Radiation dose to the conceptus from multidetector CT during early gestation: A method that allows for variations in maternal body size and conceptus position

Radiology

Volumn 257, Issue 2, 2010, Pages 483-489

  Damilakis, John ^a   Perisinakis, Kostas ^a   Tzedakis, Antonis ^a   Papadakis, Antonios E ^a   Karantanas, Apostolos ^a  

^a UNIVERSITY OF CRETE   (Greece)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMEN; ADULT; ARTICLE; BODY SIZE; COMPUTER PROGRAM; FEMALE; FETUS MONITORING; FIRST TRIMESTER PREGNANCY; HUMAN; INFORMED CONSENT; MULTIDETECTOR COMPUTED TOMOGRAPHY; PELVIS; PREGNANT WOMAN; PRIORITY JOURNAL; RADIATION DOSE; UTERUS;

ADOLESCENT; ADULT; BODY SIZE; COMPUTER SIMULATION; FEMALE; FETUS; HUMANS; LINEAR MODELS; MONTE CARLO METHOD; PREGNANCY; PREGNANCY TRIMESTER, FIRST; RADIATION DOSAGE; REGRESSION ANALYSIS; SOFTWARE; TOMOGRAPHY, X-RAY COMPUTED;

EID: 77958558385     PISSN: 00338419     EISSN: 15271315     Source Type: Journal    
DOI: 10.1148/radiol.10092397     Document Type: Article

References (18)

1. Lazarus E, Debenedectis C, North D, Spencer PK, Mayo-Smith WW. Utilization of imaging in pregnant patients: 10-year review of 5270 examinations in 3285 patients - 1997-2006. Radiology 2009;251(2):517-524.
2. Wagner LK, Archer BR, Zeck OF. Conceptus dose from two state-of-the-art CT scanners. Radiology 1986;159(3):787-792.
3. Damilakis J, Perisinakis K, Voloudaki A, Gourtsoyiannis N. Estimation of fetal radiation dose from computed tomography scanning in late pregnancy: depth-dose data from routine examinations. Invest Radiol 2000;35(9):527-533.
4. Felmlee JP, Gray JE, Leetzow ML, Price JC. Estimated fetal radiation dose from multislice CT studies. AJR Am J Roentgenol 1990;154(1):185-190.
5. Hurwitz LM, Yoshizumi T, Reiman RE, et al. Radiation dose to the fetus from body MDCT during early gestation. AJR Am J Roentgenol 2006;186(3):871-876. (Pubitemid 46100280)
6. Gu J, Bednarz B, Caracappa PF, Xu XG. The development, validation and application of a multi-detector CT (MDCT) scanner model for assessing organ doses to the pregnant patient and the fetus using Monte Carlo simulations. Phys Med Biol 2009;54(9):2699-2717.
7. Angel E, Wellnitz CV, Goodsitt MM, et al. Radiation dose to the fetus for pregnant patients undergoing multidetector CT imaging: Monte Carlo simulations estimating fetal dose for a range of gestational age and patient size. Radiology 2008;249(1):220-227. [Published correction appears in Radiology 2010;255(2):664.]
8. Jaffe TA, Yoshizumi TT, Toncheva GI, Nguyen G, Hurwitz LM, Nelson RC. Early first-trimester fetal radiation dose estimation in 16-MDCT without and with automated tube current modulation. AJR Am J Roentgenol 2008;190(4):860-864. (Pubitemid 351571505)
9. Theocharopoulos N, Perisinakis K, Damilakis J, Karampekios S, Gourtsoyiannis N. Dosimetric characteristics of a 16-slice computed tomography scanner. Eur Radiol 2006;16(11):2575-2585. (Pubitemid 44649708)
10. Deak P, van Straten M, Shrimpton PC, Zankl M, Kalender WA. Validation of a Monte Carlo tool for patient-specific dose simulations in multi-slice computed tomography. Eur Radiol 2008;18(4):759-772.
11. Myronakis M, Perisinakis K, Tzedakis A, Gourtsoyianni S, Damilakis J. Evaluation of a patient-specific Monte Carlo software for CT dosimetry. Radiat Prot Dosimetry 2009;133(4):248-255.
12. Perisinakis K, Tzedakis A, Damilakis J. On the use of Monte Carlo-derived dosimetric data in the estimation of patient dose from CT examinations. Med Phys 2008;35(5):2018-2028. (Pubitemid 351614817)
13. w, and phantom factor values. ImPACT Internet home page http://www.ImPACTscan.org. Accessed August 2009.
14. Jones DJ, Shrimpton PC. Survey of CT practice in the UK. Part 3: Normalised organ doses calculated using Monte Carlo techniques. Chilton, NRPB-R250. Chilton, England: National Radiological Protection Board, 1991.
15. Shrimpton PC. Assessment of patient dose in CT. Chilton, NRPB-PE/1/2004. Chilton, England: National Radiological Protection Board, 2004.
16. Stamm G, Nagel HD. CT-expo: a novel program for dose evaluation in CT [in German]. Rofo 2002;174(12):1570-1576. (Pubitemid 36055040)
17. McCollough CH, Schueler BA, Atwell TD, et al. Radiation exposure and pregnancy: when should we be concerned? RadioGraphics 2007;27(4):909-917, discussion 917-918.
18. Wagner LK, Lester RG, Saldana LR. Exposure of the pregnant patient to diagnostic radiations: a guide to medical management. Madison, Wis: Medical Physics Publishing, 1997.