JOURNAL DESCRIPTION
The Medical Radiology and Radiation Safety journal ISSN 1024-6177 was founded in January 1956 (before December 30, 1993 it was entitled Medical Radiology, ISSN 0025-8334). In 2018, the journal received Online ISSN: 2618-9615 and was registered as an electronic online publication in Roskomnadzor on March 29, 2018. It publishes original research articles which cover questions of radiobiology, radiation medicine, radiation safety, radiation therapy, nuclear medicine and scientific reviews. In general the journal has more than 30 headings and it is of interest for specialists working in thefields of medicine¸ radiation biology, epidemiology, medical physics and technology. Since July 01, 2008 the journal has been published by State Research Center - Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency. The founder from 1956 to the present time is the Ministry of Health of the Russian Federation, and from 2008 to the present time is the Federal Medical Biological Agency.
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Medical Radiology and Radiation Safety. 2023. Vol. 68. № 6
DOI:10.33266/1024-6177-2023-68-6-27-41
I.G. Shatskiy1, P.S. Druzhinina1, Yu.N. Kapyrina2, M.V. Osipov3
Effective Doses of Children During X-Ray Diagnostic Examinations: A Literary Review
1 P.V. Ramzaev Saint-Petersburg Research Institute of Radiation Hygiene, Saint-Petersburg, Russia
2 St. Petersburg State Pediatric Medical University, Saint-Petersburg, Russia
3 Southern Urals Biophysics Institute, Ozersk, Russia
Contact person: Polina Sergeevna Druzhinina, e-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.
Contents:
Radiation diagnostics methods are widely used not only for the diagnosis of adult patients, but also in pediatrics. Children are the most radiosensitive group of the population, with a higher risk of developing long-term effects of ionizing radiation than adults. Therefore, control of exposure levels of pediatric patients is a priority. Nowadays, many publications have been devoted to the issues of radiation safety of children in foreign countries. There is no reliable information of diagnostic exposure levels of children in the Russian Federation. In domestic publications, these issues are considered insufficiently. Foreign and domestic publications of children exposure levels during X-ray, interventional and computed tomography examinations (CT-examinations) were analyzed. First of all, publications containing a quantitative characteristic of exposure levels in terms of effective dose (ED) were considered. Effective doses presented in the publications were recalculated in accordance with the division of age groups adopted in the Russian Federation for the convenience of comparing the values with each other: 0‒0.5; 0.5‒3; 3‒8; 8‒13; 13–18 years old. This study presents the average of weighted effective doses for children of all age groups for different types of radiography, interventional and CT-examinations. According to publications the average weighted effective doses of children on average for all types of X-ray diagnostics are lower in the Russian Federation than in foreign countries. To ensure the radiation protection of children in the Russian Federation during radiography, interventional and CT-examinations, it is necessary to increase the reliability of information of children exposure levels, by improving the systems for collecting data, monitoring and accounting of individual patient doses, and raising the level of awareness of specialists.
Keywords: children, effective doses, X-ray diagnostic examinations, radiography, CT, interventional radiology
For citation: Shatskiy IG, Druzhinina PS, Kapyrina YuN, Osipov MV.Effective Doses of Children During X-Ray Diagnostic Examinations: A Literary Review. Medical Radiology and Radiation Safety. 2023;68(6):27–41. (In Russian). DOI:10.33266/1024-6177-2023-68-6-27-41
References
1. Lambert J.W., Phelps A.S., Courtier J.L., Gould R.G., MacKenzie J.D. Image Quality and Dose Optimisation for Infant CT Using a Paediatric Phantom. European Radiology. 2016;26;5:1387-95. DOI 10.1007/s00330-015-3951-5.
2. Strauss K.J., Goske M.J., Kaste S.C., Bulas D., Frush D.P., Butler P., Morrison G., Callahan M.J., Applegate K.E. Image Gently: Ten Steps You Can Take to Optimize Image Quality and Lower CT Dose for Pediatric Patients. AJR Am. J. Roentgenol. 2010;194;4:868-873. DOI: 10.2214/AJR.09.4091.
3. IAEA. Dosimetry in Diagnostic Radiology for Paediatric Patients. IAEA Human Health Series No. 24. Vienna. 2014. 160 p.
4. Golikov V.Yu., Vodovatov A.V., Chipiga L.A., Shatskiy I.G. Evaluation of Radiation Risk for Patients Undergoing Medical Examinations in the Russian Federation. Radiatsionnaya Gigiyena = Radiation Hygiene. 2021;14;3:56-68. https://doi.org/10.21514/1998-426X-2021-14-3-56-68. (In Russ.).
5. IAEA. Radiation Protection in Paediatric Radiology. Safety Reports Series No. 71. Vienna. 2013. 111 p.
6. Thierry-Chef I., Ferro G., Le Cornet L., Dabin J., Istad T.S., Jahnen A., Lee C., Maccia C., Malchair F., Olerud H.M., Harbron R.W., Figuerola J., Hermen J., Moissonnier M., Bernier M.O., Bosch de Basea M.B., Byrnes G., Cardis E., Hauptmann M., Journy N., Kesminiene A., Meulepas J.M., Pokora R., Simon S.L. Dose Estimation for the European Epidemiological Study on Pediatric Computed Tomography (EPI-CT). Radiation Research. 2021;196;1:74-99. doi: 10.1667/RADE-20-00231.1.
7. Bosch de Basea M., Pearce M.S., Kesminiene A., Bernier M.O., Dabin J., Engels H., Hauptmann M., Krille L., Meulepas J.M., Struelens L., Baatout S., Kaijser M., Maccia C., Jahnen A., Thierry-Chef I., Blettner M., Johansen C., Kjaerheim K., Nordenskjöld A., Olerud H., Salotti J.A., Andersen T.V., Vrijheid M., Cardis E. EPI-CT: Design, Challenges and Epidemiological Methods of an International Study on Cancer Risk After Paediatric and Young Adult CT. J. Radiol. Prot. 2015;35;3:611-628. doi: 10.1088/0952-4746/35/3/611.
8. Berrington de Gonzalez A., Salotti J.A., McHugh K., Little M.P., Harbron R.W., Lee C., Ntowe E., Braganza M.Z., Parker L., Rajaraman P., Stiller C., Stewart D.R., Craft A.W., Pearce M.S. Relationship Between Paediatric CT Scans and Subsequent Risk of Leukaemia and Brain Tumours: Assessment of the Impact of Underlying Conditions. British Journal of Cancer. 2016;114;4:388-394. doi: 10.1038/bjc.2015.415.
9. Pearce M.S., Salotti J.A., Little M.P., McHugh K., Lee C., Kim K.P., Howe N.L., Ronckers C.M., Rajaraman P., Sir Craft A.W., Parker L., Berrington de González A. Radiation Exposure from CT Scans in Childhood and Subsequent Risk of Leukaemia and Brain Tumours: a Retrospective Cohort Study. Lancet. 2012;380;9840:499-505. doi: 10.1016/S0140-6736(12)60815-0.
10. Mathews J.D., Forsythe A.V., Brady Z., Butler M.W., Goergen S.K., Byrnes G.B., Giles G.G., Wallace A.B., Anderson P.R., Guiver T.A., McGale P., Cain T.M., Dowty J.G., Bickerstaffe A.C., Darby S.C. Cancer Risk in 680,000 People Exposed to Computed Tomography Scans in Childhood or Adolescence: Data Linkage Study of 11 Million Australians. BMJ. 2013;346:f2360. doi: 10.1136/bmj.f2360.
11. Huang W.Y., Muo C.H., Lin C.Y., Jen Y.M., Yang M.H., Lin J.C., Sung F.C., Kao C.H. Paediatric Head CT Scan and Subsequent Risk of Malignancy and Benign Brain Tumour: a Nation-Wide Population-Based Cohort Study. British Journal of Cancer. 2014;110;9:2354-2360. doi: 10.1038/bjc.2014.103.
12. Bernier M.O., Baysson H., Pearce M.S., Moissonnier M., Cardis E., Hauptmann M., Struelens L., Dabin J., Johansen C., Journy N., Laurier D., Blettner M., Le Cornet L., Pokora R., Gradowska P., Meulepas J.M., Kjaerheim K., Istad T., Olerud H., Sovik A., Bosch de Basea M., Thierry-Chef I., Kaijser M., Nordenskjöld A., Berrington de Gonzalez A., Harbron R.W., Kesminiene A. Cohort Profile: the EPI-CT Study: a European Pooled Epidemiological Study to Quantify the Risk of Radiation-Induced Cancer from Paediatric CT. International Journal of Epidemiology. 2019;48;2:379-381g. doi: 10.1093/ije/dyy231.
13. Shore R.E., Beck H.L., Boice J.D., Caffrey E.A., Davis S., Grogan H.A., Mettler F.A., Preston R.J., Till J.E., Wakeford R., Walsh L., Dauer L.T. Implications of Recent Epidemiologic Studies for the Linear Nonthreshold Model and Radiation Protection. Journal of Radiological Protection. 2018;38;3:1217-1233. doi: 10.1088/1361-6498/aad348.
14. Walsh L., Shore R., Auvinen A., Jung T., Wakeford R. Risks from CT Scans-What Do Recent Studies Tell Us? Journal of Radiological Protection. 2014;34;1:E1-5. doi: 10.1088/0952-4746/34/1/E1.
15. Boice J.D.Jr. Radiation Epidemiology and Recent Paediatric Computed Tomography Studies. Ann ICRP. 2015;44;1 Suppl:236-248. doi: 10.1177/0146645315575877.
16. Fomin E.P., Osipov M.V., Babintseva N.A., Sinyak E.V. Results of Follow-Up on Patients Examined Using CT and MSCT in Childhood and Adolescencse. Rossiyskiy Elektronnyy Zhurnal Luchevoy Diagnostiki = Russian Electronic Journal of Radiology. 2018;8;1:137-144. DOI:10.21569/2222-7415-2018-8-1-137-144 (In Russ.).
17. Petryaykin A.V., Razumovskiy A.Yu., Ublinskiy M.V., Sidenko A.V., Gur ‘yakov S.Yu., Gorokhov D.V. Contrast-Enhanced Multispiral Computed Tomography in Diagnostics of Surgical Diseases of the Thoracic Cavity in Children. Detskaya Khirurgiya = Russian Journal of Pediatric Surgery. 2013;4:9-15 (In Russ.).
18. Druzhinina P.S., Pozdnyakov A.V., Kapyrina Yu.N., Ivanov D.O., Petrenko Yu.V., Puzyrev V.G. Comparison of Methods for Calculating Effective Doses for Children During CT Examinations of the Chest Organs. Radiatsionnaya Gigiyena = Radiation Hygiene. 2021;14;3:91-100. DOI: 10.21514/1998-426X-2021-14-3-91-100 (In Russ.).
19. Kapyrina Yu.N., Druzhinina P.S. Assessment of Radiation Doses of Children During Computed Tomography on the Example of a Pediatric Multidisciplinary Clinic. Conference Proceedings: Children’s Medicine of the North-West. St. Petersburg Publ., 2021;9;1:427-428 (In Russ.).
20. Vilar-Palop J., Vilar J., Hernández-Aguado I., González-Álvarez I., Lumbreras B. Updated Effective Doses in Radiology. J. Radiol Prot. 2016;36;4:975-990. doi: 10.1088/0952-4746/36/4/975.
21. Olgar T., Sahmaran T. Establishment of Radiation Doses For Pediatric X-Ray Examinations in a Large Pediatric Hospital in Turkey. Radiat. Prot. Dosimetry. 2017;176;3:302-308. doi: 10.1093/rpd/ncx010.
22. Gogos K.A., Yakoumakis E.N., Tsalafoutas I.A., Makri T.K. Radiation Dose Considerations in Common Paediatric X-Ray Examinations. Pediatr Radiol. 2003;33;4:236-240. doi: 10.1007/s00247-002-0861-x.
23. Shatskiy I., Golikov V. Paediatric Doses in St Petersburg Hospitals. Radiat Prot Dosimetry. 2015;165;1-4:199-204. doi: 10.1093/rpd/ncv066.
24. Sorop I., Mossang D., Iacob M.R., Dadulescu E., Iacob O. Update of Diagnostic Medical and Dental X-Ray Exposures in Romania. J. Radiol. Prot. 2008;28;4:563-571. doi: 10.1088/0952-4746/28/4/008.
25. Kiljunen T., Tietäväinen A., Parviainen T., Viitala A., Kortesniemi M. Organ Doses and Effective Doses in Pediatric Radiography: Patient-Dose Survey in Finland. Acta Radiol. 2009;50;1:114-124. doi: 10.1080/02841850802570561.
26. Vishnyakova N.M. Dose Reference Levels for the Child Exposure Under X-Ray Examinations. Vestnik Rossiyskoy Voyenno-Meditsinskoy Akademii = Bulletin of the Russian Military Medical Academy. 2010;3;31:170–174 (In Russ.).
27. Brady Z., Ramanauskas F., Cain T.M., Johnston P.N. Assessment of Paediatric CT Dose Indicators for The Purpose of Optimisation. Br. J. Radiol. 2012;85;1019:1488-1498. doi: 10.1259/bjr/28015185.
28. Obara H., Takahashi M., Kudou K., Mariya Y., Takai Y., Kashiwakura I. Estimation of Effective Doses in Pediatric X-Ray Computed Tomography Examination. Exp. Ther. Med. 2017;14;5:4515-4520. doi: 10.3892/etm.2017.5102.
29. Mordacq C., Deschildre A., Petyt L., Santangelo T., Delvart C., Doan C., Thumerelle C. Chest Computed Tomography in Children: Indications, Efficiency and Effective Dose. Arch. Pediatr. 2014;21;3:279-286. (French). doi: 10.1016/j.arcped.2013.12.021.
30. Gudjonsdottir J., Jonsdottir A.B. Effective Dose from Pediatric CT In Iceland. Laeknabladid. 2017;103;11:489-492. doi: 10.17992/lbl.2017.11.160.
31. Matsunaga Y., Kawaguchi A., Kobayashi K., Kobayashi M., Asada Y., Minami K., Suzuki S., Chida K. Effective Radiation Doses of CT Examinations In Japan: a Nationwide Questionnaire-Based Study. Br. J. Radiol. 2016;89;1058:20150671. doi: 10.1259/bjr.20150671.
32. Tahmasebzadeh A., Maziyar A., Reiazi R., Kermanshahi M.S., Anijdan S.H.M,. Paydar R. Pediatric Effective Dose Assessment for Routine Computed Tomography Examinations in Tehran, Iran. J. Med. Signals Sens. 2022;12;3:227-232. doi: 10.4103/jmss.jmss_115_21.
33. Feng S.T., Law M.W., Huang B., Ng S., Li Z.P., Meng Q.F., Khong P.L. Radiation Dose and Cancer Risk from Pediatric CT Examinations on 64-Slice CT: a Phantom Study. Eur. J. Radiol. 2010;76;2:e19-23. doi: 10.1016/j.ejrad.2010.03.005.
34. Kharbanda A.B., Krause E., Lu Y., Blumberg K. Analysis of Radiation Dose to Pediatric Patients During Computed Tomography Examinations. Acad. Emerg. Med. 2015;22;6:670-675. doi: 10.1111/acem.12689.
35. Tan X.M., Shah M.T.B.M., Chong S.L., Ong Y.G., Ang P.H., Zakaria N.D.B., Lee K.P., Pek J.H. Differences in Radiation Dose for Computed Tomography of the Brain Among Pediatric Patients at the Emergency Departments: An Observational Study. BMC Emerg. Med. 2021;21;1:106. doi: 10.1186/s12873-021-00502-7.
36. Smith-Bindman R., Moghadassi M., Wilson N., Nelson T.R., Boone J.M., Cagnon C.H., Gould R., Hall D.J., Krishnam M., Lamba R., McNitt-Gray M., Seibert A., Miglioretti D.L. Radiation Doses in Consecutive CT Examinations from Five University of California Medical Centers. Radiology. 2015;277;1:134-141. doi: 10.1148/radiol.2015142728.
37. Dougeni E., Faulkner K., Panayiotakis G. A Review of Patient Dose and Optimisation Methods in Adult and Paediatric CT Scanning. Eur. J. Radiol. 2012;81;4:e665-83. doi: 10.1016/j.ejrad.2011.05.025.
38. Shrimpton P.C., Hillier M.C., Lewis M.A., Dunn M. National Survey of Doses from CT in the UK: 2003. Br. J. Radiol. 2006;79;948:968-980. doi: 10.1259/bjr/93277434.
39. Sarycheva S.S. Estimation of Effective Dose for Children in Interventional Cardiology. Radiatsionnaya Gigiyena = Radiation Hygiene. 2017;10;2:16-22 (In Russ.).
40. Golikov V.Yu. Evaluation of the Radiation Risk of Medical Examinations in the Russian Federation Taking into Account the Age and Sex Distribution of the Patients. Radiatsionnaya Gigiyena = Radiation Hygiene. 2022;15;1:59-67 (In Russ.).
41. Kapyrina Yu.N., Vodovatov A.V., Potrakhov N.N., Puzyrev V.G., Komissarov M.I., Reznik V.A., Petrenko Yu.V. Evaluation of Effective Doses for Some Interventional Examination in Children. 8th International Conference on X-ray, Electrovacuum and Biomedical Technique, 25 – 26 November 2021. St. Petersburg Publ., 2021. P. 58-62 (In Russ.).
42. Kapyrina Yu.N., Vodovatov A.V., Puzyrev V.G., Komissarov M.I., Aleshin I.J. Evaluation of Effective Radiation Doses in Children During X-Ray Endovascular Occlusion of Testicular Vein. Luchevaya Diagnostika i Terapiya = Diagnostic Radiology and Radiotherapy. 2022;S;13:166-167 (In Russ.).
43. Kapyrina Yu.N., Komissarov M.I., Aleshin I.J., Vodovatov A.V., Puzyrev V.G. Evaluation of Effective Doses of Children During Interventional Examination in the Multidisciplinary Clinic of SPbSPMU. Forcipe. 2022;5;1:244-246 (In Russ.).
44. Kapyrina Yu.N., Vodovatov A.V., Puzyrev V.G., Komissarov M.I., Aleshin I.J. Evaluation of Effective Doses of Children During Interventional Examination. Collection of Abstracts of the All-Russian Scientific and Practical Conference with International Participation Radiation Hygiene and Continuing Professional Education: New Challenges and Ways of Development Dedicated to the 65th Anniversary of the Department of Radiation Hygiene and Radiation Safety named after Academician F.G. Krotkov, 27 October 2022. Moscow Publ., 2022. P. 45-48 (In Russ.).
45. Ubeda C., Vano E., Salazar L., Retana, Santos F., Gutierrez R., Manterola C. Paediatric Interventional Cardiology in Costa Rica: Diagnostic Reference Levels and Estimation of Population Dose. J. Radiol. Prot. 2018;38;1:218-228. doi: 10.1088/1361-6498/aa9c09.
46. Karambatsakidou A., Omar A., Fransson A., Poludniowski G. Calculating Organ and Effective Doses in Paediatric Interventional Cardiac Radiology Based on DICOM Structured Reports - Is Detailed Examination Data Critical to Dose Estimates? Phys. Med. 2019;57:17-24. doi: 10.1016/j.ejmp.2018.12.008.
47. Ubeda C., Miranda P., Vano E., Nocetti D., Manterola C. Organ and Effective Doses from Paediatric Interventional Cardiology Procedures in Chile. Phys. Med. 2017;40:95-103. doi: 10.1016/j.ejmp.2017.07.015.
48. Song S., Liu C., Zhang M. Radiation Dose and Mortality Risk to Children Undergoing Therapeutic Interventional Cardiology. Acta Radiol. 2015;56;7:867-872. doi: 10.1177/0284185114542459.
49. Raelson C.A., Kanal K.M., Vavilala M.S., Rivara F.P., Kim L.J., Stewart B.K., Cohen W.A. Radiation Dose and Excess Risk of Cancer in Children Undergoing Neuroangiography. A.J.R. Am. J. Roentgenol. 2009;193;6:1621-1628. doi: 10.2214/AJR.09.2352.
50. Gherardi G.G., Iball G.R., Darby M.J., Thomson J.D. Cardiac Computed Tomography and Conventional Angiography in the Diagnosis of Congenital Cardiac Disease in Children: Recent Trends and Radiation Doses. Cardiol Young. 2011;21;6:616-622. doi: 10.1017/S1047951111000485.
51. Barnaoui S., Rehel J.L., Baysson H., Boudjemline Y., Girodon B., Bernier M.O., Bonnet D., Aubert B. Local Reference Levels and Organ Doses from Pediatric Cardiac Interventional Procedures. Pediatr Cardiol. 2014;35;6:1037-1045. doi: 10.1007/s00246-014-0895-5.
52. Buytaert D., Vandekerckhove K., Panzer J., Rubbens L., De Wolf D., Bacher K. Local DRLs and Automated Risk Estimation in Paediatric Interventional Cardiology. PLoS One. 2019;14;7:e0220359. doi: 10.1371/journal.pone.0220359.
53. Billinger J., Nowotny R., Homolka P. Diagnostic Reference Levels in Pediatric Radiology in Austria. Eur Radiol. 2010;20;7:1572-1579. doi: 10.1007/s00330-009-1697-7.
54. Suliman I.I., Elshiekh E.H. Radiation Doses from Some Common Paediatric X-Ray Examinations in Sudan. Radiat. Prot. Dosimetry. 2008;132;1:64-72. doi: 10.1093/rpd/ncn232.
55. Gao Y., Quinn B., Pandit-Taskar N., Behr G., Mahmood U., Long D., Xu X.G., St. Germain J., Dauer L.T. Patient-Specific Organ and Effective Dose Estimates in Pediatric Oncology Computed Tomography. Phys. Med. 2018;45:146-155. doi: 10.1016/j.ejmp.2017.12.013.
56. Balonov M.I., Golikov V.Yu., Vodovatov A.V., Chipiga L.A., Zvonova I.A., Kalnitskiy S.A., Sarycheva S.S., Shatskiy I.G. Scientific Foundations of Radiation Protection in Modern Medicine. V.1. Radiation Diagnostics. St. Petersburg Publ., 2019. 320 p. (In Russ.).
57. Druzhinina P.S., Chipiga L.A., Shatskiy I.G., Vodovatov A.V., Pozdnyakov A.V., Puzyrev V.G., Tashchilkin A.I., Malikov D.A., Potrakhov N.N., Potrakhov Yu.N. Optimization of CT Protocols for Newborn Patients by Ingenuity 128, Philips. A Phantom Study. Meditsinskaya Fizika = Medical Physics. 2022;4:43 (In Russ.).
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Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors.
Article received: 20.07.2023. Accepted for publication: 27.08.2023.