Estimation of patient radiation doses form conventional X-ray radiography / 中华放射医学与防护杂志

ABSTRACT

Objective To compare patient organ doses and entrance surface dose conversion coefficients in conventional radiography using medical internal radiation dose (MIRD) phantom and voxel human phantom.Methods The voxel phantom was adapted to the Monte Carlo transport code to simulate the organ doses and entrance surface dose in five common projections, and thus the dose conversion coefficients between the entrance skin dose and organ dose were calculated.The results were compared with the reported mean values which were simulated using MIRD phantom.Results The dose conversion coefficients values of organs covered or partially covered by the X-ray field ranged from 0.149-0.650 in chest postero-anterior projection, 0.067-0.382 in chest left lateral projection, 0.023-0.374 in chest right lateral projection, 0.035-0.431 in abdominal antero-posterior projection, 0.083-0.432 in lumbar spine antero-posterior projection.In chest postero-anterior projection, significant differences were most obviously observed in lung, the dose conversion coefficients difference was 54.3％.In chest left lateral projection, the dose conversion coefficients difference of liver was greatest, which was 54.5％.In chest right lateral projection, the dose conversion coefficients differences of stomach wall was most obviously 63.8％.In abdominal antero-posterior projection, dose conversion coefficients discrepancy was most obviously observed in spleen, with the value of 65.0％;while in lumbar spine antero-posterior projection, the dose conversion coefficients differences of stomach wall was most obviously 43.7％.Conclusions Compared with the stylized MIRD phantoms, the anatomical realism in voxel phantom is evident.Therefore, the dose conversion coefficients calculated by voxel phantoms are more accurate and scientific in conventional radiology.