(*) Summary: Computed
tomography (CT) is an invaluable diagnostic tool in current medical
practice. Unfortunately, the radiation dose imparted during a CT scan
can be significant. Over the last few years due to recent advances such
as spiral and multidetector-row CT technology, CT examinations have
rapidly increased in number resulting in increased collective radiation
dose as reported by many international organizations. It has also been
stated that image quality in CT exceeds the level required for
confident diagnosis.
This
research seeks to establish, verify, and validate the radiation dose to
patients and estimate the diagnostic reference levels during selected
routine CT examinations in UCH Ibadan, Nigeria’s largest tertiary
hospital; using appropriate computational methods for computing this
dose accurately and efficiently.
The
dose characteristic of the CT scanner used was determined by using the
scanning parameters of 100 previously examined patients. For each scan
technique, patient doses were estimated using two methods; (i) the
software developed by the ImPACT scan group in conjunction with the
NRPB –S250 conversion coefficients data, (ii) the displayed scanner DLP
against the conversion factors determined the European commission
(2003).
The
results show that the largest mean CTDIvol, DLP and effective dose was
obtained for lumbosacral CT, Head CT, and Abdomen/pelvis, respectively.
The average patient dose varied from one study to another. The largest
range was found for CT of the abdomen. Reference dose values were
calculated for each exam. Among studies, except head scan there was
considerable variation in the DLP and patient radiation dose for a
specific exam. Reference doses and patient doses were higher than the
European commission recommendation. The higher dose levels, which are
possibly associated with significant risks, would justify an extensive
similar study at the national level in order to unify different
approaches towards optimisation of CT examinations.
The
need to train radiology personnel, establish standard dose reduction
protocols and continuously monitor the performance of CT equipment to
control patient CT doses cannot be overemphasized.
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(**) Biodata: Biodata:
Rachel Ibhade Obed, PhD, is a Junior Associate of the ICTP in the
Applied Physics Scientific Section, Medical Physics. She is a Lecturer
in the Department of Physics, University of Ibadan, Nigeria. She is
also an Adjunct Lecturer at the National Institute for Radiation
Protection and Research (NIRPR) in Ibadan. She was also an associate
staff of the defunct Federal Radiation Protection Service (FRPS) in
Nigeria for 7 years and was involved in radiation monitoring of many
medical and industrial establishments. She was the Medical Physicist in
the Department of Radiotherapy, University College Hospital Ibadan from
August 1996 to September 1997. She has attended many IAEA training
workshops and also had a 3-month IAEA fellowship award for training in
Radiation Protection in Medical Physics tenable in the United Kingdom
in 2001. She is the newly elected Honourable Treasurer of the Science
Association of Nigeria (SAN) and belongs to many learned societies both
locally and internationally. Currently she works to ensure radiation
protection of patients in diagnostic radiology and radiotherapy in
Nigeria. Amongst her duties also is to ensure radiation protection of
the general public through her vast research works in environmental
radioactivity such as soil radioactivity concentration levels in
relation to cancer incidence in Nigeria, measurements of radon in
drinking water and indoor radon in dwellings and workplaces in Nigeria
using CR-39 track etch detectors. She has published 10 international
papers in the area of radiation protection of patients and the general
public and has supervised many undergraduate and postgraduate (M.Sc.,
PGDRP, MRP, MPhil/PhD and PhD) students. Her main interest is in
imaging techniques and patient dosimetry in diagnostic radiology and
radiotherapy.