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Introduction Methods Results Conclusion CT has replaced skull radiography as the gold standard for assessment of craniosynostosis in children. To minimise the risks of ionising radiation in this radiosensitive population, low‐dose CT protocols are increasingly being adopted. This study evaluates the effectiveness of an ultra‐low‐dose CT protocol with a tin filter in reducing radiation exposure whilst maintaining diagnostic quality for craniosynostosis, and its utility in the evaluation of other findings not appreciable on skull radiography.Twenty‐seven patients who underwent ultra‐low‐dose CT for craniosynostosis were compared with an age‐matched control group who received standard‐dose CT for indications other than craniosynostosis. Differences in radiation dosimetry and quantitative image quality parameters were analysed using independent two‐tailed t‐tests. Radiologist reports were also examined for the frequency of other incidental radiological findings.Mean effective dose for the 27 ultra‐low‐dose CT scans was 0.14 mSv, a 92% reduction compared with the control group. Image quality, measured by contrast‐to‐noise ratio, was significantly lower in the ultra‐low‐dose scans compared with the standard‐dose scans; however, all scans were diagnostic for detecting or excluding craniosynostosis. Hydrocephalus was able to be ruled out in all 27 ultra‐low‐dose scans.Ultra‐low‐dose CT with a tin filter allows for the diagnosis of craniosynostosis with a 92% dose reduction compared with the standard CT protocol. Despite lower image quality with the ultra‐low‐dose protocol when compared to standard CT, all 27 scans were adequate for craniosynostosis diagnosis. Additionally, it allowed for the assessment of other relevant findings not appreciable with skull radiography, highlighting its advantages as the new clinical standard for craniosynostosis assessment. [ABSTRACT FROM AUTHOR]

Cervical pedicle screws (CPS) provide biomechanically superior fixation compared to other techniques but are technically more demanding. Navigated CPS placement has been increasingly reported as a safe and accurate technique, yet there are few studies comparing different combinations of imaging and navigation systems under comparable conditions. With this study, we aimed to compare different imaging and navigation systems for CPS placement in terms of accuracy, screw placement time and applied radiation dose. For this experimental study, navigated CPS placement was performed at levels C2 to C7 in 24 identical radiopaque artificial spine models by two surgeons with different levels of experience using three different combinations of intraoperative 3D imaging devices and navigation systems. Accuracy, time and radiation dose were compared between the groups. In total, 288 screws were placed. Accuracy was > 98% in all groups with no significant differences between groups or between surgeons (P = 0.30 and P = 0.31, respectively), but the inexperienced surgeon required significantly more time (P < 0.001). Radiation dose was significantly higher with iCT compared to CBCT (P < 0.0001). Under experimental conditions, accuracy rates of > 98% were achieved for navigated CPS placement regardless of the imaging modality or navigation system used. Radiation doses were significantly lower for CBCT compared to iCT guidance. [ABSTRACT FROM AUTHOR]

Introduction: The establishment of diagnostic reference levels (DRLs) is challenge for interventional neuroradiology (INR) due to the complexity and variability of its procedures. Objective: The main objective of this systematic review is to analyse and compare DRLs in fluoroscopy-guided procedures in INR. Methods: An observational study reporting DRLs in INR procedures, specifically cerebral arteriography, cerebral aneurysm embolisation, cerebral thrombectomy, embolisation of arteriovenous malformations (AVM), arteriovenous fistulas (AVF), retinoblastoma embolisation, and spinal cord arteriography. Comprehensive literature searches for relevant studies published between 2017 and 2023 were conducted using the Scopus, PubMed, and Web of Science databases. Results: A total of 303 articles were identified through an extensive literature search, with 159 removed due to duplication. The title and abstract of 144 studies were assessed and excluded if they did not meet the inclusion criteria. Thirty-one out of the 144 articles were selected for a thorough full-text screening. Twenty-one articles were included in the review after the complete text screening. Conclusion: The different conditions of patients undergoing INR procedures pose a barrier to the standardization of DRLs; nevertheless, they are extremely important for monitoring and optimising radiological practices. [ABSTRACT FROM AUTHOR]

Background: High-resolution computed tomography (HRCT) is dependent on detailed morphology in diagnostic assessment of interstitial lung diseases. Photon-counting CT (PCCT) enables improved resolution while reducing radiation. Purpose: To compare if the image quality, detailed morphology, and radiation dose in HRCT of the lung improves with PCCT compared to energy-integrated CT (EICT). Material and Methods: HRCT with PCCT in patients with body mass index (BMI) from normal to obese, previously examined with different EICT were included. They were evaluated in a five-step scale for image quality according to Quality Criteria for CT (Diagnostic Requirement of the ImPACT group-European standardization). In addition, ground-glass opacities, bronchiectasis, emphysema, nodules, and subpleural detailed morphology (≤1 cm from the pleural border) were evaluated by three independent thoracic and/or pediatric radiologists. Visual grading characteristics (VGC) were used for comparison of image quality and detailed morphology and Fleiss kappa for intra-observer variability. Dose-length product (DLP) and CT dose index-volume (CTDIvol) were collected to calculate effective radiation dose. Results: HRCT with PCCT in 52 women and 48 men (mean age=67.2 ± 13.6 years; age range=27–87 years; BMI=26.9 kg/m2; range=18.6–45 kg/m2) previously examined with EICT (mean age=65.3 ± 13.6 years; age range=27–85 years; BMI=27 kg/m2; range=18.9–45 kg/m2) were included. There were significant differences in image quality for all entities in favor of PCCT. The radiation dose was reduced with PCCT by 47% in all, particularly pronounced in obese with 48.5%. Conclusion: Image quality, detailed morphology, and radiation dose, particularly in obese patients, were significantly improved in HRCT with PCCT compared to conventional EICT. The new technique enables visualization of subpleural structures. [ABSTRACT FROM AUTHOR]

This study uses fly ash (FA) as a cement replacement in concrete and evaluates the radiological safety of this concrete sample. Different fly ash mixing ratios were investigated and found that with a mixing ratio of 35%, the compressive strength of FA concrete is the highest (from 38 to 48 MPa). Next, we evaluate the radiation safety of the FA concrete by analyzing the isotopes 226Ra, 232Th, and 40K using two low-background gamma spectrometers. The obtained results showed that the use of FA in concrete production is entirely feasible as it meets both construction and radiation safety-related requirements. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate patient and procedure-related factors contributing to the radiation dose, cumulative fluoroscopy time (CFT), and procedural time (PT) of Arterial Embolization (AE) for suspected active bleeding. Methods: Data on patients who underwent AE for suspected bleeding was retrospectively gathered between January 2019 and April 2022. Data collected included the dependent variables consisting of dose-area product (DAP), CFT, PT, and independent variables consisting of demographic, bleeding-specific, and procedure-specific parameters. All statistical computations were performed in SPSS statistics. The alpha value was set at 0.05. Results: Data from a total of 148 AE were collected with an average patient's age of 61.06 ± 21.57 years. Higher DAP was independently associated with male sex (p < 0.002), age ranges between 46 and 65 years (p = 0.019) and > 66 years (p = 0.027), BMI above 30 (p = 0.016), attending with less than 10 years of experience (p = 0.01), and bleeding in the abdomen and pelvis (p = 0.027). Longer CFT was independently associated with attending with less than 10 years of experience (p < 0.001), having 2 (p = 0.004) or > 3 (p = 0.005) foci of bleed, and age between 46 and 65 years (p = 0.007) and ≥ 66 years (p = 0.017). Longer PT was independently associated with attending with less than 10 years of experience (p < 0.001) and having 2 (p = 0.014) or > 3 (p = 0.005) foci of bleed. Conclusion: The interventionist experience influenced radiation dose, CFT and PT. Dose was also affected by patients' sex, age, BMI, as well as bleeding location. CFT was also affected by patients' age, and both CFT and PT were also affected by the number of bleeding foci. These findings highlight the multifaceted factors that affect radiation dose and procedural time, emphasizing the importance of interventionist expertise, patient's age, sex, BMI, location and number of bleeds. Highlights: Radiation dose to patients in arterial embolization was affected by the interventionist experience, patients' sex, age, BMI, as well as bleeding location. Radiation exposure time was affected by the interventionist experience, patients' age, and number of bleeding foci. Total procedure time was affected by the interventionist experience and number of bleeding foci. Unexpectedly, pre-procedural CTA, presence of active bleed, type of embolic material as well as other factors did not impact radiation dose, radiation exposure time or procedural time. [ABSTRACT FROM AUTHOR]

Computed Tomography (CT) chest, abdomen and pelvis research demonstrates a relationship between vertical phantom positioning and radiation dose. Moving the phantom closer or further from the x-ray source results in magnification or minimisation of the localiser. As automatic tube current modulation (ATCM) algorithms use localisers to estimate patient size and calculate required tube current, magnification or minimisation results in the incorrect provision of radiation dose. Radiation dose changes also depend on localiser orientation, changes with anteroposterior (AP) and posteroanterior (PA) localisers demonstrating an inverse relationship. However, within CT head literature often attributes radiation dose changes on impaired function of the bow-tie filter instead. The current study investigated the role of miscentering on ATCM function within CT head, paying particular attention to localiser orientation. Head scanning was performed with an anthropomorphic phantom at the isocentre, alongside ten vertically miscentered positions. This was performed three times, with an AP, PA and lateral localiser. CT dose index values at each miscentered level were compared across conditions. Vertical miscentering altered radiation dose in both AP and PA conditions, radiation dose linearly increasing (up to 17.05%) when positioning the phantom closer to the x-ray source and decreasing when positioning away (up to −13.13%). Changes across AP and PA conditions demonstrated an inverse relationship. Radiation dose was unaffected in the lateral condition. Miscentering during CT head alters ATCM function due to magnification/minimisation of the localiser image, causing ATCM algorithms to misinterpret patient size and miscalculate required tube current. Radiographers should be accurate when centering for CT head, avoiding any potential radiation dose changes. Further research into vertical miscentering and image quality during CT head is recommended. [ABSTRACT FROM AUTHOR]

Featured Application: Importance of the evaluation of radiation doses to highly radiosensitive organs in children using dental cone beam computed tomography, given that children are highly sensitive to radiation. Dental cone beam computed tomography (CBCT) is a diverse 3D X-ray imaging technique that has enabled clear visualization of the teeth and surrounding structures. The most common diagnostic purpose of dental CBCT examination in children is ectopic eruption and impacted teeth, and a small field of view (FOV) is often used. Since it is difficult for children to control their body movements, reducing the rotation angle is effective. However, no studies have examined the effects of different rotation angles on radiation doses to highly radiosensitive organs in children using small FOVs. The purpose of this study was to examine the effects of small FOVs (4 × 4 cm and 6 × 6 cm) and rotation angles (360° and 180°) on doses that highly sensitize organs in children using dental CBCT. The entrance surface doses to lenses, thyroid lobes, parotid glands, and sublingual glands of a pediatric whole-body phantom were measured. By reducing the FOV from 6 × 6 cm to 4 × 4 cm, the dose to the sublingual gland could be significantly decreased. Additionally, by reducing the rotation angle from 360° to 180°, the lens dose can be decreased significantly. As the rate of dose reduction varies among organs, it is important to consider the relative positions of different organs with respect to the FOV and the trajectory of the X-ray tube. [ABSTRACT FROM AUTHOR]

In this work, radioactivity investigations of soil samples from neutral and agricultural sites in Punjab (India) have been carried out to study the impact of land use patterns. Analyzing soil samples radiological, mineralogical, and physicochemical attributes has employed state-of-the-art techniques. The mean activity concentration of 238U/226Ra, 232Th, 40K, 235U, and 137Cs, measured using a carbon fiber endcap p-type HPGe detector, in neutral land was observed as 58.03, 83.95, 445.18, 2.83, and 1.16 Bq kg−1, respectively. However, in vegetation land, it was found to be 40.07, 64.68, 596.74, 2.26, and 1.90 Bq kg−1, respectively. In the detailed activity analysis, radium equivalent (Raeq) radioactivity is in the safe prescribed limit of 370 Bq kg−1 for all investigated soil samples. However, the dosimetric investigations revealed that the outdoor absorbed gamma dose rate (96.08 nGy h−1) and consequent annual effective dose rate (0.12 mSv y−1) for neutral land and the gamma dose rate (82.46 nGy h−1) and subsequent annual effective dose rate (0.10 mSv y−1) for vegetation land marginally exceeded the global average. The soil's physicochemical parameters (pH, EC, and porosity) from both sites were measured, and their correlations with radionuclides were analyzed. Various heavy metals of health concern, namely, chromium (Cr), arsenic (As), copper (Cu), cobalt (Co), cadmium (Cd), lead (Pb), mercury (Hg), selenium (Se), and zinc (Zn), were also evaluated in soil samples using Inductively Coupled Plasma-Mass Spectroscopy (ICP-MS). Pollution Load Index (PLI) and Ecological Risk Index (RI) revealed that vegetation land was more anthropogenically contaminated than neutral land, with maximum contamination from Hg and As. [ABSTRACT FROM AUTHOR]

To validate the accuracy of coronary artery calcium score (CACS) using photon-counting detector (PCD) CT under various scanning settings and explore the optimized scanning settings considering both the accuracy and the radiation dose. A CACS phantom containing six hollow cylindrical hydroxyapatite calcifications of two sizes with three densities and 12 patients underwent CACS scans. For PCD-CT, two scanning modes (sequence and flash [high-pitch spiral mode]) and five tube voltages (90kV, 120kV, 140kV, Sn100kV, and Sn140kV) at different image quality (IQ) levels were set for phantom, and patients were scanned with 120kV at IQ19 using flash mode. All acquisitions from PCD-CT were reconstructed at 70keV. Acquisitions in sequence mode at 120kV on an energy-integrating detector CT (EID-CT) was used as the reference. Agatston, mass, and volume scores were calculated. The CACS from PCD-CT exhibited excellent agreements with the reference (all intraclass correlation coefficient [ICC] > 0.99). The root mean square error (RMSE) between the Agatston score acquired from PCD-CT and the reference (5.4–11.5) was small. A radiation dose reduction (16–75%) from PCD-CT compared with the reference was obtained in all protocols using flash mode, albeit with IQ20 only at sequence mode (22–44%). For the patients, ICC (all ICC > 0.98) and Bland–Altman analysis of CACS all showed high agreements between PCD-CT and the reference, without reclassifying CACS categories(P = 0.317). PCD-CT yields repeatable and accurate CACS across diverse scanning protocols according to our pilot study. Sn100kV, 90kV, and 120kV using flash mode at IQ20 are recommended for clinical applications considering both accuracy and radiation dose. [ABSTRACT FROM AUTHOR]

(1) This study evaluates the impact of the CT-guided SIRIO augmented reality navigation system on the procedural efficacy and clinical outcomes of neuroprotection in vertebral thermal ablation (RTA) for primary and metastatic bone tumors. (2) Methods: A retrospective non-randomized analysis of 28 vertebral RTA procedures was conducted, comparing 12 SIRIO-assisted and 16 non-SIRIO-assisted procedures. The primary outcomes included dose-length product (DLP) and epidural dissection time. The secondary outcomes included technical success, complication rates, and pain scores at procedural time (VAS Time 0) and three months post-procedure (VAS Time 1). The statistical analyses included t-tests, Mann–Whitney U tests, and multiple regression. (3) Results: SIRIO-assisted procedures significantly reduced DLP (307.42 mGycm vs. 460.31 mGycm, p = 2.23 × 10−8) and procedural epidural dissection time (13.48 min vs. 32.26 min, p = 2.61 × 10−12) compared to non-SIRIO-assisted procedures. Multiple regression confirmed these reductions were significant (DLP: β = −162.38, p < 0.001; time: β = −18.25, p < 0.001). Pain scores (VAS Time 1) did not differ significantly between groups, and tumor type did not significantly influence outcomes. (4) Conclusions: The SIRIO system enhances neuroprotection efficacy and safety, reducing radiation dose and procedural time during spine tumoral ablation while maintaining consistent pain management outcomes. [ABSTRACT FROM AUTHOR]

Objective: To demonstrate the clinical advantages of a deep-learning image reconstruction (DLIR) in low-dose dual-energy computed tomography enterography (DECTE) by comparing images with standard-dose adaptive iterative reconstruction-Veo (ASIR-V) images. Methods: In this Institutional review board approved prospective study, 86 participants who underwent DECTE were enrolled. The early-enteric phase scan was performed using standard-dose (noise index: 8) and images were reconstructed at 5 mm and 1.25 mm slice thickness with ASIR-V at a level of 40% (ASIR-V40%). The late-enteric phase scan used low-dose (noise index: 12) and images were reconstructed at 1.25 mm slice thickness with ASIR-V40%, and DLIR at medium (DLIR-M) and high (DLIR-H). The 70 keV monochromatic images were used for image comparison and analysis. For objective assessment, image noise, artifact index, SNR and CNR were measured. For subjective assessment, subjective noise, image contrast, bowel wall sharpness, mesenteric vessel clarity, and small structure visibility were scored by two radiologists blindly. Radiation dose was compared between the early- and late-enteric phases. Results: Radiation dose was reduced by 50% in the late-enteric phase [(6.31 ± 1.67) mSv] compared with the early-enteric phase [(3.01 ± 1.09) mSv]. For the 1.25 mm images, DLIR-M and DLIR-H significantly improved both objective and subjective image quality compared to those with ASIR-V40%. The low-dose 1.25 mm DLIR-H images had similar image noise, SNR, CNR values as the standard-dose 5 mm ASIR-V40% images, but significantly higher scores in image contrast [5(5–5), P < 0.05], bowel wall sharpness [5(5–5), P < 0.05], mesenteric vessel clarity [5(5–5), P < 0.05] and small structure visibility [5(5–5), P < 0.05]. Conclusions: DLIR significantly reduces image noise at the same slice thickness, but significantly improves spatial resolution and lesion conspicuity with thinner slice thickness in DECTE, compared to conventional ASIR-V40% 5 mm images, all while providing 50% radiation dose reduction. [ABSTRACT FROM AUTHOR]

To evaluate and compare the effectiveness of contrast media subtraction and kidney stone detection between a virtual non-iodine reconstruction algorithm (VNI; PureCalcium) and a virtual non-contrast (VNC) algorithm in excretory phase photon-counting detector computed tomography (PCD-CT), using a 3D printed kidney phantom under various tube voltages and radiation doses. A 3D-printed kidney phantom, holding Calcium Oxalate (CaOx) and uric acid stones within contrast-enhanced calyces, was created. The calyx density mirrored the average density observed in 200 excretory phase patients (916 HU at 110 kV). Imaging was conducted on a clinical dual-source PCD-CT at 120 kV and 140 kV, with radiation doses set at 5, 10, and 15 mGy. VNI and VNC algorithms were applied. Two blinded readers evaluated the image quality, along with the degree of contrast media and kidney stone subtraction, using visual scales. Krippendorff's alpha was calculated to determine inter-reader agreement, and the Chi-squared test was employed for comparing ordinal data. Reader 2 rated overall image quality higher for VNI than VNC (4.90 vs. 4.00; P <.05), while Reader 1 found no significant difference (4.96 vs. 5.00; P >.05). Substantial agreement was observed between readers for contrast media subtraction in both VNC and VNI (Krippendorff's alpha range: 0.628–0.748). Incomplete contrast media subtraction occurred more frequently with VNI for both readers (Reader 1: 29% vs. 15%; P <.05; Reader 2: 24% vs. 20%; P >.05). Uric acid and smaller stones (< 5 mm) were more likely to be subtracted than CaOx and larger stones in both VNC and VNI. Overall, a higher rate of stone subtraction was noted with VNI compared to VNC (Reader 1: 22% vs. 16%; Reader 2: 25% vs. 10%; P <.05). Neither radiation dose nor tube voltage significantly influenced stone subtraction (P >.05). VNC demonstrated greater accuracy than VNI for contrast media subtraction and kidney stone visibility. Radiation dose and tube voltage had no significant impact. Nonetheless, both algorithms still exhibited frequent incomplete contrast media subtraction and partial kidney stone subtraction. [ABSTRACT FROM AUTHOR]

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Background and Objectives: The recently published Spine Stereotactic Radiosurgery (SSRS) ESTRO guidelines advise against treating spinal metastatic disease with a single dose equal to or smaller than 18 Gy, prioritizing local control over the potential for complications. This study aims to assess the necessity and validity of these higher dose recommendations by evaluating the outcomes and experiences with lower radiation doses. Materials and Methods: A retrospective evaluation of SSRS patients treated at a single institute was conducted. The outcomes and complications of this cohort were compared to the current literature and the data supporting the new ESTRO guidelines. Results: A total of 149 treatment sessions involving 242 spinal levels were evaluated. The overall local control rate was 91.2%. The mean radiation dose for the local control group compared to the local failure group was similar (17.5 vs. 17.6 Gy, not significant). The overall complication rate was 6%. These results are consistent with previous publications evaluating SSRS for metastatic spinal disease. Conclusions: SSRS dose escalation may increase local control efficacy but comes with a higher risk of complications. The evidence supporting the strong recommendations in the recent ESTRO guidelines is not robust enough to justify a universal application. Given the palliative nature of treatment for metastatic patients, dose determination should be individualized based on patient conditions and preferences, with a detailed discussion about the risk–benefit ratio of increased doses and the level of evidence supporting these recommendations. [ABSTRACT FROM AUTHOR]

Abstract Cervical pedicle screws (CPS) provide biomechanically superior fixation compared to other techniques but are technically more demanding. Navigated CPS placement has been increasingly reported as a safe and accurate technique, yet there are few studies comparing different combinations of imaging and navigation systems under comparable conditions. With this study, we aimed to compare different imaging and navigation systems for CPS placement in terms of accuracy, screw placement time and applied radiation dose. For this experimental study, navigated CPS placement was performed at levels C2 to C7 in 24 identical radiopaque artificial spine models by two surgeons with different levels of experience using three different combinations of intraoperative 3D imaging devices and navigation systems. Accuracy, time and radiation dose were compared between the groups. In total, 288 screws were placed. Accuracy was > 98% in all groups with no significant differences between groups or between surgeons (P = 0.30 and P = 0.31, respectively), but the inexperienced surgeon required significantly more time (P 98% were achieved for navigated CPS placement regardless of the imaging modality or navigation system used. Radiation doses were significantly lower for CBCT compared to iCT guidance.

Compared with traditional invasive coronary angiography (ICA), coronary CT angiography (CCTA) has the advantages of being rapid, economical, and minimally invasive. The wide-detector CT, with its superior temporal resolution and robust three-dimensional reconstruction technology, thus enables CCTA in patients with high heart rates and arrhythmias, leading to a high potential for clinical application. This paper systematically summarizes wide-detector CT hardware configurations of various vendors routinely used for CCTA examinations and reviews the effects of patient heart rate and heart rate variability, scanning modality, reconstruction algorithms, tube voltage, and scanning field of view on image quality and radiation dose. In addition, novel technologies in the field of CT applied to CCTA examinations are also presented. Since this examination has a diagnostic accuracy that is highly consistent with ICA, it can be further used as a routine examination tool for coronary artery disease in clinical practice.

Abstract Humans receive around 50% of natural radiation dose due to 222Rn (radon), 220Rn (thoron) and their decay products. Several field campaigns measuring these gases and the decay products in different regions of India have been conducted in the recent past. Some of these studies measured indoor activity concentration and/or dose due to these gases and the associated decay products. This work compares the fraction of 222Rn and decay products and 220Rn and decay products in inhalation dose for 10 studies conducted in Uttarakhand state. It is seen that AEDT (annual effective dose due to 220Rn and decay products) for these regions varies between 21 and 48% and it is significantly higher than the averaged worldwide reference value of 6%. Based on elaborative measurements performed in the Bageshwar district (present work), Almora and Nainital districts (our previous campaigns); the reasons for this high value have been explored. It was observed that a higher source term for mud houses could be the main reason for the high AEDT range. Interestingly, preliminary analysis revealed that the fraction is higher for the dwellings situated at higher altitudes thus indicating the role of the unavailability of modern building construction materials at remote locations. The study highlights the significant contribution of thoron in the Indian Himalayas.

We investigated the radiolytic hydrogen production of geopolymers that are a candidate material for solidifying radioactive waste. The effects of water content and solid properties on the hydrogen production were evaluated by 60Co γ-ray irradiation using geopolymers with and without boric acid, which controls the setting time of the geopolymer. We also constructed a preliminary model of the geopolymer pore structure and calculated the dose to water on the pore surface using Monte Carlo simulation. Hydrogen production was influenced by water content, specific surface area, and electron density of elements in the solid, and increased as these values increased. Simulation results suggested that the amount of hydrogen was affected by the dose of Compton electrons generated by γ-ray irradiation on the geopolymer solid to water on the pore surface. The apparent hydrogen production yield of the geopolymer containing boric acid was 1.1 × 10−8 mol/J, less than 1/4 of that of water. When this sample was heated over 800°C, it decreased to 1.0 × 10−9 mol/J. In contrast, the apparent hydrogen production yield based on the energy absorbed by water in the geopolymer was larger than that of water and increased with a decrease in water content. Furthermore, it decreased below 0.2 wt.% water content. [ABSTRACT FROM AUTHOR]

Human survival hinges on access to water, which provides vital necessities. It is crucial to secure reliable, affordable, and uncontaminated water to maintain health and sustain life. For the potential impact of radioactive water pollution on human well-being, a scintillation-based smart RnDuo detector was employed in the Pattan region of North Kashmir Baramulla to quantify radon levels in diverse underground water. The dose contribution to various organs through inhalation and ingestion pathways has been analyzed. The study assesses the levels of radon in water, which varied from 19.88 to 74.37 Bq/L with an average of 37.65 Bq/L. All of the values were higher than the United States Environmental Protection Agency(USEPA) suggested guideline of 11 Bq/L but lower than the 100 Bq/L prescribed by the World Health Organization (WHO). The age group-wise inhalation and ingestion doses are higher than the 100 μSv/y recommended by WHO but within the prescribed range of 3–10 mSv/y as suggested by the International Commission on Radiological Protection (ICRP). Doses to various organs (lungs and stomach) are also calculated in the present study. The results of the present investigation will help to enhance the quality of the water and guide future epidemiological studies. [ABSTRACT FROM AUTHOR]

(1) This study evaluates the impact of the CT-guided SIRIO augmented reality navigation system on the procedural efficacy and clinical outcomes of neuroprotection in vertebral thermal ablation (RTA) for primary and metastatic bone tumors. (2) Methods: A retrospective non-randomized analysis of 28 vertebral RTA procedures was conducted, comparing 12 SIRIO-assisted and 16 non-SIRIO-assisted procedures. The primary outcomes included dose-length product (DLP) and epidural dissection time. The secondary outcomes included technical success, complication rates, and pain scores at procedural time (VAS Time 0) and three months post-procedure (VAS Time 1). The statistical analyses included t-tests, Mann–Whitney U tests, and multiple regression. (3) Results: SIRIO-assisted procedures significantly reduced DLP (307.42 mGycm vs. 460.31 mGycm, p = 2.23 × 10−8) and procedural epidural dissection time (13.48 min vs. 32.26 min, p = 2.61 × 10−12) compared to non-SIRIO-assisted procedures. Multiple regression confirmed these reductions were significant (DLP: β = −162.38, p < 0.001; time: β = −18.25, p < 0.001). Pain scores (VAS Time 1) did not differ significantly between groups, and tumor type did not significantly influence outcomes. (4) Conclusions: The SIRIO system enhances neuroprotection efficacy and safety, reducing radiation dose and procedural time during spine tumoral ablation while maintaining consistent pain management outcomes.

We developed lead gloves that minimize radiation dose to the operator's hands during interventional radiological procedures and that do not impede the operator's surgical capabilities. Existing lead gloves can protect the operator's hands by shielding radiation, but use of such gloves may impair preception sensitivity, resulting in a reduction in the operator's surgical ability. Accordingly, in this study, we developed modified lead gloves that can reduce radiation dose while maintaining operator sensitivity during procedures by modifying the operator's main surgical finger area in existing lead gloves. To evaluate the performance of developed modified lead gloves, radiation was applied in surgical conditions without gloves and with surgical gloves, lead gloves, and modified lead gloves. The radiation dose was evaluated for each condition. When the modified lead gloves were worn, the degree of shielding was similar to when conventional lead gloves were worn. Based on these results, if the operator wears modified lead gloves during interventional radiological procedures, they will protect the hands from radiation while maintaining physical sensitivity in the hands.

Abstract Background To compare the diagnostic value of 120-kV with conventional 96-kV Cone-Beam CT (CBCT) of the temporal bone after cochlear implant (CI) surgery. Methods This retrospective study included CBCT scans after CI surgery between 06/17 and 01/18. CBCT allowed examinations with 96-kV or 120-kV; other parameters were the same. Two radiologists independently evaluated following criteria on 5-point Likert scales: osseous spiral lamina, inner and outer cochlear wall, semi-circular canals, mastoid trabecular structure, overall image quality, metal and motion artefacts, depiction of intracochlear electrode position and visualisation of single electrode contacts. Effective radiation dose was assessed. Results Seventy-five patients (females, n = 39 [52.0%], mean age, 55.8 ± 16.5 years) were scanned with 96-kV (n = 32, 42.7%) and 120-kV (n = 43, 57.3%) protocols including CI models from three vendors (vendor A n = 7; vendor B n = 43; vendor C n = 25). Overall image quality, depiction of anatomical structures, and electrode position were rated significantly better in 120-kV images compared to 96-kV (all p

Introduction: Uterine artery embolization is performed in pre‐menopausal women. Understanding the contribution of radiation dose at each stage of the procedure is important for potential dose reduction. The aim was to retrospectively analyse radiation dose on a per‐procedural‐stage basis, comparing digital subtraction angiography (DSA) and conventional roadmap (CRM). Methods: Group A consisted of 50 patients where DSA was used for road mapping at all stages: (I) Aortogram, (II) Left internal iliac artery (IIA) DSA, (III) Left uterine artery (UA) DSA, (IV) Right IIA DSA and (V) Right UA DSA. Group B included 50 patients, where CRM was used for road mapping at stages (II) and (IV). Results: For Group A, mean total dose‐area product (DAP) was 39.7 Gy·cm2; mean DAP for each stage were (I) Aortogram = 3.4 Gy·cm2, (II) Left IIA DSA = 5.9 Gy·cm2, (III) Left UA DSA = 3.2 Gy·cm2, (IV) Right IIA DSA = 5.5 Gy·cm2 and (V) Right UA DSA = 3.0 Gy·cm2. For Group B, mean total DAP was 33.6 Gy·cm2, mean DAP for each stage were (I) Aortogram = 3.3 Gy·cm2, (II) Left IIA CRM = 1.5 Gy·cm2, (III) Left UA DSA = 3.3 Gy·cm2, (IV) Right IIA CRM = 1.5 Gy·cm2 and (V) Right UA DSA = 3.3 Gy·cm2. Fluoroscopy time was 10 and 9.4 min for Groups A and B, respectively. Conclusion: The highest road‐mapping radiation dose contribution was from bilateral IIA DSA. The use of CRM, intermittent fluoroscopy and elimination of the aortogram is recommended to further reduce procedural radiation dose. [ABSTRACT FROM AUTHOR]

Diagnostic imaging was identified to have a highly significant role in assessing pediatric gastrointestinal disorders. However, there are worries that imaging associated with radiation may be damaging especially in children who are more sensitive to radiation. This paper aims to review the existing management of pediatric gastrointestinal radiology with special emphasis on radiation dose optimization while preserving image quality. A literature review was carried out on low-dose methods, other modalities and image-appropriate image utilization. Flexible low-dose protocols with iterative reconstruction can decrease dose by 65-90% with minimal degradation of image quality. MRI is gradually becoming another valuable non-radiation diagnostic modality especially since it offers complementary information to CT, with high soft tissue contrast. Clinical decision rules for ordering imaging to be appropriate ensure that there is little over-reliance on imaging, and this ensures that radiation exposure is limited among people in the population. Appropriate scanning parameters, which include a low dose, wider adoption of MRI as a complementary method, and more rational utilization of imaging procedures can significantly reduce radiation doses while improving or at least preserving the diagnostic outcomes. More studies investigating the enhancement of pediatric protocols for the current scanner generation should be carried out. [ABSTRACT FROM AUTHOR]

Purpose: We hypothesize that delayed phase imaging does not provide additional diagnostic information in patients who undergo multi-phasic CTA for suspected active bleeding. Methods: Data on patients who underwent multiphasic CTA (pre-contrast, arterial, porto-venous, and delayed phases) for suspected acute bleed were retrospectively collected between January 2019 and November 2021. CTA images were reviewed by a general radiologist, an interventional radiologist, and a body imaging radiologist independently. Each reader evaluated if delayed phase images provided additional information that would change the final impression of the CTA report. Additional information regarding bleeding location, time needed for delayed image acquisition, and radiation exposure were also obtained. Results: A total of 104 patients with CTAs were analyzed with an average age of 58 years ± 22. Studies rated with absent additional findings on delayed images were 102 (98.1%) by the interventional radiologist, 101 (97.1%) by the body imaging radiologist, and 100 (96.1%) by the general radiologist with percent agreement of 96.15% (kappa 0.54, p < 0.001). All the findings were characterized as unlikely to be clinically significant. Mean time added to complete a delayed phase images was 3.61 ± 3.4 min. The average CT dose length product (DLP) for the total exam was 3621.78 ± 2129.57 mGy.cm with delayed acquisition adding a mean DLP of 847.75 ± 508.8 mGy.cm. Conclusion: Delayed phase imaging does not provide significant additional diagnostic information in evaluating patients with suspected active bleeding but is associated with increased examination time and radiation exposure. [ABSTRACT FROM AUTHOR]

Purpose: To compare image quality and radiation exposure between super- and ultra-high-resolution helical and super-high-resolution volumetric CT of the temporal bone. Methods: Six cadaveric temporal bone specimens were used to evaluate key temporal bone structures using the following CT reconstruction and acquisition modes: helical and single-volume acquisition modes in super-high resolution (0.25-mm slice thickness, 10242 matrix), and helical mode in ultra-high resolution (0.25-mm slice thickness, 20482 matrix). Two observers performed 5 previously described preoperative measurements, measured noise and signal-to-noise ratios for air, and noise for bone, and rated the visualization of 5 anatomical structures on a 4-point scale, for each reconstruction mode. Radiation dose exposure was recorded for each examination. Results: There was no significant difference between any of the quantitative or qualitative measurements in any of the reconstruction and acquisition modes. There was a slight increase in noise and a decrease in signal-to-noise ratio in the air using the single-volume mode (115 ± 13.1 HU and 8.37 ± 0.91, respectively) compared to the helicoidal super-high-resolution (92.4 ± 11.8 HU and 10.8 ± 1.26, respectively) and helicoidal ultra-high-resolution (91.1 ± 10.7 HU and 10.9 ± 1.39, respectively) modes (P <.002). The volumic CT dose index was 50.9 mGy with helical acquisition and 29.8 mGy with single-volume acquisition mode (P <.0001). Conclusion: The single-volume super-high-resolution acquisition mode allows a reduction in radiation dose exposure without compromising image quality compared to helical scanning, but with a slightly lower signal-to-noise ratio in air with the single-volume mode, while there was no difference in image quality between the helical super- and ultra-high-resolution modes. [ABSTRACT FROM AUTHOR]

The article provides a brief description of the Liulin-MO dosimeter, which is part of the FREND (Fine Resolution Epithermal Neutron Detector) device installed on the TGO (Trace Gas Orbiter) spacecraft of the ExoMars-2016 mission. Since April 2018, TGO has been operating in orbit around Mars. Data are presented on the radiation environment in the orbit of Mars during the decline phase of the 24th cycle of solar activity and the growth phase of the 25th cycle. During the period under review, a maximum flux and dose rate due to galactic cosmic rays (GCR) were observed. Between July 2021 and March 2023, the Liulin-MO dosimeter recorded eight increases in particle fluxes and dose rates from solar proton events (SPEs). Data are presented on the radiation environment during the SPE in Mars orbit in July 2021–March 2022, when Mars was on the opposite side of the Sun from Earth. A comparison is made of particle fluxes measured in orbits around the Earth and Mars. [ABSTRACT FROM AUTHOR]

Solar particle events (SPEs) are short-lived bursts of high-energy particles from the solar atmosphere and are widely recognized as posing significant economic risks to modern society. Most SPEs are relatively weak and have minor impacts on the Earth's environment, but historic records contain much stronger SPEs which have the potential to alter atmospheric chemistry, impacting climate and biological life. The impacts of such strong SPEs would be far more severe when the Earth's protective geomagnetic field is weak, such as during past geomagnetic excursions or reversals. Here, we model the impacts of an extreme SPE under different geomagnetic field strengths, focusing on changes in atmospheric chemistry and surface radiation using the atmosphere-ocean-chemistry-climate model SOCOL3-MPIOM and the radiation transfer model LibRadtran. Under current geomagnetic conditions, an extreme SPE would increase NOx concentrations in the polar stratosphere and mesosphere, causing reductions in extratropical stratospheric ozone lasting for about a year. In contrast, with no geomagnetic field, there would be a substantial increase in NOx throughout the entire atmosphere, resulting in severe stratospheric ozone depletion for several years. The resulting ground-level ultraviolet (UV) radiation would remain elevated for up to 6 y, leading to increases in UV index up to 20 to 25% and solar-induced DNA damage rates by 40 to 50%. The potential evolutionary impacts of past extreme SPEs remain an important question, while the risks they pose to human health in modern conditions continue to be underestimated. [ABSTRACT FROM AUTHOR]

Objective: To investigate the feasibility and evaluate the safety and effectiveness of Computed Tomography (CT) guided125I radioactive particle implantation for treating lymph node metastases in radioiodine-refractory differentiated thyroid cancer (RAIR-DTC). To verify the accuracy of the computerized three-dimensional treatment planning system (TPS) in treating lymph node metastasis using125I particle implantation at the dosimetric level.Methods: A retrospective analysis was conducted on 42 patients with RAIR-DTC and lymph node metastases who were admitted to the General Hospital of the Northern Theater Command between December 2016 and January 2019. During this analysis, physicians utilized preoperative CT images to design an intraoperative plan using TPS. The dosimetric parameters of the postoperative plan were then compared to the preoperative plan. Additionally, this study examined the changes in tumor size and tumor-related marker Thyroglobulin (Tg) values in patients at 2, 6, and 12 months after the operation.Results: The number of125I radioactive particles implanted in 42 patients was 226, with an average of 14.5 (range 2.0–30.0) particles implanted per lesion. The local remission rates were 97.62% (41/42), 88.10% (37/42), and 85.71% (36/42) at 2, 6, and 12 months postoperatively, respectively. The volume of the lesions was (4.44 ± 1.57) cm³, (4.20 ± 1.70) cm³, and (4.23 ± 1.77) cm³at 2, 6, and 12 months after treatment, respectively, which significantly decreased from the preoperative baseline level of (6.87 ± 1.67) cm³(t-values: 9.466, 9.923, 7.566, all P<0.05). The Tg levels were 15.95 (5.45, 73.93) μg/L, 8.90 (2.20, 39.21) μg/L, and 6.00 (1.93, 14.18) μg/L at 2, 6, and 12 months after treatment, respectively, which were significantly lower than the preoperative baseline levels of 53.50 (20.94, 222.92) μg/L (Z values: -5.258, -5.009, -4.987, all P < 0.001). Postoperatively, Delivered to 90% of the GTV(D90) was slightly lower than the prescribed dose in 95.23% (40/42) of patients, but the difference was not statistically significant [(12,378.8 ± 3,182.0), (12,497.8 ± 1,686.4) cGy; t=0.251, P>0.05], and postoperative dose parameters delivered to 100% of the gross tumor volume (GTV)(D100) (6,881.5 ± 1,381.8) cGy, the volume percentages of GTV receiving 150% of the prescribed dose(V150) (58.5 ± 18.40)%) were lower than the preoperative plan D100 (8,085.8 ± 2,330.0) cGy, V150 (66.5 ± 17.70)%; t-value=8.913 and 3.032, both P<0.05; the remaining indicators were not significantly different from the preoperative plan (the differences in the number of implanted particles, Planning Target Volume(PTV), the volume percentages of GTV receiving 100% of the prescribed dose(V100), Homogeneity Index(HI)were not statistically significant (t/Z = -0.593, -1.604, 1.493, -0.663, all P>0.05).Conclusion: Referring to the TPS preoperative plan, the125I particle implantation therapy for RAIR-DTC lymph node metastasis can achieve the expected dose distribution, ensuring precise short-term local tumor control efficacy. [ABSTRACT FROM AUTHOR]

3D positioning cameras that automate the positioning of patients with respect to the CT isocentre have been developed and are in common use in CT departments. This study aimed to compare the performance of radiographers and a 3D camera system with respect to positioning accuracy and the effect on patient radiation dose for chest-abdomen-pelvis scans. Patient positioning and dose data obtained from a dose management system was evaluated over a two-month period for patients positioned with (CAM on) and without (CAM off) the positioning camera. Median vertical and lateral offset values were compared between the groups whilst doses were evaluated as a function of patient water equivalent diameter (WED) for the thorax and abdomen-pelvis acquisitions for both cohorts. Radiographers demonstrated high levels of positioning accuracy, however significant improvements in median vertical offset were identified for the CAM on cohort for both thorax (8 mm vs. 17 mm (p = 0.001)) and abdomen-pelvis (7 mm vs. 16 mm (p = 0.003)) scans. The percentage of patients positioned within 5 mm of the isocentre was 39.0% and 16.1% for the CAM on and CAM off cohorts. For CAM off scans, 77.4% of patients were positioned below the isocentre, but this was reduced to 45.8% for CAM on scans. No significant changes in dose as a function of WED were identified related to the camera use (thorax: p = 0.569, abdomen-pelvis: p = 0.760). Use of a 3D camera delivered significant improvements in the accuracy and reproducibility of patient positioning when compared with radiographers. Improvements in positioning accuracy were observed at the research site and hence positioning camera use has the potential to become standard practice in CT to help ensure appropriate doses are delivered to patients according to their size. [ABSTRACT FROM AUTHOR]

The conventional anti-scatter grid is widely used in X-ray radiography to reduce scattered X-rays, but it increases patient dose. Scatter-correction software offers a dose-reducing alternative by correcting for scattered X-rays without a physical grid. Grids and software correction are necessary to reduce scatter radiation and improve image quality especially for the large body parts. The scatter correction can be beneficial in situations where the use of grid is challenging. The implementation of grids and advanced software correction techniques is imperative to ensure that radiographic images maintain high levels of clarity, contrast, and resolution, and ultimately facilitating more accurate diagnoses. This study compares image quality and radiation dose for abdomen exams using scatter correction software and physical grids. An anthropomorphic phantom (abdomen) underwent imaging with varying fat and lean tissue layers and body mass index (BMI) configurations. Imaging parameters included 70 kVp tube voltage, 110 cm SID, and Automatic Exposure Control (AEC) both lateral and central chambers. AP abdomen X-ray projections were acquired with and without an anti-scatter grid, and scatter correction software was applied. Image quality was assessed using contrast to noise ratio (CNR) and signal to noise ratio (SNR) metrics. The tube current mAs was considered an exposure factor that affected radiation dose and was used to compare the VG software and physical grid. Radiation dose was measured using Dose Area Products (DAP). The effective dose was estimated using Monte Carlo simulation-PCXMC software. Paired t-tests were used to investigate the image quality difference between the Gridless and VG software, Gridless and PG, and VG software and PG approaches. For the DAP and effective dose, paired t-test was used to investigate the difference between VG software and PG. Images acquired with a grid had the highest mean CNR (71.3 ± 32) compared to Gridless (50 ± 33.8) and scatter correction software (59.3 ± 37.9). The mean SNR of the grid images was (82.7.3 ± 38.9), which is 18% higher than the scatter correction software images (70.4 ± 36.7) and 29% higher than in the Gridless images (62.9.3 ± 34). The mean DAP value was reduced by 81% when the scatter correction software was used compared to the grid (mean: 65.4 μGy.m2 and 338.2 μGy.m2, respectively) with a significant difference (p = 0.001). Scatter correction software resulted in a lower effective dose compared to physical grid use, (mean difference± SD = −0.3 ± 0.18 mSv) with a significant difference (P = 0.02). Scatter correction software reduced the radiation dose required but images employing a grid yielded higher CNR and SNR. However, the radiation dose reduction might affect the image quality to a level that impacts the diagnostic information available. Thus, further research needs to be conducted to optimise the use of the scatter correction software. Objectively, X-ray scatter correction software might be promising in conditions where a grid cannot be applied. [ABSTRACT FROM AUTHOR]

During Computed Tomography (CT) scans of the Thorax-Abdomen-Pelvis (TAP) the patient's arms should be positioned above the head to obtain optimal image quality and expose the patient to the lowest possible radiation dose. This may be impossible with patients with shoulder problems leading to arms being positioned in other ways. This study aimed to investigate differences in objective image quality and estimated effective dose (E), when positioning the arms below shoulder level in CT-TAP. An anthropomorphic phantom with cadaver arms was used. Four arm positions were tested: Along the torso (A), on the pelvis (B), on a pillow on the pelvis (C), and one arm on pillow on the pelvis and the other arm on the pelvis (D). A Siemens SOMATOM Definition Flash CT-scanner with CareDose 4D was used. The dose length product was read to estimate E. Image quality was assessed objectively by measuring noise within the region of interest in the liver and urinary bladder. Significant differences in E between all arm positions were seen (p = 0.005). The lowest E was obtained in position C, reducing E by 8.42%. Position A provided the best image quality but the highest E. This study showed no unequivocal optimal positioning of arms in CT-TAP. Position A provided the best object image quality, while position C yielded the lowest E. These results may impact the planning of diagnostic CT where positioning of arms may influence optimal image quality and radiation dose. This study illustrates tendencies for objective image quality and E when arms are positioned below shoulder level. Further research is needed to assess the clinical relevance with the diagnostic potential. [ABSTRACT FROM AUTHOR]

Copyright of Momento: Revista de Física is the property of Universidad Nacional de Colombia, Departamento de Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Medical Equipment Journal is the property of Chinese Medical Equipment Journal Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To compare the application of iterative model reconstruction (IMR) and iDose4 hybrid iterative reconstruction technique in head and neck CT angiography (CTA) with low radiation dose and low iodine intake. Methods 60 patients with body mass index ≤30 kg/m² underwent head and neck CTA in our hospital from January to May 2024. The patients were divided into control group (30) and experimental group (30). The CTA in the control group was performed with 120 kV, 150 mAs, 50 mL contrast medium injected at the rate of 5 mL/s and iDose4 compared to CTA of the experimental group (100 kV, 100 mAs, 30 mL, 3 mL/s) with iDose4 or IMR. The CT values, standard deviation (SD), signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) of the left common carotid artery, internal carotid artery, and M1 segment of the middle cerebral artery, the volume CT dose index and dose-length product and the effective dose were compared between the control and experimental groups. Image quality was scored subjectively by two radiologists. The independent sample t test was used to compare the radiation dose. The CT values, SD, SNR, CNR, and image quality score were analyzed using ANOVA or Welch's test. Pairwise comparisons were performed using LSD-t test or Tamhane's T2. Results There was no significant difference (P>0.05) in the blood vessel image quality scores, SD, SNR, CNR between IMR and control groups whereas the image quality scores, SNR and CNR of blood vessels in iDose4 group were significantly lower than those in the IMR and control groups (P<0.05). The CT values of the corresponding vessels in the control group were significantly higher than those in the iDose4 and IMR groups (P<0.05). The effective dose of the experimental group (1.62± 0.08) decreased by 57.41% compared with the control group (0.69±0.33) while the iodine intake of the contrast agent decreased by 40%. Conclusion In head and neck CTA, the application of low tube voltage, low tube current, low injection dose and low injection flow rate combined with IMR technology can significantly reduce the radiation dose and iodine intake of patients while ensuring image quality. IMR technique is better than iDose4 in reducing image noise and improving image SNR and CNR. [ABSTRACT FROM AUTHOR]

Background: Blunt carotid injury (BCI) in pediatric trauma is quite rare. Due to the low number of cases, only a few reports and studies have been conducted on this topic. This review will discuss how frequent BCI/blunt cerebrovascular injury (BCVI) on pediatric patients after blunt trauma is, what routine diagnostics looks like, if a computed tomography (CT)/computed tomography angiography (CTA) scan on pediatric patients after blunt trauma is always necessary and if there are any negative health effects. Methods: This narrative literature review includes reviews, systematic reviews, case reports and original studies in the English language between 1999 and 2020 that deal with pediatric blunt trauma and the diagnostics of BCI and BCVI. Furthermore, publications on the risk of radiation exposure for children were included in this study. For literature research, Medline (PubMed) and the Cochrane library were used. Results: Pediatric BCI/BCVI shows an overall incidence between 0.03 and 0.5% of confirmed BCI/BCVI cases due to pediatric blunt trauma. In total, 1.1–3.5% of pediatric blunt trauma patients underwent CTA to detect BCI/BCVI. Only 0.17–1.2% of all CTA scans show a positive diagnosis for BCI/BCVI. In children, the median volume CT dose index on a non-contrast head CT is 33 milligrays (mGy), whereas a computed tomography angiography needs at least 138 mGy. A cumulative dose of about 50 mGy almost triples the risk of leukemia, and a cumulative dose of about 60 mGy triples the risk of brain cancer. Conclusions: Given that a BCI/BCVI could have extensive neurological consequences for children, it is necessary to evaluate routine pediatric diagnostics after blunt trauma. CT and CTA are mostly used in routine BCI/BCVI diagnostics. However, since radiation exposure in children should be as low as reasonably achievable, it should be asked if other diagnostic methods could be used to identify risk groups. Trauma guidelines and clinical scores like the McGovern score are established BCI/BCVI screening options, as well as duplex ultrasound. [ABSTRACT FROM AUTHOR]

AbstractIn this study, the activity concentrations of natural primordial radionuclides in fly ash (FA) samples collected from the landfill area of Afşin-Elbistan A lignite-fired thermal power plant (AE-A LFTPP) located in Kahramanmaraş province of Türkiye were measured using a gamma-ray spectrometer. Also, the radiological risk was assessed using the Residual Radioactivity Onsite 7.2 code. The average activity concentrations of 226Ra, 232Th and 40K in FA samples varied from 291 ± 10 to 853 ± 25 Bq/kg, 23 ± 1 to 125 ± 4 Bq/kg and 112 ± 10 to 315 ± 18 Bq/kg, respectively. The predicted maximum total annual effective dose rate due to the natural radionuclides and their progenies is 4.7, 4.4, and 4.0 mSv/y at t = 1000 y for 0.5-m, 1.25-m, and 2.0-m cover scenarios, respectively. While the predicted maximum total cancer risk is 4.56 × 10−3 (3.95 × 10−3 for 226Ra, 5.18 × 10−4 for 232Th and 6.14 × 10−15 for 40K), 4.00 × 10−3(3.80 × 10−3 for 226Ra, 1.90 × 10−4 for 232Th and 7.69 × 10−15 for 40K) and 3.71 × 10−3 (3.71 × 10−3 for 226Ra, 1.820 × 10−8 for 232Th and 7.66 × 10−15 for 40K) at t = 1000 y for 0.5-m, 1.25-m and 2.0-m cover scenario, respectively. Results also revealed that the total doses and cancer risks are less in thicker cover scenarios throughout the 1000 y time span and that 226Ra is the major contributor to the risk in all the scenarios owing to its higher activity concentration than 232Th and 40K. [ABSTRACT FROM AUTHOR]

Background: To compare the diagnostic value of 120-kV with conventional 96-kV Cone-Beam CT (CBCT) of the temporal bone after cochlear implant (CI) surgery. Methods: This retrospective study included CBCT scans after CI surgery between 06/17 and 01/18. CBCT allowed examinations with 96-kV or 120-kV; other parameters were the same. Two radiologists independently evaluated following criteria on 5-point Likert scales: osseous spiral lamina, inner and outer cochlear wall, semi-circular canals, mastoid trabecular structure, overall image quality, metal and motion artefacts, depiction of intracochlear electrode position and visualisation of single electrode contacts. Effective radiation dose was assessed. Results: Seventy-five patients (females, n = 39 [52.0%], mean age, 55.8 ± 16.5 years) were scanned with 96-kV (n = 32, 42.7%) and 120-kV (n = 43, 57.3%) protocols including CI models from three vendors (vendor A n = 7; vendor B n = 43; vendor C n = 25). Overall image quality, depiction of anatomical structures, and electrode position were rated significantly better in 120-kV images compared to 96-kV (all p < = 0.018). Anatomical structures and electrode position were rated significantly better in 120-kV CBCT for CI models from vendor A and C, while 120-kV did not provide improved image quality in CI models from vendor B. Radiation doses were significantly higher for 120-kV scans compared to 96-kV (0.15 vs. 0.08 mSv, p < 0.001). Conclusions: 120-kV and 96-kV CBCT provide good diagnostic images for the postoperative CI evaluation. While 120-kV showed improved depiction of temporal bone and CI electrode position compared to 96-kV in most CI models, the 120-kV protocol should be chosen wisely due to a substantially higher radiation exposure. [ABSTRACT FROM AUTHOR]

Based on the characteristics of space particle radiation in the Sun-synchronous orbit (SSO), a space particle radiation effect comprehensive measuring instrument (SPRECMI) was installed on the orbital platform of the upper stage of the Chinese CZ-4C carrier rocket, which can acquire the high-energy proton energy spectra, linear energy transfer (LET) spectra of particles, and radiation dose rate. The particle radiation detection data were obtained at 1000 km altitude for the first time, which can be used mainly for scientific research of the space environment, in-orbit fault analysis, and the operational control management of spacecraft, and can also serve as reference data for component validation tests. After SPRECMI's development, accelerator calibration and simulations were conducted, and the results demonstrated that all the measured indicators, including the high-energy proton spectra (energy range: 21.8–275.0 MeV, precision: <3.3%), total radiation dose (dose range: 0–1.04 × 106 rad, sensitivity: 6.2 µrad/h), and the LET spectra (range: 0.001–37.20 MeV/(mg/cm2), >37.2 MeV/(mg/cm2)), met the relevant requirements. Furthermore, the in-orbit flight test revealed that the detection results of the load components were consistent with the physical characteristics of the particle radiation environment of the spacecraft's orbit. [ABSTRACT FROM AUTHOR]

Purpose: Urolithiasis is a chronic condition that leads to repeated CT scans throughout the patient's life. The goal was to assess the diagnostic performance and image quality of submillisievert abdominopelvic computed tomography (CT) using deep learning-based image reconstruction (DLIR) in urolithiasis. Methods: 57 patients with suspected urolithiasis underwent both non-contrast low-dose (LD) and ULD abdominopelvic CT. Raw image data of ULD CT were reconstructed using hybrid iterative reconstruction (ASIR-V 70%) and high-strength-level DLIR (DLIR-H). The performance of ULD CT for the detection of urinary stones was assessed by two readers and compared with LD CT with ASIR-V 70% as a reference standard. Image quality was assessed subjectively and objectively. Results: 266 stones were detected in 38 patients. Mean effective dose was 0.59 mSv for ULD CT and 1.96 mSv for LD CT. For diagnostic performance, sensitivity and specificity were 89% and 94%, respectively, for ULDCT with DLIR-H. There was an almost perfect intra-observer concordance on ULD CT with DLIR-H versus LDCT with ASIR-V 70% (ICC = 0.90 and 0.90 for the two readers). Image noise was significantly lower and signal-to-noise ratio significantly higher with DLIR-H compared to ASIR-V 70%. Subjective image quality was also significantly better with ULDCT with DLIR-H. Conclusion: ULD CT with Deep Learning Image Reconstruction maintains a good diagnostic performance in urolithiasis, with better image quality than hybrid iterative reconstruction and a significant radiation dose reduction. [ABSTRACT FROM AUTHOR]

Introduction: While there are many papers on maternal and foetal radiation doses from computed tomography pulmonary angiography (CTPA) and ventilation/perfusion (V/Q) lung scanning examinations for diagnosing pulmonary embolism in pregnant patients, few have used clinical data to examine the patient lifetime attributable risk (LAR) of different cancer types. This paper aims to estimate the cancer risk from maternal radiation doses from CTPA and V/Q examinations and associated foetal doses. Methods: Dosimetric data were determined for 267 pregnant patients who received CTPA and/or V/Q examinations over 8 years. Organ and foetal doses were determined using software allowing patient size variations for CTPA and using two different activity‐to‐organ dose conversion methods for V/Q scans. The LAR of cancer incidence was estimated using International Commission on Radiological Protection (ICRP) modelling including estimates of detriment. Results: Estimated total cancer incidence was 23 and 22 cases per 100,000 for CTPA and V/Q examinations, respectively, with detriment estimates of 18 and 20 cases. Cancer incidence was evenly divided between lung and breast cancer for CTPA with lung cancer being 80% of all cancer for V/Q. The median foetal doses were 0.03 mSv for CTPA and 0.29 mSv for V/Q. Significant differences in estimated foetal dose for V/Q scans were obtained by the two different methods used. The differences in dose between the modes of CTPA scan acquisition highlight the importance of optimisation. Conclusion: Maternal cancer incidence and detriment were remarkably similar for each examination. Optimisation of examinations is critical for low‐dose outcomes, particularly for CTPA examination. [ABSTRACT FROM AUTHOR]

Study design: Retrospective case-series study Objectives: To assess (1) low cone beam CT (CBCT) mediated intraoperative navigation to limit radiation exposure without compromising surgical accuracy, and (2) the potential of intraoperative C-arm CBCT navigation to augment pedicle screw (PS) placement accuracy in AIS surgery compared to pre-surgery CT-based planning. Methods: The first part involved a prospective phantom study, comparing radiation doses for conventional CT, and standard (6sDCT) and a low dose (5sDCT) Artis Zeego®-imaging. Next, 5sDCT- and 6sDCT-navigation were compared on PS accuracy and radiation exposure during AIS correction. The final part compared surgical AIS deformity correction through intraoperative 5sDCT navigation to a matched cohort treated using conventional pre-surgery CT-scans for navigation. Outcome parameters included operation time, skin dose (SD), dose area product (DAP), intraoperative blood loss, postoperative complications, and PS deviation rates. Results: The phantom study demonstrated a reduction in radiation for the 5sDCT protocol. Moreover, 5sDCT-imaged patients (n = 15) showed a significantly lower SD (-27.41%) and DAP (-30.92%), without compromising PS accuracy compared with 6sDCT-settings (n = 15). Finally, AIS correction through intraoperative CBCT C-arm navigation (n = 27) significantly reduced screw deviation rates (6.83% versus 10.75%, P =.016) without increasing operation times, compared with conventional CT (n = 37). Conclusions: Intraoperative navigation using a CBCT C-arm system improved the accuracy of PS insertion and reduced surgery time. Moreover, it reduced radiation exposure compared with conventional CT, which was further curtailed by adapting the low-dose 5sDCT protocol. In short, our study highlights the benefits of intraoperative CBCT navigation for PS placement in AIS surgery. [ABSTRACT FROM AUTHOR]

Background: This study aimed to investigate the occupational exposure of undergraduate radiography students to ionising radiation and evaluate the effectiveness of safety protocols and training in reducing radiation exposure. Methods: This study tracked undergraduate radiography students from the University of Sharjah, UAE, using thermoluminescent dosimeters (TLDs) from 2015 to 2023. TLD readings were conducted every 15 weeks during 384 h of clinical placement. This study encompassed various radiographic procedures, and the TLDs were used to measure shallow (HP (0.07)) and deep doses (HP (10)). Results: A data analysis from 599 dosimeters revealed an average of 74 students annually. The average effective doses for HP (10) and HP (0.07) were 0.227 mSv and 0.222 mSv, respectively. These doses were well-below the recommended annual limits. Conclusion: This study's results indicated that radiography students' occupational radiation exposure during clinical training was within the safe limits, demonstrating the effectiveness of training and safety protocols. A comparison with international data corroborated the low exposure levels. Clinical training is essential for radiography students, and this study highlights the success of safety protocols in minimising occupational radiation exposure. Continuous monitoring and education are crucial to sustaining these positive outcomes. [ABSTRACT FROM AUTHOR]

A PET CT uses x-rays and radionucleotide combined with a pharmaceutical to help reveal the metabolic or biochemical function of tissues or organs. It is an effective and highly sensitive way to detect a variety of conditions including cancer, heart disease and brain disorders. The length of the scanner and scan itself, in combination with the radiation dose can present challenges both the patient and staff. [ABSTRACT FROM AUTHOR]

BackgroundInflammatory myofibroblastic tumors (IMTs) are rare soft-tissue neoplasms. Accordingly, there is no standardized therapy for unresectable or advanced IMT. Chemotherapy, radiotherapy, and targeted molecular therapy play an important role in unresectable or advanced IMT.Case presentationWe present a 54-year-old man with a cough and chest distress case report. The thoracic surgeon performed the right upper pulmonary occupying lesion wedge resection and enlarged lymph node excision biopsy. Pathologic diagnosis revealed that the morphology of “right upper lung mass” was considered as Inflammatory Myofibroblastic Tumor (IMT). Radiotherapy was indicated at a high dose: 5400cGy in 27 fractions of 2Gy over 5 weeks were delivered combined with cisplatin. The patient was given a CT/MRI and hematological index every 3 months and experienced no more adverse events. The patient survives with no tumor recurrence as of the last follow-up. Progression-free survival (PFS) exceeded 5 years.ConclusionsWe have reviewed the literature and summarized and discussed the radiotherapy treatment options and challenges for IMT. We first reported high-dose radiotherapy combined with chemotherapy treatment for unresectable IMT. Concurrent radiochemotherapy may be considered an intensive treatment for local progress, local recurrence, and nonresectable IMT patients.

Cesium-137 (Cs-137) is a radioactive isotope present in marine environments due to the operation of nuclear power plants and weapons testing. Radiocesium poses a potential risk to marine life due to its long half-life and bioaccumulation. This study evaluated the genotoxicity of low doses of Cs-137 in the Asian green mussel Perna viridis, a sentinel species for marine pollution monitoring, by performing the comet assay and micronucleus test on hemolymph samples. Genotoxicity was assessed after exposing mussels to Cs-137 at dose rates of 0, 5, 10, and 15 μGy/h for 48 h. Cs-137's organ-specific distribution was also determined using HPGe gamma spectrometry. Even at low radiation doses, Cs-137 was found to exert genotoxic effects. Significant increases in DNA strand breaks (%Tail DNA) and micronucleus formation (MNF) were observed at all tested dose rates compared with the levels in controls, with dose-dependent responses. Cs-137 predominantly accumulated in the soft tissues, specifically the gills and digestive gland. The findings support the recommended safety level of 10 μGy/h for aquatic organisms, suggesting its appropriateness as a fundamental criterion for developing the national marine water quality standard for Cs-137 in Thailand.

Objective: Ionizing radiation in the form of rays interacts with matter and has immediate and delayed impacts. Applications in dentistry include extraoral and intraoral X-rays and machines can be portable and fixed. A portable X-ray machine is a mobile X-ray device that is smaller than a stationary one. The radiation dose from portable devices to which exposure is allowed should not be higher than 20 mSv annually. The purpose of this study was to compare three portable dental X-rays to determine the quantity of dispersed radiation that affects radiography operators. Methods: Three types of portable X-ray devices (portable X-ray system (Clarox, Eightieth, and QiN high-frequency microfocus dental X-ray units) were used. An extracted tooth was used for testing. The tooth was X-rayed laying on a flat surface after pouring it into a stone base. Three different radiation devices of different sorts were positioned in front of the tooth individually, with identical dimensions for each device. More than one radiological image was obtained with each of the radiation devices, and radiation levels were recorded. Results: It was discovered that as radiological images were being taken, the scattered radiation readings for two devices (Clarox and Eightieth) progressively decreased. The recorded readings for QiN were lower. Conclusion: Comparing the radiometer results revealed that the portable X-ray equipment emits radiation that has an impact on radiation workers. Therefore, radiation safety precautions must be followed, and radiation shields must be employed.