j l l jh I 4&1 S u d a n a c a d e m y o f s c i e n c e s A t o m ic E n e r g y C o u n c il Evaluation o f R ad iation D ose In F acial Bones and P aranasal Sinuses E xam in ation U sing C om puted T om ograp h y Murtada Ahmed Adam Ali B.Sc. in Physics, Omdurman Islamic University, 2009 A Thesis Submitted As A Partial Fulfilment For Requirements Of M.Sc. Degree In Medical Physics Supervisor: D r .A b d e lm o n e im A d a m M o h a m e d May 2013 Evaluation o f R ad iation D ose In F a cia l Bones and P aran asal Sinuses E xam in ation U sing C om puted T om ograp h y by: Murtada Ahmed Adam Ali E xam in ation C om m ittee N a m e T it le S ig n a t u r e P ro f. F a r o u k I d r i s H a b b a n i E x t e r n a l E x a m i n e r D r . A b d e l m o n e i m A d a m S u p e r v i s o r M o h a m e d M r. A m a r .M . E L A M E E N A c a d e m i c A f f a i r s R e p r e s e n t a t i v e D ate o f E x a m : r A n d to m y fam ily. I First and foremost, I would like to express my deepest gratitude to Dr. Abdelmoneim Adam Mohamed Sulieman for his support and guidance. Without his help this work could not have been accomplished. I also would like to thank Mr.Mubark Siddig for his in data analysis. Contents Subject Page No. 1 *" 1 Luvi Dedication 1 11 | III 1 Acknowledgements j VIII 1 List of tables j i 1 List of figures ________ j Abbreviations XIII A bstract XIV A bstract A rabic C H A PT E R ONE Ii\T H 0 1 )IJ C T I0 i\T ■ 1 l.lC o m p u te d tom ography history and Development 1 1 1 1.2 R adiation exposure in CT 1 1.3 Problem of study | L _ J 1.4 Objective of study 4 1.5 Thesis out Lines 1 CHAPTER TWO — ■■■ "■ i i ■ ■■ I"'-'" ■■ i— ■■■w.i — ■ ■ .. ■ ■■ ... ■ ■■ ■« ■■■■■■J K ■ IV j THEORETICAL BACKGROUND_______________ | I 2.1 CT machine I | 5 2.2 CT g a n try 1 12.1.1 X -ray tube, collimation, filtration 7 1 12.2.2 D ata acquisition system (DAS) 10 11 I 2.2.3 CT p atien t table or couch j 2.3 C om puted tom ography generation_____________ | | 1 2 || 2.3.1 F irs t generation 12 l 12.3.2 Second generation__________________________ j 13 1 2.3.3 T h ird generation 1 14 | J j 2.3.4 F o u rth generation__________________________ 15 | j j 2.3.5 Fifth generation 16 | 2.4 3D image reconstruction 17 2.5 R adiation quantity and unit 1 18 2.5.1Definition o fC T D I 18 1 2.5.2 Definition o f CTD I ______________________ 1 fda 1 19 _______ 2.5.3 Definition of CTDIioo_______________ | 20 2.5.4 Definition of CTDIw______________ _________ | 20 V 21 2.5.5 Definition o f CTDIvol 1 21 1 2.5.6 Definition o f DLP 22 2.6 Computed tomography scan and radiation risk 2.7 Facial bones and PNS sinuses | 2 2 2.8 Dosimitry tools 1 | 2 5 26 2.8.1TLDs 1 26 2.8.2 OSLs | 26 2.8.3 Silicon diode dosimetry systems 27 2.8.4 M OSFET dosimetry | 2.8.5 Alanine dosimetry | 2 7 2.8.6 Plastic scintillation system | 2 7 2.8.7 Diamond dosimetry | 2 7 2.8.8 Gel dosimetry | 2 8 2.8.9 Chemical dosimetry | 2 8 j 28 2.8.10 Phantom 28 2.8.11 Ionization chamber 1 2.9 Previous studies | 2 9 CHAPTER THREE 1 MATERIALS ANI) METHODS VI 3.1 Introduction «- I J j 3.2 CT machines 35 J 3.3 Patient data 35 3.4 Radiation dose calculations . . . M* j 3.4 Clinical indication and patient preparation | 3.5 CT protocol 1 3 9 3.6 Data analyses 1 4 0 1 C H A P T E R F O U R R E S U L T S A N D D I S C U S S I O N 4.3 Discussion 1 4 9 C H A P T E R F IV E j C O N C L U SIO N A N D R E C O M M E N D A T IO N S ■ j 5.1 Conclusion j 5 6 5.2 Recommendations 1 1 ■ 5.3 Suggestion___________________________________ | 5.4 References List o f tables J P a g e N o . 1 T a b l e _ ________________________________________________________________________________________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 1.1 Effective radiation dose in CT examination 1 with the different organs 1 : o 1 2.3 CT protocol used in Facial Bones and j TO 4.1 Patient exposure parameters and radiation 1 42 doses during CT examinations in ALamal 1 National Hospital 1 4.2 Patient exposure parameters and radiation doses during CT examinations in Alribat i hospital 4.3 Dose comparison between two hospital 1 1 | H i • 4.4 Patient dose during CT for facial bones and PNS in previous studies ” 1
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