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Coronary calcium scoring with MDCT The radiation dose to the breast and the effectiveness of bismuth breast shield     
Yazarlar
Yılmaz
Yaşar
Albayram
Adaletli
Özer
Özbayrak
Mihmanlı
Akman
Özet
Objective: The purpose of our study was to determine the breast radiation dose during coronary calcium scoring with multidetector computerized tomography (MDCT). We also evaluated the degree of dose reduction by using a bismuth breast shield when performing coronary calcium scoring with MDCT.
Materials and methods: The dose reduction achievable by shielding the adult (35 years or older) female breasts was studied in 25 women who underwent coronary calcium scoring with MDCT. All examinations were performed with a 16-MDCT scanner. To compare the shielded versus unshielded breast dose, the examinations were performed with (right breast) and without (left breast) breast shielding in all patients. With this technique the superficial breast doses were calculated. To determine the average glandular breast radiation dose, we imaged an anthropomorphic dosimetric phantom into which calibrated dosimeters were placed to measure the dose to the breast. The phantom was imaged using the same protocol. Radiation doses to the breasts with and without the breast shielding were measured and compared using the Student's t-test.
Results: The mean radiation doses with and without the breast shield were 5.71 +/- 1.1 mGy versus 9.08 +/- 1.5 mGy, respectively. The breast shield provided a 37.12% decrease in radiation dose to the breast with shielding. The difference between the dose received by the breasts with and without bismuth shielding was significant, with a p-value of less than 0.001.
Conclusion: The high radiation during MDCT greatly exceeds the recommended doses and should not be underestimated. Bismuth in plane shielding for coronary calcium scoring with MDCT decreased the radiation dose to the breast. We recommend routine use of breast shields in female patients undergoing calcium scoring with MDCT. (C) 2006 Elsevier Ireland Ltd. All rights reserved.
Anahtar Kelimeler
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı European Journal of Radiology
Dergi ISSN 0720-048X
Dergi Tarandığı Indeksler SCI
Makale Dili İngilizce
Basım Tarihi 01-2007
Cilt No 61
Sayfalar 139 / 143
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
Google Scholar 37

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