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Renal diseases and urinary tract disorders are causing a global burden, with an estimated prevalence of around 13%. Contrast-enhanced computed tomography urography (CE-CTU) is a well-known diagnostic technique for urinary system diseases for initial diagnosis and, very often, for follow-up. CE-CTU procedure exposes patients to high doses of ionizing radiation; hence, justification and optimization of doses are necessary to maximize the benefits and minimize the patients' risks. This study aims to evaluate radiation doses to patients during CE-CTU procedures and estimate the subsequent radiogenic risk. The study included twenty-seven patients who underwent CE-CTU examination in two different hospitals (National Ribat Hospital (NRH) and National Security Fource Hospital (NSFH)), where 16-slice CT machines from different vendors are used. The variables and significance were analyzed using SPSS and Scheffe's statistical tool. Data collected included the age of patients (19–70 years), the radiation dose received by patients: dose length product (DLP, mGy.cm) and volume CT dose index (CTDIvol (mGy)), and tube current-time product (mAs). Patients' dose measurements per CE-CTU procedure given as (mean and range) was: DLP 3098 (647–5301) (mGy.cm) and CTDIvol 44.11 (15–136) (mGy). The results revealed statistically significant differences in DLP (mGy.cm), CTDIvol (mGy), and mAs, and this could be attributed to discrepancies in protocols, machines, and operators among the hospitals and within each hospital. Considering gender, the variables (age, tube current-time product (mAs), and CTDIvol) showed no statistically significant differences. The radiogenic risks from the CE-CTU procedure were ≈1 per 400. Comparison between the two hospitals showed that the variables varied significantly between the hospitals studied, but no significant differences were found based on gender. CE-CTU with contrast medium exposes patients to high doses. Therefore, proper dose optimization is crucial. • The radiation doses during IVU and the subsequent risks from exposure are studied. • The entrance-surface air kerma (ESAK) and effective dose were quantified. • Calculation of the overall cancer risk yielded 5.85 per million procedures. • The effective and cancer risk are around ten times lower during IVU procedures compared to CTU. [ABSTRACT FROM AUTHOR]

Mammary glands or breasts are radiosensitive organs that makeup 12% of the body's overall radiation sensitivity. According to estimates, Saudi Arabia has a 27.3% overall cancer incidence rate for breast cancer. Recent studies reported that breasts get significant organ equivalent doses during diagnostic procedures with ionizing radiation, even though the breast is not the target organ. The objective of this work is to assess the effective and breast equivalent doses during positron emission tomography (PET)/Computed tomography (CT) imaging examinations. The effective and breast equivalent doses per PET/CT (GE PET/CT 710) examination were quantified using the amount of the injected radiopharmaceutical (MBq) (18F- fluorodeoxyglucose (FDG)), and external doses from CT examinations. The average, standard deviation (SD) and range of examined patients' age (years) and body mass index ((BMI), kg/m2) were 58 ± 11 (39–76) and 30 ± 5 (20.7–43.1), respectively. Constant administered activity (AA, 185 MBq) and tube potential (120 kVp) were used for all patients. The average, SD, and range of the patients effective dose (mSv) from PET/CT (18F- FDG) examination was 8.0 ± 0.93 (7.0–10.0) and 2.075 ± 0.11 (1.91–2.29) in that order. Breast doses are comparable with previous studies during the PET/CT and mammographic examination. Proper justification criteria and dose optimization are essential to lowering excessive exposure while preserving image quality, especially for young females because they have a higher risk of radiation-induced cancer. • Breast doses during PET/CT imaging procedures were evaluated. • Breast absorbed dose depends on CT protocol and administered activity. • The organ equivalent dose ranged from 1.91 to 2.29 mGy per procedure. • Breast doses are comparable with previous studies PET/CT procedures. • Young females have a higher risk of breast cancer due to PET/CT procedure. [ABSTRACT FROM AUTHOR]

The pathology of the urinary system is usually investigated using Intravenous Urography (IVU). The study objectives are to quantify patients' radiation dose and radiation induced malignant tumors risk during IVU examination. The radiation doses during IVU and the subsequent risks from exposure are studied, using data from 50 patients imaged in one hospital. The demographic data given as (mean ± std) was as follows:The age of patients was 39 ± 14 years; height of patients was 1.7 ± 0.1 m, the mass was 69 ± 10 kg and the body-mass-index was 24.3 ± 4.1 kg m−2. The physical exposure parameters recorded were: kVp: 74.04 ± 3.1, mAs: 33.64 ± 4. Moreover, the average number of films per procedure was 5.72 ± 1.49. The entrance-surface air kerma (ESAK) was 2.1 ± 0.64 mGy, and the mean effective dose was 0.131 ± 0.04 mSv. Calculation of the overall cancer risk yielded 5.9 × 10−6 procedures. ESAK (mGy) and effective dose values obtained in this study were comparable with reported studies as shown in the text. The effective and cancer risk are around ten times lower during IVU procedures than for example, contrast enhanced computed tomography urography (CTU) examination. Reduction of doses received by patients to meet the values of the diagnostic reference levels without compromising the quality and clarity of the images is highly recommended. Radiation dosimetry; IVU; Radiology; Cancer risk; medical imaging. • The radiation doses during IVU and the subsequent risks from exposure are studied. • The entrance-surface air kerma (ESAK) and effective dose were quantified. • Calculation of the overall cancer risk yielded 5.85 per million procedures. • Patients received higher doses due to unoptimized imaging protocol. [ABSTRACT FROM AUTHOR]

A significant source of ionizing radiation for medical use is computed tomography (CT). According to estimates, more than 84 million CT scans are carried out yearly in the US. Because the neck area contains several organs and tissues that are very sensitive to ionizing radiation, such as the thyroid gland, CT for the neck region is commonly done for a variety of clinical causes. This study's goal is to assess the patient doses to radiosensitive organs and effective doses received during the CT neck surgery in the pastAt Riyadh Care Hospital, a multislice CT (MSCT) system (Siemens Somatom Sensation, 64 slices/detector) was used to perform improved CT treatments on a total of 54 patients. Patient ages were 41.5–15.5 years old on average, with a wide variation (21–73). Using computer software based on Monte Carlo simulation, organ and effective dosages were assessed. The International Commission of Radiological Protection (ICRP) risk variables were used to calculate the patient's radiogenic risk for a particular organ. The patients' dose length product (DLP, mGy.cm) for CT neck examination were 993.3 ± 539.5 (267.3–2441.7). The mean and range of volume CT dose per slice (CTDIvol (mGy)) were 1.5 ± 3.9 (3.91–22.55). The overall effective dose (mSv) per procedure is ranged from 1.3 to 11.7 with a mean value 2.8 mSv. Patients' CT neck procedures have been repeated the procedure up to 7 times during the treatment course. The risk of malignancy is 1x10-6 CT procedure. The study showed that patients received wide discrepancies in patients' doses up to 9 times. Optimization of image acquisition protocol and scan length is necessary to reduce the unnecessary risk. • The effective and organ equivalent doses during neck CT procedure were studied. • Lens of the eye, salivary gland and thyroid gland received a high radiation dose. • The overall effective dose (mSv) per procedure is ranged from 1.3 to 11.7 • Patients' CT neck procedures have been repeated the procedure up to 7 times during the treatment course. [ABSTRACT FROM AUTHOR]

Cardiovascular nuclear medicine (NM) imaging examinations expose patients to extremely high absorbed doses of ionizing radiation, which necessitates extensive efforts to reduce the doses without compromising the quality of images. This study aims to assess patients' radiation doses to patients and public exposure in Cardiac rest and stress single photon emission computed tomography (SPECT) scans. The patients' exposure was calculated for 21 patients using the administered activity (AA, MBq). (GE SPECT) was the device used for all patients. AA (MBq) mean and range were 370 for Rest and 1110 for Stress. The average range of the dose rate was 1.59 (0.67–2.34) mR/h for rest and 7.29 (4.2–9.98) mR/h for stress when computed at 30 cm from the patient's chest level after injection. At 100 cm from the patient, the mean dose rate values were 0.37 (0.16–0.73) mR/h for rest and 1.39 (1.01–2.0) mR/h for stress. The overall effective dose is 12.1 mSv per rest and stress SPECT procedure. The mean effective dose for cardiac rest is comparable with previously published studies while the effective dose from cardiac stress is higher than previously published studies. The variation in the effective dose depends on several factors, including the department's clinical indication imaging protocols and radiation safety measures. • The patient's effective dose and dose were quantified during cardiac rest and stress SPECT procedures. • The mean effective dose for cardiac rest is comparable with previously published studies. • The effective dose from cardiac stress is higher than previously published studies. • The current AA activity for rest and stress is lower than the DRL and the previous studies. [ABSTRACT FROM AUTHOR]

Computed tomography (CT) frequency is approximately 11% of medical radiological procedures. Nevertheless, CT examinations contribute up to 70% collective doses. CT procedures carried out in pediatric patients represent 33% of CT procedures. This study aimed to assess pediatric doses during chest and abdomen procedures and estimated the projected radiogenic risk. In total, 83 pediatric were divided into four groups, according to their age (years). The patients were ≤six months, six months - ≤3 years, 4 - ≤ 6 years and, 7 - ≤ 15 years. The mean and range of DLP (mGy.cm) and CTDIvol (mGy) for pediatric CT chest were 42 (33–52) and 2 (1.9–2.2), respectively. The mean and range of DLP (mGy.cm) and CTDIvol (mGy) for pediatric CT abdomen pelvic region were 116 (105–129) and 3.8 (3.7–3.9), in that order. Even though pediatric' radiation doses are below the published diagnostic reference levels (DRL), additional dose reduction is required and achievable if the imaging protocol is adjusted according to the child size. • Pediatric doses during CT chest and abdomen procedures were assessed. • The variation in patients' doses was due to the scan length and child weight. • The Patients' radiation doses were lower than available published values. • The study has revealed an indispensable need for justified referring criteria. • Establishing an imaging protocol based on a pediatric subgroup is recommended. [ABSTRACT FROM AUTHOR]

The purpose the current work were to assess the radiation exposure given to patients during percutaneous coronary interventions (PCI), pacemaker (PM) and coronary angiography (CA), procedures. In total, 419 procedures were carried out in 4 specialized hospitals. Calibrated Kerma area product meters were used to quantify the patient doses. Effective dose was extrapolated using the national radiological protection board (NRPB) software program. The mean KAP (Gy.cm2) per procedure were 8.6, 6.2 and 5.6 for PCI, PM, and CA procedures, respectively. While in that order, e mean and Entrance Surface Air Kerma (ESAK, mGy) per procedure were 705.9,509, and 464.7 for PCI, PM, and CA. Patients' doses is below the level of the deterministic effects and the effective dose per procedure is low. Patients radiation doses is lowest compared to the previous studies. • Patients' radiation doses were monitored during cardiac catheterization procedures. • The patient's doses were measured using a Kerma area product meter (KAP). • The variances in radiation doses incurred during PCI were greater than the variance in doses incurred in CA and pacemaker. • DRL values derived in this study were comparable with values reported in international literature. [ABSTRACT FROM AUTHOR]