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DC FieldValueLanguage
dc.contributorDepartment of Optometry and Radiographyen_US
dc.creatorChoi, Hon-wing-
dc.identifier.urihttps://theses.lib.polyu.edu.hk/handle/200/3207-
dc.languageEnglishen_US
dc.publisherHong Kong Polytechnic University-
dc.rightsAll rights reserveden_US
dc.titleLens dose reduction in pediatric : modified baseline in CT brainen_US
dcterms.abstractThe frequency of CT brain examinations is increasing worldwide and their contribution to the total collective dose to the population is significant. Hence, management of patient dose is crucial. The aim of this study was to determine the effect of use two different scan planes in routine CT brain on lens dose reduction and resultant image quality in pediatrics. Fifty-two pediatric patients with CT brain request, aged from 1-12 years old were selected for this study. They were randomly divided into two equal groups to receive the CT brain scan. One group underwent scanning with the use of a modified (supra-orbitomeatal, SOM) baseline and the other group with the orbitomeatal (OM) baseline. In addition an adult head phantom was scanned with the use of the two scan planes. With the use of the SOM baseline instead of OM baseline, the eye lens was avoided from direct irradiation of X-ray slit beam. On average, the measured lens dose can be reduced by 82%. The degree of lens dose reduction was nearly the same as that in adult phantom which had 84% dose reduction. The resultant images were evaluated by five radiologists for image quality and overall diagnostic value using the five point confidence scale. Results showed that the image quality and overall diagnostic value were excellent (mean score < 2) and similar in both scanning planes. Reliability tests showed the results were consistent. In conclusion, the use of the SOM baseline instead of the OM baseline in routine CT brain scan is highly recommended to reduce the lens dose especially for the pediatrics whose eye lens are more radiosensitive.en_US
dcterms.extent86, [30] leaves : ill. (some col.) ; 30 cmen_US
dcterms.isPartOfPolyU Electronic Thesesen_US
dcterms.issued2004en_US
dcterms.educationalLevelAll Masteren_US
dcterms.educationalLevelM.Sc.en_US
dcterms.LCSHHong Kong Polytechnic University -- Dissertationsen_US
dcterms.LCSHBrain -- Tomographyen_US
dcterms.LCSHPediatric radiographyen_US
dcterms.LCSHRadiation -- Dosageen_US
dcterms.accessRightsrestricted accessen_US

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