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Effective dose in percutaneous transhepatic biliary drainage examination using PCXMC2.0 and MCNP5 Monte Carlo codes
Institution:1. Medical Physics Department, Medical School, University of Athens, 75 Mikras Asias Str., Goudi, 11527 Athens, Greece;2. Radiology Department, Laiko Hospital of Athens, 17 Ag. Thoma Str., Goudi, 11527 Athens, Greece;3. Medical Physics Department, Laiko Hospital of Athens, 17 Ag. Thoma Str., Goudi, 11527 Athens, Greece;1. Department of Oral and Maxillofacial Surgery/Pathology & 3D Innovation Lab, VU University Medical Center/Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands;2. Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Hasanuddin, Makassar, Indonesia;3. Department of Oral and Maxillofacial Surgery, University of Oulu, Oulu University Hospital, Oulu, Finland;1. Department of Diagnostic Radiology, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433;2. Yong Loo Lin School of Medicine, National University of Singapore, Singapore;3. Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore;1. Clinical Assistant, Orthopedic and Traumatology Clinic, Clinical Center of Serbia, and Belgrade University School of Medicine, Belgrade, Serbia;2. Primarius, Orthopedic and Traumatology Clinic, Clinical Center of Serbia, Belgrade, Serbia;3. Orthopedic and Traumatology Clinic, Clinical Center of Serbia, Belgrade, Serbia;4. Professor, Orthopedic and Traumatology Clinic, Clinical Center of Serbia, and Belgrade University School of Medicine, Belgrade, Serbia;1. BreastScreen NSW Hunter New England, Australia;2. University of Newcastle, Australia;3. Discipline of Medical Radiation Sciences, University of Newcastle, NSW, Australia;1. Department of Urology, University of Washington School of Medicine, Seattle, WA;2. Department of Radiology, University of Washington School of Medicine, Seattle, WA;1. University of Colorado School of Medicine, Aurora, Colorado;2. Departments of Radiology and Medicine, Columbia University Medical Center, New York, New York;3. The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, Maryland
Abstract:ObjectivesTo estimate the organ equivalent doses and the effective doses (E) in patient undergoing percutaneous transhepatic biliary drainage (PTBD) examinations, using the MCNP5 and PCXMC2 Monte Carlo-based codes.MethodsThe purpose of this study is to estimate the organ doses to patients undergoing PTBD examinations by clinical measurements and Monte Carlo simulation. Dose area products (DAP) values were assessed during examination of 43 patients undergoing PTBD examination separated into groups based on the gender and the dimensions and location of the beam.ResultsMonte Carlo simulation of photon transport in male and female mathematical phantoms was applied using the MCNP5 and PCXMC2 codes in order to estimate equivalent organ doses. Regarding the PTBD examination the organ receiving the maximum radiation dose was the lumbar spine. The mean calculated HT for the lumbar spine using the MCNP5 and PCXMC2 methods respectively, was 117.25 mSv and 131.7 mSv, in males. The corresponding doses were 139.45 mSv and 157.1 mSv respectively in females. The HT values for organs receiving considerable amounts of radiation during PTBD examinations were varied between 0.16% and 73.2% for the male group and between 1.10% and 77.6% for the female group. E in females and males using MCNP5 and PCXMC2.0 was 5.88 mSv and 6.77 mSv, and 4.93 mSv and 5.60 mSv.ConclusionThe doses remain high compared to other invasive operations in interventional radiology. There is a reasonable good coincidence between the MCNP5 and PCXMC2.0 calculation for most of the organs.
Keywords:Dose assessment  Monte Carlo  Modeling  Radiology
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