Monte Carlo estimation of radiation doses in red bone marrow and breast in common pediatric x-ray examinations.

Radiation exposure was investigated for children undergoing various common radiographies in three dedicated pediatric hospitals in Greece. Kerma in air at the entrance of the beam (Ka,e) was measured with thermoluminescent dosimeters. Ka,e values ranged from 0.09 mGy to 5.52 mGy and were found to be greater in Hospital C, because of the increased high voltage and time-current product used by the radiation technologists. Equivalent doses in red bone marrow and breast were estimated with Monte Carlo simulation by PCXMC code. Values ranged from 2 microSv to 204 microSv for red bone marrow and from 0 to 817 muSv for breast. Variation in doses occurred due to field size, high voltage setting, and Ka,e.

Radiation doses in common X-ray examinations carried out in two dedicated paediatric hospitals.

In this study, the entrance surface dose (ESD) and the respective effective dose (E) were determined for paediatric patients undergoing various common radiological examinations in two dedicated paediatric hospitals. Measurements of ESD were carried out in 289 examinations using thermoluminescent dosemeters. The patients were categorised according to their age and the mean ESD and E values were determined for each examination and age category. These ESD values were compared with the existing diagnostic reference levels (DRLs). In both hospitals there were cases where the DRLs were exceeded but in one of them this was rather the general rule, since additionally to the routine use of grid and low tube potential settings, occasional use of fluoroscopy for positioning check was also observed. While the remedial actions required to appropriately reduce the doses were clearly identified, this cannot be achieved without the cooperation of medical physicists with operators and radiologists.

Differences in effective dose and energy imparted estimation from PA-AP, RLAT-LLAT projections in pediatric full spine x-ray examination using the Monte Carlo technique.

Effective dose (E) and energy imparted (epsilon) can be used to quantify the risk of radiation-induced carcinogenesis or hereditary effects arising from radiographic exposures. When the children are examined or treated for idiopathic scoliokyphosis it is important to estimate E and epsilon in the patients due to full spine x-ray examination. The aim of this study is to calculate E and epsilon in the case of children of 5 and 10 years old who undergo full spine x-ray examination using the Monte Carlo approach. Dose area product (DAP) and entrance surface dose (ESD) were also used. AP, PA, RLAT, LLAT projections are simulated by using appropriate energy spectra. According to the results, the effective dose (E) and the energy imparted (epsilon) are smaller at PA projection than AP, although for spine the opposite occurs, in agreement with previous studies. On the other hand, E and epsilon do not differ statistically among RLAT and LLAT projections. Moreover, the role of lung and bone as tissue inhomogeneities in epsilon is shown to be very important.