Radiation Dose Survey for Common Computed Tomography Exams: 2013 British Columbia Results.

In 2013 Health Canada conducted a national survey of computed tomography (CT) radiation usage. We analysed contributions from all 7 public health authorities in the province of British Columbia, which covered scanner age, number of slices, and common adult protocols (≥ 19 years: 70 ± 20 kg, head, chest, abdomen/pelvis, and trunk). Patient doses were recorded for common protocols. Diagnostic reference levels (DRLs) was calculated using scanner data with >10 patient doses recorded for each protocol. Data was analysed based on image reconstruction (filtered backprojection vs iterative reconstruction [IR] vs IR available but not in use). Provincial response was 92%, with 59 of 64 CT data used for analysis. The average scanner age was 5.5 years old, with 39% of scanners installed between 2008-2013; 78.5% of scanners were multislice (>64 slices), and 44% of scanners had IR available. Overall British Columbia DRLs were: head = 1305, chest = 529, abdomen/pelvis = 819, and trunk = 1225. DRLs were consistent with Health Canada recommendations and other Canadian published values, but above international standards. For sites with IR available, less than 50% used this technology routinely for head, chest and trunk exams. Overall, use of IR reduced radiation usage between 11%-32% compared to filtered backprojection, while sites using IR vs IR available used 30%/43% less radiation for head/chest exams (P < .05). No significant difference was observed for abdomen/pelvis exams (P = .385). With the fast pace of CT technical advancement, DRLs should reflect the technology used, instead of just globally applied to anatomical regions. Federal guidelines should be updated at a higher frequency to reflect new technology. In addition, new technologies must be utilised to optimize image quality vs radiation usage.

Interaction between co-deposited metals during stripping voltammetry at boron-doped diamond electrodes.

Electrochemical processes, which underlie the use of conductive diamond electrodes for the simultaneous detection of two or more metal ions in solution by anodic stripping voltammetry (ASV), have been investigated. The model analyte system studied contains the two metal species, Ag+(aq) and Pb2+(aq), and the experimental techniques employed include cyclic and square wave voltammetries, along with X-ray photoelectron spectroscopy and secondary electron microscopy. Although the bulk metallic forms of Ag and Pb are immiscible, several interactions in the system between the two metal species present are observed, which significantly influence the electrodeposition and electrodissolution processes which underlie ASV. The subsequent nucleation and growth of a given metal on the electrode surface is enhanced by the presence of the second metal on the surface. The encapsulation of one metal by the other, within the metal particulates that form on the electrode surface, significantly reduces the stripping yield at the potentials characteristic of the individual metals. The stripping potentials are also influenced by bonding interactions between deposited Ag and Pb, which broaden the characteristic stripping peaks in cyclic voltammetry, as well as producing underpotential deposition and stripping. Given these interactions, the extent to which ASV at diamond electrodes can be used to determine the solution concentrations of Ag+(aq) and Pb2+(aq) is considered.