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The out-of-plane contact shield and mA-modulation - the effect on fetal absorbed dose. | LitMetric

AI Article Synopsis

  • The study assesses how effective patient shielding is at reducing fetal radiation exposure during computed tomography pulmonary angiography, using a phantom model with a prosthetic pregnancy belly.
  • Different CT scanners were tested, and results showed that shielding can significantly reduce fetal absorbed radiation dose with some scanners, decreasing exposure by 3.9% to 39.4%.
  • However, in some cases, like with the GE Optima scanner, the shielding actually increased fetal dose by 100%, highlighting that the impact varies based on the specific scanner used.

Article Abstract

The effect of patient shielding on fetal radiation dose was evaluated in computed tomography pulmonary angiography with the out-of-plane shield visible in the localizer but absent in the scan range in chest computed tomography (CT). An anthropomorphic phantom with additional prosthetic pregnancy belly was scanned with different CT scanners using clinical imaging protocols and radiophotoluminescence dosemeters (GD-352 M). The out-of-plane shield decreased the fetal absorbed radiation dose with Siemens Somatom go.Up, Canon Aquilion Prime SP and Canon Aquilion One scanners. The decrease was 3.9%-39.4% (0.01-0.09 mGy). With GE Optima the shield increased the fetal dose by 100% (0.23 mGy), with Canon Aquilion One and GE Optima scanners the abdomen dose increase was 17.5% and 36.4%, respectively (0.61 and 1.38 mGy). Applying an out-of-plane shield outside the scanned volume may increase the fetal radiation dose during CT when using tube current modulation, depending on the make and model of the CT scanner.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11571229PMC
http://dx.doi.org/10.1093/rpd/ncae204DOI Listing

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