Radiation Doses of Various CT Protocols: a Multicenter Longitudinal Observation Study

Emerging concerns regarding the hazard from medical radiation including CT examinations has been suggested. The purpose of this study was to observe the longitudinal changes of CT radiation doses of various CT protocols and to estimate the long-term efforts of supervising radiologists to reduce medical radiation. Radiation dose data from 11 representative CT protocols were collected from 12 hospitals. Attending radiologists had collected CT radiation dose data in two time points, 2007 and 2010. They collected the volume CT dose index (CTDIvol) of each phase, number of phases, dose length product (DLP) of each phase, and types of scanned CT machines. From the collected data, total DLP and effective dose (ED) were calculated. CTDIvol, total DLP, and ED of 2007 and 2010 were compared according to CT protocols, CT machine type, and hospital. During the three years, CTDIvol had significantly decreased, except for dynamic CT of the liver. Total DLP and ED were significantly decreased in all 11 protocols. The decrement was more evident in newer CT scanners. However, there was substantial variability of changes of ED during the three years according to hospitals. Although there was variability according to protocols, machines, and hospital, CT radiation doses were decreased during the 3 years. This study showed the effects of decreased CT radiation dose by efforts of radiologists and medical society.

Radiation Exposure from Abdominal Imaging Studies in Patients with Intestinal Behcet Disease

BACKGROUND/AIMS: Recently, several studies have revealed that diagnostic imaging can result in exposure to harmful levels of ionizing radiation in inflammatory bowel disease patients. However, the extent of radiation exposure in intestinal Behcet disease (BD) patients has not been documented. The aim of this study was to estimate the radiation exposure from abdominal imaging studies in intestinal BD patients. METHODS: Patients with a diagnosis of intestinal BD established between January 1990 and March 2012 were investigated at a single tertiary academic medical center. The cumulative effective dose (CED) was calculated retrospectively from standard tables and by counting the number of abdominal imaging studies performed. High exposure was defined as CED >50 mSv. RESULTS: In total, 270 patients were included in the study. The mean CED was 41.3 mSv, and 28.1% of patients were exposed to high levels of radiation. Computed tomography (CT) accounted for 81.7% of the total effective dose. In multivariate analyses, predictors of high radiation exposure were azathioprine/6-mercaptopurine use, surgery, and hospitalization. CONCLUSIONS: Approximately a quarter of intestinal BD patients were exposed to harmful levels of diagnostic radiation, mainly from CT examination. Clinicians should reduce the number of unnecessary CT examinations and consider low-dose CT profiles or alternative modalities such as magnetic resonance enterography.

Effects of Heat Therapy Using a Far Infrared Rays Heating Element for Dysmenorrhea in High School Girls

PURPOSE: The purpose of this study was designed to identify the effects of heat therapy on dysmenorrhea, heat being provided using a far infrared rays heating element. METHODS: The research design for the study was a non-equivalent control group quasi-experimental design. Participants were 22 students for the experimental group, and 26 students for the control group. Data were analyzed using SAS WIN 9.1 program. RESULTS: The experimental group had significantly lower mean scores for menstrual pain, dysmenorrhea, and blood pressure than those in the control group. However, no significant differences were found between two groups for pulse, respiration, and temperature. CONCLUSION: These findings show that thermotherapy was effective for reduction of menstrual pain, dysmenorrhea, and B/P. Therefore, this therapy could be used as a nursing intervention for students with dysmenorrhea.

Evaluation of 99m Tc-DTPA renal scanning for localization and shielding of the kidneys in patients candidate for abdominal radiotherapy

Clinical radiation nephropathy can result in considerable morbidity and/or mortality. Renal tolerance [TD5/5] has been stated to be 20 Gy when irradiation has been delivered to both kidneys in 3-5 weeks. Therefore to minimize renal toxicity in these patients, localization and shielding of the kidneys are essential. This study was carried out to evaluate the role of 99mTc-DTPA renal scintigraphy in renal localization for perfect shielding. From April 2000 to March 2001, thirteen patients had complete history, physical examination, serum creatinine level, complete blood count, urinalysis and abdominal sonography. Then the patients were referred to nuclear medicine department. After I.V. injection of 10 mCi 99mTc-DTPA, the kidneys were localized by gamma camera and marked on skin. All patients received abdominal radiation with A-P and P-A fields with cobalt 60 machine up to 3000-5000CGY. Kidneys were shielded posteriorly after 1500cGY with 5 HVL [Half value layer] blocks. After minimum follow-up of 24 months, no evidence of increasing blood pressure, edema, proteinuria, rising in serum creatinin or changing in kidney size was found. The results show that localization of kidneys by 99mTc-DTPA is a useful, easy and safe method to shield kidneys in these patients

Observaçöes preliminares da relaçäo entre técnica radiográfica e doses em pacientes submetidos a exames radiográficos convencionais / Preliminary observations of relationship between radiographic technique and doses in patients submitted to conventional radiographic examination

Este trabalho apresenta uma avaliação da dose de entrada à superfície em pacientes submetidos a exames reais, proporcionada pela técnica radiográfica presente em 10 salas da cidade de Curitiba - PR no período de 12/95 a 04/96. Objetiva delinear as bases para estudos mais extensos, de nível local ou regional. É resultado da cooperação entre a SESA-PR e CIDRA-USP no desenvolvimento de pesquisa e capacitação técnica em saúde pública.

This work presents an evaluation of entrance skin dose in patients submitted at real examinations, arising from present radiographic technic in 1 O rooms of county of Curitiba - PR, between 12/95 and 04/96. Objectify outline the basis for extensive studies, on local or regional levei. Is the result of cooperation between the SESA-PR and CIDRA-USP in development of research and technical capacitation on public health.