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A national survey on radiation dose in CT in The Netherlands

OBJECTIVES: To assess radiation exposure due to CT in the Netherlands. METHODS: Twenty-one hospitals participated in a dose survey for the 21 most frequently used CT protocols. Hospitals completed a Web survey with detailed parameters for one patient per protocol, including the dose length product (...

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Autores principales: van der Molen, A. J., Schilham, A., Stoop, P., Prokop, M., Geleijns, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3675255/
https://www.ncbi.nlm.nih.gov/pubmed/23673455
http://dx.doi.org/10.1007/s13244-013-0253-9
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author van der Molen, A. J.
Schilham, A.
Stoop, P.
Prokop, M.
Geleijns, J.
author_facet van der Molen, A. J.
Schilham, A.
Stoop, P.
Prokop, M.
Geleijns, J.
author_sort van der Molen, A. J.
collection PubMed
description OBJECTIVES: To assess radiation exposure due to CT in the Netherlands. METHODS: Twenty-one hospitals participated in a dose survey for the 21 most frequently used CT protocols. Hospitals completed a Web survey with detailed parameters for one patient per protocol, including the dose length product (DLP) from the scanner dose report. Only standard-sized patients (1.74 m and 77 kg and BMI 25.4 kg/m(2) ± 15 %) for each protocol and available scanner were considered. Effective dose (E) per protocol was estimated using ICRP-103-based E/DLP coefficients. Dose levels were compared to surveys from other countries and to diagnostic reference levels. RESULTS: Data of 186 patients (247 scan phases) from 14 hospitals and 19 scanners were used for final analysis of DLP and E. Effective doses varied from 0.2 mSv in sinus CT to 19.4 mSv for multiphase liver. The most frequent exams were brain (1.5 mSv), abdomen (8.0 mSv), and thorax-abdomen (11.5 mSv). These results are lower than in Germany and comparable to those in the UK, and are within reference levels. Results between hospitals varied, with per protocol minimum/maximum E ratios ranging from 1.1–5.4. CONCLUSIONS: Compared to surrounding countries, CT in the Netherlands is associated with relatively low radiation doses in standard patients. Important differences remain between hospitals. MAIN MESSAGES: • A national dose survey providing updated, detailed data for patient dose in the most frequently used CT protocols. • CT in the Netherlands is associated with relatively low individual radiation doses in standard patients compared to surrounding European countries. • Considerable differences remain between hospitals for the most frequently used CT protocols, indicating the need for further optimisation.
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spelling pubmed-36752552013-06-10 A national survey on radiation dose in CT in The Netherlands van der Molen, A. J. Schilham, A. Stoop, P. Prokop, M. Geleijns, J. Insights Imaging Original Article OBJECTIVES: To assess radiation exposure due to CT in the Netherlands. METHODS: Twenty-one hospitals participated in a dose survey for the 21 most frequently used CT protocols. Hospitals completed a Web survey with detailed parameters for one patient per protocol, including the dose length product (DLP) from the scanner dose report. Only standard-sized patients (1.74 m and 77 kg and BMI 25.4 kg/m(2) ± 15 %) for each protocol and available scanner were considered. Effective dose (E) per protocol was estimated using ICRP-103-based E/DLP coefficients. Dose levels were compared to surveys from other countries and to diagnostic reference levels. RESULTS: Data of 186 patients (247 scan phases) from 14 hospitals and 19 scanners were used for final analysis of DLP and E. Effective doses varied from 0.2 mSv in sinus CT to 19.4 mSv for multiphase liver. The most frequent exams were brain (1.5 mSv), abdomen (8.0 mSv), and thorax-abdomen (11.5 mSv). These results are lower than in Germany and comparable to those in the UK, and are within reference levels. Results between hospitals varied, with per protocol minimum/maximum E ratios ranging from 1.1–5.4. CONCLUSIONS: Compared to surrounding countries, CT in the Netherlands is associated with relatively low radiation doses in standard patients. Important differences remain between hospitals. MAIN MESSAGES: • A national dose survey providing updated, detailed data for patient dose in the most frequently used CT protocols. • CT in the Netherlands is associated with relatively low individual radiation doses in standard patients compared to surrounding European countries. • Considerable differences remain between hospitals for the most frequently used CT protocols, indicating the need for further optimisation. Springer Berlin Heidelberg 2013-05-15 /pmc/articles/PMC3675255/ /pubmed/23673455 http://dx.doi.org/10.1007/s13244-013-0253-9 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by-nc/2.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Original Article
van der Molen, A. J.
Schilham, A.
Stoop, P.
Prokop, M.
Geleijns, J.
A national survey on radiation dose in CT in The Netherlands
title A national survey on radiation dose in CT in The Netherlands
title_full A national survey on radiation dose in CT in The Netherlands
title_fullStr A national survey on radiation dose in CT in The Netherlands
title_full_unstemmed A national survey on radiation dose in CT in The Netherlands
title_short A national survey on radiation dose in CT in The Netherlands
title_sort national survey on radiation dose in ct in the netherlands
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3675255/
https://www.ncbi.nlm.nih.gov/pubmed/23673455
http://dx.doi.org/10.1007/s13244-013-0253-9
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