Representative Organ Doses from Computed Tomography (CT) Exams from a Large International Registry.

Estimation of absorbed organ doses used in computed tomography (CT) using time-intensive Monte Carlo simulations with virtual patient anatomic models is not widely reported in the literature. Using the library of computational phantoms developed by the University of Florida and the National Cancer Institute, we performed Monte Carlo simulations to calculate organ dose values for 9 CT categories representing the most common body regions and indications for imaging (reflecting low, routine, and high radiation dose examinations), stratified by patient age (in children) and effective diameter (in adults, using "diameter" as a measure of patient size). Our sample of 559,202 adult and 103,423 pediatric CT examinations was prospectively assembled between 2015-2020 from 156 imaging facilities from 27 healthcare organizations in 20 U.

Dose length product to effective dose coefficients in adults.

Objectives: The most accurate method for estimating patient effective dose (a principal metric for tracking patient radiation exposure) from computed tomography (CT) requires time-intensive Monte Carlo simulation. A simpler method multiplies a scalar coefficient by the widely available scanner-reported dose length product (DLP) to estimate effective dose. We developed new adult effective dose coefficients using actual patient scans and assessed their agreement with Monte Carlo simulation.

Dose length product to effective dose coefficients in children.

Background: The most accurate method for estimating effective dose (the most widely understood metric for tracking patient radiation exposure) from computed tomography (CT) requires time-intensive Monte Carlo simulation. A simpler method multiplies a scalar coefficient by the widely available scanner-reported dose length product (DLP) to estimate effective dose.

Objective: Develop pediatric effective dose coefficients and assess their agreement with Monte Carlo simulation.

Organ and detriment-weighted dose rate coefficients for exposure to radionuclide-contaminated soil considering body morphometries that differ from reference conditions: adults and children.

The system of protection established by the International Commission on Radiological Protection (ICRP) provides a robust framework for ionizing radiation exposure justification, optimization, and dose limitation. The system is built upon fundamental concepts of a reference person, defined in ICRP Publication 89, and the radiation protection quantity effective dose, defined in ICRP Publication 103. For external exposures to radionuclide-contaminated soil, values of the organ dose rate coefficient (Gy/s per Bq/m) and effective dose rate coefficient (Sv/s per Bq/m) have been computed by several authors and national laboratories using ICRP-compliant reference phantoms-both stylized and voxelized.