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      Can leaded glasses protect the eye lens in patients undergoing neck computed tomography?

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          Abstract

          Background and Aims:

          Computed tomography (CT) is one of the main sources using ionizing radiation. Considering the toxicity from this radiation, any technique that could reduce the radiosensitive organs’ doses without affecting the image diagnostic quality must be considered in routine practice. In this study, the amount of eye lens dose reduction in the presence of radioprotective glasses was evaluated in neck CT examinations.

          Methods:

          Thirty adult patients (15 men and 15 women) with a mean age of 44.6 years undergoing neck CT examination participated in this study. For each patient, six thermoluminescent dosimeters (TLDs-100) were attached above the eye lens glasses surface, and another six under the glasses to assess the radioprotective effect of the glasses. The TLDs were readout and converted to Hp (3) as an indicator of eye lens dose. The obtained results from the TLD readouts as eye lens dose were compared using a paired t-test.

          Results:

          The TLD measurements showed the mean±standard deviation values of 2.97±0.61 mGy and 1.04±0.16 mGy for TLDs above and under the radioprotective glasses, respectively. The radioprotective glasses significantly decreased the eye lens dose by about 64.9% ( P=0.001).

          Conclusions:

          Due to the results, wearing radioprotective glasses for patients during neck CT scans could significantly reduce the eye lens doses.

          Relevance for Patients:

          The outcome of this research shows that leaded glasses can decrease the received dose significantly in patient during neck CT scans.

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          Most cited references53

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          Effective doses in radiology and diagnostic nuclear medicine: a catalog.

          Medical uses of radiation have grown very rapidly over the past decade, and, as of 2007, medical uses represent the largest source of exposure to the U.S. population. Most physicians have difficulty assessing the magnitude of exposure or potential risk. Effective dose provides an approximate indicator of potential detriment from ionizing radiation and should be used as one parameter in evaluating the appropriateness of examinations involving ionizing radiation. The purpose of this review is to provide a compilation of effective doses for radiologic and nuclear medicine procedures. Standard radiographic examinations have average effective doses that vary by over a factor of 1000 (0.01-10 mSv). Computed tomographic examinations tend to be in a more narrow range but have relatively high average effective doses (approximately 2-20 mSv), and average effective doses for interventional procedures usually range from 5-70 mSv. Average effective dose for most nuclear medicine procedures varies between 0.3 and 20 mSv. These doses can be compared with the average annual effective dose from background radiation of about 3 mSv. (c) RSNA, 2008.
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            Innovations in CT dose reduction strategy: application of the adaptive statistical iterative reconstruction algorithm.

            The purpose of this article is to discuss the application of a new CT reconstruction algorithm, adaptive statistical iterative reconstruction (ASIR), to reduce radiation dose at body CT and to provide imaging examples in comparison with low-dose and standard-dose filtered back projection CT. The ASIR reconstruction algorithm is a promising technique for providing diagnostic quality CT images at significantly reduced radiation doses.
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              • Record: found
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              Medical radiation exposure in the U.S. in 2006: preliminary results.

              Medical radiation exposure of the U.S. population has not been systematically evaluated for almost 25 y. In 1982, the per capita dose was estimated to be 0.54 mSv and the collective dose 124,000 person-Sv. The preliminary estimates of the NCRP Scientific Committee 6-2 medical subgroup are that, in 2006, the per capita dose from medical exposure (not including dental or radiotherapy) had increased almost 600% to about 3.0 mSv and the collective dose had increased over 700% to about 900,000 person-Sv. The largest contributions and increases have come primarily from CT scanning and nuclear medicine. The 62 million CT procedures accounted for 15% of the total number procedures (excluding dental) and over half of the collective dose. Nuclear medicine accounted for about 4% of all procedures but 26% of the total collective dose. Medical radiation exposure is now approximately equal to natural background radiation.
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                Author and article information

                Journal
                J Clin Transl Res
                J Clin Transl Res
                Whioce Publishing Pte. Ltd.
                Journal of Clinical and Translational Research
                Whioce Publishing Pte. Ltd.
                2382-6533
                2424-810X
                16 July 2021
                26 August 2021
                : 7
                : 4
                : 428-435
                Affiliations
                [A1] 1Student Research Committee, Babol University of Medical Sciences, Babol, Iran
                [A2] 2Department of Radiology and Radiotherapy, School of Medicine, Babol University of Medical Sciences, Babol, Iran
                [A3] 3Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
                [A4] 4Department of Medical Physics Radiobiology and Radiation Protection, School of Medicine, Babol University of Medical Sciences, Babol, Iran
                [A5] 5Department of Medical Physics, Tehran University of Medical Sciences, Tehran, Iran
                Author notes
                [* ] Corresponding author Kourosh Ebrahimnejad Gorji Department of Medical Physics Radiobiology and Radiation Protection, School of Medicine, Babol University of Medical Sciences, Babol, Iran. Tel: +98-9121-044-524 E-mail: k.e.gorji@ 123456gmail.com
                Article
                jctres.07.202104.005
                8520700
                9a236430-63a1-46d6-a1ef-381bd171f652
                Copyright: © Whioce Publishing Pte. Ltd.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY-NC-ND 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 20 January 2021
                : 07 April 2021
                : 14 June 2021
                Categories
                Original Article

                neck computed tomography,radioprotective glasses,eye lens dose,thermo luminescence dosimeter

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