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Radiation safety in CT

Radiation safety in CT. RADIATION DOSES DURING CT EXAMS ARE CLASSIFIED AS: . LOW DOSE RADIATION. AS COMPARED TO DOSES GENERATED FROM NUCLEAR EVENTS. BODY RESPONE TO RADIATION: . SOMATIC EFFECTS GENETIC EFFECTS. SOMATIC EFFECT. MANIFESTED IN THE INDIVIDUAL EXPOSED.

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Radiation safety in CT

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  1. Radiation safety in CT

  2. RADIATION DOSES DURING CT EXAMS ARE CLASSIFIED AS: • LOW DOSE RADIATION AS COMPARED TO DOSES GENERATED FROM NUCLEAR EVENTS

  3. BODY RESPONE TO RADIATION: • SOMATIC EFFECTS • GENETIC EFFECTS

  4. SOMATIC EFFECT • MANIFESTED IN THE INDIVIDUAL EXPOSED

  5. ACUTE SOMATIC RADIATION SYNDROME STAGES: • PRODROMAL- NAUSEA, VOMITING, DIARRHEA • LATENT PERIOD – NO SYMPTOMS • MANIFEST – ORGAN DAMAGE, DEATH OR RECOVERY HEMATOPOIETIC GI CNS

  6. MOST COMMON SOMATIC EFFECTS • CATARACT FORMATION • SKIN CANCER • THYROID CANCER • BREAST CANCER • LEUKEMIA

  7. EFFECT ON AN EMBRYO OR FETUS • MOST PRONOUNCED DURING THE FIRST TRIMESTER!!!!

  8. ALTERNATIVE EXAMS SHOULD BE SCHEDULED IF PATIENT IS PREGNANT CT OR MRI ?

  9. FETAL MRI

  10. GENETIC EFFECT • MANIFESTED IN THE FUTURE GENERATIONS!

  11. RADIATION DOSES FROM CT SCANNERS ARE THE HIGHEST IN DIAGNOSTIC RADIOLOGY!!!! HOWEVER:

  12. RADIATION EXPOSURE SHOULD OCCUR : • AFTER CONSIDERATION BY THE PHYSICIAN

  13. ALARA

  14. RADIOLOGIC UNITS (CUSTOMARY) • EXPOSURE, INTENSITY ------ ROENTGEN (R) • ABSORBED DOSE ----------- RADIATION • ABSORBED DOSE (rad) • DOSE EQUIVALENT ---------RADIATION EQUIVALENT MAN (rem)

  15. RADIOLOGIC UNITS (SI) • EXPOSURE, INTENSITY ------ C/kg • ABSORBED DOSE ----------- GRAY (Gy) • DOSE EQUIVALENT ---------SIEVERT (Sv) 1 Gy = 100 rad 1 Sv = 100 rem

  16. PENCIL IONIZATION CHAMBER METHOD OF MEASURING CT DOSE(CT DOSE INDEX---CTDI)

  17. CT PHANTOM & IONIZATION CHAMBER

  18. PRINCIPLE OF OPERATION OF IONIZATION CHAMBER

  19. IN 1981 CENTER FOR DEVICES AND RADIOLOGICAL HEALTH SUGGESTED AN EASY AND ACCURATE METHOD TO MEASURE PATIENT DOSE IN CT. IT RELIED ON ON CTDI AND MSAD (MULTIPLE SCAN AVERAGE DOSE)

  20. MSAD • SERIES OF CT SCANS ARE PERFORMED ON A PATIENT . BETWEEN EACH SCAN PATIENT IS MOVED A BED INDEX (BI) DISTANCE.

  21. MSAD vs CTDI

  22. FACTORS IN PATIENT PROTECTION • TIME • DISTANCE • SHIELDING

  23. SHIELDING • IF PERSONNEL PRESENT IN THE ROOM DURING SCAN MUST BE SHIELDED AND STAND FAR FROM THE SOURCE ( INVERSE SQUARE LAW)

  24. GONADAL SHIELDS • 4-5 CM WITHIN THE X-RAY BEAM

  25. CONTACT SHIELDS 360 ° AROUND PATIENT

  26. CT DOSE IN SPIRAL SCANNING • CTDI CAN ALSO BE USED PITCH MSAD OR CTDI

  27. MORE USEFUL MEASUREMENT IS • EFFECTIVE DOSE TAKES INTO ACCOUNT QUALITY OF RADIATION AND ORGAN SENSITIVITY EXPRESSED IN Sv

  28. HEAD------------ 2 CHEST ---------- 8 ABDOMEN --10-20 PELVIS -------10- 20 SKULL -------- 0.07 CHEST PA ---- 0.02 ABDOMEN --- 1 PELVIS -------- 0.7 EFFECTIVE DOSE (mSv) CT CONVENTIONAL

  29. BED INDEX SPIRAL PITCH COLLIMATION (PREPATIENT) NOISE DOSE DOSE DOSE DOSE DOSE REDUCTION IN CT

  30. SID OID kVp (15 % RULE) mAs DOSE DOSE DOSE DOSE DOSE REDUCTION IN CT

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