Cancer risk in healthy patients who underwent chest tomography comparing three different technologies

• Published in: Applied radiation and isotopes 2023-03, Vol.193, p.110625-110625, Article 110625
• Main Authors: Pedrosa, K.F.S., Engler, C., Nogueira, M.S.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Breast; Cancer risk; Chest CT; Computed tomography; Equivalent doses; Female; Humans; Male; Middle Aged; Neoplasms - diagnostic imaging; Neoplasms - epidemiology; Radiation Dosage; Risk; Software; Tomography, X-Ray Computed - adverse effects; Tomography, X-Ray Computed - methods; Young Adult
• ISSN: 0969-8043; 1872-9800
• DOI: 10.1016/j.apradiso.2022.110625

This research aimed to estimate the risk of cancer associated with patients without previous disease undergoing chest tomography. Siemens CT scanners have 6, 64, and 128 detectors. The Biologic Effects of Ionizing Radiation Reports - BEIR VII methodology was used. The study presented a sample of 64 patients aged between 18 and 80 years, in the city of Belo Horizonte, Minas Gerais - Brazil. The IMPACT CT software and CalDose X CT Online were used to calculate the absorbed and equivalent dose from the Volumetric Computed Tomography Dose Index - CTDIvol (mGy) and Dose Length Product - DLP values provided by the equipment. CT-Expo Software was also used to estimate Specific Dose Estimates (SSDEs) values. The CTDvol results for the MG1, MG,2 and MG3 Diagnostic Centers in mGy were respectively 4.369 ± 1.352, 6.99 4 ± 1.53,3 and 9.984 ± 2.282 and the SSDE values were 3.800, 6.40,0 and 9,.500. The values for the equivalent dose, at the MG2 Diagnostic Center, by IMPACT CT, in (mSv) for the breasts, esophagus, heart, thyroid, lung and thymus were respectively 3.9, 5.7, 4.7, 1.0, 4.8 and 5.7. The CalDose Software, for the same equipment and the same organs, in mSv, estimated the values 7.4, 9.4, 11.1, 5.3, 10.8 and 11.3 for women and 7.1, 9.3, 11.0, 5.3, 10.2 and 10.9 for men. The estimated risk of cancer decreased according to the patient's age, but with a higher incidence for females. The use of each software must be carefully analyzed to avoid undue values due to the particularities of each one. The results also showed that the risk of developing cancer due to radiation decreases with patient age and is higher in females. •Risk of cancer associated with patients without previous disease undergoing chest tomography.•Equivalent dose and absorbed dose in organ evaluated by IMPACT CT and CalDose X CT Online.•Risk of developing cancer due to radiation decreases with the patient's age for females in CT.