Skip Navigation Links.
Collapse <span class="m110 colortj mt20 fontw700">Volume 12 (2024)</span>Volume 12 (2024)
Collapse <span class="m110 colortj mt20 fontw700">Volume 11 (2023)</span>Volume 11 (2023)
Collapse <span class="m110 colortj mt20 fontw700">Volume 10 (2022)</span>Volume 10 (2022)
Collapse <span class="m110 colortj mt20 fontw700">Volume 9 (2021)</span>Volume 9 (2021)
Collapse <span class="m110 colortj mt20 fontw700">Volume 8 (2020)</span>Volume 8 (2020)
Collapse <span class="m110 colortj mt20 fontw700">Volume 7 (2019)</span>Volume 7 (2019)
Collapse <span class="m110 colortj mt20 fontw700">Volume 6 (2018)</span>Volume 6 (2018)
Collapse <span class="m110 colortj mt20 fontw700">Volume 5 (2017)</span>Volume 5 (2017)
Collapse <span class="m110 colortj mt20 fontw700">Volume 4 (2016)</span>Volume 4 (2016)
Collapse <span class="m110 colortj mt20 fontw700">Volume 3 (2015)</span>Volume 3 (2015)
Collapse <span class="m110 colortj mt20 fontw700">Volume 2 (2014)</span>Volume 2 (2014)
Collapse <span class="m110 colortj mt20 fontw700">Volume 1 (2013)</span>Volume 1 (2013)
American Journal of Medical Case Reports. 2014, 2(1), 4-9
DOI: 10.12691/AJMCR-2-1-2
Original Research

Estimate the Minimized Effective Dose and Critical Organ in Pediatric Nuclear Medicine

Ying Bai1, , Dali Wang2 and Sunil Gupta3

1Department of Computer Science and Engineering, Johnson C. Smith University, Charlotte, USA

2Department of Physics and Computer Science, Christopher Newport University, Newport News, USA

3Department of Biology, Johnson C. Smith University, Charlotte, USA

Pub. Date: January 14, 2014

Cite this paper

Ying Bai, Dali Wang and Sunil Gupta. Estimate the Minimized Effective Dose and Critical Organ in Pediatric Nuclear Medicine. American Journal of Medical Case Reports. 2014; 2(1):4-9. doi: 10.12691/AJMCR-2-1-2

Abstract

Many techniques and research models on calculating and reducing the nuclear radiation dose on pediatric nuclear medicine procedure have been developed and reported in recent years. However, most those models either utilized simple shapes to present the organs or used more realistic models to estimate the nuclear dose applied on pediatric patients. The former are too simple to provide accurate estimation results, and the latter are too complicated to intensively involve complex calculations. In this study, a simple but practical model is developed to enable physicians to easily and quickly calculate and select the average optimal effective nuclear dose and critical organs for the given age and weight of the pediatric patients. This model is built based on one research result reported by Frederic Fahey et al., and it can be easily implemented in most common pediatric nuclear medicine procedures. This is the first research of using fuzzy inference system (FIS) to calculate the optimal effective dose applied in the nuclear medicine for pediatric patients.

Keywords

fuzzy inference system, reduction of nuclear radiation dose, common pediatric nuclear medicine procedures, optimized nuclear radiation dose

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Treves ST. Pediatric Nuclear Medicine. New York, NY, Springer, 2007.
 
[2]  Treves ST, Baker A, Fahey FH, et al. Nuclear medicine in the first year of life. Journal of Nuclear Medicine. 2011, 52, 905-925.
 
[3]  Committee to Assess Health Risks from Exposure to Low Levels of Ionizing Radiation, National Research Council. Health Risks from Exposure to Low Levels of Ionizing Radiation, BEIR VII Phase 2. Washington, DC, National Research Council of the National Academies, 2006.
 
[4]  Fred A. Mettler Jr, Walter Huda, Terry T. Yoshizumi and Mahadevappa Mahesh,Effective Doses in Radiology and Diagnostic Nuclear Medicine: A Catalog”, July 2008 Radiology, 248, 254-263.
 
[5]  National Council on Radiation Protection and Measurement. Ionizing Radiation Exposure of the Population of the United States: Report NCRP 160. Washington, DC, National Council on Radiation Protection and Measurement, 2009.
 
[6]  Cristy M., Eckerman. Specific Absorbed Fractions of Energy at Various Ages. Oak Ridge, TN, Oak Ridge National Laboratories, 1987, ORNL/TM-8381.
 
[7]  Ryo Nakazato, Daniel S. Berman, Sean W. Hayes, Mathews Fish, Richard Padgett, Yuan Xu, Mark Lemley, Rafael Baavour, Nathaniel Roth and Piotr J. Slomka, “Myocardial Perfusion Imaging with a Solid-State Camera: Simulation of a Very Low Dose Imaging Protocol”, J. of Nuclear Medicine, March 1, 2013 Vol. 54 No. 3, 373-379.
 
[8]  Xavier Setoain, Javier Pavía, Eulalia Serés, Ramiro Garcia, Maria Mar Carreño, Antonio Donaire, Sebastià Rubí, Nuria Bargalló, Jordi Rumià, Teresa Boget, Luís Pintor, David Fuster, and Francesca Pons, “Validation of an Automatic Dose Injection System for Ictal SPECT in Epilepsy”, J. of Nuclear Medicine, February 1, 2012 Vol. 53 No. 2, 324-329.
 
[9]  Roberto Accorsi, Joel S. Karp and Suleman Surti, “Improved Dose Regimen in Pediatric PET”, J. of Nuclear Medicine, February 2010, Vol. 51 No. 2, 293-300.
 
[10]  Sources and Effects of Ionizing Radiation: UNSCEAR 2008 Report. Volume I: Sources—Report to the General Assembly Scientific Annexes A, B. New York, NY: United Nations; 2010.
 
[11]  Mettler FA, Bhargavan M, Faulkner K, et al. Radiologic and nuclear medicine studies in the United States and worldwide, frequency, radiation dose, and comparison with other radiation sources, 1950-2007, Radiology. 2009, 253, 520-531.
 
[12]  Dorfman AL, Fazel R, Einstein AJ, et al.,Use of medical imaging procedures with ionizing radiation in children: a population-based study”, Arch Pediatr Adolesc Medicine. 2011, 165, 458-464.
 
[13]  Fazel R, Krumholz HM, Wang Y, et al., “Exposure to low-dose ionizing radiation from medical imaging procedure”, N Engl J Med. 2009;361:849-857.
 
[14]  Kowalczyk L. Is all that scanning putting us at risk? Boston Globe. September 14, 2009, G6.
 
[15]  Amis ES, Butler PF., ACR white paper on radiation dose in medicine: three years later. J. of Am Coll Radiol. 2010, 7, 865-870.
 
[16]  Frederic H. Fahey, S. Ted Treves, and S. James Adelstein, “Minimizing and Communicating Radiation Risk in Pediatric Nuclear Medicine”, Journal of Nuclear Medicine, March 1, 2012, Vol. 40 No. 1, 13-24.
 
[17]  Loevinger R, Budinger TF., MIRD Primer for Absorbed Dose Calculations (Revised Edition) Reston, VA, Society of Nuclear Medicine, 1991.
 
[18]  Stabin MG, Siegel JA., “Physical models and dose factors for use in internal dose assessment”, Health Phys. 2003, 85, 294-310.
 
[19]  Xu G, Eckerman KF, eds., Handbook of Anatomical Models for Radiation Dosimetry. Boca Raton, FL, CRC Press, 2009.
 
[20]  Whalen S, Lee C, Williams J, Bolch WE., Anthropomorphic approaches and their uncertainties to assigning computational phantoms to individual patients in pediatric dosimetry studies, Phys Med Biol. 2008, 53, 453-471.
 
[21]  Stabin MG., Internal Dosimetry in Pediatric Nuclear Medicine. 3rd ed., New York, NY, Springer, 2007, 513-520.
 
[22]  Ward VL, Stauss KJ, Barnewolt CE, et al., “Pediatric radiation exposure and effective dose reduction during voiding cystourethrography”, Radiology, 2008, 249, 1002-1009.
 
[23]  Preston RJ., “Update on linear non-threshold dose-response model and implications for diagnostic radiology procedures”, Health Phys., 2008, 95, 541-546.
 
[24]  Thomas KE, Parnell-Parmley JE, Haidar S, et al., “Assessment of radiation dose awareness among pediatricians”, Pediatr Radiol., 2006, 36, 823-832.
 
[25]  Gelfand MJ., “Dose reduction in pediatric hybrid and planar imaging”, Q J. of Nucl Med Mol Imaging, 2010, 54, 379-388.
 
[26]  Treves ST, Davis RT, Fahey FH., “Administered radiopharmaceutical doses in children: a survey of 13 pediatric hospitals in North America”, J. Nucl Med., 2008, 49, 1024-1027.
 
[27]  Hsaio E, Cao X, Zukotynski K, et al., “Reduction in radiation dose in MAG3 renography by enhanced planar processing”, Radiology, December 2011, 261, 907-915.
 
[28]  Gelfand MJ, Parisi MT, Treves ST., “Pediatric radiopharmaceutical administered doses: 2010 North American consensus guidelines”, J. of Nucl Med., 2011, 52, 318-322.
 
[29]  “Dose Guidelines for Pediatric Nuclear Medicine”, http://www.asrt.org/main/news-research/press-room/2010/10/14/DoseGuidelinesforPediatricNuclearMedicine, Oct. 2010.
 
[30]  Gary R Small, Benjamin JW Chow, Terrence D Ruddy, “Low-dose Cardiac Imaging”, Expert Rev Cardiovasc Ther., 2012, 10(1), 89-104.
 
[31]  “Reducing Radiation Exposure in Nuclear Medicine by Novel Processing Techniques”, http://www.medscape.com/viewarticle/755808_25, 2012.
 
[32]  Hricak H, Brenner DJ, Adelstein SJ, et al., Managing radiation use in medical imaging: a multifaceted challenge”, Radiology, 2011, 258, 889-905.