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The role of Size-Specific Dose Estimate (SSDE) in patient-specific organ dose and cancer risk estimation in paediatric chest and abdominopelvic CT examinations
Abstract
Objectives To develop a clinically applicable method to estimate patient-specific organ and blood doses and lifetime attributable risks (LAR) from paediatric torso CT examinations.Methods Individualized voxel models were created from full-body CT data of 10 paediatric patients (2-18 years). Patient-specific dose distributions of chest and abdominopelvic CT scans were simulated using Monte Carlo methods. Blood dose was calculated as a weighted sum of simulated organ doses. LAR of cancer incidence and mortality were estimated, according to BEIR-VII. A second simulation and blood dose calculation was performed using only the thoracic and abdominopelvic region of the original voxel models. For each simulation, the size-specific dose estimate (SSDE) was calculated.Results SSDE showed a significant strong linear correlation with organ dose (r > 0.8) and blood dose (r > 0.9) and LAR (r > 0.9). No significant differences were found between blood dose calculations with the full-body voxel models and the thoracic or abdominopelvic models.Conclusion Even though clinical CT images mostly do not cover the whole body of the patient, they can be used as a voxel model for blood dose calculation. In addition, SSDE can estimate patient-specific organ and blood doses and LAR in paediatric torso CT examinations.Key points • Blood dose can be simulated using the patient's clinical CT images. • SSDE estimates patient-specific organ/blood dose and LAR in paediatric CAP CT-examinations. • SSDE makes on-the-spot dose and LAR estimations possible in routine clinical practice.
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SSDE, similar to CTDIvol, fails to include patient size, tissue weighting, or organ-specific sensitivity.
“Nonetheless, similar to CTDIvol, it fails to include patient size, tissue weighting, or organ-specific sensitivity.94”
From Computed Tomography Diagnostic Reference Levels Worldwide and in Jordan: Implications for Patient Dose Reduction (2026) · cites this paper as [94]
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Oglat, A., Shdaifat, S., Sayah, M., Abukonna, A., & Khogali, W. (2026) · Drug, Healthcare and Patient Safety · doi:10.2147/dhps.s595721
“94 Weighted CT Dose Index (CTDIw) Historically, the CTDIw was utilized before the prevalent usage of CTDIvol.”
Metadata
- Authors
- Franck, C., Vandevoorde, C., Goethals, I., Smeets, P., Achten, E., Verstraete, K., Thierens, H., & Bacher, K.
- Affiliations
- Ghent University (BE)
- Ghent University Hospital (BE)
- Corresponding author
- Franck, Caro
- ORCID
- Venue
- European Radiology
- Published
- 2015-12-15
- Volume
- 26
- Issue
- 8
- Pages
- 2646-2655
- ISSN
- 0938-7994 (ISSN-L)
- 1432-1084
- OpenAlex
- W2201769046
- Cited by
- 43
- References
- 40
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 7 · 2023: 1 · 2022: 1 · 2021: 7 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 5 · 2016: 2
- FWCI
- 2.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Radiology (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- Agentschap voor Innovatie door Wetenschap en Technologie (121663)
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiation Dose and Imaging
- Physical Sciences › Physics and Astronomy › Radiation › Advanced Radiotherapy Techniques
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Digital Radiography and Breast Imaging
- Keywords
- size-specific dose estimate, pediatric CT, organ dose, lifetime attributable risk, cancer risk assessment, voxel model, Monte Carlo dose simulation, chest CT, abdominopelvic CT, BEIR VII, radiation dose assessment
- MeSH terms
- Abdomen, Adolescent, Child, Child, Preschool, Computer Simulation, Female, Humans, Male, Models, Theoretical, Monte Carlo Method, Neoplasms, Radiation-Induced, Pelvis, Radiation Dosage, Thorax, Tomography, X-Ray Computed, Organs at Risk
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