Fetal doses to pregnant patients from ct with tube current modulation calculated using monte carlo simulations and realistic phantoms

Radiation Protection Dosimetry

Volumn 155, Issue 1, 2013, Pages 64-72

  Gu, Jianwei ^a   George Xu, X ^a   Caracappa, Peter F ^a   Liu, Bob ^b  

^a RENSSELAER POLYTECHNIC INSTITUTE   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BIOLOGICAL MODEL; COMPUTER ASSISTED TOMOGRAPHY; COMPUTER SIMULATION; FEMALE; FETUS; HUMAN; IMAGE QUALITY; MONTE CARLO METHOD; ORGANS AT RISK; PREGNANCY; RADIATION DOSE; RADIATION EXPOSURE; RADIATION INJURY; RADIOGRAPHY; RETROSPECTIVE STUDY;

COMPUTER SIMULATION; FEMALE; FETUS; HUMANS; MODELS, BIOLOGICAL; MONTE CARLO METHOD; ORGANS AT RISK; PHANTOMS, IMAGING; PREGNANCY; RADIATION DOSAGE; RADIATION INJURIES; RETROSPECTIVE STUDIES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84878912359     PISSN: 01448420     EISSN: 17423406     Source Type: Journal    
DOI: 10.1093/rpd/ncs312     Document Type: Article

References (28)

1. Bogdanich, W. (2009) http://www.nytimes.com/2009/10/ 16/us/16radiation.html?_r=2&scp=2&sq=radiation&st=cse. 2. Gu, J., Caracappa, P. F. and Xu, X. G. Multidetector CT (MDCT) modeling for organ dose assessments of various patient phantoms. In: International Conference on Advances in Mathematics, Computational Methods, and Reactor Physics (CD Publication), Saratoga Springs, NY (2009). ISBN: 978-0-89448-069-0.
2. Gu, J., Caracappa, P. F. and Xu, X. G. Multidetector CT (MDCT) modeling for organ dose assessments of various patient phantoms. In: International Conference on Advances in Mathematics, Computational Methods, and Reactor Physics (CD Publication), Saratoga Springs, NY (2009). ISBN: 978-0-89448-069-0.
3. Lazarus, E., DeBenedectis, C., North, D., Spencer, P. K. and Mayo-Smith, W. W. Utilization of imaging in pregnant patients: 10-year review of 5270 examinations in 3285 patients-1997-2006. Radiology 251, 517-524 (2009).
4. Felmlee, J. P., Gray, J. E., Leetzow, M. L. and Price, J. C. Estimated fetal radiation dose from multislice CT studies. Am. J. Roentgenol. 154, 185-190 (1990).
5. Hurwitz, L. M., Yoshizumi, T., Reiman, R. E., Philip, C. G., Erik, K. P., Donald, P. F., Greta, T., Giao, N. and Lottie, B. Radiation dose to the fetus from body MDCT during early gestation. Am. J. Roentgenol. 186, 871-876 (2006).
6. Dauer, L. T., Thornton, R., Miller, D. L., Damilakis, J., Dixon, R. G., Marx, V., Schueler, B., Vano, E., Venkatesan, A., Bartal, G. et al. Radiation management for interventions using fluoroscopic or computed tomographic guidance during pregnancy: a Joint Guideline of the Society of Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe with Endorsement by the Canadian Interventional Radiology Association. J. Vasc. Interv. Radiol. 23, 19-32 (2012).
7. Giacomuzzi, S. M., Erckert, B., Schopf, T., Freund, M. C., Springer, P., Dessl, A. and Jaschke, W. The smart-scan procedure of spiral computed tomograpy: a new method for dose reduction. Rofo 165, 10-16 (1996).
8. Gies, M., Kalender, W. A., Wolf, H. and Suess, C. Dose reduction in CT by anatomically adapted tube current modulation. I. Simulation studies. Med. Phys. 26, 2235-2247 (1999).
9. Kalender, W. A., Wolf, H. and Suess, C. Dose reduction in CT by anatomically adapted tube current modulation. II. Phantom measurements. Med. Phys. 16, 2248-2253 (1999).
10. Keat, N. CT scanner automatic exposure control systems. Medicines and Healthcare Products Regulatory Agency. ImPACT Report (2005).
11. Angel, E., Yaghmai, N., Jude, C. M., DeMarco, J. J., Cagnon, C. H., Goldin, J. G., Primak, A. N., Stevens, D. M., Cody, D. D., McCollough, C. H. et al. Monte Carlo simulations to assess the effects of tube current modulation on breast dose for multidetector CT. Phys. Med. Biol. 54, 497-511 (2009).
12. Brisse, H. J., Robilliard, M., Savignoni, A., Pierrat, N., Gaboriaud, G., De Rycke, Y., Neuenschwander, S., Aubert, B. and Rosenwald, J-C. Assessment of organ absorbed doses and estimation of effective doses from pediatric anthropomorphic phantom measurements for multi-detector row CT with and without automatic exposure control. Health Phys. 97, 303-314 (2009).
13. Goldberg-Stein, S., Liu, B., Hahn, P. and Lee, S. Body CT in pregnancy: how to best minimize fetal radiation exposure. In: RSNA 96th Scientific Assembly and Annual Meeting, Chicago, IL (2008).
14. Goldberg-Stein, S., Liu, B., Hahn, P. and Lee, S. Body CT in pregnancy: utilization trends, exam indications and fetal radiation doses. AJR Am. J. Roentgenol. 196, 146-151 (2011).
15. Xu, X. G., Taranenko, V., Zhang, J. and Shi, C. A boundary-representation method for designing wholebody radiation dosimetry models: pregnant females at the ends of three gestational periods-RPI-P3, -P6 and -P9, Phys. Med. Biol. 52, 7023-7044 (2007).
16. Angel, E. 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 249, 220-227 (2008).
17. ICRP. Basic anatomical and physiological data for use in radiological protection: reference values. ICRP 89. Ann. ICRP 32, 1-277 (2002).
18. Taranenko, V., Zhang, J., Zhang, D., Xu, X. G. and Shi, C. Preliminary external dosimetry data from a new set of mother/fetus models. Trans. Amer. Nucl. Soc. 96, 448 (2007).
19. Pelowitz, D. B. MCNPXTM User's Manual, Version 2.5.0 (2005).
20. DeMarco, J. J., Cagnon, C. H., Cody, D. D., Stevens, D. M., McCollough, C. H., O'Daniel, J. and McNitt- Gray, M. F. A Monte Carlo based method to estimate radiation dose from multidetector CT (MDCT): cylindrical and anthropomorphic phantoms. Phys. Med. Biol. 50, 3989-4004 (2005).
21. Gu, J., Bednarz, B., Caracappa, P. F. and Xu, X. G. The development, validation and application of a multidetector CT (MDCT) scanner model for assessing organ doses to the pregnant patient and the fetus using Monte Carlo simulations. Phys. Med. Biol. 54, 2699-2717 (2009).
22. ImPACT (2004). http://www.impactscan.org/reports/MHRA04015.htm.
23. Fox, S. H. and Toth, T. Dose reduction on GE CT scanners. Pediatr. Radiol. 32, 718-723 (2002).
24. Jarry, G., DeMarco, J. J. and McNitt-Gray, M. F. Monte Carlo dose verification of a commercial CT scanner with applications for patient specific dosimetry. Med. Phys. 29, 1344 (2002).
25. Damilakis, J., Perisinakis, K., Vrahoriti, H., Kontakis, G., Varveris, H. and Gourtsoyiannis, N. Embryo/fetus radiation dose and risk from dual X-ray absorptiometry examinations. Osteoporos. Int. 13(9), 716-722 (2002).
26. Pandit-Taskar, N., Dauer, L., Montgomery, L., St Germain, J., Zanzonico, P. and Divgi, C. Organ and fetal absorbed dose estimates from 99mTc-sulfur colloid lymphoscintigraphy and sentinel node localization in breast cancer patients. J. Nucl. Med. 47(7), 1202-1208 (2006).
27. Liu, H., Gu, J., Caracappa, P. F. and Xu, X. G. Comparison of two types of adult phantoms in terms of organ doses from diagnostic CT procedures. Phys. Med. Biol. 55, 1441-1451 (2010).
28. Rizzo, S., Kalra, M., Schmidt, B., Dalal, T., Suess, C., Flohr, T., Blake, M. and Saini, S. Comparison of angular and combined automatic tube current modulation techniques with constant tube current CT of the abdomen and pelvis. AJR Am. J. Roentgenol. 186, 673-679 (2006)