| Niu Yantao,Song Yaoyao,Zhang Yongxian,et al.Radiation dose reduction to the lens of eye with bismuth shielding in head and neck MSCT[J].Chinese Journal of Radiological Medicine and Protection,2015,35(2):149-152 |
| Radiation dose reduction to the lens of eye with bismuth shielding in head and neck MSCT |
| Received:April 18, 2014 |
| DOI：10.3760/cma.j.issn.0254-5098.2015.02.018 |
| KeyWords:Head and neck CT Lens Radiation dose Bismuth shielding in plane |
| FundProject:国家自然科学基金面上项目(81171341);北京市自然科学基金(7142039) |
| Author Name | Affiliation | E-mail | | Niu Yantao | Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China | ytniu163@163.com | | Song Yaoyao | 中国康复研究中心北京博爱医院 | | | Zhang Yongxian | Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China | | | Guo Senlin | Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China | | | Zhang Zongrui | Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China | | | Kang Tianliang | Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China | | | Liu Yunfu | Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China | |
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| Abstract:: |
| Objective To explore the effects on image quality and dose reduction to the lens when using bismuth shielding in head and neck MSCT.Methods The standard phantom and the cadaveric head with none, 1, 2 and 3 layers of bismuth shielding were scanned with protocols of brain, temporal bone and paranasal sinuses using a 16-MDCT scanner. The organ dose to the lens in each scanning was measured with thermoluminescence dosimeters(TLD). The above scanning with sinus protocol was repeated with a sponge with thickness of 5, 10, 15 and 20 mm placed between the shielding and phantom/head. The CT attenuation of phantom with the distance of 2, 4, 6 and 8 cm to shielding were measured. The image quality was subjectively evaluated by 2 physicians.Results The organ doses of the lens with protocols of brain, temporal bone and sinuses were 24.31, 27.60 and 20.01 mGy, respectively. The doses were decreased significantly when using bismuth shielding. With the increase of the shield gap, the degree of dose reduction was reduced, but the increasing degree of CT attenuation significantly reduced. Using 2-layer and 3-layer bismuth shield in brain and temporal bone CT scan, the radiation doses were reduced by 47.1% and 59.1%, respectively while maintaining the diagnostic image quality. Using 1-layer shield without gap and 2-layer shield with 1.5 cm gap in sinus CT, the radiation doses were reduced by 31.5% and 34.5%, respectively.Conclusions Reasonable usage of bismuth shielding can effectively reduce the radiation dose to the lens of eye in head and neck MSCT. |
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