Iranian Journal of Medical Physics

Iranian Journal of Medical Physics

Reduction of Breast Surface Dose, Cancer and Mortality Risks Using Lead Apron during the Head Scanning a Computed Tomography Technique

Document Type : Original Paper

Authors
Fateme Asghari 1
Kourosh Ebrahimnejad Gorji 2
Rahele Mehraeen 3
Mohammad Kiapour 4
Hoda Talebian 4
Ali Shabestani Monfared 5
1 Student Research Committee, Babol University of Medical Sciences, Babol, Iran
2 Babol University of Medical Sciences
3 Department of Radiology, Babol University of Medical Sciences, Babol, Iran
4 Department of Medical Physics Radiobiology and Radiation Protection, School of Medicine, Babol University of Medical Sciences, Babol, Iran
5 Department of Medical Physics & Radiation Biology, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran
10.22038/ijmp.2022.63251.2074
Abstract
Introduction: The present study aimed to assess the reduction of breast surface dose, breast radiation-induced cancer incidence, and mortality risks when the lead apron shielding was positioned on the chest regions during head computed tomography (CT).
Material and Methods: In this study, routine head CT scans were performed on 28 female patients with a mean body mass index (BMI) of 25.2 ± 2.8 kg/m2. The common lead aprons (0.5 mm thicknesses) were folded and positioned in the chest regions. The breast surface doses were measured using six thermoluminescent dosimeters (TLD-100), three TLDs were located above the apron and three ones positioned under the apron. Breast radiation-induced cancer incidence and mortality risks were estimated using the Biological Effects of Ionizing Radiation (BEIR-VII) model. Finally, the measured doses and cancer/mortality risks were compared using Paired sample T-Test in SPSS software.
Results: The breast surface doses under and over the apron were obtained at 0.18±0.06 and 0.49±0.13 mGy, respectively, (P-value<0.05). Although all cancer/mortality risks for both groups (over and under the apron) were very low, using the lead apron could decrease (significantly) breast cancer incidence risk ([1.24±0.32]×10-3 % over the apron vs. [0.46±0.15] ×10-3 % under the apron) and mortality risk ([0.30±0.08]×10-3 % over the apron vs. [0.11±0.04] ×10-3 % under the apron) about 63% in all patients.
Conclusion: The use of common lead aprons in the chest regions for patients undergoing head CT scans could significantly reduce the breast surface doses and radiation-induced cancer/mortality risks.
Keywords
Computed Tomography
Radiation Protection
Head
Breast
Thermoluminescent Dosimetry
Subjects
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Iranian Journal of Medical Physics
Volume 19, Issue 5
September and October 2022
Pages 264-269

  • Receive Date 25 January 2022
  • Revise Date 13 April 2022
  • Accept Date 17 April 2022