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Dose estimates in adult and pediatric computed tomography procedures

Grant number: 13/09596-3
Support type:Scholarships in Brazil - Master
Effective date (Start): August 01, 2013
Effective date (End): July 31, 2015
Field of knowledge:Engineering - Biomedical Engineering - Medical Engineering
Principal researcher:Paulo Roberto Costa
Grantee:Juliana Cristina Martins
Home Institution: Instituto de Física (IF). Universidade de São Paulo (USP). São Paulo , SP, Brazil


The dosimetric measurement quantities currently adopted by national regulation or to standardization of dosimetric models adopted by CT equipment manufacturers are based in a metric, introduced around thirty years ago: the Computed Tomography Dose Index (CTDI). This quantity, apart from its variations on definition, represents the absorbed dose along the longitudinal axis of an acrylic phantom with well-defined and known dimensions.Since the introduction of CTDI as an adequate metric to determination of dosimetric characteristics from tomographic procedures, and since its acceptance among the scientific community and equipment manufacturers, the technology significantly changed the architecture of these systems, as well as the clinical conducts for its using. The introduction of cone-beam, together with the enlargement of the dimensions from the radiation beam to accommodate, in a few number ofrevolutions, a bigger region of interest, brought significant clinical advantages. However, this enlargement in the X-ray beams used in tomographic exams and the use of helical techniques made, also, less appropriate or impractical the methodologies for measuring this metric.Hence, many research groups all over the world proposed new metrics that can deal with technological progress from nowadays and predictable in a near future and even provide representative values of doses in patients. The mathematical formulation for this metrics will be used as conceptual foundation for implementation of part of the present project.This master-project work proposal consists in estimating the normalized radiation dose in organs under tomographic exams using adult and pediatric simulation objects, together with a group ofseventeen tomographic equipment of clinical use, installed at Complexo do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo.The student shall calculate the values of CTDIVol,Regional and associate these to the applied current in each part of the phantom`s body. She shall also calculate the effective diameter of each part of the phantom`s body from direct measurements in the pieces that compose these objects. At the end, with these values, se shall determine the Normalizes Organ Dose (NOD).

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
GIANSANTE, LOUISE; MARTINS, JULIANA C.; NERSISSIAN, DENISE Y.; KIERS, KAREN C.; KAY, FERNANDO U.; SAWAMURA, MARCIA V. Y.; LEE, CHOONSIK; GEBRIM, ELOISA M. M. S.; COSTA, PAULO R. Organ doses evaluation for chest computed tomography procedures with TL dosimeters: Comparison with Monte Carlo simulations. JOURNAL OF APPLIED CLINICAL MEDICAL PHYSICS, v. 20, n. 1, p. 308-320, JAN 2019. Web of Science Citations: 2.
Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
MARTINS, Juliana Cristina. Lung dose estimates for computed tomography procedures. 2015. Master's Dissertation - Universidade de São Paulo (USP). Instituto de Física São Paulo.

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