This document discusses radiation safety and dose measurement in computed tomography (CT). It describes stochastic and deterministic effects of radiation and defines key dose metrics like exposure, absorbed dose, and dose equivalent. It explains how CT dose is measured using techniques like pencil chambers and CT dose index (CTDI), which quantify the radiation dose profile. Factors affecting radiation dose from CT are also summarized, including tube voltage and current, beam width and number of slices.
Basic physics of multidetector computed tomography ( CT Scan) - how ct scan works, different generations of ct, how image is generated and displayed and image artifacts related to CT Scan.
Computed Tomography Dose Index, Includes various CTDI parameters and the way of calculating effective dose from various Computed Tomography procedures along with their conversion factor.
Basic physics of multidetector computed tomography ( CT Scan) - how ct scan works, different generations of ct, how image is generated and displayed and image artifacts related to CT Scan.
Computed Tomography Dose Index, Includes various CTDI parameters and the way of calculating effective dose from various Computed Tomography procedures along with their conversion factor.
MDCT Principles and Applications- Avinesh ShresthaAvinesh Shrestha
Multidetector CT (MDCT) is one of the most commonly used imaging modality in the field of Radiology. Development and advancement in MDCT has made it's application as a major component in diagnosis and treatment planning of multitude of disease across the planet. This presentation briefly describes its basic principle and it's wide variety of application in medical imaging.
Quality Assurance Programme in Computed TomographyRamzee Small
Introduction to Computed Tomography
Basic description of the components of a CT System
Introduction to Quality Assurance
Quality Assurance and Quality Control Tests in Computed Tomography base on frequency
Objective of QA/QC Test
CT is one of the highest contributor for medical radiation exposure to patients. Some common CT dose descriptors and dose optimizations methods are briefly described in this presentation.
MDCT Principles and Applications- Avinesh ShresthaAvinesh Shrestha
Multidetector CT (MDCT) is one of the most commonly used imaging modality in the field of Radiology. Development and advancement in MDCT has made it's application as a major component in diagnosis and treatment planning of multitude of disease across the planet. This presentation briefly describes its basic principle and it's wide variety of application in medical imaging.
Quality Assurance Programme in Computed TomographyRamzee Small
Introduction to Computed Tomography
Basic description of the components of a CT System
Introduction to Quality Assurance
Quality Assurance and Quality Control Tests in Computed Tomography base on frequency
Objective of QA/QC Test
CT is one of the highest contributor for medical radiation exposure to patients. Some common CT dose descriptors and dose optimizations methods are briefly described in this presentation.
Explain the non safe or harm aspects of CT scan on the patient,, particularly after multiple CT scans done for one patient. mentioned essentially the risk of cancer in later life, which reach 1/2000.
Also, mentioned the organs, age group, and gender which affected more by CT radiation
Finally , stressing on eliminating CT scan as possible
CT Dose Issues.pptx on the factors to be considered on radiation protectionsanyengere
summary, mobile radiography allows for the diagnostic imaging of patients who are unable to be seen in the X-ray examination room. Therefore, mobile X-ray equipment is useful for patients who have difficulty with movement. However, staff are exposed to scattered radiation from the patient, and can receive potentially harmful radiation doses during radiography. The protection of staff is of utmost importance; therefore, we investigated the occupational radiation doses received by RTs, particularly eye doses, using phantom measurements. RTs can be located close to a patient (i.e., the source of scattered radiation) during mobile radiography. As eye doses can be significant, protective measures are essential for RTs. Protective aprons are important for protecting RTs, as is increasing the distance from the radiation source (i.e., the patient). Lead glasses may also be necessary for protecting the eyes of RTs. To reduce RT radiation exposure, RTs should remain distant from the patient if possible. However, because this distance may hinder verification of the patient’s condition, RTs sometimes work in close proximity to patients. This is a patient phantom study. In future, the data may need validation by comparison with personal RT dosimeter records. It is important to evaluate the radiation doses delivered to RTs during mobile radiography, as well as the scattered radiation distribution, to ensure adequate protection. Further comparison studies may be needed using the Monte Carlo method.
radiographers and nurses have a responsibility to ensure that no one is within the radiation field during the X-ray exposure of the patient. This is achieved by informing all persons in the immediate area that an X-ray exposure is about to be made and asking them to stand a safe distance from the radiation field area.
Shielding
Placing a barrier of lead or concrete between the radiation source and an individual provides protection from X-radiation (Jones and Taylor, 2006; Ehrlich and Coakes, 2017). During mobile radiography, anyone assisting in an examination and staying in the radiation field should wear a lead-rubber apron or stand behind a mobile lead screen. Generally, walls in special care units where ionising radiation is used are designed to contain the radiation produced by the mobile X-ray tube within a set of criteria and limits determined by relevant legislation (Hart et al, 2002).
Radiation protection during mobile radiography
Nurses' understanding and adherence to radiation protection control measures during mobile radiography is of paramount importance in protecting patients, themselves and members of the public visiting the ward/unit. However, some research studies have found limited awareness and non-adherence to radiation protection control measures among nurses during mobile radiography (Anim-Sampong et al, 2015; Luntsi et al, 2016; Azimi et al, 2018). This can be attributed to a lack of radiation protection awareness programmes for nurses working
Ionizing Radiation -How is Gray different from Sievert -Deterministic & Stochastic Radiation Risks -Air Kerma-Time, Distance and Shielding Principles -Dosimetry
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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CT scan and MRI are the techniques for body imaging. Computed Tomography or Computerized Axial Tomography is commonly referred to as a CT scan.
C- computed (Use of computer) and T- tomography (Greek word “Tomos” means “slice” and “Grapho” means “ To write”
The first commercial CT scanner was invented by Sir Godfrey Hounsfield in United Kingdom.
It is a diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce images of the inside of the body. It shows detailed images of any part of the body including the bones, muscles, fat, organs and blood vessels.
CT scans may be performed to help diagnose tumors, investigate internal bleeding, or check for other internal injuries or damage.
Computed Tomography or Computerized Axial Tomography is commonly referred to as a CT scan.
C- computed (Use of computer) and T- tomography (Greek word “Tomos” means “slice” and “Grapho” means “ To write”
The first commercial CT scanner was invented by Sir Godfrey Hounsfield in United Kingdom.
It is a diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce images of the inside of the body. It shows detailed images of any part of the body including the bones, muscles, fat, organs and blood vessels.
CT scans may be performed to help diagnose tumors, investigate internal bleeding, or check for other internal injuries or damage. Computed Tomography or Computerized Axial Tomography is commonly referred to as a CT scan.
C- computed (Use of computer) and T- tomography (Greek word “Tomos” means “slice” and “Grapho” means “ To write”
The first commercial CT scanner was invented by Sir Godfrey Hounsfield in United Kingdom.
It is a diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce images of the inside of the body. It shows detailed images of any part of the body including the bones, muscles, fat, organs and blood vessels.
CT scans may be performed to help diagnose tumors, investigate internal bleeding, or check for other internal injuries or damage. MRI stands for Magentic Resonance Imaging which is a non-invasive medical imaging test that produces detailed images of almost every internal structure in the human body, including the organs, bones, muscles and blood vessels.
MRI scanners create images of the body using a large magnet and radio waves.
No ionizing radiation is produced during an MRI exam, unlike X-rays. These images give your physician important information in diagnosing your medical condition and planning a course of treatment.
Raymond Damadian, the inventor of the first magnetic resonance scanning machine performed the first full-body scan of a human being in 1977.
The Nobel Prize was awarded to the American chemist, Paul Lauterbur, and the British physicist, Peter Mansfield, for developing a method to represent the information gathered by a scanner as an image. This is fundamental for the way the technology is used today.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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3. Radiation Safety and ProtectionRadiation Safety and Protection
The potentially harmful effects of ionizingThe potentially harmful effects of ionizing
radiation are either:radiation are either:
Stochastic effectsStochastic effects
OrOr
Deterministic effectsDeterministic effects
4. Stochastic effectsStochastic effects
Effects where theEffects where the probabilityprobability of the occurrenceof the occurrence
increases with radiation exposure.increases with radiation exposure.
e.g.e.g. carcinogenesis and genetic effects.carcinogenesis and genetic effects.
i.e.i.e.
((The((The probabilityprobability, but, but not severitynot severity,,
of the end point condition, isof the end point condition, is
dose-dependentdose-dependent))))
5. Deterministic effectsDeterministic effects
Effects related to aEffects related to a threshold dosethreshold dose,, belowbelow
which the effect is not detected butwhich the effect is not detected but aboveabove thisthis
threshold dose , the probability that the effectthreshold dose , the probability that the effect
will occur is virtuallywill occur is virtually 100%.100%.
TheThe severityseverity increases with increased dose.increases with increased dose.
e.g.e.g.
Erythema, epilation, desquamation, cataract,Erythema, epilation, desquamation, cataract,
fibrosis and hematopoietic damage.fibrosis and hematopoietic damage.
6. CT DosimetryCT Dosimetry
To evaluate theTo evaluate the potential risk/benefitpotential risk/benefit of CTof CT
scanning, dose should be estimated.scanning, dose should be estimated.
2 main questions are to be answered:2 main questions are to be answered:
1.1. How muchHow much radiation dose is my CT scannerradiation dose is my CT scanner
delivering to the patient?delivering to the patient?
2.2. How to compareHow to compare my scanner dose to that ofmy scanner dose to that of
other CT scanners?other CT scanners?
7. Dose MeasurementsDose Measurements
Erythema doseErythema dose
Slight film fogSlight film fog
Roentgen (R)Roentgen (R)
Exposure doseExposure dose
Absorbed doseAbsorbed dose
Equivalent doseEquivalent dose
8. Classic and SI units of radiationClassic and SI units of radiation
dosedose
Dose type Unit Abbr Unit Abbr
Exposure (air kerma)
For x-ray or gamma ray
ionization in air only
Roentgen R Coulomb
per
kilogram
C/kg
Absorption
Energy deposited by any type
of radiation in any material
Radiation
absorbed
dose
Rad Gray Gy
Equivalent
Biologic effect caused by any
radiation in a living organism
Roentgen
equivalent
mammal
Rem Sievert Sv
Classic units SI units
9. ExposureExposure
Ionizing radiation ionizes the gas molecules intoIonizing radiation ionizes the gas molecules into
electrically charged ions . This has traditionallyelectrically charged ions . This has traditionally
been measured in terms of exposure Ebeen measured in terms of exposure E
Where Q is total electric charge produced and MWhere Q is total electric charge produced and M
is the mass of air.is the mass of air.
The old exposure unit of 1 Roentgen isThe old exposure unit of 1 Roentgen is
equivalent to 2.58x10equivalent to 2.58x10-4-4
C.kgC.kg-1-1
..
Since 1 Gy =3x10Since 1 Gy =3x10-2-2
C.kgC.kg-1-1
then 1R = 8.6 Gy.then 1R = 8.6 Gy.
E= Q/M (C.Kg-1
)
10. Absorbed dose (Gy)Absorbed dose (Gy)
Is the energy absorbed by exposed material
(air or tissue) in joules/kg
E absorbed by a mass M of tissue: E/M is the
the gray (Gy)
1 Gy = 1x10-3
J.g-1
Absorbed Dose = E/M (Gy)
11. Dose equivalent (Sievert)Dose equivalent (Sievert)
Tissue damage due to different type ofTissue damage due to different type of
ionizing radiation ( Gamma, X, Beta, andionizing radiation ( Gamma, X, Beta, and
Alfa) varies considerably.Alfa) varies considerably.
Dose equivalent allows for this byDose equivalent allows for this by
multiplying the absorbed dose (grays) bymultiplying the absorbed dose (grays) by
a weighting factor which depends on thea weighting factor which depends on the
type of radiation.type of radiation.
Grays x Q = Sieverts (Sv)
12. CT Radiation Dose
CT Radiation Dose has 3 unique features:
Axial CT image is very much collimated with minimal
scattered radiation.
Dose is evenly distributed ( in modern CTs) due to
rotational acquistion.
To achieve high contrast resolution, CT needs high SNR
which necessiates high Dose/ Volume i.e. high
technique.
PA Chest XR needs only 120 kVp, 2 mAs
Chest CT may need up to120 kVp, 200 mAs
13. X-ray beam geometryX-ray beam geometry
Most modern scanners employ a fan-Shaped X-rayMost modern scanners employ a fan-Shaped X-ray
beambeam
Factors affecting Radiation Dose in CT
14. The width of x-ray beam is viewed form sideThe width of x-ray beam is viewed form side
CollimatorCollimator
determines the width:determines the width:
An ideal dose distributionAn ideal dose distribution
along z axis is shown (B).along z axis is shown (B).
Actual bell-shaped doseActual bell-shaped dose
distribution curve (C).distribution curve (C).
A
B
C
A
Radiation Dose in CT
17. 1717
Radiation Dose
The main X-ray interaction
mechanism in CT is
Compton scattering.
CT slice acquisition delivers
a considerable dose from
scatter to adjacent tissues
outside the primary beam
path.
As slice number increases,
scattering also increases.
18. Methods of measuring patient doseMethods of measuring patient dose
Of the many dose measurement methods, weOf the many dose measurement methods, we
are going to consider only:are going to consider only:
TheThe pencil ionizationpencil ionization chamberchamber method.method.
CT dose indexCT dose index (CTDI) method.(CTDI) method.
Multiple scan average doseMultiple scan average dose (MSAD)(MSAD)
method.method.
19. Radiation Dose Measurement - CTDI
CTDI is the dose to any point in
the patient including scatter from
7 CT slices in both directions (H/F
& F/H) ( a total of 14 slices).
The multiple scan average dose
MSAD can be estimated using a
single scan by measuring the CT
Dose Index (CTDI).
CTDI can be measured using a
pencil ionization chamber in
phantoms simulating head (16 cm
diameter acrylic) & bodies (32 cm
diameter acrylic.
Doses at the patient surface may
be higher than in the patient
center.
20. In head scans, the surface-to-center ratio is approximately 1:1.
In body scans, the surface-to-center ratio is approximately 2:1.
CTDI measurements are done at both the surface CTDI (Periphery) & center
CTDI (Center) of the phantom & then combined to give CTDIw
CTDIw = (2/3 CTDIperipheral + 1/3 CTDIcenter)
22. Dose indexDose index
The CT dose index (CTDI) is mathematically defined as :The CT dose index (CTDI) is mathematically defined as :
Where n is the number of distinct planes of the dataWhere n is the number of distinct planes of the data
collected during one revolution,collected during one revolution, sw is the slice width (insw is the slice width (in
mm), D(z) is the dose distribution, z is the dimensionmm), D(z) is the dose distribution, z is the dimension
along the patient’s axis. For axial CT scanners and spiralalong the patient’s axis. For axial CT scanners and spiral
CT scanners with single array of detectors, n = 1. ForCT scanners with single array of detectors, n = 1. For
multi slices CT scanner n is the number of activemulti slices CT scanner n is the number of active
detector rows.detector rows.
*The integral sign merely instructs the user to determine the area single curve (D(z).
*
23. Measuring the CTDIMeasuring the CTDI
CTDI is measured using long cylindricalCTDI is measured using long cylindrical
ionization chamber and radiation doseionization chamber and radiation dose
from single slice.from single slice.
The ionization chamber receives radiationThe ionization chamber receives radiation
from all parts of dose distribution D(z)from all parts of dose distribution D(z)
because its length is bigger than the widthbecause its length is bigger than the width
of the X-ray beam.of the X-ray beam.
24. The total charge from the ionization chamber isThe total charge from the ionization chamber is
proportional to the integral in the CTDI definition.proportional to the integral in the CTDI definition.
•Where Q is the total charge collected during single scan and Cf is calibration
factor of ionization chamber.
•Because the ionization chamber measures the exposure and not the dose we, convert
Roentgen to cGy.
25. The integral in Equation is
numerically equal
to the area ( shaded region )
of the dose distribution
Note that the CTDI can be
increased by increasing the
area under the curve.
The area can be increased by
either :
1.increasing the intensity of
radiation, which
Raises top the of the curve.
Or
2. widening the beam ,
usually by opening the x-ray
collimator.
26.
27. Multiple Scan Average DoseMultiple Scan Average Dose
To measure radiation dose received byTo measure radiation dose received by
patient from a series of CT scans,patient from a series of CT scans,
between each two scans the patient isbetween each two scans the patient is
moved by a bed index distance, each slicemoved by a bed index distance, each slice
delivers its characteristic bell-shapeddelivers its characteristic bell-shaped
dose.dose.
Finally, we have multiple consecutive bell-Finally, we have multiple consecutive bell-
shaped doses.shaped doses.
28. A series of 7spaced scans at a
constant bed index along the Z-
axis is acquired to produce 7 bell-
shaped dose distribution curves
(TOP).
Summation of these doses results
in the (BOTTOM) curve.
The total dose ( BOTTOM) curve
has peaks where the bell-shaped
curves overlap.
The dotted line through the total
dose curve is the multiple scan
average dose.
The MSAD is defined as the
average dose (at a particular depth
from the surface) resulting from a
large number of successive slices.
The MSAD refers to all the dose
delivered to the tissues including
dose due to scatter from all the
successive slices.
29. Multi-scan average doseMulti-scan average dose
(MSAD)(MSAD)
CTDI can be related to the MSAD by this equation
Where BI is the bed index or slice spacing (in mm), Sw is slice width (in
mm), and the number of active arrays of detectors.
30. CTDI-Dose Measurement
Decreasing kVp reduces dose while other factors are constantDecreasing kVp reduces dose while other factors are constant
CTDI values for body scans are lower than those for head scans due to
greater attenuation of X-rays in the body.
These values DO NOT quantify patient risk because they DO NOT
consider the number of slices NOR the radiosensitivity of the irradiated
organs.
CTDI values increase with kVp, so decreasing kVp while other factors
remain constant reduces the CTDI values.
31. Effect o kVp On Radiation Dose
kVp not only
controls the
image
contrast but
also controls
the amount
of
penetration
that the x-ray
beam will
have as it
traverses the
patient
Parameter 80 kV 120 kV 140 kV
Image
Contrast
Best Intermediate Poor
Noise Most Average Least
Penetration Least Average Most
Patient Dose
per mAs
Lowest Intermediate Highest
32. Any Question???.
Take your Tiiime!!! .
Again Any Question???.
Otherwise, I’m going to ask!!!.
Should I Ask???.