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KMID : 0357520100330040327
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Journal of Radiological Science and Technology
2010 Volume.33 No. 4 p.327 ~ p.334
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Entrance Skin Dose According to Age and Body Size for Pediatric Chest Radiography
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Shin Gwi-Soon
Min Ki-Yeul
Kim Doo-Han
Lee Kwang-Jae
Park Ji-Hwan
Lee Gui-Won
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Abstract
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Exposure during childhood results in higher risk for certain detrimental cancers than exposure during adulthood. We measured entrance skin dose (ESD) under 7-year children undergoing chest imaging and compared the relationship between ESD and age, height, weight, chest thickness. Though it is important to measure chest thickness for setting up the exposure condition of chest examination, it is difficult to measure chest thickness of children. We set up exposure parameters according to age because chest thickness of children has correlation with age. In the exposure parameters, for chest A-P examination under 2 year-children, tube voltage (kVp) in hospital A was higher than that in hospital B while tube current (mAs) was higher in hospital B, thus the ESD values were about 1.7 times higher in hospital B. However, for chest P-A examination over 4 year-children, the tube voltage was 7 kVp higher in hospital B, the tube current were same in all two systems, and focus to image receptor distance (FID) in hospital B (180 cm) was longer than that in hospital A (130 cm), thus the ESD values were 1.4 times higher in hospital A. For same ages, the ESD values for chest A-P examinations were higher than those for chest P-A examinations. Comparing ESD according to age, ESD values were , and for children under 1 year, 1 to under 4 years and 4 to under 7 years of age, respectively. These values were lower than reference level () recommended in JART (japan association of radiological technologists), however these were higher than reference values recommended by EC (european commission), NRPB (national radiological protection board) and NIFDS (national institute of food & drug safety evaluation). In conclusion, the values of ESD were affected by exposure parameters from radiographer’s past experience more than x-ray system. ESD values for older children were not always higher than those for younger children. Therefore we need to establish our own DRLs (diagnostic reference levels) according to age of the children in order to optimize pediatric patient protection.
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KEYWORD
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Pediatric chest examination, Age, Body size, Exposure parameters, Entrance skin dose (ESD)
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