Radiation Organ Dose Measurement and Cancer Risk Estimation in CT Examination on Trauma Patients

Vafaei, Ali; Khosravi, Nafiseh; Shojaei Barjouei, Nazli; Gholizadeh Sendani, Neda; Oloumi Sadeghi, Ali; Shams Akhtari, Amin

doi:10.30476/mejc.2019.82391.1086

Radiation Organ Dose Measurement and Cancer Risk Estimation in CT Examination on Trauma Patients

Document Type : Original Article(s)

Authors

Ali Vafaei ¹

Nafiseh Khosravi ²

Nazli Shojaei Barjouei ³

Neda Gholizadeh Sendani ⁴

Ali Oloumi Sadeghi ⁵

Amin Shams Akhtari ⁵

¹ Hearing Disorders Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

² Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

³ International Branch, Shahid Beheshti University of Medical Sciences, Tehran, Iran

⁴ Department of Medical Radiation Engineering, University of Isfahan, Isfahan, Iran

⁵ Department of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

https://doi.org/10.30476/mejc.2019.82391.1086

Abstract

Background: This study intended to measure radiation doses to various organs and calculate the risk of cancer incidence from neck computed tomography and head computed tomography scans of trauma patients by using a thermoluminescent dosimeter.
Methods:We assessed 93 patients who presented to the Emergency Department. Based on their health conditions, different computed tomography scans were performed. We used a fixed tube current of 200 mAs and tube voltage of 120 kVp for all patients. Next, we derived the effective radiation dose by multiplying the dose length product and conversion factor of each computed tomography scan based on the International Commission on Radiological Protection 103. Organ dose estimations were calculated from the dosimeter readout. We calculated the life attributable risk for cancer incidence based on the Committee on the Biological Effects of Ionizing Radiation VII preferred models.
Results: Neck computed tomography scans had a mean effective dose of 2.18 mSv. The mean effective dose for head computed tomography scans was 1.53 mSv. The highest mean equivalent organ dose was for the thyroid with the neck computed tomography scan and the lenses of the eyes with the head computed tomography scan. There was no significant difference between scan lengths in each computed tomography acquisition. There was a noticeable correlation observed between effective radiation dose and tube current. As anticipated, young people had a higher life attributable risk of cancer compared to the elderly. This amount was less than 0.011 per 100 persons for both computed tomography studies.
Conclusion: Our data showed a significant organ radiation dose in both neck and head computed tomography scans, not only for the thyroid and the lenses of the eyes, but also for the chest.

Keywords

Radiation dose

Emergency care

Computed tomography

Trauma

Subjects