Original Article

Body-Mass Index-Based Effective Dose Determination in Commonly Performed Computed Tomography Examinations in Adults

Abstract

Purpose: With the widespread application of ionizing radiation in medical practice, concerns have been increased regarding the hazardous effects of radiation. Studies have demonstrated that some variables such as body dimensions affect the absorbed radiation dose. In this study, the association between Body Mass Index (BMI) and absorbed dose in Computed Tomography (CT) is investigated.

Materials and Methods: A total of 550 adult patients (age ≥ 15 years) were included in the study. The height and weight of the patients were recorded for BMI calculation. Dosimetry data were acquired from digital imaging and communications in medicine dose reports. The patients were categorized into five groups according to their BMI, the categorized information was then imported into ImPACT Dose software for calculation of Size-Specific Dose Estimate (SSDE) and organ and effective doses. The relationship between patient BMI and the effective dose was also determined.

Results: A higher BMI contributed to increased radiation dose and SSDE in patients who had undergone chest or abdomen-pelvis CT examination (p < 0.05).  

Conclusion: The radiation dose is related to a patient’s BMI and rises with an increase in BMI. Accordingly, it is suggested that BMI and other variables, such as the type of scan and other body dimensions, which affect the radiation dose, can be used to estimate the radiation dose before performing CT. This estimation can be considered for the justification and optimization of CT examinations.

1- McCollough CH, Guimarães L, Fletcher JG. "In defense of body CT." Am J Roentgenol;193(1):28-39, (2009).
2- Janbabanezhad-Toori A, Deevband MR, Shabestani-Monfared A, Abdi R, Nabahati M. "Pediatric dose assessment in common CT examination towards establishment of related regional DRL in Mazandaran, Iran." Int J Radiat Res;14(3):251, (2016).
3- Mattison BJ, Nguyen GB, Januzis N, Lowry C, Yoshizumi TT. "A novel approach for Effective Dose measurements in dual-energy CT." Radiat Prot Dosimetry;172(4):416-21, (2016).
4- Brix G, Nagel H, Stamm G, Veit R, Lechel U, Griebel J, et al. "Radiation exposure in multi-slice versus single-slice spiral CT: results of a nationwide survey." Eur Radiol;13(8):1979-91, (2003).
5- Brenner DJ, Hall EJ. "Computed tomography-an increasing source of radiation exposure." New Engl J Med;357(22):2277-84, (2007).
6- Mettler Jr FA, Wiest PW, Locken JA, Kelsey CA. "CT scanning: patterns of use and dose." J Radiol Prot;20(4):353, (2000).
7- Task Group on Control of Radiation Dose in Computed Tomography. Managing patient dose in computed tomography. A report of the International Commission on Radiological Protection. Ann ICRP;30(4):7, (2000).
8- De González AB, Mahesh M, Kim KP, Bhargavan M, Lewis R, Mettler F, et al. "Projected cancer risks from computed tomographic scans performed in the United States in 2007." Arch Intern Med;169(22):2071-7, (2009).
9- McCollough CH, Leng S, Yu L, Cody DD, Boone JM, McNitt-Gray MF. "CT dose index and patient dose: they are not the same thing." Radiology;259(2):311-6, (2011).
10- Paydar R, Takavar A, Kardan M, Babakhani A, Deevband M, Saber S. "Patient effective dose evaluation for chest X-ray examination in three digital radiography centers." Int J Radiat Res;10(3/4):139, (2012).
11- Shrimpton PC, Wall BF, Yoshizumi T, Hurwitz LM, Goodman P. "Effective dose and dose-length product in CT." Radiology;250(2):604, (2009).
12- Ogden K, Huda W. "SU‐FF‐I‐67: Converting CT Dose Length Product (DLP) to Kerma Area Product (KAP)." Med Phys;36(6Part3):2450, (2009).
13- O’Neill S, Kavanagh RG, Carey BW, Moore N, Maher M, O’Connor OJ. "Using body mass index to estimate individualised patient radiation dose in abdominal computed tomography." Eur Radiol Exp;2(1):38, (2018).
14- Boone JM, Strauss KJ, Cody DD, McCollough CH, McNitt‐Gray MF, Toth TL. "Size‐Specific Dose Estimates (SSDE) in Pediatric and Adult Body CT Examination." College Park, MD: American Association of Physicists in Medicine; (2011).
15- McCollough C, Bakalyar DM, Bostani M, Brady S, Boedeker K, Boone JM, et al. "Use of water equivalent diameter for calculating patient size and size-specific dose estimates (SSDE) in CT." The Report of AAPM Task Group 220, AAPM Rep:6-23, (2014).
16- Kataria B, Smedby O. "Patient dose and image quality in low-dose abdominal CT: a comparison between iterative reconstruction and filtered back projection." Acta Radiol;54(5):540-8, (2013).
17- Huda W, Scalzetti EM, Levin G. "Technique factors and image quality as functions of patient weight at abdominal CT." Radiology;217(2):430-5, (2000).
18- Christner JA, Kofler JM, McCollough CH. "Estimating effective dose for CT using dose-length product compared with using organ doses: consequences of adopting International Commission on Radiological Protection Publication 103 or dual-energy scanning." Am J Roentgenol;194(4):018481-9, (2010).
19- Gao Y, Quinn B, Mah1mood U, Long D, Erdi Y, Germain JS, et al. "A comparison of pediatric and adult CT organ dose estimation methods." BMC Med Imaging;17(1):1-17, (2017).
20- Sadra H, Sardary D. "Estimated organ and effective dose from CT examinations using software ImPACT at Shahid Beheshti University of Medical Sciences hospitals." Res Med;39(1):26-9, (2015).
21- Christner JA, Braun NN, Jacobsen MC, Carter RE, Kofler JM, McCollough CH. "Size-specific dose estimates for adult patients at CT of the torso." Radiology;265(3):841-7, (2012).
22- Khawaja RDA, Singh S, Vettiyil B, Lim R, Gee M, Westra S, et al. "Simplifying size-specific radiation dose estimates in pediatric CT." Am J Roentgenol; 204(1):167-76, (2015).
23- Alikhani B, Getzin T, Kaireit TF, Ringe KI, Jamali L, Wacker F, et al. "Correlation of size-dependent conversion factor and body-mass-index using size-specific dose estimates formalism in CT examinations." Eur J Radiol; 100:130-4, (2018).
24- Tahmasebi Birgani MJ, Tahmasebi M, Yadollahpour A, Deevband MR, Jamshidi MH, Gomary MT. "Estimating effective doses of critical organs due to abdomen and pelvic CT scans using ImPACT Dose tool." Biomed Pharmacol J; 8:833, (2015).
25- Ware DE, Huda W, Mergo PJ, Litwiller AL. "Radiation effective doses to patients undergoing abdominal CT examinations." Radiology;210(3):645-50,(1999).
26- Israel GM, Cicchiello L, Brink J, Huda W. "Patient size and radiation exposure in thoracic, pelvic, and abdominal CT examinations performed with automatic exposure control." Am J Roentgenol;195(6):1342-6, (2010).
27- Huda W, Vance A. "Patient radiation doses from adult and pediatric CT." Am J Roentgenol;188(2):540-6, (2007).
Files
IssueVol 9 No 4 (2022) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/fbt.v9i4.10425
Keywords
Computed Tomography Body Mass Index Effective Dose Size-Specific Dose Estimate

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Deevband MR, Hosseini Nasab SMB, Mohammadi H, Salimi Y, Mostaar A, Deravi N, Fathi M, Vakili K, Yaghoobpoor S, Ghorbani M. Body-Mass Index-Based Effective Dose Determination in Commonly Performed Computed Tomography Examinations in Adults. Frontiers Biomed Technol. 2022;9(4):316-322.