Exceeding radiation thresholds for cataract induction in diagnostic imaging: a paediatric case report

Author:

Perdomo Amanda Alison12ORCID,Badawy Mohamed Khaldoun34,Mignone Cristina2,Forster Jake Cameron15

Affiliation:

1. Department of Physics, University of Adelaide , Adelaide 5005, South Australia , Australia

2. Department of Medical Imaging, The Royal Children’s Hospital , 50 Flemington Road, Parkville 3052, Victoria , Australia

3. Monash Health Imaging, Monash Health , 246 Clayton Rd, Clayton 3168, Victoria , Australia

4. Department of Medical Imaging and Radiation Sciences, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University , Clayton 3800, VIC , Australia

5. Medical Physics & Radiation Safety, South Australia Medical Imaging , Adelaide 5005, South Australia , Australia

Abstract

Abstract This case report investigates the radiation dose received by a paediatric patient with a ventricular assist device who underwent four non-contrast brain computed tomography (CT) scans, two brain perfusion CT scans and two head angiographic CT scans. The total estimated absorbed dose to the lens of the eye is above the 500 mGy radiation-induced cataract threshold. It is recommended that this patient and those with similar imaging histories have routine follow-up with an ophthalmologist. It is also recommended that radiation dose tracking and an electronic medical alert program be implemented to allow the identification of patients who may exceed tissue reaction thresholds.

Publisher

Oxford University Press (OUP)

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