Effective dose for multiple and repeated radiation examinations in donors and recipients of adult-to-adult living donor liver transplants at a single center

doi:10.1016/j.ejrad.2020.109078

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/24810

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/24810

Title:	Effective dose for multiple and repeated radiation examinations in donors and recipients of adult-to-adult living donor liver transplants at a single center
Authors:	Chiang, HW;Chuang, TC;Chen, CL;Tyan, YS;Lin, TL;Tsang, LLC;Tu, JA;Chou, YH;Tsai, HY;Chen, TR
Keywords:	Effective dose;Liver transplant;Living;Donor;Recipient
Date:	2020
Issue Date:	2022-08-09T08:08:21Z (UTC)
Publisher:	ELSEVIER IRELAND LTD
ISSN:	0720-048X
Abstract:	Purpose: To evaluate the effective doses received by donors and recipients, identify effective dose contributions, and make risk assessments. Materials and Methods: It was a retrospective study. 100 Donors and 100 recipients were enrolled with an operative day from March 2016 to August 2017. The dose was analyzed for all radiation-related examinations over a period of 2 years, 1 year before and 1 year after the LDLT procedure. The effective doses of plain X-rays, CT, fluoroscopy, and nuclear medicine per patient were simulated by a Monte Carlo software, evaluated by the doselength product conversion factors, evaluated by the dose-area product conversion factors, and evaluated by the activity conversion factors, respectively. The risks of radiation-induced cancer were assessed on the basis of the ICRP risk model. Results: The median effective doses were 71 (range: 30-186) mSv for donors and 147 (32-423) mSv for recipients. The radiation examinations were mainly performed in the last three months of preoperative period to first month of postoperative period for recipients and donors. The HCC recipients received a higher effective dose, 195 (64-423) mSv, than those with other indications. The median radiation-induced cancer risk was 0.38 % in male and 0.48 % in female donors and was 0.50 % in male and 0.58 % in female recipients. Conclusion: Donors and recipients received a large effective dose, mainly from the CT scans. To reduce effective doses should be included in future challenges in some living donor liver transplants centers that often use CT examinations.
URI:	http://dx.doi.org/10.1016/j.ejrad.2020.109078 https://www.webofscience.com/wos/woscc/full-record/WOS:000548601300004 https://ir.csmu.edu.tw:8080/handle/310902500/24810
Relation:	EUROPEAN JOURNAL OF RADIOLOGY ,2020 ,v129
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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