Article ; Online: A systematic review on the current status of adult diagnostic reference levels in head, chest and abdominopelvic Computed Tomography.
Journal of radiological protection : official journal of the Society for Radiological Protection
2020 Volume 40, Issue 3, Page(s) R71–R98
Abstract: Computed tomography (CT) is a routinely employed diagnostic tool for the detection and diagnosis of disease processes. Despite the primary focus of radiation dose reduction and improvements in CT scanners, radiation dose exposure remains an ever- ... ...
Abstract | Computed tomography (CT) is a routinely employed diagnostic tool for the detection and diagnosis of disease processes. Despite the primary focus of radiation dose reduction and improvements in CT scanners, radiation dose exposure remains an ever-increasing concern. Scanning protocol optimisation relative to body weight and scanner manufacturer still lags behind the diagnostic reference levels (DRLs) that are set on an international scale. The aim of this systematic review is to evaluate the current status of adult DRLs in head, chest and abdominopelvic CT over time on a global scale. A search was carried out in early 2019 using the Medline, PubMed, EMBASE, SCOPUS and manual databases. The reference lists of published articles were also assessed to identify further articles. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) methodology was employed to evaluate articles for relevance. Articles were included if they assessed the DRL in head, chest and abdominopelvic scans. The search resulted in 6079 articles, of which 67 were included after a thorough screening process. The literature demonstrates a wide dose variation in reported head, chest and abdominopelvic dose length product (DLP) DRL, ranging from 700-1359, 330-707 and 550-1486 mGy·cm, respectively. Where reported, the volumed CT dose index (CTDI |
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MeSH term(s) | Abdomen/diagnostic imaging ; Adult ; Head/diagnostic imaging ; Humans ; Radiation Dosage ; Reference Values ; Thorax/diagnostic imaging ; Tomography, X-Ray Computed |
Language | English |
Publishing date | 2020-03-20 |
Publishing country | England |
Document type | Journal Article ; Systematic Review |
ZDB-ID | 639411-5 |
ISSN | 1361-6498 ; 0952-4746 |
ISSN (online) | 1361-6498 |
ISSN | 0952-4746 |
DOI | 10.1088/1361-6498/ab826f |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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