Estimating the Entrance Surface Dose in the Eyes, Thyroid, and Parotid Gland Regions in Adult and Pediatric Groups: A Cone-Beam Computed Tomography Technique
-
Reza Omidi
,
Fariba Farhadi Birgani
,
Ali Asghar Parach
,
Hamed Zamani
,
Saman Dalvand
,
Fatemeh Ezoddini Ardakani
,
Nasim Narimanian
,
Mohammad Hosein Zare
Abstract
Purpose: This study aimed to determine the Entrance Surface Dose (ESD) of sensitive organs in Cone-Beam Computed Tomography (CBCT) imaging of the maxillofacial region in the two age groups of adult and pediatric.
Materials and Methods: In this work, the measurements were performed using Thermo Luminescent Dosimeters (TLD-GR200). The imaging was performed using a PROMAX 3D CBCT scanner for 30 adults and 20 pediatric patients. The ESD value for each patient in the region of eyes, thyroid, and parotid glands was measured by 15 TLDs during CBCT of maxillofacial.
Results: The highest and lowest mean values of ESDs were related to the parotid and thyroid gland regions in adults, 4.77 ± 0.61 mGy and 0.37 ± 0.16 mGy, respectively. In addition, these values were obtained 2.97 ± 0.36 mGy and 0.35 ± 0.12 mGy in pediatric groups as the highest and lowest values in that order. The results showed that the ESD values of the parotid gland regions in maxilla and mandible examinations had a significant difference (P <0.05). In addition, there was a significant difference between the ESD values of the parotid gland regions among the adults and pediatric groups (P <0.05).
Conclusion: According to the results, the ESD values in both age groups were higher in the parotid gland region during maxillofacial CBCT examinations. Therefore, it is recommended to set radiation parameters like mAs as low as possible for reducing the patient dose, especially pediatric patients due to the more sensitive organs.
1- Zamani H, Falahati F, Omidi R, Abedi-Firouzjah R, Zare MH, Momeni F. "Estimating and comparing the radiation cancer risk from cone-beam computed tomography and panoramic radiography in pediatric and adult patients." Int J Radiat Res;18(4):885–893, 2020.
2- Hosseini SM, Banaei A, Motlagh ZH, Abedi-Firouzjah R, Falahati F, Zamani H, et al. "Estimating the cancer risk and mortalities induced by routine digital radiography examinations on patient of different ages in Mazandaran province." Int J Radiat Res;18(4):875–884, 2020.
3- Ribeiro DA. "Cytogenetic biomonitoring in oral mucosa cells following dental X-ray." Dentomaxillofacial Radiol;41(3):181–184, 2012.
4- Nemtoi A, Czink C, Haba D, Gahleitner A. "Cone beam CT: a current overview of devices." Dentomaxillofacial Radiol;42(8):20120443, 2013.
5- Lorenzoni DC, Bolognese AM, Garib DG, Guedes FR, Sant’Anna EF. "Cone-beam computed tomography and radiographs in dentistry: aspects related to radiation dose." Int J Dent; 2012.
6- Roberts JA, Drage NA, Davies J, Thomas DW. "Effective dose from cone beam CT examinations in dentistry." Br J Radiol;82(973):35–40, 2009.
7- 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 Endodontology;106(1):106–114, 2008.
8- Ludlow JB, Davies-Ludlow LE, Brooks SL, Howerton WB. "Dosimetry of 3 CBCT devices for oral and maxillofacial radiology: CB Mercuray, NewTom 3G and i-CAT." Dentomaxillofacial Radiol;35(4):219–226, 2006.
9- Colceriu-Şimon IM, Băciuţ M, Ştiufiuc RI, Aghiorghiesei A, Ţărmure V, Lenghel M, et al. "Clinical indications and radiation doses of cone beam computed tomography in orthodontics." Med Pharm Rep;92(4):346, 2019.
10- Lee CY, Koval TM, Suzuki JB. "Low-dose radiation risks of computerized tomography and cone beam computerized tomography: reducing the fear and controversy." J Oral Implantol;41(5): e223–e230, 2015.
11- Deli R, Galantucci LM, Laino A, D’Alessio R, Di Gioia E, Savastano C, et al. "Three-dimensional methodology for photogrammetric acquisition of the soft tissues of the face: a new clinical-instrumental protocol." Prog Orthod;14(1):1–15, 2013.
12- Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. "Dose reduction in maxillofacial imaging using low dose Cone Beam CT." Eur J Radiol;56(3):413–417, 2005.
13- Ludlow JB, Timothy R, Walker C, Hunter R, Benavides E, Samuelson DB, et al. "Effective dose of dental CBCT—a meta analysis of published data and additional data for nine CBCT units." Dentomaxillofacial Radiol;44(1):20140197, 2015.
14- Farshi RG, Mesbahi A, Johari M, Kara Ü, Gharehaghaji N. "Dosimetry of Critical Organs in Maxillofacial Imaging with Cone-beam Computed Tomography." J Biomed Phys Eng;9(1):51, 2019.
15- Hasanzadeh H, Sharafi A, Verdi MA, Nikoofar A. "Assessment of absorbed dose to thyroid, parotid and ovaries in patients undergoing Gamma Knife radiosurgery." Phys Med Biol;51(17):4375, 2006.
16- Saberi BV, Khosravifard N, Mohtavipour T, Khaksari F, Abbasi S, Shahmalakpoor A. "Entrance skin dose of the thyroid gland area following exposure with different protocols of two panoramic and cone-beam computed tomography devices." J Oral Maxillofac Radiol;7(1):6, 2019.
17- Sadeghi M, Faghihi R, Sina S. "Developing an optimum protocol for thermoluminescence dosimetry with GR-200 chips using taguchi method." Radiat Prot Dosimetry;175(2):284–294, 2017.
18- Ahmadi A, Negarestani A, Sina S, Sarshough S. "Measurement of Entrance Skin Dose and the Dose Received by Different Organs in Panoramic Dental Imaging." J Biomed Phys Eng;10(5):569, 2020.
19- Heiden KR, Rocha ASPS da, Filipov D, Salazar CB, Fernandes Â, Westphalen FH, et al. "Absorbed doses in salivary and thyroid glands from panoramic radiography and cone beam computed tomography." Res Biomed Eng;34(1):31–36, 2018.
20- Zehtabian M, Dehghan N, Danaei Ghazanfarkhani M, Haghighatafshar M, Sina S. "Measurement of the dose to the family members taking care of thyroid cancer patients undergoing I-131 therapy in nuclear medicine using TLD-100." Radiat Prot Dosimetry;174(4):541–544, 2017.
21- Akyalcin S, English JD, Abramovitch KM, Rong XJ. "Measurement of skin dose from cone-beam computed tomography imaging." Head Face Med;9(1):1–7, 2013.
22- Li G. "Patient radiation dose and protection from cone-beam computed tomography." Imaging Sci Dent;43(2):63, 2013.
23- Faghihi R, Mehdizadeh S, Sina S, Alizadeh FN, Zeinali B, Kamyab GR, et al. "Radiation dose to neonates undergoing X-ray imaging in special care baby units in Iran." Radiat Prot Dosimetry;150(1):55–59, 2012.
24- Pauwels R, Cockmartin L, Ivanauskaité D, Urbonienė A, Gavala S, Donta C, et al. "Estimating cancer risk from dental cone-beam CT exposures based on skin dosimetry." Phys Med Biol;59(14):3877, 2014.
25- Setti da Rocha ASP, de Mello Aguiar G, Tulio AP, Ditzel AS, Filipov D. "Evaluation of thyroid radiation dose using cone beam computed tomography." Radiat Prot Dosimetry;175(3):368–372, 2017.
26- Theodorakou C, Walker A, Horner K, Pauwels R, Bogaerts R, Jacobs Dds R, et al. "Estimation of paediatric organ and effective doses from dental cone beam CT using anthropomorphic phantoms." Br J Radiol;85(1010):153–160, 2012.
27- Hidalgo A, Davies J, Horner K, Theodorakou C. "Effectiveness of thyroid gland shielding in dental CBCT using a paediatric anthropomorphic phantom." Dentomaxillofacial Radiol;44(3):20140285, 2015.
28- Marcu M, Hedesiu M, Salmon B, Pauwels R, Stratis A, Oenning ACC, et al. "Estimation of the radiation dose for pediatric CBCT indications: a prospective study on ProMax3D." Int J Paediatr Dent;28(3):300–309, 2018.
29- Pauwels R, Araki K, Siewerdsen JH, Thongvigitmanee SS. "Technical aspects of dental CBCT: state of the art." Dentomaxillofacial Radiol;44(1):20140224, 2015.
30- Ghaedizirgar M, Faghihi R, Paydar R, Sina S. "Effective Dose in Two Different Dental Cbct Systems: Newtom Vgi and Planmeca 3d Mid." Radiat Prot Dosimetry;176(3):287–293, 2017.
31- Scarfe WC, Levin MD, Gane D, Farman AG. "Use of cone beam computed tomography in endodontics." Int J Dent;2009.
2- Hosseini SM, Banaei A, Motlagh ZH, Abedi-Firouzjah R, Falahati F, Zamani H, et al. "Estimating the cancer risk and mortalities induced by routine digital radiography examinations on patient of different ages in Mazandaran province." Int J Radiat Res;18(4):875–884, 2020.
3- Ribeiro DA. "Cytogenetic biomonitoring in oral mucosa cells following dental X-ray." Dentomaxillofacial Radiol;41(3):181–184, 2012.
4- Nemtoi A, Czink C, Haba D, Gahleitner A. "Cone beam CT: a current overview of devices." Dentomaxillofacial Radiol;42(8):20120443, 2013.
5- Lorenzoni DC, Bolognese AM, Garib DG, Guedes FR, Sant’Anna EF. "Cone-beam computed tomography and radiographs in dentistry: aspects related to radiation dose." Int J Dent; 2012.
6- Roberts JA, Drage NA, Davies J, Thomas DW. "Effective dose from cone beam CT examinations in dentistry." Br J Radiol;82(973):35–40, 2009.
7- 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 Endodontology;106(1):106–114, 2008.
8- Ludlow JB, Davies-Ludlow LE, Brooks SL, Howerton WB. "Dosimetry of 3 CBCT devices for oral and maxillofacial radiology: CB Mercuray, NewTom 3G and i-CAT." Dentomaxillofacial Radiol;35(4):219–226, 2006.
9- Colceriu-Şimon IM, Băciuţ M, Ştiufiuc RI, Aghiorghiesei A, Ţărmure V, Lenghel M, et al. "Clinical indications and radiation doses of cone beam computed tomography in orthodontics." Med Pharm Rep;92(4):346, 2019.
10- Lee CY, Koval TM, Suzuki JB. "Low-dose radiation risks of computerized tomography and cone beam computerized tomography: reducing the fear and controversy." J Oral Implantol;41(5): e223–e230, 2015.
11- Deli R, Galantucci LM, Laino A, D’Alessio R, Di Gioia E, Savastano C, et al. "Three-dimensional methodology for photogrammetric acquisition of the soft tissues of the face: a new clinical-instrumental protocol." Prog Orthod;14(1):1–15, 2013.
12- Tsiklakis K, Donta C, Gavala S, Karayianni K, Kamenopoulou V, Hourdakis CJ. "Dose reduction in maxillofacial imaging using low dose Cone Beam CT." Eur J Radiol;56(3):413–417, 2005.
13- Ludlow JB, Timothy R, Walker C, Hunter R, Benavides E, Samuelson DB, et al. "Effective dose of dental CBCT—a meta analysis of published data and additional data for nine CBCT units." Dentomaxillofacial Radiol;44(1):20140197, 2015.
14- Farshi RG, Mesbahi A, Johari M, Kara Ü, Gharehaghaji N. "Dosimetry of Critical Organs in Maxillofacial Imaging with Cone-beam Computed Tomography." J Biomed Phys Eng;9(1):51, 2019.
15- Hasanzadeh H, Sharafi A, Verdi MA, Nikoofar A. "Assessment of absorbed dose to thyroid, parotid and ovaries in patients undergoing Gamma Knife radiosurgery." Phys Med Biol;51(17):4375, 2006.
16- Saberi BV, Khosravifard N, Mohtavipour T, Khaksari F, Abbasi S, Shahmalakpoor A. "Entrance skin dose of the thyroid gland area following exposure with different protocols of two panoramic and cone-beam computed tomography devices." J Oral Maxillofac Radiol;7(1):6, 2019.
17- Sadeghi M, Faghihi R, Sina S. "Developing an optimum protocol for thermoluminescence dosimetry with GR-200 chips using taguchi method." Radiat Prot Dosimetry;175(2):284–294, 2017.
18- Ahmadi A, Negarestani A, Sina S, Sarshough S. "Measurement of Entrance Skin Dose and the Dose Received by Different Organs in Panoramic Dental Imaging." J Biomed Phys Eng;10(5):569, 2020.
19- Heiden KR, Rocha ASPS da, Filipov D, Salazar CB, Fernandes Â, Westphalen FH, et al. "Absorbed doses in salivary and thyroid glands from panoramic radiography and cone beam computed tomography." Res Biomed Eng;34(1):31–36, 2018.
20- Zehtabian M, Dehghan N, Danaei Ghazanfarkhani M, Haghighatafshar M, Sina S. "Measurement of the dose to the family members taking care of thyroid cancer patients undergoing I-131 therapy in nuclear medicine using TLD-100." Radiat Prot Dosimetry;174(4):541–544, 2017.
21- Akyalcin S, English JD, Abramovitch KM, Rong XJ. "Measurement of skin dose from cone-beam computed tomography imaging." Head Face Med;9(1):1–7, 2013.
22- Li G. "Patient radiation dose and protection from cone-beam computed tomography." Imaging Sci Dent;43(2):63, 2013.
23- Faghihi R, Mehdizadeh S, Sina S, Alizadeh FN, Zeinali B, Kamyab GR, et al. "Radiation dose to neonates undergoing X-ray imaging in special care baby units in Iran." Radiat Prot Dosimetry;150(1):55–59, 2012.
24- Pauwels R, Cockmartin L, Ivanauskaité D, Urbonienė A, Gavala S, Donta C, et al. "Estimating cancer risk from dental cone-beam CT exposures based on skin dosimetry." Phys Med Biol;59(14):3877, 2014.
25- Setti da Rocha ASP, de Mello Aguiar G, Tulio AP, Ditzel AS, Filipov D. "Evaluation of thyroid radiation dose using cone beam computed tomography." Radiat Prot Dosimetry;175(3):368–372, 2017.
26- Theodorakou C, Walker A, Horner K, Pauwels R, Bogaerts R, Jacobs Dds R, et al. "Estimation of paediatric organ and effective doses from dental cone beam CT using anthropomorphic phantoms." Br J Radiol;85(1010):153–160, 2012.
27- Hidalgo A, Davies J, Horner K, Theodorakou C. "Effectiveness of thyroid gland shielding in dental CBCT using a paediatric anthropomorphic phantom." Dentomaxillofacial Radiol;44(3):20140285, 2015.
28- Marcu M, Hedesiu M, Salmon B, Pauwels R, Stratis A, Oenning ACC, et al. "Estimation of the radiation dose for pediatric CBCT indications: a prospective study on ProMax3D." Int J Paediatr Dent;28(3):300–309, 2018.
29- Pauwels R, Araki K, Siewerdsen JH, Thongvigitmanee SS. "Technical aspects of dental CBCT: state of the art." Dentomaxillofacial Radiol;44(1):20140224, 2015.
30- Ghaedizirgar M, Faghihi R, Paydar R, Sina S. "Effective Dose in Two Different Dental Cbct Systems: Newtom Vgi and Planmeca 3d Mid." Radiat Prot Dosimetry;176(3):287–293, 2017.
31- Scarfe WC, Levin MD, Gane D, Farman AG. "Use of cone beam computed tomography in endodontics." Int J Dent;2009.
| Files | ||
| Issue | Vol 9 No 1 (2022) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/fbt.v9i1.8139 | |
| Keywords | ||
| Entrance Surface Dose Cone-Beam Computed Tomography Maxillofacial Imaging Adult Pediatric | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Omidi R, Farhadi Birgani F, Parach AA, Zamani H, Dalvand S, Ezoddini Ardakani F, Narimanian N, Zare MH. Estimating the Entrance Surface Dose in the Eyes, Thyroid, and Parotid Gland Regions in Adult and Pediatric Groups: A Cone-Beam Computed Tomography Technique. Frontiers Biomed Technol. 2021;9(1):4-11.
