Absorbed doses from spiral CT and conventional spiral tomography: a phantom vs. cadaver study
Identifieur interne : 008A85 ( Main/Exploration ); précédent : 008A84; suivant : 008A86Absorbed doses from spiral CT and conventional spiral tomography: a phantom vs. cadaver study
Auteurs : C. Bou Serhal ; R. Jacobs [Belgique] ; F. Gijbels ; M. Quirynen ; D. Van Steenberghe ; H. Bosmans [Belgique] ; R. Hermans [Belgique]Source :
- Clinical Oral Implants Research [ 0905-7161 ] ; 2001-10.
Descripteurs français
- KwdFr :
- Cadavre, Cristallin (effets des radiations), Dose de radiation, Dosimétrie thermoluminescente (instrumentation), Fantômes en imagerie, Glande parotide (effets des radiations), Glande submandibulaire (effets des radiations), Glande thyroide (effets des radiations), Humains, Mandibule (imagerie diagnostique), Maxillaire (imagerie diagnostique), Mâchoire édentée (imagerie diagnostique), Mâle, Prémolaire (imagerie diagnostique), Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie (), Tomodensitométrie (instrumentation), Tomographie à rayons X (), Tomographie à rayons X (instrumentation), Traitement d'image par ordinateur ().
- MESH :
- effets des radiations : Cristallin, Glande parotide, Glande submandibulaire, Glande thyroide.
- imagerie diagnostique : Mandibule, Maxillaire, Mâchoire édentée, Prémolaire.
- instrumentation : Cadavre, Dose de radiation, Dosimétrie thermoluminescente, Fantômes en imagerie, Humains, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Tomodensitométrie, Tomographie à rayons X, Traitement d'image par ordinateur.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Beim, Bicuspid (diagnostic imaging), Cadaver, Cadaver head, Conventional spiral tomography, Conventional tomography, Different organs, Dos, Dosis, Effective dose, Examen, Gland, Higher doses, Highest doses, Humans, Image Processing, Computer-Assisted (methods), Implant, Implants research, Jacobs, Jaw, Edentulous (diagnostic imaging), Lens, Crystalline (radiation effects), Male, Mandible (diagnostic imaging), Mandibular, Mandibular canal, Maxilla (diagnostic imaging), Maxillofacial, Maxillofacial implants, Opposite side, Oral impl, Organ radiation doses, Other organs, Parotid, Parotid Gland (radiation effects), Parotid gland, Parotid glands, Phantom, Phantoms, Imaging, Premolar, Premolar region, Preoperative planning, Present study, Quirynen, Radiation Dosage, Radiation doses, Serhal, Slice thickness, Spiral, Spiral tomography, Steenberghe, Stelt, Submandibular, Submandibular Gland (radiation effects), Submandibular gland, Submandibular glands, Submandibular parotid thyroid, Thermoluminescent Dosimetry (instrumentation), Thyroid Gland (radiation effects), Thyroid gland, Tlds, Tomographic, Tomography, Tomography, X-Ray (instrumentation), Tomography, X-Ray (methods), Tomography, X-Ray Computed (instrumentation), Tomography, X-Ray Computed (methods), Velders.
- MESH :
- diagnostic imaging : Bicuspid, Jaw, Edentulous, Mandible, Maxilla.
- instrumentation : Thermoluminescent Dosimetry, Tomography, X-Ray, Tomography, X-Ray Computed.
- methods : Image Processing, Computer-Assisted, Tomography, X-Ray, Tomography, X-Ray Computed.
- radiation effects : Lens, Crystalline, Parotid Gland, Submandibular Gland, Thyroid Gland.
- Teeft :
- Aged, Aged, 80 and over, Beim, Cadaver, Cadaver head, Conventional spiral tomography, Conventional tomography, Different organs, Dos, Dosis, Effective dose, Examen, Gland, Higher doses, Highest doses, Humans, Implant, Implants research, Jacobs, Male, Mandibular, Mandibular canal, Maxillofacial, Maxillofacial implants, Opposite side, Oral impl, Organ radiation doses, Other organs, Parotid, Parotid gland, Parotid glands, Phantom, Phantoms, Imaging, Premolar, Premolar region, Preoperative planning, Present study, Quirynen, Radiation Dosage, Radiation doses, Serhal, Slice thickness, Spiral, Spiral tomography, Steenberghe, Stelt, Submandibular, Submandibular gland, Submandibular glands, Submandibular parotid thyroid, Thyroid gland, Tlds, Tomographic, Tomography, Velders.
Abstract
Abstract: For several radiological examinations, a clinician can select between conventional and spiral computed tomography. Using both techniques, this study aimed at evaluating the difference in absorbed doses when examining a single lateral jaw segment in a human cadaver head and Rando phantom. The present study involved the placement of thermoluminescent dosimeter (TLD) chips (GR‐200) in the thyroid gland, and bilaterally, in the parotid and submandibular glands and the lenses of the eyes in both a human cadaver and a Rando phantom at corresponding locations. Consecutive conventional spiral tomographic examinations were carried out in both the left upper and lower premolar area, using a Cranex TOME® multifunctional unit. Each examination consisted of 4 slices with a 2 mm slice thickness and exposure parameters of 57 kV, 56 seconds and 1.6–2.0 mA. Regarding spiral computed tomography (CT), a Somatom Plus S® scanner (Siemens, Erlangen, Germany), with a slice thickness of 1 mm with settings at 120 kV and 165 mA, was used on both phantoms and separately in the upper and lower jaw. With conventional tomography, the findings of the present study showed that the parotid and submandibular glands on the side near the X‐ray tube received the highest dose, both for the cadaver head (doses ranging from 0.5 to 1.3 mGy) and the phantom (doses ranging from 0.6 to 2.6 mGy). For CT of the upper jaw, the highest doses were delivered to the parotid glands with an average absorbed dose of 9.2 and 10.6 mGy for the cadaver head and phantom, respectively. The submandibular glands received the highest doses during CT examination of the lower jaw with an average of 7.8 and 12.9 mGy for the cadaver head and phantom, respectively. It appears from the present investigation that if small edentulous regions are examined, radiation doses during conventional tomography remain much lower than during CT imaging. However, when multiple tomographic cuts are required, a spiral CT examination can replace a series of conventional examinations, especially in cases such as the rehabilitation of an edentulous upper jaw or a more complex surgery.
Url:
DOI: 10.1034/j.1600-0501.2001.120507.x
Affiliations:
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<title level="j" type="alt">CLINICAL ORAL IMPLANTS RESEARCH</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Beim</term>
<term>Bicuspid (diagnostic imaging)</term>
<term>Cadaver</term>
<term>Cadaver head</term>
<term>Conventional spiral tomography</term>
<term>Conventional tomography</term>
<term>Different organs</term>
<term>Dos</term>
<term>Dosis</term>
<term>Effective dose</term>
<term>Examen</term>
<term>Gland</term>
<term>Higher doses</term>
<term>Highest doses</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (methods)</term>
<term>Implant</term>
<term>Implants research</term>
<term>Jacobs</term>
<term>Jaw, Edentulous (diagnostic imaging)</term>
<term>Lens, Crystalline (radiation effects)</term>
<term>Male</term>
<term>Mandible (diagnostic imaging)</term>
<term>Mandibular</term>
<term>Mandibular canal</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Opposite side</term>
<term>Oral impl</term>
<term>Organ radiation doses</term>
<term>Other organs</term>
<term>Parotid</term>
<term>Parotid Gland (radiation effects)</term>
<term>Parotid gland</term>
<term>Parotid glands</term>
<term>Phantom</term>
<term>Phantoms, Imaging</term>
<term>Premolar</term>
<term>Premolar region</term>
<term>Preoperative planning</term>
<term>Present study</term>
<term>Quirynen</term>
<term>Radiation Dosage</term>
<term>Radiation doses</term>
<term>Serhal</term>
<term>Slice thickness</term>
<term>Spiral</term>
<term>Spiral tomography</term>
<term>Steenberghe</term>
<term>Stelt</term>
<term>Submandibular</term>
<term>Submandibular Gland (radiation effects)</term>
<term>Submandibular gland</term>
<term>Submandibular glands</term>
<term>Submandibular parotid thyroid</term>
<term>Thermoluminescent Dosimetry (instrumentation)</term>
<term>Thyroid Gland (radiation effects)</term>
<term>Thyroid gland</term>
<term>Tlds</term>
<term>Tomographic</term>
<term>Tomography</term>
<term>Tomography, X-Ray (instrumentation)</term>
<term>Tomography, X-Ray (methods)</term>
<term>Tomography, X-Ray Computed (instrumentation)</term>
<term>Tomography, X-Ray Computed (methods)</term>
<term>Velders</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Cadavre</term>
<term>Cristallin (effets des radiations)</term>
<term>Dose de radiation</term>
<term>Dosimétrie thermoluminescente (instrumentation)</term>
<term>Fantômes en imagerie</term>
<term>Glande parotide (effets des radiations)</term>
<term>Glande submandibulaire (effets des radiations)</term>
<term>Glande thyroide (effets des radiations)</term>
<term>Humains</term>
<term>Mandibule (imagerie diagnostique)</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire édentée (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Prémolaire (imagerie diagnostique)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tomodensitométrie ()</term>
<term>Tomodensitométrie (instrumentation)</term>
<term>Tomographie à rayons X ()</term>
<term>Tomographie à rayons X (instrumentation)</term>
<term>Traitement d'image par ordinateur ()</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Bicuspid</term>
<term>Jaw, Edentulous</term>
<term>Mandible</term>
<term>Maxilla</term>
</keywords>
<keywords scheme="MESH" qualifier="effets des radiations" xml:lang="fr"><term>Cristallin</term>
<term>Glande parotide</term>
<term>Glande submandibulaire</term>
<term>Glande thyroide</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Mandibule</term>
<term>Maxillaire</term>
<term>Mâchoire édentée</term>
<term>Prémolaire</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Thermoluminescent Dosimetry</term>
<term>Tomography, X-Ray</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Image Processing, Computer-Assisted</term>
<term>Tomography, X-Ray</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" qualifier="radiation effects" xml:lang="en"><term>Lens, Crystalline</term>
<term>Parotid Gland</term>
<term>Submandibular Gland</term>
<term>Thyroid Gland</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Beim</term>
<term>Cadaver</term>
<term>Cadaver head</term>
<term>Conventional spiral tomography</term>
<term>Conventional tomography</term>
<term>Different organs</term>
<term>Dos</term>
<term>Dosis</term>
<term>Effective dose</term>
<term>Examen</term>
<term>Gland</term>
<term>Higher doses</term>
<term>Highest doses</term>
<term>Humans</term>
<term>Implant</term>
<term>Implants research</term>
<term>Jacobs</term>
<term>Male</term>
<term>Mandibular</term>
<term>Mandibular canal</term>
<term>Maxillofacial</term>
<term>Maxillofacial implants</term>
<term>Opposite side</term>
<term>Oral impl</term>
<term>Organ radiation doses</term>
<term>Other organs</term>
<term>Parotid</term>
<term>Parotid gland</term>
<term>Parotid glands</term>
<term>Phantom</term>
<term>Phantoms, Imaging</term>
<term>Premolar</term>
<term>Premolar region</term>
<term>Preoperative planning</term>
<term>Present study</term>
<term>Quirynen</term>
<term>Radiation Dosage</term>
<term>Radiation doses</term>
<term>Serhal</term>
<term>Slice thickness</term>
<term>Spiral</term>
<term>Spiral tomography</term>
<term>Steenberghe</term>
<term>Stelt</term>
<term>Submandibular</term>
<term>Submandibular gland</term>
<term>Submandibular glands</term>
<term>Submandibular parotid thyroid</term>
<term>Thyroid gland</term>
<term>Tlds</term>
<term>Tomographic</term>
<term>Tomography</term>
<term>Velders</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="fr"><term>Cadavre</term>
<term>Dose de radiation</term>
<term>Dosimétrie thermoluminescente</term>
<term>Fantômes en imagerie</term>
<term>Humains</term>
<term>Mâle</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tomodensitométrie</term>
<term>Tomographie à rayons X</term>
<term>Traitement d'image par ordinateur</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract">Abstract: For several radiological examinations, a clinician can select between conventional and spiral computed tomography. Using both techniques, this study aimed at evaluating the difference in absorbed doses when examining a single lateral jaw segment in a human cadaver head and Rando phantom. The present study involved the placement of thermoluminescent dosimeter (TLD) chips (GR‐200) in the thyroid gland, and bilaterally, in the parotid and submandibular glands and the lenses of the eyes in both a human cadaver and a Rando phantom at corresponding locations. Consecutive conventional spiral tomographic examinations were carried out in both the left upper and lower premolar area, using a Cranex TOME® multifunctional unit. Each examination consisted of 4 slices with a 2 mm slice thickness and exposure parameters of 57 kV, 56 seconds and 1.6–2.0 mA. Regarding spiral computed tomography (CT), a Somatom Plus S® scanner (Siemens, Erlangen, Germany), with a slice thickness of 1 mm with settings at 120 kV and 165 mA, was used on both phantoms and separately in the upper and lower jaw. With conventional tomography, the findings of the present study showed that the parotid and submandibular glands on the side near the X‐ray tube received the highest dose, both for the cadaver head (doses ranging from 0.5 to 1.3 mGy) and the phantom (doses ranging from 0.6 to 2.6 mGy). For CT of the upper jaw, the highest doses were delivered to the parotid glands with an average absorbed dose of 9.2 and 10.6 mGy for the cadaver head and phantom, respectively. The submandibular glands received the highest doses during CT examination of the lower jaw with an average of 7.8 and 12.9 mGy for the cadaver head and phantom, respectively. It appears from the present investigation that if small edentulous regions are examined, radiation doses during conventional tomography remain much lower than during CT imaging. However, when multiple tomographic cuts are required, a spiral CT examination can replace a series of conventional examinations, especially in cases such as the rehabilitation of an edentulous upper jaw or a more complex surgery.</div>
</front>
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<affiliations><list><country><li>Belgique</li>
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<name sortKey="Quirynen, M" sort="Quirynen, M" uniqKey="Quirynen M" first="M." last="Quirynen">M. Quirynen</name>
<name sortKey="Van Steenberghe, D" sort="Van Steenberghe, D" uniqKey="Van Steenberghe D" first="D." last="Van Steenberghe">D. Van Steenberghe</name>
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<country name="Belgique"><noRegion><name sortKey="Jacobs, R" sort="Jacobs, R" uniqKey="Jacobs R" first="R." last="Jacobs">R. Jacobs</name>
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<name sortKey="Hermans, R" sort="Hermans, R" uniqKey="Hermans R" first="R." last="Hermans">R. Hermans</name>
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