Patient’s Radiation Risk in Perspective: Insight from Brain Computed Tomography Scan Examination using a 64 Slice CT Machine

Patient’s Radiation risk in perspective

Authors

  • Robinson ED Department of Radiology, Rivers State University Teaching Hospital, Nigeria. https://orcid.org/0000-0002-8509-7854
  • Ononugbo CP Department of Physics, University of Port Harcourt, Port Harcourt, Nigeria.
  • Oliver GL Department of Physics, Faculty of Natural and Applied Sciences, Ignatius Ajuru University of Education, Port Harcourt. Nigeria

DOI:

https://doi.org/10.60787/tnhj.v24i3.892

Keywords:

computed tomography, radiation risk, themoluminiscent dosimeter, absorbed radiation dose, effective dose, Cancer risk, hereditary risk

Abstract

Background: Computed Tomography (CT) uses Ionizing radiation which can cause damage. The study evaluated patient’s radiation risk with an insight to brain CT scan using 64 slice CT machine.

Method: The study was an empirical study conducted at the Rivers State University Teaching Hospital with patients referred for brain CT scan using a 64 Slice GE Optima Helical CT system, from June 2022 to December 2022. Participants were counseled, informed consent and ethical approval obtained before the study. The examination was performed in accordance with standard protocols for brain CT scan. Radiation dose was measured with a coded themoluminiscent dosimeter chip. The effective doses were estimated by multiplying the absorbed dose by the weighting factor.  The cancer and hereditary risk per procedure were estimated by multiplying the effective dose with the cancer and hereditary risk factor coefficients of 5.5x10−2 Sv−1 and 0.2X10−2 Sv−1 respectively. Statistical Package for the Social Sciences (SPSS) windows version 22.30 statistical software (SPSS Inc, Chicago, Illinois, USA) was used to analyse the data and the results presented in tables, charts and graphs.

Result: Males undertake CT brain in younger age; however, the absorbed radiation dose with its consequent effective dose was higher in females and low radiation dose could inadvertently necessitate cancer.

Conclusion: The prevalence of obesity was found to be high. Therefore, there is a need for proper health education and promotion to reduce it and its possible attending consequences.

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References

Bos D, Guberina N, Zensen S, Opitz M, Forsting M, Wetter A. Radiation Exposure in Computed Tomography. Dtsch Arztebl Int. 2023 Mar 13;120(9):135-141. doi: 10.3238/arztebl.m2022.0395. PMID: 36633449; PMCID: PMC10198168.

International Agency for Research on Cancer Radiation monographs on the evaluation of carcinogenic risks to humans. 2012; IARC Publisher.

World Health Organization. Communicating Radiation Risks in Paediatric Imaging – Information to support healthcare discussions about benefit and risk (2016) Bulletin of WHO.

Suliman, I.I., Abdalla, S.E., Ahmed, N.A., Galal, M.A., & Isam, S. Survey of Computed tomography technique and radiation dose in Sudanese hospitals. European Journal of Radiology, 2011; 80, 544-551.

Bushberg, J.T., Seibert, J.A., Leidholdt, J.R., Edwin, M., & Boone, J.M. X-Ray Production, X-Ray Tubes, and Generators. Essentials of physics of medical imaging (3rd ed.) 2020; Lippincott Williamas and Wilkins.

Ghaznavi, H. Thyroid Cancer Risk in Patients Undergoing 64 Slice Brain and Paranasal Sinuses Computed Tomography. Frontiers in Biomedical Technologies, 2020; 7(2), 2345-5837.

Robinson & Nzotta. Effect of X-ray on serum thyroxin hormone level in patients undergoing brain computed tomography in Port Harcourt. Pakistan Journal of Nuclear Medicine, 2019; 9(1). https://doi.org/10.24911/PJNMed. 175-1560636252.

Sal, M., Jerry, R., Teresa G., & Odle, B.A. Computed Tomography in the 21st century. The American society of radiologic technologies Publication. 2008.

Kuznetsova, D.R., Gabdullina, D.A., Makhmudova, A.F., Bochkina, E.V., Platonova, E.O., Zhirnov, B.O., et al. Pediatric Brain Tumor Risk Associated with Head Computed Tomography: Systematic Literature Review. Current Pediatrics, 2023; 22(1), 23-30.

Donald, J.P., & Ehsan, S. How to Understand and Communicate Radiation Risk. www.imagewisely.org/Imaging-Modalities/Computed-Tomography/How-toand-and-Communicate-Radiation-Risk. Assesssed 7th June 2023.

United Nations Environment Annual Report https://www.unep.org/annualreport/2016/index.php. Accessed 12th October 2023.

Sinnott, B., Ron, E., Schneider, A.B. Exposing the Thyroid to Radiation: A Review of Its Current Extent, Risks, and Implications. Endocrine Review, 2010; 31(5), 756-73.

Pearce, M.S. Pattern in paediatric CT use: an international and epidemiological perspective. Journal of Medical Imaging and Radiant Oncology, 2011; 55,107-109.

Ali, Y.F., Cucinotta, F.A., Ning-Ang, L., & Zhou, G. Cancer Risk of Low Dose Ionizing Radiation. Front Physical Science, 2020; 8, 234.

United Nations Scientific Committee on Effect of Atomic Radiation Sources and effects of ionizing radiation: Report to the General Assembly with Scientific Annex, United Nations, 2000.

Alsafi, K.G. Radiation Protection in X-Ray Computed Tomography: Literature Review. International Journal of Radiological Imaging and Technology, 2016; 2(2), 23-31.

World Health Organization. Factsheets on Cancer. Bulletin of WHO. http://www.who.int/news-room/factsheets/detail/cancer, Accessed 12th October 2023.

International Atomic Energy Agency. Assessment of Prospective Cancer Risks from Occupational Exposure to Ionizing Radiation, International Atomic Energy Agency, Vienna. 2021.

Desouky O, Ding N, Zhou G. Targeted and non-targeted effects of ionizing radiation. Journal of Radiation Research and Applied Sciences, 2015; 8(2), 247-254 http://dx.doi.org/10.1503/cmaj.221303

Semghouli, S., Amaoui, B., El Kharras, A., Shaim, A., Choukri, A., & Hakam, O.K. Physicians knowledge of radiation risk in prescribing CT imaging in Moroccan hospitals. British Journal Applied Science and Technology, 2017; 20(3), 1-8.

Hobbs, J.B., Goldstein, N., Lind, K.E., Elder, D., Dodd, G.D., Borgstede, J.P., Physician knowledge of radiation exposure and risk in medical imaging. Journal of the American College of Radiology, 2018; 15:34–43.

International Commission on Radiological Protection. Conversion Coefficients for Radiological Protection Quantities for External Radiation Exposures. ICRP Publication 116, Elsevier. 2010.

International Commission on Radiological Protection. The 2007 recommendations of the International Commission on Radiological Protection. ICRP Publication.

Madder, R.D., VanOosterhout, S., Mulder, A., Brock, T.T., Clarey, A.T., Parker, J.L., & Jacoby, M.E. Patient Body Mass Index and Physician Radiation Dose During Coronary Angiography. Circulation Intervention, 2019; 3(2), 134-153.

Deevband, M.R.; Nasab, S.M.B.H.; Mohammadi, H.; Salimi, Y.; Mostaar, A.; Deravi, N.; Fathi, M.; Vakili, K.; Yaghoobpoor,S.; Ghorbani, M. Body-Mass Index-Based Effective Dose Determination in Commonly Performed Computed TomographyExaminations in Adults. Front. Biomed. Technol. 2022, 9, 316–322.

Mkimel, M., El Baydaoui, R., Mesradi, M.R., Tahiri, Z., Saad, E., & Hilali, A. Assessment of the radiation dose during 16 slices CT examinations. International Journal of Recent Technology and Engineering, 2019;

(4), 2277-3878.

Robinson, E.D., Nzotta, C.C., & Onwuchekwa, I. Evaluation of scatter radiation to the thyroid gland attributable to brain computed tomography scan in Port Harcourt, Nigeria. International Journal of Research and Medical Sciences, 2019; 7, 2530-5.

Semghouli, S., Amaoui, B., Hakam, O.K., & Choukri, A. Radiation exposure during pelvimetry CT procedures in Ibn Sina Children's Hospital of Rabat. Radiation Physics and Chemistry, 2018; 5(2), 79-83.

Tahmasebzadeh, A., Paydar, R., Soltani-Kermanshahi, M., Maziar, A., Reiazi, R. ifetime attributable cancer risk related to prevalent CT scan procedures in pediatric medical imaging centers. International Journal of Radiation Biology, 2021;97(9), 1282-8.

Kadowaki, Y., Hamada, N., Kai, M., Furukawa, KE. Evaluation of the lifetime brain/central nervous system cancer risk associated with childhood head CT scanning in Japan. International Journal of Cancer. 2021; 148: 2429–2439.

Huang, B., Li, J., Law, M.W-M., Zhang, J., Shen, Y., & Khong, P.L. Radiation dose and cancer risk in retrospectively and prospectively ECG-gated coronary angiography using 64-slice multidetector CT. British Journal of Radiology, 2010; 83(986), 152–158. https://doi.org/10.1259/bjr/29879495.

Einstein, A.J., Sanz, J., Dellegrottaglie, S., Milite, M., Sirol, M., Henzlova, M., & Rajagopalan, S. Radiation dose and cancer risk estimates in 16-slice computed tomography coronary angiography. Journal of Nuclear Cardiology, 2008; 15(2), 232-40. https://doi.org/10.1016/j.nuclcard.2007.09.028.

Shubayr, N., & Alashban, Y. Estimation of radiation doses and lifetime attributable risk of radiation-induced cancer in the uterus and prostate from abdomen pelvis CT examinations. Front Public Health, 2023; 10, 109-113. doi: 10.3389/fpubh.2022.1094328

Cao, C.F., Ma KL., Shan H., Liu TF., Zhao SQ., Wan Y., et al. CT scans and Cancer Risks: A Systematic Review and Dose-response Meta-analysis. BMC Cancer, 2022; 22(1), 1 – 13

Garg, M., Karami, V., Moazen, J., Kwee, T., Bhalla, A. S., Shahbazi-Gahrouei, D., & Shao, JYH. Radiation Exposure and Lifetime Attributable Risk of Cancer Incidence and Mortality from Low- and Standard-Dose CT Chest: Implications for COVID-19 Pneumonia Subjects. Diagnostics, 2022; 12(12), 3043. Multidisciplinary Digital Publishing Institute. Retrieved from http://dx.doi.org/10.3390/diagnostics12123043.

de Basea, M.B., Moriña, D., Figuerola, J., Barber, I., Muchart, J., Lee, C., & Cardis, E. Subtle excess in lifetime cancer risk related to CT scanning in Spanish young people. Environment International, 2018; 120,1-10.

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Published

2024-10-05

How to Cite

Robinson, E. D., Ononugbo, C. P., & Oliver, G. L. (2024). Patient’s Radiation Risk in Perspective: Insight from Brain Computed Tomography Scan Examination using a 64 Slice CT Machine: Patient’s Radiation risk in perspective. The Nigerian Health Journal, 24(3), 1591–1601. https://doi.org/10.60787/tnhj.v24i3.892

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