: Surface dose in PDD curves increased in the presence of 0.5 cm thick eXaSkin bolus. The passing rates of gamma index with standard passing criterion between AAA algorithm and EBT3 film measurements without and with bolus were 95% and 95.5%, respectively, while they were equal to 96% and 97.5% for CCC algorithm. Conclusion: There was a good agreement in dose calculation between AAA and CCC algorithms. Furthermore, eXaSkin bolus increased the surface dose by a factor of 25%.
简介:浅表病变放射治疗需要丸型材料。本工作确定了两种商用处理计划系统(TPS)在eXaSkin丸存在时计算光子剂量分布的剂量学准确性。材料和方法:利用异质CIRS幻影的CT图像,采用塌锥卷积/叠加(CCC)和各向异性分析算法(AAA)进行剂量计算。采用EBT3薄膜获得百分比深度剂量(PDD)曲线,用伽马指数比较两种算法的准确性。本研究认为以3mm/3%为标准标准的全局伽玛指数通过率为95%。结果:0.5 cm厚的eXaSkin丸使PDD曲线表面剂量增加。AAA算法与未加丸和加丸的EBT3测膜的gamma指数具有标准合格率分别为95%和95.5%,而CCC算法与未加丸的EBT3测膜的gamma指数分别为96%和97.5%。结论:AAA算法与CCC算法在剂量计算上有较好的一致性。此外,eXaSkin丸将表面剂量增加了25%。
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引用次数: 0
Dosimetric Comparison of Optimized and Non-optimized Plans In Intracavitary Brachytherapy Using international Commission On Radiation Units and Measurements (ICRU) 89. 使用国际辐射单位和测量委员会(ICRU)对腔内近距离治疗中优化和非优化方案的剂量比较89。
Q3 Health Professions Pub Date : 2020-10-12 DOI: 10.22038/IJMP.2020.47653.1764
Nidhi Marjara, A. Bansal, D. Tripathi
IntroductionThe study aimed at evaluating the effect on the target coverage and dosimetric parameters of organs-at-risks (OARs) in optimized plans as compared to non-optimized plans normalized at point A.Materials and MethodsIt is a retrospective study of 21 cervical cancer patients of stage II and stage III who underwent high dose rate (HDR) intracavitary brachytherapy (ICBT) following external beam radiotherapy. For the study, two treatment plans were created for each application using computed tomography (CT) images. The non-optimized plans were normalized at point A and the other plans were optimized in such a way that 90% volume of HR-CTV should receive the prescription dose. Dose volume histograms were used to compare D5cc, D2cc, D1cc, and D0.1cc (minimum doses received by 5cc, 2cc, 1cc and 0.1cc most irradiated volumes, respectively) for organs-at-risks (OARs) namely bladder, rectum, sigmoid and small bowel, and D90% ,D50% , D98%,D100% ,D95% coverage of HR-CTV between non-optimized and optimized plans. RESULTS HR-CTV coverage was improved for 80% of the patients and bladder and rectum dose was reduced by 9.85% and 8.75% respectively in optimized plans as compared to the non-optimized plans normalized at point A. Reduction of about 8.95% and 9.75% in sigmoid and bowel doses respectively in optimized plans was observed.CONCLUSION Optimized plans resulted in better OARs sparing and satisfactory target coverage as compared to non-optimized plan normalized at point A.KEYWORDS: ICRU 89, HR-CTV, Dosimetric comparison , Brachytherapy , Optimized plans, Non-optimized plans.
本研究旨在评估优化方案与在a点标准化的非优化方案对高危器官(OARs)靶覆盖率和剂量学参数的影响。材料和方法本研究是一项回顾性研究,对21例II期和III期宫颈癌患者进行了高剂量率(HDR)腔内近距离放射治疗(ICBT)。在这项研究中,使用计算机断层扫描(CT)图像为每种应用创建了两种治疗方案。在A点对非优化方案进行归一化,对其他方案进行优化,使90%的HR-CTV容积接受处方剂量。剂量-体积直方图用于比较危险器官(OARs)即膀胱、直肠、乙状结肠和小肠的D5cc、D2cc、D1cc和D0.1cc(分别为5cc、2cc、1cc和0.1cc最大辐照体积所接受的最小剂量),以及非优化方案和优化方案之间HR-CTV的D90%、D50%、D98%、D100%和D95%覆盖率。结果与a点归一化的非优化方案相比,优化方案提高了80%的患者HR-CTV覆盖率,膀胱和直肠剂量分别减少了9.85%和8.75%,乙状结肠和肠道剂量分别减少了8.95%和9.75%。结论:与在a点归一化的非优化方案相比,优化方案可获得更好的OARs保留和满意的靶覆盖率。关键词:icru89, HR-CTV,剂量学比较,近距离放疗,优化方案,非优化方案。
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引用次数: 0
Evaluation of Metal Artifact Reduction software in Computed Tomography 计算机断层扫描中金属伪影还原软件的评价
Q3 Health Professions Pub Date : 2020-09-01 DOI: 10.22038/IJMP.2019.42734.1638
Eslam Maamoun, M. Aziz
Introduction: The image quality of computed tomography (CT) can be seriously lowered by metal implants of patients. These implants are known to exert a significant impact on diagnostic accuracy due to artifacts. The current study aimed to assess the usefulness of Metal Artifact Reduction (MAR) software in the reduction of metal artifacts, in comparison to iterative reconstruction algorithm (IDREAM). Material and Methods: Water phantom with raw chicken leg underwent CT scan (Sinovision, Insitum 16) before (reference group (GPref) and after metal implantation: ((GPA (IDREAM without MAR) and GPB(IDREAM with MAR)).  A total number of 30 patients [GP1 (instrumented spine (n=15)), GP2 (Brain clips (n=15))] underwent CT scan (Sinovision ,Insitum 16). GP1 and GP2 were reconstructed using two procedures including IDREAM without MAR vs.  2: IDREAM with MAR. All images were evaluated using subjective and quantitative assessment. Results: In subjective image quality assessment, the scores of MAR images were higher than IDREAM images (P<0.05) as indicated by four radiologists. The absolute CT difference (ΔCT) and Artifact index (AI) demonstrated that MAR appeared to be superior for the reduction of metal artifacts (P<0.05). Conclusion: As evidenced by the obtained results, MAR software can be efficiently used for metal artifact reduction in computed tomography (instrumental spine and brain clips).
引言:患者的金属植入物会严重降低计算机断层扫描(CT)的图像质量。已知这些植入物由于伪影而对诊断准确性产生重大影响。目前的研究旨在评估金属伪影减少(MAR)软件与迭代重建算法(IDREAM)相比在减少金属伪影方面的有用性。材料和方法:在金属植入前(参考组(GPref)和植入后:(GPA(无MAR的IDREAM)和GPB(有MAR的IDREAM)),对生鸡腿水模型进行了CT扫描(Sinovision,Insitum 16)。共有30名患者接受了CT扫描(Sinovision,Insitum 16)。使用两种程序重建GP1和GP2,包括无MAR的IDREAM与有MAR的2:IDREAM。使用主观和定量评估评估所有图像。结果:四位放射科医生表示,在主观图像质量评估中,MAR图像的得分高于IDREAM图像(P<0.05)。绝对CT差值(ΔCT)和伪影指数(AI)表明,MAR在减少金属伪影方面表现出优越性(P<0.05)。
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引用次数: 0
Evaluation of Six-Dimensional Cranial Target Positioning Accuracy in Two Different Immobilization Methods Using Exactrac System 基于Exactrac系统的两种不同固定方法对六维颅骨目标定位精度的评价
Q3 Health Professions Pub Date : 2020-09-01 DOI: 10.22038/IJMP.2019.35652.1448
T. Kasirajan, P. Ganesan, R. Kesavan, N. ArunaiNambiRaj, K. Senthilnathan, P. Rameshbabu
Introduction: The aim of this study was to determine the accuracy of two different immobilization methods in patient positioning in cranial radiotherapy. The six-dimensional (6D) target localization accuracy of using a dedicated stereotactic mask was compared with that of a conventional head mask by the ExacTrac system. Material and Methods: A total of 56 patients with cranial lesions were included in this study (26 patients with a dedicated stereotactic mask and 30 subjects with a conventional head mask). The ExacTrac image-guided positioning system was utilized to obtain daily translational and rotational patient positioning displacement from the intended position. The 6D setup data was analyzed to obtain population mean, systematic and random errors, and three-dimensional (3D) vector shifts in all the patients. Results: The population mean values of setup errors were comparable with both immobilization systems; however, the spread as indicated by population systematic and population random errors was more in the use of a conventional head mask. The mean values of the 3D vector shifts were 2.09±1.00 and 4.51±3.38 mm with the use of a dedicated stereotactic mask and conventional head mask, respectively. The frequency distribution of maximum rotational deviation and statistical analysis demonstrated a significant difference in immobilization accuracy between stereotactic immobilization and 3-clamp immobilization (P<0.05). Conclusion: The results revealed that there was a significant reduction in target positioning errors with a dedicated stereotactic mask, compared to that with a conventional cranial mask. Furthermore, a dedicated stereotactic mask is required to keep rotational deviations within system correctable limits.
引言:本研究的目的是确定两种不同固定方法在颅骨放疗中患者定位的准确性。通过ExacTrac系统将使用专用立体定向掩模的六维(6D)目标定位精度与传统头部掩模的精度进行了比较。材料和方法:本研究共纳入56名颅骨病变患者(26名患者使用专用立体定向面罩,30名受试者使用常规面罩)。ExacTrac图像引导定位系统用于获得患者从预期位置的每日平移和旋转定位位移。对6D设置数据进行分析,以获得所有患者的总体平均值、系统和随机误差以及三维(3D)矢量偏移。结果:两种固定化系统的设置误差的总体平均值具有可比性;然而,总体系统误差和总体随机误差表明,在使用传统口罩时传播更多。使用专用立体定向面罩和传统面罩时,3D矢量偏移的平均值分别为2.09±1.00和4.51±3.38mm。最大旋转偏差的频率分布和统计分析表明,立体定向固定和三灯固定在固定精度上有显著差异(P<0.05),与传统的颅骨面罩相比。此外,需要一个专用的立体定向掩模来将旋转偏差保持在系统可校正的限度内。
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引用次数: 0
Transfer of Radio-Adaptation via Serum: A Preliminary Report 通过血清转移无线电适应:初步报告
Q3 Health Professions Pub Date : 2020-09-01 DOI: 10.22038/IJMP.2019.39821.1532
Ehsan Khodamoradi, R. Azmoonfar, M. Mohammadi, A. Kiani, A. Haghparast, N. Sharafi, Loghman Diojan
Introduction: Adaptive response is one of the important concepts in radiobiology. The present report aimed to transfer the radio-adaptation via serum. Material and Methods: In total, 50 male adult Wistar rats were randomly divided into 6 groups, including control, serum control, low-dose (100cGy), low-dose/lethal, serum/lethal, and lethal (8Gy). Exposure was carried out by a linear accelerator (Elekta Synergy® Platform) with a 40×40cm field size. The animals were monitored in terms of the endpoints of the survival rate, and at the first stage, the rats were exposed to the low doses of radiation. Subsequently, the serum was injected intraperitoneally under sterile conditions 6 h after low-dose exposure. The Kaplan Meier Survival Curve was used to evaluate the survival rate (P<0.05). Results: There was a significant difference among different groups regarding the survival rates. Moreover, a statistically significant difference was observed between low-dose/lethal and low-dose/serum, low-dose/lethal and lethal, and low-dose/serum and lethal (P=0.001). Similarly, there was a statistically significant difference between the control and experimental groups regarding the survival rates (P=0.001). Conclusion: To the best of our knowledge, this method can lead to immunological responses or unknown mechanisms that result in the increased survival adaptive response to subsequent high-dose radiation.
引言:适应性反应是放射生物学中的一个重要概念。本报告旨在通过血清转移无线电适应。材料与方法:雄性成年Wistar大鼠50只,随机分为对照组、血清对照组、低剂量(100cGy)、低剂量/致死组、血清/致死组和致死组(8Gy)。曝光通过具有40×40cm场大小的线性加速器(Elekta Synergy®平台)进行。根据存活率的终点对动物进行监测,在第一阶段,大鼠暴露于低剂量辐射。随后,在低剂量暴露6小时后,在无菌条件下腹膜内注射血清。采用Kaplan-Meier生存曲线评价生存率(P<0.05)。此外,低剂量/致死组和低剂量/血清组、低剂量/致命组和低浓度/血清组和致死组之间存在统计学显著差异(P=0.001)。同样,对照组和实验组之间的存活率也存在统计学显著性差异(P=0.000)。结论:据我们所知,这种方法可能导致免疫反应或未知机制,导致对随后的高剂量辐射的生存适应性反应增加。
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引用次数: 1
Concentration Measurement of 12 Elements in Five Herbal Plants Using Neutron Activation Analysis Approach 用中子活化分析法测定5种中草药中12种元素的浓度
Q3 Health Professions Pub Date : 2020-09-01 DOI: 10.22038/IJMP.2019.42258.1621
S. Kashian, A. Fathivand, R. Pourimani
Introduction: Nowadays, many people use medicinal plants to manage diseases; therefore, detailed knowledge of the type and level of elements present in these plants is of prominent importance.The present study aimed to determine the weight fraction of 12 elements in the five most common medicinal plants in Iran. The names of these plants are caraway (Carum carvi), savory (Satureja hortensis), purslane (Portulaca oleracea), fenugreek (Trigonella foenum-graecum), and milk thistle (Silybum marianum) which were purchased from herbal pharmacies. Material and Methods: The neutron activation method was used to determine the elements. In the current study, neutrons from the research reactor core in Tehran, Iran were used and gamma spectra from radionuclides were recorded using a high purity germanium detector. The mass fractions of 12 elements were determined in the five abovementioned plants. Results: Caraway had the maximum amounts of elements of Fe (8,789 ppm), Cr (8 ppm), and Na (517 ppm) among the selected plants. The savory contained maximum levels of Mn (95 ppm), Cl (3,702 ppm), Ca (18,328 ppm), K (21,562 ppm), and V (2.7 ppm) and the lowest amount of Fe (195 ppm), Zn (13 ppm), Ca (2,243 ppm), Al (99ppm), Mn (26 ppm), and Mg (177ppm) were observed in fenugreek. Conclusion: The highest levels of Cr and Mg were obtained for caraway (8 ppm) and pursalne (3,915 ppm), respectively. These elements can help to decrease blood cholesterol and triglyceride levels. Furthermore, the results showed that these herbs were rich in essential nutrients for metabolic functions.
现在很多人用药用植物来治疗疾病;因此,详细了解这些植物中存在的元素的类型和水平是非常重要的。本研究旨在确定伊朗五种最常见药用植物中12种元素的重量分数。这些植物的名字是葛缕子(Carum carvi)、香菜(Satureja hortensis)、马齿苋(Portulaca oleracea)、胡芦巴(Trigonella foenum-graecum)和水飞蓟(Silybum marianum),这些植物都是从草药药店购买的。材料与方法:采用中子活化法测定元素。在目前的研究中,使用了来自伊朗德黑兰研究堆堆芯的中子,并使用高纯度锗探测器记录了放射性核素的伽马光谱。测定了上述5种植物中12种元素的质量分数。结果:在所选植物中,香菜中Fe (8789 ppm)、Cr (8ppm)和Na (517 ppm)的含量最高。胡芦巴中Mn (95 ppm)、Cl (3702 ppm)、Ca (18328 ppm)、K (21562 ppm)和V (2.7 ppm)的含量最高,Fe (195 ppm)、Zn (13 ppm)、Ca (2243 ppm)、Al (99ppm)、Mn (26 ppm)和Mg (177ppm)的含量最低。结论:香菜中的Cr和Mg含量最高,分别为8 ppm和3915 ppm。这些元素可以帮助降低血液中的胆固醇和甘油三酯水平。此外,结果表明,这些草药具有丰富的代谢功能必需营养素。
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引用次数: 2
Effect of Phantom Size and Tube Voltage on the Size-Conversion Factor for Patient Dose Estimation in Computed Tomography Examinations 体模尺寸和管电压对计算机断层扫描中患者剂量估计的尺寸转换因子的影响
Q3 Health Professions Pub Date : 2020-09-01 DOI: 10.22038/IJMP.2019.43059.1649
Dwi Adhianto, C. Anam, H. Sutanto, Mohd Hanafi Ali
Introduction: This study aimed to establish the conversion factors to normalize the output dose of volumetric computed tomography dose index (CTDIvol) to the patient dose (i.e. size-specific dose estimate (SSDE)) for various phantom diameters and tube voltages. Material and Methods: In-house cylindrical acrylic phantoms with physical diameters ranging from 8 to 40 cm were developed in this study. Each phantom had a hole in the center and four holes in the peripheral areas. The phantoms were scanned by a Siemens Somatom Definition AS CT Scanner using different tube voltages (i.e. 80, 100, 120, and 140 kVps) and with 200 mAs and 10 mm slice thickness. In addition, the doses in every hole and phantom were measured using a Raysafe X2 CT Sensor. The weighted SSDE (SSDEw) values were calculated using the five holes in every measurement. The size-conversion factors for the body and the head CTDI phantoms were established by dividing the SSDEw for various sizes with the SSDEw at the water-equivalent diameter of 33.90 cm and 16.95 cm, respectively. Results: The results revealed that the size-conversion factor exponentially decreased with an increase in the phantom size. It was also found that the size-conversion factor was affected by the tube voltages. Furthermore, the different size-conversion factor between 80 and 140 kVp was more than 15% in very thin and obese patients. Conclusion: Higher accuracy of the size-specific dose estimation can be achieved considering the impact of the tube voltages beside the size of the patient.
引言:本研究旨在建立转换因子,以将体积计算机断层扫描剂量指数(CTDIvol)的输出剂量标准化为不同体模直径和管电压的患者剂量(即尺寸特异性剂量估计(SSDE))。材料和方法:本研究开发了物理直径为8至40厘米的室内圆柱形丙烯酸模型。每个模型的中心有一个洞,外围区域有四个洞。通过Siemens Somatom Definition AS CT扫描仪使用不同的管电压(即80、100、120和140kVps)和200mAs和10mm的切片厚度扫描体模。此外,使用Raysafe X2 CT传感器测量每个孔和体模中的剂量。在每次测量中使用五个孔来计算加权的SSDE(SSDEw)值。通过将不同尺寸的SSDEw与水当量直径分别为33.90厘米和16.95厘米的SSDEw分开,建立了身体和头部CTDI模型的尺寸转换因子。结果:结果显示,随着体模尺寸的增加,尺寸转换因子呈指数下降。还发现尺寸转换因子受管电压的影响。此外,在非常瘦和肥胖的患者中,80和140kVp之间的不同尺寸转换因子超过15%。结论:考虑到管电压对患者体型的影响,可以获得更高的尺寸特异性剂量估计精度。
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引用次数: 4
Radiometric Assessment of Farm Soils and Food Crops Grown in Kuru-Jos, Nigeria 尼日利亚库鲁乔斯农场土壤和粮食作物的辐射评估
Q3 Health Professions Pub Date : 2020-09-01 DOI: 10.22038/IJMP.2019.42643.1633
S. K. Alausa
Introduction: Human activities, such as mining, result in the elevation of natural ionizing radiation in the environment. Jos-Plateau, Nigeria, including Kuru-Jos has experienced commercial tin mining in the past, and local mining is still being practiced in this area. Therefore, it is important to assess the radiation exposure due to grown crops and the farm soils in Kuru-Jos, Nigeria. Material and Methods: In total, four crops and soil samples were randomly collected from farmlands in Kuru-Jos. The radioactivity levels in the soil and food samples were measured using a thallium-activated sodium-iodide detector coupled to a Canberra series 10 plus Multi-Channel Analyzer. The effective dose rates in soils and food crops along with the cancer risks in the crops were determined. Results: According to the results, the highest mean activity concentrations of 40K, 226Ra, and 232Th in the food crops were 456±126.0Bq/Kg (yam), 46.9±9.6Bq/kg (yam), and 31.6±23.9Bq/Kg (maize), respectively. Moreover, the mean activity concentrations of 40K, 226Ra, and 232Th in farm soil were determined at 1105.6±357.7Bq/Kg (cassava), 167.5±37.6Bq/Kg (yam), and 205.4±124.4Bq/Kg (Guinea corn), respectively. Additionally, yam crop had the highest mean ingestion effective dose of 1231.9µSv/y, and maize crop indicated the minimum mean value of 304.1±179.1µSv/y. The cancer risks of and for yam and cassava, respectively, were higher than the world average value (i.e., 1.0x10-3). Conclusion: The results indicated a high radioactivity level which is in line with the results obtained from other areas in Jos-Plateau, Nigeria; however, there have been no radiological health plague reports from the areas so far.
引言:人类活动,如采矿,导致环境中自然电离辐射的升高。尼日利亚乔斯高原,包括库鲁乔斯,过去曾经历过商业锡矿开采,该地区仍在进行当地采矿。因此,评估尼日利亚库鲁乔斯种植的作物和农场土壤的辐射暴露情况非常重要。材料和方法:从库鲁乔斯的农田中随机抽取4份作物和土壤样本。土壤和食物样本中的放射性水平是使用铊激活的碘化钠探测器和堪培拉系列10+多通道分析仪测量的。确定了土壤和粮食作物中的有效剂量率以及作物中的癌症风险。结果:40K、226Ra和232Th在粮食作物中的最高平均活性浓度分别为456±126.0Bq/Kg(马铃薯)、46.9±9.6Bq/Kg(马铃薯)和31.6±23.9Bq/Kg(玉米)。此外,农场土壤中40K、226Ra和232Th的平均活性浓度分别为1105.6±357.7Bq/Kg(木薯)、167.5±37.6Bq/Kg和205.4±124.4Bq/Kg[几内亚玉米]。此外,yam作物的平均摄入有效剂量最高,为1231.9µSv/y,玉米作物的平均摄入量最低,为304.1±179.1µSv/y,高于世界平均值(即1.0x10-3)。结论:结果表明,尼日利亚乔斯高原的放射性水平较高,与其他地区的结果一致;然而,到目前为止,还没有来自这些地区的放射性健康瘟疫报告。
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引用次数: 3
Optimization of Radiation Dose in Cranial Computed Tomography among Adults: Assessment of Radiation Dose against Image Quality 成人头颅计算机断层扫描辐射剂量的优化:辐射剂量对图像质量的评估
Q3 Health Professions Pub Date : 2020-09-01 DOI: 10.22038/IJMP.2019.40477.1565
N. Okoro, V. Changizi, E. Jazayeri, F. Pak
Introduction: The rapid use of computed tomography (CT) scan is of great concern, due to increase in patients’ dose. Optimization of CT protocol is a vital issue in dose reduction. This study aimed to optimize radiation dose in cranial CT and assess modifications in image quality under radiation dose reduction. Material and Methods: A poly(methyl methacrylate) phantom was used for quality control test on CT scanners. Data of 214 scan parameters, dose indicators; volume CT dose index (CTDIvol) and dose-length product (DLP) of patients who underwent cranial CT scans were collected. The data were grouped into three, with respect to the slice numbers of 24, 28, and 32. Tube voltage (kVp) and slice thickness were constant; (110 kVp and 4.8 mm, respectively), at variable tube currents (mAs). A one-sample t-test was used to compare the dose indicator values of the hospital protocol with a recommended protocol. Scan parameters were optimized for radiation dose against image quality. Results: Increased mAs resulted in increased CTDIvol and DLP at constant kVp and slice thickness. Moreover, dose indicators recorded the lowest and highest values at the slice numbers of 24 and 32, respectively. An increase in slice numbers affected dose indicators. Dose indicators recorded significant reduction (P<0.001) in comparison to the recommended protocol. Conclusion: Optimization of CT protocol considers radiation dose and image quality. Radiologists adopted protocols acquired with lower scan parameters and dose indicators lower than the recommended achievable dose limit of 58 mGy.
引言:由于患者剂量的增加,计算机断层扫描(CT)的快速使用备受关注。CT方案的优化是减少剂量的一个重要问题。本研究旨在优化颅骨CT的辐射剂量,并评估在辐射剂量减少的情况下图像质量的变化。材料和方法:采用聚甲基丙烯酸甲酯体模对CT扫描仪进行质量控制测试。214个扫描参数、剂量指标的数据;收集接受颅骨CT扫描的患者的体积CT剂量指数(CTDIvol)和剂量-长度乘积(DLP)。根据切片编号24、28和32,将数据分为三组。管电压(kVp)和切片厚度是恒定的;(分别为110 kVp和4.8 mm)。单样本t检验用于比较医院方案和推荐方案的剂量指标值。扫描参数针对辐射剂量和图像质量进行了优化。结果:在恒定的kVp和切片厚度下,mAs的增加导致CTDIvol和DLP的增加。此外,剂量指示器分别在切片编号24和32处记录了最低值和最高值。切片数量的增加影响了剂量指标。与推荐方案相比,剂量指标显著降低(P<0.001)。结论:CT方案的优化考虑了辐射剂量和图像质量。放射科医生采用的方案具有较低的扫描参数和剂量指标,低于58 mGy的推荐可实现剂量限制。
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Iranian Journal of Medical Physics
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