ESTIMATION OF THE EFFECTIVE DOSES FROM TYPICAL FLUOROSCOPIC EXAMINATIONS WITH BARIUM CONTRAST

Author:

Vodovatov Aleksandr12,Golikov Vladislav1,Kamyshanskaja Irina34,Cheremysin Vladimir34,Zinkevich Kseniya4,Bernhardsson Christian5

Affiliation:

1. Laboratory of radiation hygiene of medical facilities, St-Petersburg Research Institute of Radiation Hygiene after Professor P.V. Ramzaev, Mira st. 8, St-Petersburg 197101, Russia

2. Department of Hygiene, FGBOU VO “St.Petersburg State Pediatric Medical University”, Litovskaya St., 2 (building 9, letter “I”), St. Petersburg 194100, Russia

3. Department of Oncology, GBOU VO “Saint-Petersburg State University”, 21 line V. O., 8A, St. Petersburg 199034, Russia

4. Department of X-ray diagnostics, SPb GBUZ “Urban Mariinsky hospital”, Liteiny Pr., 56, Saint Petersburg 191014, Russia

5. Medical Radiation Physics, Department of Translational Medicine, Lund University, Skåne University Hospital Malmö, Inga-Marie Nilssons gata 49, Malmö 205 02, Sweden

Abstract

Abstract The current study aimed to estimate the effective doses and conversion coefficients (CCs) for typical barium swallow (BS), barium meal (BM) and barium enema (BE) protocols and to evaluate the impact of different examination parameters on the resulting CCs. Data were collected in surgical and therapy departments in St. Petersburg Urban Mariinsky Hospital. Computational models were developed using PCXMC 2.0 software. CCs (μSv × μGy−1 × m−2) were estimated, as follows, for over couch and under couch exposure geometries, respectively: 2.3 and 1.7 for BS (surgical department); 2.4 and 2.0 for BM (surgical department); 2.6 and 2.1 for BE (surgical department) 2.5 and 3.8 for BM (therapy department). The effective doses and CCs are mainly influenced by the combination of different fluoroscopic series and X-ray images taken in different projections, the irradiation field size and the energy characteristics of the X-ray beam.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Radiology Nuclear Medicine and imaging,General Medicine,Radiation,Radiological and Ultrasound Technology

Reference18 articles.

1. Estimation of effective doses for barium meal fluoroscopic examinations;Vodovatov,2017

2. Estimation of effective dose from dose-area product measurements for barium meals and barium enemas;Hart;Br. J. Radiol.,1994

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