Organ doses in preterm and full-term neonates and infants — a retrospective study on 1,064 chest radiographs
Background Chest radiography is the most frequent X-ray examination performed in the neonatal period. However, commonly used dosimetric entities do not describe the radiation risk sufficiently. Objective The aim of this study was to investigate selected organ doses and total body dose of chest radio...
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| Veröffentlicht in: | Pediatric radiology 2022-07, Vol.52 (8), p.1437-1445 |
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| creator | Kammer, Birgit Schneider, Karl O. Dell’Agnolo, Evi Seidenbusch, Michael C. |
| description | Background
Chest radiography is the most frequent X-ray examination performed in the neonatal period. However, commonly used dosimetric entities do not describe the radiation risk sufficiently.
Objective
The aim of this study was to investigate selected organ doses and total body dose of chest radiographs in preterm and full-term neonates and infants.
Materials and methods
In this retrospective study, we evaluated 1,064 chest radiographs of 136 preterm and 305 full-term babies with respect to field size and centering. We calculated the entrance dose from the dose–area product. Upper and lower field borders referred to the corresponding vertebrae. We calculated individual organ doses of the thyroid, the breast, the liver and active bone marrow for each chest radiograph using the neonatal PCXMC program, a Monte Carlo program for calculating patient doses in medical X-ray examinations.
Results
The median field size of chest radiographs ranged from 90 cm
2
in preterm neonates at birth to 290 cm
2
in full-term infants at the age of 6 months. Median values of entrance dose varied, depending on age, from 15 μGy to 25 μGy. The median organ doses ranged 1–20 μSv for the thyroid, 3–30 μSv for the breast, 2–20 μSv for the liver and 0.5–3.5 μSv for the bone marrow in preterm and full-term neonates and infants, respectively.
Conclusion
The analysis of chest radiographs in preterm and full-term neonates and infants revealed high variability in field size. By contrast, the entrance dose varied to a minor extent. Organ dose calculations using the PCXMC program might be a valuable tool to calculate the individual radiation risk in neonates and infants. |
| doi_str_mv | 10.1007/s00247-022-05324-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9271106</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2640994499</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-278ba27ed1b966637772893dce90dca6b2af0c3b438c4090754e4086bd5648033</originalsourceid><addsrcrecordid>eNp9kc9OFTEUxhujkSv6Ai5MEzcurJ7-mf7ZkBCiQELCRtdNp9O5d8jcdmxnSNjxED4hT0LhAioLV017fuc7_c6H0HsKXyiA-loAmFAEGCPQcCaIfoFWVHBGqDH6JVoBB0pACLOH3pRyAQC8ofw12uMNB065WKF4ntcu4i6VUPAQ8ZTDHPIWu9jhfhlHcn-LIUU3V-LueYi9i3PBN9e_scOVz6lMwc_DZcBlXrornCKmn0EK7DehzDi7bkjr7KZNeYte9W4s4d3DuY9-fv_24-iEnJ0fnx4dnhEvlJgJU7p1TIWOtkZKyZVSTBve-WCg8062zPXgeSu49gIMqEYEAVq2XSOFBs730cFOd1rabah9cc5utFMeti5f2eQG-28lDhu7TpfWMEUpyCrw6UEgp19LdWG3Q_FhHF3dxVIsk3Wuqas1Ff34DL1IS47VXqW0AiONaCrFdpSv6yo59E-foWDv4rS7OG2N097HaXVt-vC3jaeWx_wqwHdAqaW4DvnP7P_I3gLRdKuh</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2687096945</pqid></control><display><type>article</type><title>Organ doses in preterm and full-term neonates and infants — a retrospective study on 1,064 chest radiographs</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Kammer, Birgit ; Schneider, Karl O. ; Dell’Agnolo, Evi ; Seidenbusch, Michael C.</creator><creatorcontrib>Kammer, Birgit ; Schneider, Karl O. ; Dell’Agnolo, Evi ; Seidenbusch, Michael C.</creatorcontrib><description>Background
Chest radiography is the most frequent X-ray examination performed in the neonatal period. However, commonly used dosimetric entities do not describe the radiation risk sufficiently.
Objective
The aim of this study was to investigate selected organ doses and total body dose of chest radiographs in preterm and full-term neonates and infants.
Materials and methods
In this retrospective study, we evaluated 1,064 chest radiographs of 136 preterm and 305 full-term babies with respect to field size and centering. We calculated the entrance dose from the dose–area product. Upper and lower field borders referred to the corresponding vertebrae. We calculated individual organ doses of the thyroid, the breast, the liver and active bone marrow for each chest radiograph using the neonatal PCXMC program, a Monte Carlo program for calculating patient doses in medical X-ray examinations.
Results
The median field size of chest radiographs ranged from 90 cm
2
in preterm neonates at birth to 290 cm
2
in full-term infants at the age of 6 months. Median values of entrance dose varied, depending on age, from 15 μGy to 25 μGy. The median organ doses ranged 1–20 μSv for the thyroid, 3–30 μSv for the breast, 2–20 μSv for the liver and 0.5–3.5 μSv for the bone marrow in preterm and full-term neonates and infants, respectively.
Conclusion
The analysis of chest radiographs in preterm and full-term neonates and infants revealed high variability in field size. By contrast, the entrance dose varied to a minor extent. Organ dose calculations using the PCXMC program might be a valuable tool to calculate the individual radiation risk in neonates and infants.</description><identifier>ISSN: 0301-0449</identifier><identifier>ISSN: 1432-1998</identifier><identifier>EISSN: 1432-1998</identifier><identifier>DOI: 10.1007/s00247-022-05324-8</identifier><identifier>PMID: 35303134</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Bone marrow ; Breast ; Chest ; Dosimetry ; Humans ; Imaging ; Infant ; Infant, Newborn ; Infants ; Liver ; Mathematical analysis ; Medicine ; Medicine & Public Health ; Monte Carlo Method ; Neonates ; Neuroradiology ; Newborn babies ; Nuclear Medicine ; Oncology ; Original ; Original Article ; Pediatrics ; Phantoms, Imaging ; Radiation ; Radiation Dosage ; Radiographs ; Radiography ; Radiography, Thoracic ; Radiology ; Retrospective Studies ; Thyroid ; Thyroid gland ; Ultrasound ; Vertebrae</subject><ispartof>Pediatric radiology, 2022-07, Vol.52 (8), p.1437-1445</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-278ba27ed1b966637772893dce90dca6b2af0c3b438c4090754e4086bd5648033</citedby><cites>FETCH-LOGICAL-c474t-278ba27ed1b966637772893dce90dca6b2af0c3b438c4090754e4086bd5648033</cites><orcidid>0000-0001-8631-8076 ; 0000-0002-0267-9112 ; 0000-0001-6565-9031 ; 0000-0002-6964-7983</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00247-022-05324-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00247-022-05324-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35303134$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kammer, Birgit</creatorcontrib><creatorcontrib>Schneider, Karl O.</creatorcontrib><creatorcontrib>Dell’Agnolo, Evi</creatorcontrib><creatorcontrib>Seidenbusch, Michael C.</creatorcontrib><title>Organ doses in preterm and full-term neonates and infants — a retrospective study on 1,064 chest radiographs</title><title>Pediatric radiology</title><addtitle>Pediatr Radiol</addtitle><addtitle>Pediatr Radiol</addtitle><description>Background
Chest radiography is the most frequent X-ray examination performed in the neonatal period. However, commonly used dosimetric entities do not describe the radiation risk sufficiently.
Objective
The aim of this study was to investigate selected organ doses and total body dose of chest radiographs in preterm and full-term neonates and infants.
Materials and methods
In this retrospective study, we evaluated 1,064 chest radiographs of 136 preterm and 305 full-term babies with respect to field size and centering. We calculated the entrance dose from the dose–area product. Upper and lower field borders referred to the corresponding vertebrae. We calculated individual organ doses of the thyroid, the breast, the liver and active bone marrow for each chest radiograph using the neonatal PCXMC program, a Monte Carlo program for calculating patient doses in medical X-ray examinations.
Results
The median field size of chest radiographs ranged from 90 cm
2
in preterm neonates at birth to 290 cm
2
in full-term infants at the age of 6 months. Median values of entrance dose varied, depending on age, from 15 μGy to 25 μGy. The median organ doses ranged 1–20 μSv for the thyroid, 3–30 μSv for the breast, 2–20 μSv for the liver and 0.5–3.5 μSv for the bone marrow in preterm and full-term neonates and infants, respectively.
Conclusion
The analysis of chest radiographs in preterm and full-term neonates and infants revealed high variability in field size. By contrast, the entrance dose varied to a minor extent. Organ dose calculations using the PCXMC program might be a valuable tool to calculate the individual radiation risk in neonates and infants.</description><subject>Bone marrow</subject><subject>Breast</subject><subject>Chest</subject><subject>Dosimetry</subject><subject>Humans</subject><subject>Imaging</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Liver</subject><subject>Mathematical analysis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Monte Carlo Method</subject><subject>Neonates</subject><subject>Neuroradiology</subject><subject>Newborn babies</subject><subject>Nuclear Medicine</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Phantoms, Imaging</subject><subject>Radiation</subject><subject>Radiation Dosage</subject><subject>Radiographs</subject><subject>Radiography</subject><subject>Radiography, Thoracic</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Thyroid</subject><subject>Thyroid gland</subject><subject>Ultrasound</subject><subject>Vertebrae</subject><issn>0301-0449</issn><issn>1432-1998</issn><issn>1432-1998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc9OFTEUxhujkSv6Ai5MEzcurJ7-mf7ZkBCiQELCRtdNp9O5d8jcdmxnSNjxED4hT0LhAioLV017fuc7_c6H0HsKXyiA-loAmFAEGCPQcCaIfoFWVHBGqDH6JVoBB0pACLOH3pRyAQC8ofw12uMNB065WKF4ntcu4i6VUPAQ8ZTDHPIWu9jhfhlHcn-LIUU3V-LueYi9i3PBN9e_scOVz6lMwc_DZcBlXrornCKmn0EK7DehzDi7bkjr7KZNeYte9W4s4d3DuY9-fv_24-iEnJ0fnx4dnhEvlJgJU7p1TIWOtkZKyZVSTBve-WCg8062zPXgeSu49gIMqEYEAVq2XSOFBs730cFOd1rabah9cc5utFMeti5f2eQG-28lDhu7TpfWMEUpyCrw6UEgp19LdWG3Q_FhHF3dxVIsk3Wuqas1Ff34DL1IS47VXqW0AiONaCrFdpSv6yo59E-foWDv4rS7OG2N097HaXVt-vC3jaeWx_wqwHdAqaW4DvnP7P_I3gLRdKuh</recordid><startdate>20220701</startdate><enddate>20220701</enddate><creator>Kammer, Birgit</creator><creator>Schneider, Karl O.</creator><creator>Dell’Agnolo, Evi</creator><creator>Seidenbusch, Michael C.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature 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doses in preterm and full-term neonates and infants — a retrospective study on 1,064 chest radiographs</title><author>Kammer, Birgit ; Schneider, Karl O. ; Dell’Agnolo, Evi ; Seidenbusch, Michael C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-278ba27ed1b966637772893dce90dca6b2af0c3b438c4090754e4086bd5648033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Bone marrow</topic><topic>Breast</topic><topic>Chest</topic><topic>Dosimetry</topic><topic>Humans</topic><topic>Imaging</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Liver</topic><topic>Mathematical analysis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Monte Carlo Method</topic><topic>Neonates</topic><topic>Neuroradiology</topic><topic>Newborn babies</topic><topic>Nuclear Medicine</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Pediatrics</topic><topic>Phantoms, Imaging</topic><topic>Radiation</topic><topic>Radiation Dosage</topic><topic>Radiographs</topic><topic>Radiography</topic><topic>Radiography, Thoracic</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Thyroid</topic><topic>Thyroid gland</topic><topic>Ultrasound</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kammer, Birgit</creatorcontrib><creatorcontrib>Schneider, Karl O.</creatorcontrib><creatorcontrib>Dell’Agnolo, Evi</creatorcontrib><creatorcontrib>Seidenbusch, Michael C.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kammer, Birgit</au><au>Schneider, Karl O.</au><au>Dell’Agnolo, Evi</au><au>Seidenbusch, Michael C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Organ doses in preterm and full-term neonates and infants — a retrospective study on 1,064 chest radiographs</atitle><jtitle>Pediatric radiology</jtitle><stitle>Pediatr Radiol</stitle><addtitle>Pediatr Radiol</addtitle><date>2022-07-01</date><risdate>2022</risdate><volume>52</volume><issue>8</issue><spage>1437</spage><epage>1445</epage><pages>1437-1445</pages><issn>0301-0449</issn><issn>1432-1998</issn><eissn>1432-1998</eissn><abstract>Background
Chest radiography is the most frequent X-ray examination performed in the neonatal period. However, commonly used dosimetric entities do not describe the radiation risk sufficiently.
Objective
The aim of this study was to investigate selected organ doses and total body dose of chest radiographs in preterm and full-term neonates and infants.
Materials and methods
In this retrospective study, we evaluated 1,064 chest radiographs of 136 preterm and 305 full-term babies with respect to field size and centering. We calculated the entrance dose from the dose–area product. Upper and lower field borders referred to the corresponding vertebrae. We calculated individual organ doses of the thyroid, the breast, the liver and active bone marrow for each chest radiograph using the neonatal PCXMC program, a Monte Carlo program for calculating patient doses in medical X-ray examinations.
Results
The median field size of chest radiographs ranged from 90 cm
2
in preterm neonates at birth to 290 cm
2
in full-term infants at the age of 6 months. Median values of entrance dose varied, depending on age, from 15 μGy to 25 μGy. The median organ doses ranged 1–20 μSv for the thyroid, 3–30 μSv for the breast, 2–20 μSv for the liver and 0.5–3.5 μSv for the bone marrow in preterm and full-term neonates and infants, respectively.
Conclusion
The analysis of chest radiographs in preterm and full-term neonates and infants revealed high variability in field size. By contrast, the entrance dose varied to a minor extent. Organ dose calculations using the PCXMC program might be a valuable tool to calculate the individual radiation risk in neonates and infants.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35303134</pmid><doi>10.1007/s00247-022-05324-8</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-8631-8076</orcidid><orcidid>https://orcid.org/0000-0002-0267-9112</orcidid><orcidid>https://orcid.org/0000-0001-6565-9031</orcidid><orcidid>https://orcid.org/0000-0002-6964-7983</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0301-0449 |
| ispartof | Pediatric radiology, 2022-07, Vol.52 (8), p.1437-1445 |
| issn | 0301-0449 1432-1998 1432-1998 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9271106 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Bone marrow Breast Chest Dosimetry Humans Imaging Infant Infant, Newborn Infants Liver Mathematical analysis Medicine Medicine & Public Health Monte Carlo Method Neonates Neuroradiology Newborn babies Nuclear Medicine Oncology Original Original Article Pediatrics Phantoms, Imaging Radiation Radiation Dosage Radiographs Radiography Radiography, Thoracic Radiology Retrospective Studies Thyroid Thyroid gland Ultrasound Vertebrae |
| title | Organ doses in preterm and full-term neonates and infants — a retrospective study on 1,064 chest radiographs |
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