PATIENT-SPECIFIC ORGAN DOSES FROM PEDIATRIC HEAD CT EXAMINATIONS

• Published in: Radiation protection dosimetry 2020-11, Vol.191 (1), p.1-8
• Main Authors: Garzón, W J, Aldana, D F A, Cassola, V F
• Format: Article
• Language: English
• ISSN: 0144-8420; 1742-3406
• DOI: 10.1093/rpd/ncaa126

The aim of this work was to estimate patient’s organ absorbed doses from pediatric helical head computed tomography (CT) examinations using the Size-Specific Dose Estimate (SSDE) methodology and to determine organ dose to SSDE conversion coefficients for clinical routine. Patient-specific organ and tissue absorbed doses from 139 Head CT scans performed in pediatric patients from 0 to 15 years old in a Public Hospital in Tunja, Colombia were estimated. The calculations were made through Monte Carlo simulations, based on patient-specific information, dosimetric CT quantities (CTDIvol, DLP) and age-specific computational human phantoms matched to patients on the basis of gender and size. SSDE showed to be a good quantity for estimate patient-specific organ doses from pediatric head CT examinations when appropriate phantom’s attenuation-based size metrics are chosen to match for any patient size. Strong correlations between absorbed dose and SSDE were found for skin (R2 = 0.99), brain (R2 = 0.98) and eyes (R2 = 0.97), respectively. Besides, a good correlation between SSDE and absorbed dose to the red bone marrow (tissue extended outside the scan coverage) was observed (R2 = 0.94). SSDE-to-organ-dose conversion coefficients obtained in this study provide a practical way to estimate patient-specific organ head CT doses.