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Conversion coefficients for the estimation of effective dose in cone-beam CT

  • Kim, Dong-Soo (Department of Oral and Maxillofacial Radiology, Dankook University College of Dentistry) ;
  • Rashsuren, Oyuntugs (Department of Oral and Maxillofacial Radiology, Dankook University College of Dentistry) ;
  • Kim, Eun-Kyung (Department of Oral and Maxillofacial Radiology, Dankook University College of Dentistry)
  • Received : 2013.07.28
  • Accepted : 2013.09.04
  • Published : 2014.03.31

Abstract

Purpose: To determine the conversion coefficients (CCs) from the dose-area product (DAP) value to effective dose in cone-beam CT. Materials and Methods: A CBCT scanner with four fields of view (FOV) was used. Using two exposure settings of the adult standard and low dose exposure, DAP values were measured with a DAP meter in C mode ($200mm{\times}179mm$), P mode ($154mm{\times}154mm$), I mode ($102mm{\times}102mm$), and D mode ($51mm{\times}51mm$). The effective doses were also investigated at each mode using an adult male head and neck phantom and thermoluminescent chips. Linear regressive analysis of the DAP and effective dose values was used to calculate the CCs for each CBCT examination. Results: For the C mode, the P mode at the maxilla, and the P mode at the mandible, the CCs were 0.049 ${\mu}Sv/mGycm^2$, 0.067 ${\mu}Sv/mGycm^2$, and 0.064 ${\mu}Sv/mGycm^2$, respectively. For the I mode, the CCs at the maxilla and mandible were 0.076 ${\mu}Sv/mGycm^2$ and 0.095 ${\mu}Sv/mGycm^2$, respectively. For the D mode at the maxillary incisors, molars, and mandibular molars, the CCs were 0.038 ${\mu}Sv/mGycm^2$, 0.041 ${\mu}Sv/mGycm^2$, and 0.146 ${\mu}Sv/mGycm^2$, respectively. Conclusion: The CCs in one CBCT device with fixed 80 kV ranged from 0.038 ${\mu}Sv/mGycm^2$ to 0.146 ${\mu}Sv/mGycm^2$ according to the imaging modes and irradiated region and were highest for the D mode at the mandibular molar.

Keywords

References

  1. Arai Y, Tammisalo E, Iwai K, Hashimoto K, Shinoda K. Development of a compact computed tomographic apparatus for dental use. Dentomaxillofac Radiol 1999; 28: 245-8. https://doi.org/10.1038/sj.dmfr.4600448
  2. Momin MA, Matsumoto K, Ejima K, Asaumi R, Kawai T, Arai Y, et al. Correlation of mandibular impacted tooth and bone morphology determined by cone beam computed topography on a premise of third molar operation. Surg Radiol Anat 2013; 35: 311-8. https://doi.org/10.1007/s00276-012-1031-y
  3. Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging: part 1. Conventional and alternative radiographic systems. Int Endod J 2009; 42: 447-62. https://doi.org/10.1111/j.1365-2591.2008.01530.x
  4. Silva MA, Wolf U, Heinicke F, Bumann A, Visser H, Hirsch E. Cone-beam computed tomography for routine orthodontic treatment planning: a radiation dose evaluation. Am J Orthod Dentofacial Orthop 2008; 133: 640.e1-5.
  5. Lofthag-Hansen S, Grondahl K, Ekestubbe A. Cone-beam CT for preoperative implant planning in the posterior mandible: visibility of anatomic landmarks. Clin Implant Dent Relat Res 2009; 11: 246-55. https://doi.org/10.1111/j.1708-8208.2008.00114.x
  6. Loubele M, Bogaerts R, Van Dijck E, Pauwels R, Vanheusden S, Suetens P, et al. Comparison between effective radiation dose of CBCT and MSCT scanners for dentomaxillofacial applications. Eur J Radiol 2009; 71: 461-8. https://doi.org/10.1016/j.ejrad.2008.06.002
  7. Jeong DK, Lee SC, Huh KH, Yi WJ, Heo MS, Lee SS, et al. Comparison of effective dose for imaging of mandible between multi-detector CT and cone-beam CT. Imaging Sci Dent 2012; 42: 65-70. https://doi.org/10.5624/isd.2012.42.2.65
  8. Roberts JA, Drage NA, Davies J, Thomas DW. Effective dose from cone beam CT examinations in dentistry. Br J Radiol 2009; 82: 35-40. https://doi.org/10.1259/bjr/31419627
  9. Pauwels R, Beinsberger J, Collaert B, Theodorakou C, Rogers J, Walker A, et al. Effective dose range for dental cone beam computed tomography scanners. Eur J Radiol 2012; 81: 26771.
  10. Qu XM, Li G, Ludlow JB, Zhang ZY, Ma XC. Effective radiation dose of ProMax 3D cone-beam computerized tomography scanner with different dental protocols. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110: 770-6. https://doi.org/10.1016/j.tripleo.2010.06.013
  11. Davies J, Johnson B, Drage N. Effective doses from cone beam CT investigation of the jaws. Dentomaxillofac Radiol 2012; 41: 30-6. https://doi.org/10.1259/dmfr/30177908
  12. Theodorakou C, Walker A, Horner K, Pauwels R, Bogaerts R, Jacobs R, et al. Estimation of paediatric organ and effective doses from dental cone beam CT using anthropomorphic phantoms. Br J Radiol 2012; 85: 153-60. https://doi.org/10.1259/bjr/19389412
  13. ICRP. Diagnostic reference levels in medical imaging: review and additional advice. A web module produced by Committee 3 of the International Commission on Radiological Protection (ICRP) [Internet]. Otawa: ICRP; 2001 [cited 2012 September 30]. Available from http://www.icrp.org/docs/DRL_for_web. pdf.
  14. Kim EK. Development of diagnostic reference level in dental x-ray examination in Korea [Internet]. Osong: Korea Food and Drug Administration; 2009 [cited 2012 September 30]. Available from: http://rnd.mfds.go.kr.
  15. Goo HW. Development of the diagnostic reference level of pediatric chest radiography [Internet]. Osong: Korea Food and Drug Administration; 2009 [cited 2012 September 30]. Available from: http://rnd.mfds.go.kr.
  16. Kim HJ. Study for establishment of diagnostic reference level of patient dose in skull radiography [Internet]. Osong: Korea Food and Drug Administration; 2009 [cited 2012 September 30]. Available from: http://rnd.mfds.go.kr/.
  17. Sung DW. Investigation of patient dose for diagnostic reference levels(DRL) in radiographic examination: National survey in Korea [Internet]. Osong: Korea Food and Drug Administration; 2011 [cited 2012 September 30]. Available from: http://rnd.mfds.go.kr.
  18. Thilander-Klang A, Helmrot E. Methods of determining the effective dose in dental radiology. Radiat Prot Dosimetry 2010; 139: 306-9. https://doi.org/10.1093/rpd/ncq081
  19. Helmrot E, Alm Carlsson G. Measurement of radiation dose in dental radiology. Radiat Prot Dosimetry 2005; 114: 168-71. https://doi.org/10.1093/rpd/nch502
  20. Holroyd JR, Walker A. HPA-RPD-065. Recommendations for the design of X-ray facilities and quality assurance of dental Cone Beam CT(Computed Tomography) systems. Chilton: Health Protection Agency; 2010.
  21. Lofthag-Hansen S, Thilander-Klang A, Ekestubbe A, Helmrot E, Grondahl K. Calculating effective dose on a cone beam computed tomography device: 3D Accuitomo and 3D Accuitomo FPD. Dentomaxillofac Radiol 2008; 37: 72-9. https://doi.org/10.1259/dmfr/60375385
  22. Schultz FW, Zoetelief J. Dose conversion coefficients for interventional procedures. Radiat Prot Dosimetry 2005; 117: 225-30. https://doi.org/10.1093/rpd/nci753
  23. Compagnone G, Giampalma E, Domenichelli S, Renzulli M, Golfieri R. Calculation of conversion factors for effective dose for various interventional radiology procedures. Med Phys 2012; 39: 2491-8. https://doi.org/10.1118/1.3702457
  24. Hart D, Wall BF. NRPB-W4. Radiation exposure of the UK population from medical and dental X-ray examinations. Chilton: National Radiological Protection Board; 2002.
  25. Looe HK, Eenboom F, Chofor N, Pfaffenberger A, Steinhoff M, Ruhmann A, et al. Conversion coefficients for the estimation of effective doses in intraoral and panoramic dental radiology from dose-area product values. Radiat Prot Dosimetry 2008; 131: 365-73. https://doi.org/10.1093/rpd/ncn172
  26. Looe HK, Eenboom F, Chofor N, Pfaffenberger A, Sering M, Ruhmann A, et al. Dose-area product measurements and determination of conversion coefficients for the estimation of effective dose in dental lateral cephalometric radiology. Radiat Prot Dosimetry 2007; 124: 181-6. https://doi.org/10.1093/rpd/ncm143
  27. Ludlow JB, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106: 106-14. https://doi.org/10.1016/j.tripleo.2008.03.018
  28. The 2007 Recommendations of the International Commission on Radiological Protection. ICRP publication 103. Ann ICRP 2007; 37: 1-332.
  29. Radiation protection No. 172. Evidence based guidelines on cone beam CT for dental and maxillofacial radiology [Internet]. Luxemburg: European commission; 2012 [cited 2012 September 30]. Available from: http://ec.europa.eu/energy/ nuclear/radiation_protection/doc/publication/172.pdf.

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