Korean J Radiol.  2008 Oct;9(5):416-419. 10.3348/kjr.2008.9.5.416.

Radiation Exposure to Premature Infants in a Neonatal Intensive Care Unit in Turkey

• Olgar T
• Onal E
• Bor D
• Okumus N
• Atalay Y
• Turkyilmaz C
• Ergenekon
• Koc E

• KMID: 1385399
• DOI: http://doi.org/10.3348/kjr.2008.9.5.416

Abstract

OBJECTIVE
The aim of this work was to determine the radiation dose received by infants from radiographic exposure and the contribution from scatter radiation due to radiographic exposure of other infants in the same room. MATERIALS AND METHODS: We retrospectively evaluated the entrance skin doses (ESDs) and effective doses of 23 infants with a gestational age as low as 28 weeks. ESDs were determined from tube output measurements (ESD(TO)) (n = 23) and from the use of thermoluminescent dosimetry (ESD(TLD)) (n = 16). Scattered radiation was evaluated using a 5 cm Perspex phantom. Effective doses were estimated from ESD(TO) by Monte Carlo computed software and radiation risks were estimated from the effective dose. ESD(TO) and ESD(TLD) were correlated using linear regression analysis. RESULTS: The mean ESD(TO) for the chest and abdomen were 67 micro Gy and 65 micro Gy per procedure, respectively. The mean ESD(TLD) per radiograph was 70 micro Gy. The measured scattered radiation range at a 2 m distance from the neonatal intensive care unit (NICU) was (11-17 micro Gy[corrected to 11-17 nGy]) per radiograph. Mean effective doses were 16 and 27 micro Sv per procedure for the chest and abdomen, respectively. ESD(TLD) was well correlated with ESD(TO) obtained from the total chest and abdomen radiographs for each infant (R2 = 0.86). The radiation risks for childhood cancer estimated from the effective dose were 0.4 x 10(-6) to 2 x 10(-6) and 0.6 x 10(-6) to 2.9 x 10(-6) for chest and abdomen radiographs, respectively. CONCLUSION: The results of our study show that neonates received acceptable doses from common radiological examinations. Although the contribution of scatter radiation to the neonatal dose is low, considering the sensitivity of the neonates to radiation, further protective action was performed by increasing the distance of the infants from each other.

Keyword

Radiation dose; Entrance skin dose; Effective dose; Radiography

MeSH Terms

Female
Humans
Infant, Newborn
*Infant, Premature
*Intensive Care, Neonatal
Linear Models
Male
Monte Carlo Method
*Radiation Dosage
Radiography, Abdominal
Radiography, Thoracic
Retrospective Studies
Risk Assessment
Risk Factors
Thermoluminescent Dosimetry
Turkey

Figure

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  Fig. 1 Correlation of the ESDTLD with ESDTO

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