Sun Yun,Wei Kedao,Wang Jianchao,Pan Keqin.Assessment of radiation dose in dual energy X-ray absorptiometry scanner[J].Chinese Journal of Radiological Medicine and Protection,2017,37(11):870-874
Assessment of radiation dose in dual energy X-ray absorptiometry scanner
Received:July 20, 2017  
DOI:10.3760/cma.j.issn.0254-5098.2017.11.014
KeyWords:Dual energy X-ray absorptiometry (DXA) scanner  Radiation protection  Entrance surface dose (ESD)
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Author NameAffiliation
Sun Yun Department of Radiology in Hospital of Tsinghua University, Beijing 100084, China 
Wei Kedao Key Laboratory of Radiological Protection and Nuclear Energency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China 
Wang Jianchao Key Laboratory of Radiological Protection and Nuclear Energency, China CDC, National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China 
Pan Keqin Department of Radiology in Hospital of Tsinghua University, Beijing 100084, China 
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Abstract::
      Objective To evaluate the radiation dose from a dual energy X-ray absorptiometry (DXA) study. Methods A Radcal multifunctional dosimeter (1 800 cc ionization chamber, USA) was used, for purpose of comparison, to measure the entrance surface doses (ESD) from Norland XR-800 DXA (pencil beam scan, 100/46.8 kVp, 1.3 mA) and from Hologic Discovery A DXA (fan beam scan, 140/100 kVp, 5.0 mA). Ambient dose equivalent rate at 1 m away from studied phantom center and at 1 m above floor was measured using the US 451P ionizaion chamber survey meter (Fluke, USA). ResultsThe ESD measured using a Radcal dosimeter for Norland XR-800 DXA was 0.43 μGy in high speed mode and 0.73 μGy in standard mode (AP spine), 1.93 μGy (hip), 0.40 μGy (wrist) and 1.06 μGy (mandible). The ESD measured for Hologic Discovery A DXA was 65.6 μGy (AP spine) and 63.9 μGy (hip). The ESD measured for Norland XR-800 at different scan types and scan speeds was <2 μGy while Hologic Discovery A DXA showed a result of <66 μGy (AP spine and hip scan), which were both consistent with the data given in their own respective operational manual. A comparison of DXA scanners with fan beam and pencil beam indicated that ambient equivalent dose rate, measured with 451P survey meter, from fan beam scan was 65 times that from pencil beam scan. Conclusions Compared with other medical X-ray studies, the ESD to the phantom undergoing a DXA study is relatively low. DXA pencil beam scan doses to lumbar spine and hip were about 1/153-1/33 of those from DXA fan beam scan. Pencil beam scan dose to DXA staff was negligible and fan beam scan dose to DXA staff was lower than the personal dose limits of 20 mSv per year.
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