In recent times, ionizing radiation has been used around the world to screen persons for non-medical purposes, namely to detect bulk explosives or other contraband hidden on the body including materials not registered by metal detectors. In contrast to conventional transmission or projection imaging, backscatter and forward-scatter systems employ a "flying spot" of x rays and large-area detectors. A small spot is rastered across an individual and the Compton scatter signal collected by these detectors is quickly integrated and assigned to a pixel value in an image corresponding to the transient location of the small flying spot. These systems have been controversial due in part to possible radiation health risks, and lack of independent and accurate measurements of radiation exposures to the subjects, bystanders, and operators of such systems. In this paper we will outline the techniques and instrumentation used at the National Institute of Standards and Technology (NIST) to accurately determine the incident air kerma from a swept beam of x rays. We discuss in detail the response of a large-area free-air ionization chamber under the unusual temporal and spatial radiation fields delivered by commercial scanning systems and report typical values for air kerma levels as well as estimates of air kerma rates.
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http://dx.doi.org/10.6028/jres.119.021 | DOI Listing |
J Biomed Phys Eng
December 2024
Department of Radiological Technology, Faculty of Allied Health Sciences, Naresuan University, Mueang, Phitsanulok, Thailand.
In diagnostic radiology, entrance surface air kerma (ESAK) is one of the patient radiation dose quantities, and the effective dose is used as an estimator of possible risk for radiation exposure level. Calculation of the ESAK and effective dose requires both X-ray machine parameters and patient exposure parameters. Due to the high performance of smartphones and the increase in mobile applications, this study aimed to develop a mobile application to estimate the ESAK and effective dose in general radiography.
View Article and Find Full Text PDFInjury
December 2024
Department of Orthopaedics, Larnaca General Hospital, State Health Services Organisation, Larnaca, Cyprus.
The purpose of this study was to establish typical dose values at orthopaedic operating rooms of the Larnaca General Hospital (LGH). Kerma area product (KAP), fluoroscopy time (FT) and cumulative air-kerma (K) measurements were collected for 821 patients who underwent common and reproducible trauma surgery over a five-year period, with three mobile C-arm systems; two equipped with an image-intensifier and one with a flat-panel detector. Dose indices were automatically extracted from radiation dose structured reports or DICOM meta-data files archived in the PACS, using custom-made software.
View Article and Find Full Text PDFAppl Radiat Isot
December 2024
Institut de Radioprotection et de Sûreté Nucléaire (IRSN), Fontenay-aux-Roses, France.
This paper presents the results of the first intercomparison exercise on Electron Paramagnetic Resonance (EPR) dosimetry using sorbitol, where the performance parameters of sorbitol as dosimetric material were evaluated by three independent participants. Each participant was asked to determine a calibration curve using a set of sorbitol powder samples irradiated to four different doses (1.00, 2.
View Article and Find Full Text PDFJ Cardiothorac Surg
December 2024
Department of Surgery, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, 173-8605, Japan.
Background: Several methods can be used to intraoperatively identify pulmonary lesion using radiation technology. However, little is known about patient radiation exposure during chest surgery. We aimed to measure patients' radiation exposure from cone-beam computed tomography (CBCT) used in a hybrid operating room.
View Article and Find Full Text PDFJ Vasc Surg
December 2024
Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA. Electronic address:
Introduction: Ongoing innovations in the minimally invasive management of complex abdominal aortic aneurysms (cAAA), including physician-modified endografts (PMEG) and, more recently, Fiber Optic RealShape (FORS) technology, have allowed vascular surgeons to expand surgical indications and complexity of care to this multifaceted patient population. Prior analyses have demonstrated intraoperative advantages of FORS in the management of cAAA for lower total procedural radiation and cannulation tasks, however, few analyses have evaluated the technology's effect on peri- and post-operative outcomes.
Methods: All PMEGs performed at our institution between 2020-2024 were retrospectively reviewed.
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