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Kanal, K.M., Butler, P.F., Chatfield, M.B., Wells, J., Samei, E., Simanowith, M., Golden, D., Gress, D.A., Burleson, J., Sensakovic, W.F., Strauss, K.J. and Frush, D. (2022) U.S. Diagnostic Reference Levels and Achievable Doses for 10 Pediatric CT Examinations. Radiology, 302, 164-174.
https://doi.org/10.1148/radiol.2021211241

has been cited by the following article:

• TITLE: Radiation Dose from CT-Scan of Childhood’s Head: Results of the First Ivorian Survey in a Single Study Site

  AUTHORS: Koutoua Joseph Anouan, Adjoua Sonia Dje, Idrissa Garba, Yoh Esther Soro

  KEYWORDS: Radiation Protection, Computed Tomography Imaging, Childhood, Diagnostic Reference Levels

  JOURNAL NAME: Journal of Applied Mathematics and Physics, Vol.12 No.5, May 24, 2024

  ABSTRACT: Objectives: This study aims to evaluate the level of X-ray doses used in childhood’s head as Local Diagnostic Reference Levels (LDRLs) in computed tomography (CT) at a university hospital in Côte d’Ivoire. The Diagnostic Reference Level (DRL) have been set up and used to prevent unusually high radiation doses used in radiology departments and is therefore an optimization tool for practices and procedures in medical X-ray imaging for the radiation protection of patients. Methods: A prospective study of volume CT dose index (CTDIvol) and dose length product (DLP) was performed on images of childhood’s head obtained from a CT-scanner of 64 bars equipped with the tube current modulation capability and manufactured by Hitachi Medical System. 122 CT-scan data from 55 childhood’s head were analyzed. The scan data were stratified in four age groups: Results: The 75th percentile of CTDIvol and DLP (set as LDRL) obtained with respect to the stratified age groups are: 22.5 mGy and 452.5 mGy∙cm, 27.7 mGy and 690.6 mGy∙cm, 28 mGy and 722.4 mGy∙cm, 33.6 mGy and 736.8 mGy∙cm respectively. These outcome values increase with respect to the age of pediatric patients and are comparable to DRLs values obtained internationally. Conclusions: Obtaining good image quality while using low dose in children’s head computed tomography for radiation protection require to setup more surveys in Côte d’Ivoire for regional and national DRL. We proposed through this survey LDRLs in terms of CTDIvol and DLP, comparable to international DRLs values. This survey will be strengthened by additional surveys in order to obtain national DRLs for the radiation protection of the child patient in Côte d’Ivoire.