Citation: | JIANG Y, TANG W T, HU R, et al. Impact of Individual Body Shape Factors and Tissue Contents on the Water Equivalent Diameter of Size-Specific Dose Estimations in Adult Chest CT[J]. CT Theory and Applications, xxxx, x(x): 1-7. DOI: 10.15953/j.ctta.2024.272. (in Chinese). |
Objective: To investigate the impact of individual body size factors and tissue composition on the size-specific dose estimate(SSDEWED) based on water equivalent diameter for adult chest. Methods: A total of 205 adult subjects who underwent chest CT scans at our hospital were enrolled, and their individual information (height, weight, body mass index) was collected. The average CTROI value, cross-sectional area AROI, transverse diameter, and anteroposterior diameter of the thorax on the axial images at the intermediate level were collected. The fat content, fat volume, muscle content, and muscle volume across the entire scanning range were recorded. The anteroposterior diameter/transverse diameter, scan length, and scan length/transverse diameter were calculated. The volume CT dose index (CTDIvol) of the subjects was obtained, and the SSDEWED values at the mid-level of all subjects were calculated. The correlations between fat content, muscle content, fat volume, muscle volume, BMI, cross-sectional AROI, transverse diameter, anteroposterior diameter, scan length, scan length/transverse diameter ratio, anteroposterior diameter/transverse diameter ratio, and SSDEWED were analyzed. Results: Fat content, fat volume, muscle volume, BMI, cross-sectional AROI, transverse diameter, anteroposterior diameter, scan length/transverse diameter ratio are significantly positively correlated with SSDEWED. Muscle content, anteroposterior/transverse diameter ratio, and scan length showed no correlation with SSDEWED. Conclusion: Multiple individual body size factors and tissue compositions are significantly correlated with SSDEWED, among which adipose tissue is the key factor influencing SSDEWED.
[1] |
柳怡, 韩士忠, 张鑫, 等. 基于辐射剂量结构化报告的未成年人胸部CT检查体型特异性剂量分析[J]. 中华放射医学与防护杂志, 2020(9): 707-711. DOI: 10.3760/cma.j.issn.0254-5098.2020.09.010.
LIU Y, HAN S Z, ZHANG X, et al. Size-specific dose estimates of chest CT in children based on radiation dose structured reports[J]. Chinese Journal of Radiological Medicine and Protection, 2020(9): 707-711. DOI: 10.3760/cma.j.issn.0254-5098.2020.09.010.
|
[2] |
郑丽丽, 张彪, 陈浩, 等. 体型特异性剂量估算在低剂量CT肺癌筛查中的应用研究[J]. 实用放射学杂志, 2021, 37(8): 1353-1356. DOI: 10.3969/j.issn.1002-1671.2021.08.031.
ZHENG L L, ZHANG B, CHEN H, et al. The application of size-specific dose estimation in low-dose CT lung cancer screening[J]. Journal of Practical Radiology, 2021, 37(8): 1353-1356. DOI: 10.3969/j.issn.1002-1671.2021.08.031.
|
[3] |
广东省辐射防护协会医学辐射防护专家组, 南方医科大学南方医院, 乔文俊, 等. 医用X射线诊断设备辐射剂量规范化管理共识[J]. 影像诊断与介入放射学, 2024, 33(1): 3-17. DOI: 10.3969/j.issn.1005-8001.2024.01.001.
|
[4] |
郑小丽, 徐健, 王振, 等. 层面组织结构含量与SSDE在腹盆部CT扫描中的相关性研究[J]. 医学影像学杂志, 2020, 30(2): 284-287.
ZHENG X L, XU J, WANG Z, et al. Study on correlation between tissue structure contents and size specific dose estimate in abdomen-pelvis CT scan[J]. Journal of Medical Imaging, 2020, 30(2): 284-287. (in Chinese).
|
[5] |
GAO Y, MAHMOOD U, LIU T, et al. Patient-specific organ and effective dose estimates in adult oncologic CT[J]. American journal of roentgenology, 2020, 214(4): 738-746. DOI: 10.2214/AJR.19.21197.
|
[6] |
UENO H, MATSUBARA K, BOU S, et al. Accuracy of patient dose estimation in cone beam computed tomography in breast irradiation by size-specific dose estimates with position correction[J]. Journal of Applied Clinical Medical Physics, 2022, 23(12): e13851. DOI: 10.1002/acm2.13851.
|
[7] |
MEDICINE. A A O P. Size-specific dose estimates (SSDE) in pediatric and adult body CT examinations[R]. USA: AAPM, 2011.
|
[8] |
MEDICINE A A O P. Report of AAPM TG 220: Use of water equivalent diameter for calculating patient size and size-specific dose estimates(SSDE) in CT[R]. USA: AAPM, 2014.
|
[9] |
胡勤勤, 张琴, 刘曦, 等. SFOV对成人胸部CT水当量直径的体型特异性剂量估算的影响研究[J]. 中国医疗设备, 2021, 36(10): 140-143. DOI: 10.3969/j.issn.1674-1633.2021.10.032.
HU Q Q, ZHANG Q, LIU X, et al. Effect of SFOV on water equivalent diameter of size-specific dose estimation in adult chest CT[J]. China Medical Devices, 2021, 36(10): 140-143. DOI: 10.3969/j.issn.1674-1633.2021.10.032.
|
[10] |
苟杰, 胡小艳. 不同体型成人胸部CT检查体型特异性剂量估算的研究[J]. 放射学实践, 2022, 37(3): 380-384. DOI: 10.13609/j.cnki.1000-0313.2022.03.017.
GOU J, HU X Y. Study on body size-specific dose estimate of chest CT examination in adults with different body types[J]. Radiologic Practice, 2022, 37(3): 380-384. DOI: 10.13609/j.cnki.1000-0313.2022.03.017.
|
[11] |
ALMUQBIL K, ABUHAIMED A, ABANOMY A, et al. Estimation of size-specific dose estimate (SSDE) of CT scans using an effective diameter electron density[J]. European Journal of Radiology, 2024, 172: 111311. DOI: 10.1016/j.ejrad.2024.111311.
|
[12] |
袁子龙, 王国柱, 张照喜, 等. 比较不同体型特异性剂量评估算法在估算成人胸腹部CT扫描中辐射剂量的差异[J]. 中华放射医学与防护杂志, 2016, 36(11): 852-856. DOI: 10.3760/cma.j.issn.0254-5098.2016.11.011.
YUAN Z L, WANG G Z, ZHANG Z X, et al. Comparison of different SSDE methods in evaluating the radiation dose in chest and abdomen CT scan[J]. Chinese Journal of Radiological Medicine and Protection, 2016, 36(11): 852-856. DOI: 10.3760/cma.j.issn.0254-5098.2016.11.011.
|
[13] |
EL MANSOURI M, CHOUKRI A, SEMGHOULI S, et al. Size-specific dose estimates for thoracic and abdominal computed tomography examinations at two moroccan hospitals[J]. Journal of Digital Imaging, 2022, 35(6): 1648-1653. DOI: 10.1007/s10278-022-00657-0.
|
[14] |
UENO H, MATSUBARA K, BOU S, et al. Accuracy of patient dose estimation in cone beam computed tomography in breast irradiation by size-specific dose estimates with position correction[J]. Journal of Applied Clinical Medical Physics, 2022(12): e13851. DOI: 10.1002/acm2.13851.
|
[15] |
JOHANNES, BOOS, PATRIC, et al. Accuracy of size-specific dose estimate calculation from center slice in computed tomography[J]. Radiation Protection Dosimetry, 2018(1): 8-19. DOI: 10.1093/rpd/ncx069.
|
[16] |
BARRETO I, VERMA N, QUAILS N, et al. Patient size matters: Effect of tube current modulation on size-specific dose estimates (SSDE) and image quality in low-dose lung cancer screening CT[J]. Journal of Applied Clinical Medical Physics, 2020, 21(4): 87-94. DOI: 10.1002/acm2.12857.
|
[17] |
NGUYEN G K, MELLNICK V M, YIM A K, et al. Synergy of sex differences in visceral fat measured with CT and tumor metabolism helps predict overall survival in patients with renal cell carcinoma[J]. Radiology, 2018(3): 884-892.
|
[18] |
郑建军, 戴琦, 向遥, 等. 基于体型特异性的CT检查辐射剂量自动分析方法[P]. 浙江省: CN202310371453.4, 2023-08-08.
ZHENG J J, DAI Q, XIANG Y, et al. Automatic analysis method of radiation dose for CT examination based on body specificity[P]. Zhejiang Province: CN202310371453.4, 2023-08-08. (in Chinese).
|
[19] |
JUSZCZYK J, BADURA P, CZAJKOWSKA J, et al. Automated size-specific dose estimates using deep learning image processing[J]. Medical image analysis, 2021: 101898.
|
[20] |
梁旭倩, 姜阳, 陈玉洪, 等. 个体因素对胸部CT辐射剂量的影响研究[J]. 中国CT和MRI杂志, 2022, 20(9): 106-108. DOI: 10.3969/j.issn.1672-5131.2022.09.040.
LIANG X Q, JIANG Y, CHEN Y H, et al. The effect of individual factors on the radiation dose in chest CT[J]. Chinese Journal of CT and MRI, 2022, 20(9): 106-108. DOI: 10.3969/j.issn.1672-5131.2022.09.040.
|
[21] |
李爽, 陆雪, 封江彬, 等. 性别和年龄对60Coγ射线照射离体人外周血辐射敏感基因mRNA表达的影响[J]. 癌变·畸变·突变, 2019, 31(6): 421-427. DOI: 10.3969/j.issn.1004-616x.2019.06.001.
LI S, LU X, FENG J B, et al. Effects of gender and age on expression of radiation-responsive genes in irradiated human peripheral blood samples[J]. Carcinogenesis, Teratogenesis & Mutagenesis, 2019, 31(6): 421-427. DOI:10.3969/j.issn.1004-616x.2019.06.001.(in Chinese).
|
[22] |
AGBENYEGAH S, ABEND M, ATKINSON M J, et al. Impact of inter-individual variance in the expression of a radiation-responsive gene panel used for triage[J]. Radiation Research, 2018, 190(3): 226-235. DOI: 10.1667/RR15013.1.
|
[23] |
XU J, WANG X, YANG P, et al. Size-specific dose estimates of radiation based on body weight and body mass index for chest and abdomen-pelvic CTs[J]. BioMed research international, 2020: 6046501.
|
[24] |
中国医疗保健国际交流促进会胸部肿瘤分会, 中国肿瘤放射治疗联盟. 放射相关性肺炎中国专家诊治共识[J]. 中华肿瘤防治杂志, 2022, 29(14): 1015-1022. DOI: 10.16073/j.cnki.cjcpt.2022.14.01.
|
[25] |
徐健, 何小龙, 方焕新, 等. CT冠状动脉成像体型特异性剂量估算值的对比研究[J]. 中华放射医学与防护杂志, 2019, 39(7): 523-528. DOI: 10.3760/cma.j.issn.0254-5098.2019.07.008.
XU J, HE X L, FANG H X, et al. Comparative analysis of size-specific dose estimates in coronary computed tomography angiography[J]. Chinese Journal of Radiological Medicine and Protection, 2019, 39(7): 523-528. DOI: 10.3760/cma.j.issn.0254-5098.2019.07.008.
|
[26] |
YUAN Z H, LIU T, WANG H, et al. Fatty acids metabolism: the bridge between ferroptosis and ionizing radiation[J]. Frontiers in Cell and Developmental Biology, 2021, 9: 675617. DOI: 10.3389/fcell.2021.675617.
|
[27] |
习聪, 赵骅, 陆雪, 等. 60Co γ射线全身照射大鼠的小肠组织中辐射敏感脂质代谢物的筛选[J]. 中华放射医学与防护杂志, 2021, 41(3): 172-177. DOI: 10.3760/cma.j.issn.0254-5098.2021.03.003.
XI C, ZHAO H, LU X, et al. Screening of radiosensitive lipid metabolites in rat small intestine after total body irradiation with 60Co γ-rays[J]. Chinese Journal of Radiological Medicine and Protection, 2021, 41(3): 172-177. DOI: 10.3760/cma.j.issn.0254-5098.2021.03.003.
|
[28] |
赵骅, 习聪, 刘海翔, 等. 60Co γ射线全身均匀照射大鼠早期血浆辐射敏感脂质筛选研究[J]. 中华放射医学与防护杂志, 2022, 42(3): 175-180. DOI: 10.3760/cma.j.cn112271-20210902-00354.
ZHAO H, XI C, LIU H X, et al. Screening of radiation sensitive lipids in rat plasma at early stage after total body irradiation with 60Co γ-rays[J]. Chinese Journal of Radiological Medicine and Protection, 2022, 42(3): 175-180. DOI: 10.3760/cma.j.cn112271-20210902-00354.
|