BackgroundComputed tomography (CT) is the largest source of medical radiation exposure to the general population, and is considered a potential source of increased cancer risk. The aim of this study was to assess the current situation of CT use in Japan, and to investigate variations in radiation exposure in CT studies among institutions and scanners.MethodsData-sheets were sent to all 126 hospitals and randomly selected 14 (15%) of 94 clinics in Gunma prefecture which had CT scanner(s). Data for patients undergoing CT during a single month (June 2008) were obtained, along with CT scan protocols for each institution surveyed. Age and sex specific patterns of CT examination, the variation in radiation exposure from CT examinations, and factors which were responsible for the variation in radiation exposure were determined.ResultsAn estimated 235.4 patients per 1,000 population undergo CT examinations each year, and 50% of the patients were scanned in two or more anatomical locations in one CT session. There was a large variation in effective dose among hospitals surveyed, particularly in lower abdominal CT (range, 2.6-19.0 mSv). CT examinations of the chest and upper abdomen contributed to approximately 73.2% of the collective dose from all CT examinations. It was estimated that in Japan, approximately 29.9 million patients undergo CT annually, and the estimated annual collective effective dose in Japan was 277.4 *103 Sv person. The annual effective dose per capita for Japan was estimated to be 2.20 mSv.ConclusionsThere was a very large variation in radiation exposure from CT among institutions surveyed. CT examinations of the chest and upper abdomen were the predominant contributors to the collective dose.
Detectability depends not only on the PET machine but also on the imaging protocol. The results indicate that SUV is variable with PET machines under routine conditions of data acquisition and reconstruction. Standardization of the reconditions can reduce variability and maximum difference in the SUV by half.
Optimisation of computed tomography (CT) parameters is important in avoiding excess radiation exposure. The aim of this study is to establish the diagnostic reference levels (DRL) of CT in Japan by using dose-length product (DLP). Datasheets were sent to all hospitals/clinics which had CT scanner(s) in Gunma prefecture. Data were obtained for all patients who underwent CT during a single month (June 2010), and the distributions of DLP were evaluated for eight anatomical regions and five patient age groups. The DRL was defined as the 25th and 75th percentiles of DLP. Datasheets were collected from 80 of 192 hospitals/clinics (26 090 patients). DLP for head CT of paediatric patients tended to be higher in Japan compared with DRLs of paediatric head CTs reported from the EU or Syria. Although this study was performed with limited samples, DLP for adult patients were at comparable levels for all anatomical regions.
The depth distribution of residual long-lived radioactivity in the inner concrete wall of a medical cyclotron room was measured by assaying concrete cores. Seven long-lived radioactive nuclides ((46)Sc, (60)Co, (65)Zn, (134)Cs, (152)Eu, (22)Na and (54)Mn) were identified by gamma-ray spectrometry of the concrete samples. It was confirmed that the gamma-ray-emitting radionuclides induced by thermal neutrons through the (n, γ) reaction are dominant, and that the activity induced by thermal neutrons is greater at a depth of 10-30 cm, rather than at the surface of the concrete, and decreased exponentially beyond a depth of ~40 cm. Although the specific activity at the surface was greater than the clearance level for radioactive waste indicated in IAEA RS-G-1.7, the mean specific activities in the walls and floor were less than the clearance level.
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