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OP 94<br />

Title<br />

INFLuENCE OF THE REMNANT bEAM ON OCCuPATIONAL DOSE IN INTRAORAL<br />

RADIOGRAPHy<br />

Authors<br />

E. bERKHOuT 1<br />

Affiliations<br />

1 ACTA - Department of Oral Radiology, Amsterdam, NETHERLANDS<br />

Body<br />

Objectives: In The Netherlands every dental clinic must have a risk analysis of occupational<br />

effective dose. However, a variety in methods of calculating the occupational dose is currently<br />

used. T<strong>here</strong>fore the aim of the study w<strong>as</strong> to <strong>as</strong>sess occupational dose values from intraoral<br />

radiography from the remnant beam and subsequently to develop a Dutch standard in occupational<br />

dose calculations from intraoral radiography.<br />

Methods: The Unfors Xi survey detector w<strong>as</strong> used to me<strong>as</strong>ure radiation dose in the remnant<br />

beam. The detector w<strong>as</strong> placed on the other site of the phantom’s and patient’s head in line<br />

with the X-ray tube at 1,50 meter distance. H*(10) w<strong>as</strong> me<strong>as</strong>ured <strong>as</strong> an indicator for effective<br />

dose. The data were compared with the non-attenuated primary beam and me<strong>as</strong>urements of<br />

the secondary radiation around the patient.<br />

As dependent variables exposure time, the radiographic detector, beam collimation, mA and kV<br />

were taken into account.<br />

Results: The occupational dose in the remnant beam w<strong>as</strong> significantly higher than in other<br />

directions from the head of the patient. However, at the same time the me<strong>as</strong>ured doses were<br />

significantly lower than the dose of the non-attenuated primary beam, especially behind the<br />

patient (frontal X-rays).<br />

Conclusion: Compared to earlier studies the occupational dose is relatively higher in the<br />

remnant beam. This can be explained by the study setup. We mimicked the clinical situation<br />

which means that in intraoral radiography the mouth of the patient often is partly open. These<br />

data can be used for a Dutch norm for dose risk <strong>as</strong>sessment in dental clinics.<br />

Keywords<br />

radiometry, radiation dosage, radiography<br />

84

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