| خلاصه مقاله | During the last decade, the increasing
frequency of CT scans for a range of purposes,
particularly pediatrics, has raised concerns
regarding the population radiation exposure
and subsequent chances of cancers. This study
aimed to estimate the pediatrics radiation
exposure from the five most common CT scans
during the COVID-19 whitten three recent
years in Yazd Province and to present a more
tangible form of the doses by giving the risk of
exposure-induced cancer death (REID) due to
the performed CT scans. Methods: The risk of
exposure-induced death (REID) was calculated
by coupling the BEIR VII model and ICRP 103
data for the Asian population.
Results. Data of patients younger than
15 years of age and adult age group were
retrospectively collected from 6 educational
institutions located in diverse areas of Yazd
Province.
The median effective doses for the five
most common procedures, in adult group,
were as follows: 5.20 mSv for abdomen-pelvis,
3.31 mSv for routine chest, 3.00 mSv for chest
HRCT, 0.76 mSv for Brain and 0.48 mSv for
sinus. The highest associated risk was tied to
high-resolution CT scans for women which
was estimated to be 1 exposure-induced death
related to 2097 scans performed on a 20-year
old patient. The highest mean effective dose
for younger than 15 years was estimated for
the scan of abdomen-pelvis (average, 5.24
mSv) followed by chest (average, 3.66 mSv),
brain (average, 1.27 mSv), and sinus (average,
0.65 mSv) scan. Moreover, the highest REID
was documented for chest scan (average, 490
excess deaths in a million scans) followed by
abdomen-pelvis procedure (average, 404).
Although the effective dose of CT procedures
in Yazd Province increased continuously, they
were comparably lower than those reported
for other countries. The radiation doses and
cancer risks arising from pediatric CT scans
are comparable with analogous studies, yet
occurrence of high variation among patients of
specific subcategorization which indicates the
need for further optimization. Nevertheles,
findings can represent an estimation of the hazards from CT scans for the purpose of
extending the knowledge of physicians as well
as those who are in charge of such procedures. |