{"title":"COVID-19患者胸部计算机断层扫描期间辐射剂量与风险评估","authors":"Elena Ivanovna Matkevich, Ivan Vasilievich Ivanov","doi":"10.5772/intechopen.100177","DOIUrl":null,"url":null,"abstract":"Accounting for the effective dose (ED, mSv) and calculating the radiation risk during CT is necessary to predict the long-term consequences of radiation exposure on the population. We analyzed the results of 1003 CT examinations of the chest in patients with suspected COVID-19 in the city diagnostic center. The average ED and confidence intervals (p ≤ 0.05) for patients with a single CT scan were: children (12–14 years) 2.59 ± 0.19 mSv, adolescents (15–19 years) 3.23 ± 0.17 mSv, adults (20–64 years), 3.43 ± 0.08 mSv, older persons (65 years and older) 3.28 ± 0.19 mSv. The maximum radiation risk values were 31.2*10–5 in women children and 29.3*10–5 in women adolescents, which exceeds the risk values for men in these age groups by 2.3 and 1.9 times, respectively. For the group of adult patients the risk was 11.2*10–5 in men and 17.4*10–5 in women, which is 1.6 times higher than in men. All these risk values are in the range of 10*10–5–100*10–5, which corresponds to the level LOW. For the group of older age patients, the radiation risk was 2.6*10–5, which corresponds to the level of 1*10–5–10*10–5, VERY LOW. Our materials shows in detail the technique to evaluate effective radiation doses for chest CT and calculate the radiation risk of the carcinogenic effects of this exposure.","PeriodicalId":325825,"journal":{"name":"Computed Tomography Scan [Working Title]","volume":"21 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Radiation Doses and Risk Assessment during Computed Tomography of the Chest in COVID-19 Patients\",\"authors\":\"Elena Ivanovna Matkevich, Ivan Vasilievich Ivanov\",\"doi\":\"10.5772/intechopen.100177\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Accounting for the effective dose (ED, mSv) and calculating the radiation risk during CT is necessary to predict the long-term consequences of radiation exposure on the population. We analyzed the results of 1003 CT examinations of the chest in patients with suspected COVID-19 in the city diagnostic center. The average ED and confidence intervals (p ≤ 0.05) for patients with a single CT scan were: children (12–14 years) 2.59 ± 0.19 mSv, adolescents (15–19 years) 3.23 ± 0.17 mSv, adults (20–64 years), 3.43 ± 0.08 mSv, older persons (65 years and older) 3.28 ± 0.19 mSv. The maximum radiation risk values were 31.2*10–5 in women children and 29.3*10–5 in women adolescents, which exceeds the risk values for men in these age groups by 2.3 and 1.9 times, respectively. For the group of adult patients the risk was 11.2*10–5 in men and 17.4*10–5 in women, which is 1.6 times higher than in men. All these risk values are in the range of 10*10–5–100*10–5, which corresponds to the level LOW. For the group of older age patients, the radiation risk was 2.6*10–5, which corresponds to the level of 1*10–5–10*10–5, VERY LOW. Our materials shows in detail the technique to evaluate effective radiation doses for chest CT and calculate the radiation risk of the carcinogenic effects of this exposure.\",\"PeriodicalId\":325825,\"journal\":{\"name\":\"Computed Tomography Scan [Working Title]\",\"volume\":\"21 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-10-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Computed Tomography Scan [Working Title]\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.5772/intechopen.100177\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Computed Tomography Scan [Working Title]","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5772/intechopen.100177","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Radiation Doses and Risk Assessment during Computed Tomography of the Chest in COVID-19 Patients
Accounting for the effective dose (ED, mSv) and calculating the radiation risk during CT is necessary to predict the long-term consequences of radiation exposure on the population. We analyzed the results of 1003 CT examinations of the chest in patients with suspected COVID-19 in the city diagnostic center. The average ED and confidence intervals (p ≤ 0.05) for patients with a single CT scan were: children (12–14 years) 2.59 ± 0.19 mSv, adolescents (15–19 years) 3.23 ± 0.17 mSv, adults (20–64 years), 3.43 ± 0.08 mSv, older persons (65 years and older) 3.28 ± 0.19 mSv. The maximum radiation risk values were 31.2*10–5 in women children and 29.3*10–5 in women adolescents, which exceeds the risk values for men in these age groups by 2.3 and 1.9 times, respectively. For the group of adult patients the risk was 11.2*10–5 in men and 17.4*10–5 in women, which is 1.6 times higher than in men. All these risk values are in the range of 10*10–5–100*10–5, which corresponds to the level LOW. For the group of older age patients, the radiation risk was 2.6*10–5, which corresponds to the level of 1*10–5–10*10–5, VERY LOW. Our materials shows in detail the technique to evaluate effective radiation doses for chest CT and calculate the radiation risk of the carcinogenic effects of this exposure.