A1 Refereed original research article in a scientific journal
The out-of-plane contact shield and mA-modulation – the effect on fetal absorbed dose
Authors: Larjava, Heli R.S.; Eneh, Chibuzor T.M.; Saikkonen, Aleksi; Parkkola, Riitta K.
Publisher: Oxford University Press (OUP)
Publishing place: OXFORD
Publication year: 2024
Journal: Radiation Protection Dosimetry
Journal name in source: Radiation Protection Dosimetry
Journal acronym: RADIAT PROT DOSIM
Volume: 200
Issue: 19
First page : 1945
Last page: 1949
Number of pages: 5
ISSN: 0144-8420
eISSN: 1742-3406
DOI: https://doi.org/10.1093/rpd/ncae204
Web address : https://doi.org/10.1093/rpd/ncae204
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/458946236
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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Funding information in the publication:
This work was supported by the State Research Funding of the Turku University Hospital.
