Radiation dose levels for interventional CT procedures

Shuai Leng, Jodie A. Christner, Stephanie K Carlson, Megan Jacobsen, Thomas J. Vrieze, Thomas D. Atwell, Cynthia H McCollough

Research output: Contribution to journalArticle

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Abstract

OBJECTIVE. The purpose of this study was to determine typical radiation dose levels to patients undergoing CT-guided interventional procedures. MATERIALS AND METHODS. A total of 571 patients undergoing CT interventional procedures were included in this retrospective data analysis study. Enrolled patients underwent one of five procedures: cryoablation, aspiration, biopsy, drain, or injection. With each procedure, two scan modes were used, either intermittent (no table increment) or helical mode. Skin dose was estimated from the volumetric CT dose index (CTDI vol) and phantom measurements. Effective dose was calculated by multiplying dose-length product (DLP) and conversion factor (k factor) for helical mode, and using Monte Carlo organ dose coefficients for intermittent mode. RESULTS. The mean (± SD) skin doses were 728 ± 382, 130 ± 104, 128 ± 81, 152 ± 105, and 195 ± 147 mGy, and the mean effective doses were 119.7 ± 50.3, 20.1 ± 11.0, 13.8 ± 9.2, 25.3 ± 15.4, and 9.1 ± 5.5 mSv for each of the five procedures, respectively. The maximum skin dose was 1.95 Gy. The mean effective dose across all procedure types was 24.1 mSv, with 2.3 mSv from intermittent scans and 21.8 mSv from helical scans. CONCLUSION. Substantial dose differences were observed among the five procedures. The risk of deterministic effects appears to be very low, because the maximum observed skin dose did not exceed the threshold for transient skin erythema (2 Gy). The average risk of stochastic effects was comparable to that of 1-10 abdomen and pelvis CT examinations. Although the intermittent mode can contribute substantially to skin dose, it contributes minimally to the effective dose because of the much shorter scan range used.

Original languageEnglish (US)
JournalAmerican Journal of Roentgenology
Volume197
Issue number1
DOIs
StatePublished - Jul 2011

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Radiation
Skin
Cryosurgery
Cone-Beam Computed Tomography
Needle Biopsy
Erythema
Pelvis
Abdomen
Injections

Keywords

  • CT
  • Interventional CT
  • Radiation dose

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Radiation dose levels for interventional CT procedures. / Leng, Shuai; Christner, Jodie A.; Carlson, Stephanie K; Jacobsen, Megan; Vrieze, Thomas J.; Atwell, Thomas D.; McCollough, Cynthia H.

In: American Journal of Roentgenology, Vol. 197, No. 1, 07.2011.

Research output: Contribution to journalArticle

Leng, Shuai ; Christner, Jodie A. ; Carlson, Stephanie K ; Jacobsen, Megan ; Vrieze, Thomas J. ; Atwell, Thomas D. ; McCollough, Cynthia H. / Radiation dose levels for interventional CT procedures. In: American Journal of Roentgenology. 2011 ; Vol. 197, No. 1.
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abstract = "OBJECTIVE. The purpose of this study was to determine typical radiation dose levels to patients undergoing CT-guided interventional procedures. MATERIALS AND METHODS. A total of 571 patients undergoing CT interventional procedures were included in this retrospective data analysis study. Enrolled patients underwent one of five procedures: cryoablation, aspiration, biopsy, drain, or injection. With each procedure, two scan modes were used, either intermittent (no table increment) or helical mode. Skin dose was estimated from the volumetric CT dose index (CTDI vol) and phantom measurements. Effective dose was calculated by multiplying dose-length product (DLP) and conversion factor (k factor) for helical mode, and using Monte Carlo organ dose coefficients for intermittent mode. RESULTS. The mean (± SD) skin doses were 728 ± 382, 130 ± 104, 128 ± 81, 152 ± 105, and 195 ± 147 mGy, and the mean effective doses were 119.7 ± 50.3, 20.1 ± 11.0, 13.8 ± 9.2, 25.3 ± 15.4, and 9.1 ± 5.5 mSv for each of the five procedures, respectively. The maximum skin dose was 1.95 Gy. The mean effective dose across all procedure types was 24.1 mSv, with 2.3 mSv from intermittent scans and 21.8 mSv from helical scans. CONCLUSION. Substantial dose differences were observed among the five procedures. The risk of deterministic effects appears to be very low, because the maximum observed skin dose did not exceed the threshold for transient skin erythema (2 Gy). The average risk of stochastic effects was comparable to that of 1-10 abdomen and pelvis CT examinations. Although the intermittent mode can contribute substantially to skin dose, it contributes minimally to the effective dose because of the much shorter scan range used.",
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N2 - OBJECTIVE. The purpose of this study was to determine typical radiation dose levels to patients undergoing CT-guided interventional procedures. MATERIALS AND METHODS. A total of 571 patients undergoing CT interventional procedures were included in this retrospective data analysis study. Enrolled patients underwent one of five procedures: cryoablation, aspiration, biopsy, drain, or injection. With each procedure, two scan modes were used, either intermittent (no table increment) or helical mode. Skin dose was estimated from the volumetric CT dose index (CTDI vol) and phantom measurements. Effective dose was calculated by multiplying dose-length product (DLP) and conversion factor (k factor) for helical mode, and using Monte Carlo organ dose coefficients for intermittent mode. RESULTS. The mean (± SD) skin doses were 728 ± 382, 130 ± 104, 128 ± 81, 152 ± 105, and 195 ± 147 mGy, and the mean effective doses were 119.7 ± 50.3, 20.1 ± 11.0, 13.8 ± 9.2, 25.3 ± 15.4, and 9.1 ± 5.5 mSv for each of the five procedures, respectively. The maximum skin dose was 1.95 Gy. The mean effective dose across all procedure types was 24.1 mSv, with 2.3 mSv from intermittent scans and 21.8 mSv from helical scans. CONCLUSION. Substantial dose differences were observed among the five procedures. The risk of deterministic effects appears to be very low, because the maximum observed skin dose did not exceed the threshold for transient skin erythema (2 Gy). The average risk of stochastic effects was comparable to that of 1-10 abdomen and pelvis CT examinations. Although the intermittent mode can contribute substantially to skin dose, it contributes minimally to the effective dose because of the much shorter scan range used.

AB - OBJECTIVE. The purpose of this study was to determine typical radiation dose levels to patients undergoing CT-guided interventional procedures. MATERIALS AND METHODS. A total of 571 patients undergoing CT interventional procedures were included in this retrospective data analysis study. Enrolled patients underwent one of five procedures: cryoablation, aspiration, biopsy, drain, or injection. With each procedure, two scan modes were used, either intermittent (no table increment) or helical mode. Skin dose was estimated from the volumetric CT dose index (CTDI vol) and phantom measurements. Effective dose was calculated by multiplying dose-length product (DLP) and conversion factor (k factor) for helical mode, and using Monte Carlo organ dose coefficients for intermittent mode. RESULTS. The mean (± SD) skin doses were 728 ± 382, 130 ± 104, 128 ± 81, 152 ± 105, and 195 ± 147 mGy, and the mean effective doses were 119.7 ± 50.3, 20.1 ± 11.0, 13.8 ± 9.2, 25.3 ± 15.4, and 9.1 ± 5.5 mSv for each of the five procedures, respectively. The maximum skin dose was 1.95 Gy. The mean effective dose across all procedure types was 24.1 mSv, with 2.3 mSv from intermittent scans and 21.8 mSv from helical scans. CONCLUSION. Substantial dose differences were observed among the five procedures. The risk of deterministic effects appears to be very low, because the maximum observed skin dose did not exceed the threshold for transient skin erythema (2 Gy). The average risk of stochastic effects was comparable to that of 1-10 abdomen and pelvis CT examinations. Although the intermittent mode can contribute substantially to skin dose, it contributes minimally to the effective dose because of the much shorter scan range used.

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