Prospects for the reduction of the patient doses based on the optimization of the CT abdomen protocols for the different types of malignancies

Author:

Bashkov A. N.1,Sheykh Zh. V.2,Voskanyan S. E.1,Dunaev A. P.3,Popov M. V.1,Udalov Yu. D.1,Samoylov A. S.1

Affiliation:

1. State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency of Russia

2. City clinical hospital named after S.P. Botkin of the Department of health of Moscow; Russian medical Academy of continuing professional education of the Ministry of health of the Russian Federation

3. City clinical hospital №62 of the Department of health of Moscow

Abstract

Reducing radiation exposure in computed tomography is a relevant medical task due to the growing number of studies and the lack of generally accepted approaches to their conduct in the radiological community. One way to reduce the effective dose in contrast-enhanced computed tomography of the abdomen is to optimize the protocol of examination, which can include four scans: in the native, arterial, venous and delayed phases. However while providing repeated studies in patients with oncological diseases, it is possible to confine one or two phases, which will allow the radiologist to visualize observed pathological changes and to evaluate the response to the treatment, as well as detect the recurrence in case of the monitoring of the patients. In the present study, two groups were formed on the basis of a sample of 514 patients. In group 1 (control), CTB was performed according to a three- or four-phase protocol. In group 2, the same patients with an interval from 1 to 5.5 months were performed with computed tomography -OBP according to a single or two-phase protocol depending on the degree of vascularization of the tumor tissue and the clinical situation. At the same time, a decrease in the average effective dose in patients in group 2 compared with group 1 was demonstrated by 63% (p<0.05). In all cases, the various pathological changes that characterize the oncological process and were diagnosed with a three- or four-phase protocol were visualized with a single- or two-phase protocol. Thus, the informative value of computed tomography examination did not decrease.

Publisher

SPRI of Radiation Hygiene Prof. PV Ramzaev

Subject

Radiology Nuclear Medicine and imaging

Reference25 articles.

1. Rehani, M.M. Patient radiation exposure and dose tracking: a perspective. J Med Imaging (Bellingham), 2017, Vol. 4, №3, pp. 031206. doi: 10.1117/1.JMI.4.3.031206.

2. Matkevich E.I. Comparative assessment of the patient doses from the computed tomography of various anatomical regions. Abstract of the MD thesis [dissertation]. Moscow; 2017, 24 p. (In Russian)

3. Barkovsky A.N. [et al.]. Radiation doses of the population of the Russian Federation in 2017: inform. collection. StPetersburg, 2018. (In Russian)

4. Balonov M.I. [et al.]. Modern levels of medical exposure in Russia. Radiation hygiene, 2015, Vol. 8, № 3, pp. 67–79. (In Russian)

5. Matkevich E.I., Sinitsyn V.E., Mershina E.A. Comparative analysis of the patient doses from computed tomography in a federal healthcare facility. Vestnik rentgenologii i radiologii = Bulletin of rentgenology and radiology, 2016, Vol. 97, №1, pp. 33-39. doi: 10.20862/0042-4676-2016-97-1-33-40. (In Russian)

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3