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A V/Q scan confers a higher radiation dose to the fetus, while a CTPA confers a much higher radiation dose to the mother's breasts. A review from the United Kingdom in 2005 considered CTPA to be generally preferable in suspected pulmonary embolism in pregnancy because of higher sensitivity and specificity as well as a relatively modest cost. [7]
The Haller index, created in 1987 by J. Alex Haller, S. S. Kramer, and S. A. Lietman, [1] is a mathematical relationship that exists in a human chest section observed with a CT scan. It is defined as the ratio of the transverse diameter (the horizontal distance of the inside of the ribcage ) and the anteroposterior diameter (the shortest ...
Flight-time equivalent dose (FED) is an informal unit of measurement of ionizing radiation exposure. Expressed in units of flight-time (i.e., flight-seconds, flight-minutes, flight-hours), one unit of flight-time is approximately equivalent to the radiological dose received during the same unit of time spent in an airliner at cruising altitude.
The computed tomography dose index (CTDI) is a commonly used radiation exposure index in X-ray computed tomography (CT), first defined in 1981. [ 1 ] [ 2 ] The unit of CTDI is the gray (Gy) and it can be used in conjunction with patient size to estimate the absorbed dose .
The radiation used in CT scans can damage body cells, including DNA molecules, which can lead to radiation-induced cancer. [148] The radiation doses received from CT scans is variable. Compared to the lowest dose X-ray techniques, CT scans can have 100 to 1,000 times higher dose than conventional X-rays. [149]
Radiation dosimetry in the fields of health physics and radiation protection is the measurement, calculation and assessment of the ionizing radiation dose absorbed by an object, usually the human body. This applies both internally, due to ingested or inhaled radioactive substances, or externally due to irradiation by sources of radiation.
CTPA was introduced in the 1990s as an alternative to ventilation/perfusion scanning (V/Q scan), which relies on radionuclide imaging of the blood vessels of the lung. It is regarded as a highly sensitive and specific test for pulmonary embolism. [1] CTPA is typically only requested if pulmonary embolism is suspected clinically.
Like all methods of radiography, chest radiography employs ionizing radiation in the form of X-rays to generate images of the chest. The mean radiation dose to an adult from a chest radiograph is around 0.02 mSv (2 mrem) for a front view (PA, or posteroanterior) and 0.08 mSv (8 mrem) for a side view (LL, or latero-lateral). [1]