FANG Dong,YUAN Xian-shun,ZHANG Dong-sheng.Dose comparison of different scan projections of Implagraphy cone beam computed tomography for dental maxillofacial use[J].Chinese Journal of Radiological Medicine and Protection,2012,32(5):535-538
Dose comparison of different scan projections of Implagraphy cone beam computed tomography for dental maxillofacial use
Received:October 17, 2011  
DOI:10.3760/cma.j.issn.0254-5098.2012.05.025
KeyWords:Cone beam computed tomography  Absorbed dosage  Equivalent dosage  Effective dosage
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Author NameAffiliationE-mail
FANG Dong Department of Oral Maxillofacial Radiology, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China  
YUAN Xian-shun 250021 济南, 山东大学附属省立医院医学影像科  
ZHANG Dong-sheng Department of Oral Maxillofacial Radiology, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China ds63zhang@163.com 
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Abstract::
      Objective To evaluate the subject's absorbed dose, equivalent dose and effective dose.Methods The CBCT unit was Implagraphy and three scan projections were selected such as mandible, maxilla and temporamandibular joint(TMJ). Thermoluminescent dosimeter tubes were used to record the absorbed dose at special positions in the head and neck region of an adult skull and tissue-equivalent phantom. 16 interested organs included pituitary, lens, parotid glands, submandibular glands, sublingual glands, diploe, spongy bone of the chin and cervical vertebra, skins of cheeks and nuchal region, thyroid and esophagus. The absorbed dose was measured in these organs, and then the effective dose(E1990, E2007) were calculated according to different ICRP tissue weighting factors. Results The absorbed dose of mandible, maxilla and TMJ scan varied from (0.99±0.09) to (12.85±0.09)mGy, (0.93±0.01) to (13.07±0.02)mGy and (0.68±0.01) to (10.18±0.04)mGy. There was significant difference among the three scan projections (F=19.61-30992.27, P<0.05).The equivalent doses of lens and skin were (1.11±0.07)-(5.76±0.06)mSv and (6.96±0.06)-(10.64±0.07) mSv. There was significant difference among the three scan projections (F=4473.02, 9385.50, P<0.05). The effective dose(E1990, E2007) was [(191.35±1.53), (325.17±2.58) μSv] for mandible scan, [(106.62±2.17),(226.28±2.81) μSv] for maxilla scan, [(104.21±1.02), (142.36±1.90) μSv] for TMJ scan,respectively. Conclusions The valid measurement should be taken to reduce the subject’s dose such as a careful history and clinical examination before the performance of CBCT, the latest risk/benefit assessment, precise scan position, the shielding of thyroid as well as brain and the smaller volume size as well.
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