Su Yinping,Xiao Guobing,Chen Junbo,et al.Estimated radiation dose in the thyroid and thyroid cancer risk attributed to head or chest CT scans for pediatric patients[J].Chinese Journal of Radiological Medicine and Protection,2015,35(11):854-858
Estimated radiation dose in the thyroid and thyroid cancer risk attributed to head or chest CT scans for pediatric patients
Received:February 26, 2015  
DOI:10.3760/cma.j.issn.0254-5098.2015.11.013
KeyWords:CT  Cancer risk induced by radiation  Lifetime cancer risk
FundProject:卫生行业科研专项项目(201002009)
Author NameAffiliationE-mail
Su Yinping Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China  
Xiao Guobing 宁波市卫生监督所职业卫生监督科  
Chen Junbo 宁波市鄞州第二医院(陈俊波)  
Fu Yinghua Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China  
Gao Chao 宁波市卫生监督所职业卫生监督科  
Sun Quanfu Key Laboratory of Radiological Protection and Nuclear Emergency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China qfusun@nirp.cn 
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Abstract::
      Objective To estimate the radiation dose and cancer risk of thyroid for children who underwent head CT or chest CT scans.Methods The parameters used in the CT scans were accessed from the DICOM files through PACS used DCMTK software, then the thyroid radiation dose was estimated with the CT-Expo© software and the cancer risk induced by CT scan was projected based on BEIR Ⅶ model combined with the Chinese cancer incidence and lifetime table in 2008. Results CT parameters used for different ages were roughly the same, the thyroid equivalent dose for head CT ranged from 1.2-2.0 mGy, the highest thyroid cancer risk occurs for newborn girls, about 9.6/100 thousand population;while for chest CT the thyroid equivalent dose ranged from 8.1 to 38.0 mGy, the highest thyroid cancer risk was also for newborn girls, about 244.7/100 thousand population. The radiation dose and cancer risk for thyroid decreased with the increased age. Conclusions The radiation dose for thyroid from chest CT was relatively higher than head CT, especially for newborn babies;therefore more protection should be given to the thyroid and other radio-sensitive organs during CT scanning.
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