Estimate of organ radiation absorbed doses in clinical CT using the radiation treatment planning system

Radiat Prot Dosimetry. 2010 Dec;142(2-4):174-83. doi: 10.1093/rpd/ncq188. Epub 2010 Aug 10.

Abstract

Organ absorbed doses in computed tomography (CT) scans can be measured with anatomical phantoms but not inside the human body. In this study, a straightforward method was investigated to estimate organ doses in clinical CT using the radiation treatment planning system (RTPS) and compared them with experimental results of photoluminescence dosemeters (PLD). In a heterogeneous phantom, the average difference between PLD and RTPS values were -5.0% for the body and 7.1% for the lung. Using CT data, organ doses in 30 clinical cases were then calculated. There was a significant inverse correlation between the calculated values of organ doses and body mass index (BMI, correlation coefficients (r) = -0.69 (whole body), -0.80 (right lung), -0.81 (left lung), -0.76 (spinal cord), -0.74 (vertebra bone), -0.74 (heart), and -0.79 (oesophagus), all p < 0.01). An RTPS can be a simple and useful tool for estimating equivalent doses inside the human body, during whole-body CT scans.

MeSH terms

  • Body Mass Index
  • Humans
  • Monte Carlo Method
  • Phantoms, Imaging*
  • Radiation Dosage*
  • Radiation Protection
  • Radiography, Thoracic
  • Radiotherapy Planning, Computer-Assisted / statistics & numerical data*
  • Tomography, X-Ray Computed*
  • Whole-Body Irradiation*