PMID- 31468370 OWN - NLM STAT- MEDLINE DCOM- 20200413 LR - 20200413 IS - 1865-0341 (Electronic) IS - 1865-0333 (Linking) VI - 12 IP - 4 DP - 2019 Dec TI - A comparative study of radiation doses between phantom and patients via CT angiography of the intra-/extra-cranial, pulmonary, and abdominal/pelvic arteries. PG - 374-381 LID - 10.1007/s12194-019-00532-8 [doi] AB - This study aimed to evaluate effective dose and size-specific dose estimate (SSDE) of computed tomography angiography (CTA) examination using an anthropomorphic phantom. We included three CTA examination protocols to evaluate the intra- and extra-cranial arteries, pulmonary artery (CTPA), and abdominal vessels. Patient SSDEs were measured retrospectively to estimate patient dose, relative to the bodyweight of the patient and volume CT dose index (CTDI(vol)). Our findings revealed that the highest dose was absorbed by the left lobe of the thyroid gland during intra-/extra-cranial CTA and CTPA, that is, 14.11 +/- 0.24 mGy and 16.20 +/- 3.95 mGy, respectively. However, the highest absorbed dose in abdominal/pelvic CTA was the gonads (8.98 +/- 0.30 mGy), while other radiosensitive organs in intra- and extra-cranial CTA, CTPA, and abdominal/pelvic CTA did not demonstrate significant differences between organs/structures with p value 0.88, 0.11, and 0.54, respectively. The estimated effective dose in intra-/extra-cranial CTA was lower in patients (0.80 +/- 0.60 mSv) than in the phantom (0.83 mSv), but it was the opposite for CTPA, with the effective dose being higher in patients (7.54 +/- 3.09 mSv) than in the phantom (6.68 mSv). Similar to the effective dose, only CTPA SSDEs were significantly higher in men than in women (19.74 +/- 4.79 mGy versus 7.9 mGy). Effective dose and SSDE are clinically relevant parameters that can help estimate a more accurate patient dose based on a patient's size. FAU - Karim, M K A AU - Karim MKA AUID- ORCID: 0000-0002-5357-4193 AD - Department of Physics, Faculty of Science, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia. khalis.karim@gmail.com. FAU - Sabarudin, A AU - Sabarudin A AD - Programme of Diagnostic Imaging and Radiotherapy, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, 56000, Kuala Lumpur, Malaysia. FAU - Muhammad, N A AU - Muhammad NA AD - Department of Physics, Faculty of Science, Universiti Putra Malaysia, 43400, Serdang, Selangor, Malaysia. FAU - Ng, K H AU - Ng KH AD - Department of Biomedical Imaging, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia. LA - eng GR - GP/IPM/9619800/Fakulti Sains, Universiti Putra Malaysia (MY)/ PT - Comparative Study PT - Journal Article DEP - 20190829 PL - Japan TA - Radiol Phys Technol JT - Radiological physics and technology JID - 101467995 SB - IM MH - Abdomen/blood supply MH - Adult MH - Arteries/*diagnostic imaging MH - Computed Tomography Angiography/*instrumentation MH - Female MH - Humans MH - Lung/blood supply MH - Male MH - Pelvis/blood supply MH - *Phantoms, Imaging MH - *Radiation Dosage MH - Retrospective Studies MH - Skull/blood supply OTO - NOTNLM OT - Absorbed dose OT - CT angiography OT - Dose-length product OT - Effective dose OT - Size-specific dose estimate EDAT- 2019/08/31 06:00 MHDA- 2020/04/14 06:00 CRDT- 2019/08/31 06:00 PHST- 2019/02/18 00:00 [received] PHST- 2019/08/10 00:00 [accepted] PHST- 2019/08/09 00:00 [revised] PHST- 2019/08/31 06:00 [pubmed] PHST- 2020/04/14 06:00 [medline] PHST- 2019/08/31 06:00 [entrez] AID - 10.1007/s12194-019-00532-8 [pii] AID - 10.1007/s12194-019-00532-8 [doi] PST - ppublish SO - Radiol Phys Technol. 2019 Dec;12(4):374-381. doi: 10.1007/s12194-019-00532-8. Epub 2019 Aug 29.