Skip to main content
Erschienen in: Pediatric Radiology 9/2014

01.09.2014 | Original Article

Conversion coefficients for determining organ doses in paediatric pelvis and hip joint radiography

verfasst von: Michael C. Seidenbusch, Karl Schneider

Erschienen in: Pediatric Radiology | Ausgabe 9/2014

Einloggen, um Zugang zu erhalten

Abstract

Background

Knowledge of organ and effective doses achieved during paediatric X-ray examinations is an important prerequisite for assessment of radiation burden to the patient.

Objective

Conversion coefficients for reconstruction of organ and effective doses from entrance doses for pelvis and hip joint radiographs of 0-, 1-, 5-, 10-, 15- and 30-year-old patients are provided regarding the Guidelines of Good Radiographic Technique of the European Commission.

Materials and methods

Using the personal computer program PCXMC developed by the Finnish Centre for Radiation and Nuclear Safety (Säteilyturvakeskus STUK), conversion coefficients for conventional pelvis and hip joint radiographs were calculated by performing Monte Carlo simulations in mathematical hermaphrodite phantom models representing patients of different ages. The clinical variation of radiation field settings was taken into consideration by defining optimal and suboptimal standard field settings.

Results

Conversion coefficients for the reconstruction of organ doses in about 40 organs and tissues from measured entrance doses during pelvis and hip joint radiographs of 0-, 1-, 5-, 10-, 15- and 30-year-old patients were calculated for the standard sagittal beam projection and the standard focus detector distance of 115 cm.

Conclusion

The conversion coefficients presented can be used for organ dose assessments from entrance doses measured during pelvis and hip joint radiographs of children and young adults with all field settings within the optimal and suboptimal standard field settings.
Fußnoten
1
MIRD Medical Internal Radiation Dose Committee, an expert panel for researching internal radiation exposure through incorporated radionuclides, which was substantially involved in the design of the first mathematical phantoms.
 
Literatur
1.
Zurück zum Zitat Regulla D, Eder H (2005) Patient exposure in medical X-ray imaging in Europe. Radiat Prot Dosim 114:11–25 Regulla D, Eder H (2005) Patient exposure in medical X-ray imaging in Europe. Radiat Prot Dosim 114:11–25
2.
Zurück zum Zitat Doody MS, Lonstein JE, Stovall M et al (2000) Breast cancer mortality after diagnostic radiography. Findings from the U.S. scoliosis cohort study. Spine 25:2052–2063PubMed Doody MS, Lonstein JE, Stovall M et al (2000) Breast cancer mortality after diagnostic radiography. Findings from the U.S. scoliosis cohort study. Spine 25:2052–2063PubMed
3.
Zurück zum Zitat Hoffman DA, Lonstein JE, Morin MM et al (1989) Breast cancer in women with scoliosis exposed to multiple diagnostic X-rays. J Natl Cancer Inst 81:1307–1312PubMed Hoffman DA, Lonstein JE, Morin MM et al (1989) Breast cancer in women with scoliosis exposed to multiple diagnostic X-rays. J Natl Cancer Inst 81:1307–1312PubMed
4.
Zurück zum Zitat Levy AR, Goldberg MS, Hanley JA et al (1994) Projecting the lifetime risk of cancer from exposure to diagnostic ionizing radiation for adolescent idiopathic scoliosis. Health Phys 66:621–633PubMed Levy AR, Goldberg MS, Hanley JA et al (1994) Projecting the lifetime risk of cancer from exposure to diagnostic ionizing radiation for adolescent idiopathic scoliosis. Health Phys 66:621–633PubMed
5.
Zurück zum Zitat Almén AJ, Mattsson S (1995) The radiation dose to children from X-ray examinations of the pelvis and the urinary tract. Brit J Radiol 68:604–613PubMed Almén AJ, Mattsson S (1995) The radiation dose to children from X-ray examinations of the pelvis and the urinary tract. Brit J Radiol 68:604–613PubMed
7.
Zurück zum Zitat Hart D, Jones DJ, Wall BF (1996) Normalized organ doses for paediatric X-ray examinations calculated using Monte Carlo techniques. National Radiological Protection Board (Software Report) NRPB-SR279 Hart D, Jones DJ, Wall BF (1996) Normalized organ doses for paediatric X-ray examinations calculated using Monte Carlo techniques. National Radiological Protection Board (Software Report) NRPB-SR279
8.
Zurück zum Zitat Le Heron JC (1996) Childose-Software. National Radiation Laboratory, Ministry of Health, Christchurch Le Heron JC (1996) Childose-Software. National Radiation Laboratory, Ministry of Health, Christchurch
9.
Zurück zum Zitat Seidenbusch MC, Regulla D, Schneider K (2008) Radiation exposure of children in pediatric radiology. Part 2: the PAEDOS algorithm for computer-assisted dose reconstruction in pediatric radiology and results for X-ray examinations of the skull. Fortschr Röntgenstr 180:522–539 Seidenbusch MC, Regulla D, Schneider K (2008) Radiation exposure of children in pediatric radiology. Part 2: the PAEDOS algorithm for computer-assisted dose reconstruction in pediatric radiology and results for X-ray examinations of the skull. Fortschr Röntgenstr 180:522–539
10.
Zurück zum Zitat Seidenbusch MC, Regulla D, Schneider K (2008) Radiation exposure of children in pediatric radiology. Part 3: conversion coefficients for reconstruction of organ doses achieved during chest X-ray examinations. Fortschr Röntgenstr 180:1061–1081 Seidenbusch MC, Regulla D, Schneider K (2008) Radiation exposure of children in pediatric radiology. Part 3: conversion coefficients for reconstruction of organ doses achieved during chest X-ray examinations. Fortschr Röntgenstr 180:1061–1081
11.
Zurück zum Zitat Seidenbusch MC, Regulla D, Schneider K (2009) Radiation exposure of children in pediatric radiology. Part 6: conversion coefficients for reconstruction of organ dose in abdominal radiography. Fortschr Röntgenstr 181:945–961 Seidenbusch MC, Regulla D, Schneider K (2009) Radiation exposure of children in pediatric radiology. Part 6: conversion coefficients for reconstruction of organ dose in abdominal radiography. Fortschr Röntgenstr 181:945–961
12.
Zurück zum Zitat Seidenbusch MC, Regulla D, Schneider K (2010) Radiation exposure of children in pediatric radiology. Part 7: conversion factors for reconstruction of organ dose during thoracoabdominal babygrams. Fortschr Röntgenstr 182:415–421 Seidenbusch MC, Regulla D, Schneider K (2010) Radiation exposure of children in pediatric radiology. Part 7: conversion factors for reconstruction of organ dose during thoracoabdominal babygrams. Fortschr Röntgenstr 182:415–421
13.
Zurück zum Zitat Seidenbusch MC, Schneider K (2014) Conversion coefficients for determining organ doses in paediatric spine radiography. Pediatr Radiol 44:434–456 Seidenbusch MC, Schneider K (2014) Conversion coefficients for determining organ doses in paediatric spine radiography. Pediatr Radiol 44:434–456
14.
Zurück zum Zitat Kramer R, Zankl M, Williams G et al. (1986) The calculation of dose from external photon exposures using reference human phantoms and Monte Carlo methods. Part I: the male (Adam) and female (Eva) adult mathematical phantoms. GSF-Bericht S-885, GSF-Forschungszentrum für Umwelt und Gesundheit, Neuherberg Kramer R, Zankl M, Williams G et al. (1986) The calculation of dose from external photon exposures using reference human phantoms and Monte Carlo methods. Part I: the male (Adam) and female (Eva) adult mathematical phantoms. GSF-Bericht S-885, GSF-Forschungszentrum für Umwelt und Gesundheit, Neuherberg
15.
Zurück zum Zitat Servomaa A, Rannikko S, Nikitin V et al. (1989) A topographically and anatomically unified phantom model for organ dose determination in radiation hygiene. STUK-A87, Finnish Centre for Radiation and Nuclear Safety, Helsinki Servomaa A, Rannikko S, Nikitin V et al. (1989) A topographically and anatomically unified phantom model for organ dose determination in radiation hygiene. STUK-A87, Finnish Centre for Radiation and Nuclear Safety, Helsinki
16.
Zurück zum Zitat Petoussi-Henß N, Zankl M, Fill U et al (2002) The GSF family of voxel phantoms. Phys Med Biol 47:89–106PubMed Petoussi-Henß N, Zankl M, Fill U et al (2002) The GSF family of voxel phantoms. Phys Med Biol 47:89–106PubMed
17.
Zurück zum Zitat Zankl M, Veit R, Williams G et al (1988) The construction of computer tomographic phantoms and their application in radiology and radiation protection. Radiat Environ Biophys 27:153–164PubMed Zankl M, Veit R, Williams G et al (1988) The construction of computer tomographic phantoms and their application in radiology and radiation protection. Radiat Environ Biophys 27:153–164PubMed
18.
Zurück zum Zitat Zankl M (1998) Methods for assessing organ doses using computational models. Radiat Prot Dosim 80:207–212 Zankl M (1998) Methods for assessing organ doses using computational models. Radiat Prot Dosim 80:207–212
19.
Zurück zum Zitat Servomaa A, Tapiovaara M (1998) Organ dose calculation in medical X-ray examinations by the program PCXMC. Radiat Prot Dosim 80:213–219 Servomaa A, Tapiovaara M (1998) Organ dose calculation in medical X-ray examinations by the program PCXMC. Radiat Prot Dosim 80:213–219
20.
Zurück zum Zitat Tapiovaara M, Lakkisto M, Servomaa A (1997) PCXMC. A PC-based Monte Carlo program for calculating patient doses in medical X-ray examinations. Finnish Centre for Radiation and Nuclear Safety, Säteilyturvakeskus (STUK), Report STUK A-139, Helsinki Tapiovaara M, Lakkisto M, Servomaa A (1997) PCXMC. A PC-based Monte Carlo program for calculating patient doses in medical X-ray examinations. Finnish Centre for Radiation and Nuclear Safety, Säteilyturvakeskus (STUK), Report STUK A-139, Helsinki
22.
Zurück zum Zitat International Commission on Radiological Protection (1975) Report of the task group on reference man: anatomical, physiological and metabolic characteristics. ICRP Publication 23, Pergamon Press, Oxford International Commission on Radiological Protection (1975) Report of the task group on reference man: anatomical, physiological and metabolic characteristics. ICRP Publication 23, Pergamon Press, Oxford
23.
Zurück zum Zitat International Commission on Radiological Protection (1991) 1990 recommendations of the International Commission on Radiological Protection, ICRP Publication 60. Pergamon Press, Oxford International Commission on Radiological Protection (1991) 1990 recommendations of the International Commission on Radiological Protection, ICRP Publication 60. Pergamon Press, Oxford
24.
Zurück zum Zitat International Commission on Radiological Protection (2007) The 2007 recommendations of the International Commission on Radiological Protection, ICRP Publication 103. Pergamon Press, Oxford International Commission on Radiological Protection (2007) The 2007 recommendations of the International Commission on Radiological Protection, ICRP Publication 103. Pergamon Press, Oxford
25.
Zurück zum Zitat Boone JM (1988) The three parameter equivalent spectra as an index of beam quality. Med Phys 15:304–310PubMed Boone JM (1988) The three parameter equivalent spectra as an index of beam quality. Med Phys 15:304–310PubMed
26.
Zurück zum Zitat German Medical Association (2007) Guidelines of the German Medical Association for quality assurance in diagnostic radiology German Medical Association (2007) Guidelines of the German Medical Association for quality assurance in diagnostic radiology
28.
Zurück zum Zitat Drexler G, Panzer W, Petoussi N et al (1993) Effective dose – how effective for patients? Radiat Environ Biophys 32:209–290PubMed Drexler G, Panzer W, Petoussi N et al (1993) Effective dose – how effective for patients? Radiat Environ Biophys 32:209–290PubMed
29.
Zurück zum Zitat Hart D, Jones DG, Wall BF (1996) Coefficients for estimating effective doses from paediatric X-ray examinations. National Radiological Protection Board NRPB-R279, Chilton Hart D, Jones DG, Wall BF (1996) Coefficients for estimating effective doses from paediatric X-ray examinations. National Radiological Protection Board NRPB-R279, Chilton
30.
Zurück zum Zitat Slovis TL, Strauss KJ (2013) Gonadal shielding for neonates. Pediatr Radiol 43:1265–1266PubMed Slovis TL, Strauss KJ (2013) Gonadal shielding for neonates. Pediatr Radiol 43:1265–1266PubMed
31.
Zurück zum Zitat Bohmann I (1990) [Ermittlung des Durchstrahlungsdurchmessers bei Säuglingen, Kindern und Jugendlichen zur Aufstellung von Belichtungswerten in der Röntgendiagnostik und Abschätzung der Organdosiswerte bei typischen Röntgenuntersuchungen]. GSF-Bericht 16/90, GSF – Forschungszentrum für Umwelt und Gesundheit, Neuherberg Bohmann I (1990) [Ermittlung des Durchstrahlungsdurchmessers bei Säuglingen, Kindern und Jugendlichen zur Aufstellung von Belichtungswerten in der Röntgendiagnostik und Abschätzung der Organdosiswerte bei typischen Röntgenuntersuchungen]. GSF-Bericht 16/90, GSF – Forschungszentrum für Umwelt und Gesundheit, Neuherberg
32.
Zurück zum Zitat Lindskoug BA (1992) The reference man in diagnostic radiology dosimetry. Br J Radiol 65:431–437PubMed Lindskoug BA (1992) The reference man in diagnostic radiology dosimetry. Br J Radiol 65:431–437PubMed
Metadaten
Titel
Conversion coefficients for determining organ doses in paediatric pelvis and hip joint radiography
verfasst von
Michael C. Seidenbusch
Karl Schneider
Publikationsdatum
01.09.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Pediatric Radiology / Ausgabe 9/2014
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-014-2962-8

Weitere Artikel der Ausgabe 9/2014

Pediatric Radiology 9/2014 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.