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  • 1.
    Gårdestig, Magnus
    et al.
    Linköpings universitet, Institutionen för medicin och vård, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet.
    Helmrot, Ebba
    Linköpings universitet, Institutionen för medicin och vård, Medicinsk radiologi. Linköpings universitet, Hälsouniversitetet. Jönköping County Hospital.
    Sandborg, Michael
    Linköpings universitet, Institutionen för medicin och vård, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet.
    Nilsson Althén, Jonas
    Linköpings universitet, Institutionen för medicin och vård, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet.
    Bahar Gogani, Jalil
    Linköpings universitet, Institutionen för medicin och vård, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet.
    Alm Carlsson, Gudrun
    Linköpings universitet, Institutionen för medicin och vård, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet.
    Pettersson, Håkan BL
    Linköpings universitet, Institutionen för medicin och vård, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet.
    Estimations of effective dose in X-ray examinations derived from information stored in PACS2005Inngår i: Radiological Protection in Transition: Proceedings of the XIV Regular Meeting of the Nordic Society for Radiation Protection, NSFS, Stockholm: Statens Strålskyddsinstitut , 2005, s. 175-178Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Information about each X-ray examination, in a modern digitized X-ray department is generated and stored in a PACS. Appropriate conversion factors, e.g. E/DAP, can be applied to separate projections and summed to the total effective dose for each examination. The objectives of the work were (i) to investigate the accuracy and precision in the calculated effective dose (ii) to identify data for registration of (1) patient dose, (2) exposure data, and (3) patient information (iii) to make it possible to derive dose statistics on patient level for documentation of diagnostic standard doses, optimizations, constancy checks, and future epidemiological studies. The effective doses were calculated using Monte Carlo based computer programs or by using tabulations. Conversion factors were calculated for different levels of information and the individual effective dose was compared to the most precise estimation. The results suggest that the accuracy in the estimations of effective dose increases by added information about the patient (gender, size) and how the examination was performed.

  • 2.
    Helmrot, Ebba
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Pettersson, Håkan
    Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Radiofysikavdelningen. Linköpings universitet, Institutionen för medicin och vård, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet.
    Sandborg, Michael
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Centrum för medicinsk bildvetenskap och visualisering, CMIV. Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Radiofysikavdelningen. Linköpings universitet, Hälsouniversitetet.
    Nilsson Althen, Jonas
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Estimation of the dose to the unborn child at diagnostic X-ray examinations based on data registrerad in RIS/PACS2007Inngår i: European Radiology, ISSN 0938-7994, E-ISSN 1432-1084, Vol. 17, nr 1, s. 205-209Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this work was to determine mean absorbed doses to the unborn child in common conventional X-ray and computed tomography (CT) examinations and to find an approach for estimating foetal dose based on data registered in the Radiological Information System/Picture Archive and Communication System (RIS/PACS). The kerma-area product (KAP) and CT dose index (CTDIvol) in common examinations were registered using a human-shaped female dosimetry phantom. Foetal doses, Df, were measured using thermoluminescent dosimeters placed inside the phantom and compared with calculated values. Measured foetal doses were given in relation to the KAP and the CTDIvol values, respectively. Conversion factor Df/KAP varies between 0.01 and 3.8 mGy/Gycm2, depending on primary beam position, foetus age and beam quality (tube voltage and filtration). Conversion factors Df/CTDIvol are in the range 0.02 – 1.2 mGy/mGy, in which the foetus is outside or within the primary beam. We conclude that dose conversion factors based on KAP or CTDIvol values automatically generated by the RIS/PACS system can be used for rapid estimations of foetal dose for common examination techniques.

  • 3.
    Kataria, Bharti
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för radiologiska vetenskaper. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Diagnostikcentrum, Röntgenkliniken i Linköping. Linköpings universitet, Centrum för medicinsk bildvetenskap och visualisering, CMIV.
    Sandborg, Michael
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för radiologiska vetenskaper. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US. Linköpings universitet, Centrum för medicinsk bildvetenskap och visualisering, CMIV.
    Nilsson Althen, Jonas
    Linköpings universitet, Medicinska fakulteten. Region Östergötland, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för radiologiska vetenskaper.
    IMPLICATIONS OF PATIENT CENTRING ON ORGAN DOSE IN COMPUTED TOMOGRAPHY2016Inngår i: Radiation Protection Dosimetry, ISSN 0144-8420, E-ISSN 1742-3406, Vol. 169, nr 1-4, s. 130-135Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Automatic exposure control (AEC) in computed tomography (CT) facilitates optimisation of dose absorbed by the patient. The use of AEC requires appropriate ‘patient centring’ within the gantry, since positioning the patient off-centre may affect both image quality and absorbed dose. The aim of this experimental study was to measure the variation in organ and abdominal surface dose during CTexaminations of the head, neck/thorax and abdomen. The dose was compared at the isocenter with two off-centre positions—ventral and dorsal to the isocenter. Measurements were made with an anthropomorphic adult phantom and thermoluminescent dosemeters. Organs and surfaces for ventral regions received lesser dose (5.6–39.0 %) than the isocenter when the phantom was positioned 13 cm off-centre. Similarly, organ and surface doses for dorsal regions were reduced by 5.0–21.0 % at 25 cm off-centre. Therefore, correct vertical positioning of the patient at the gantry isocenter is important to maintain optimal imaging conditions.

  • 4.
    Nilsson Althén, Jonas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Medicinsk radiofysik. Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Kirurgiska kliniken i Östergötland med verksamhet i Linköping, Norrköping och Motala.
    Automatic tube-current modulation in CT-A comparison between different solutions2005Inngår i: Optimisation Strategies in medical x-ray imaging,2004, Oxford: Oxford University Press , 2005, s. 308-Konferansepaper (Fagfellevurdert)
  • 5.
    Nilsson Althén, Jonas
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för radiologiska vetenskaper. Region Östergötland, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US. Linköpings universitet, Medicinska fakulteten.
    Sandborg, Michael
    Region Östergötland, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för radiologiska vetenskaper. Linköpings universitet, Centrum för medicinsk bildvetenskap och visualisering, CMIV. Linköpings universitet, Medicinska fakulteten.
    VERIFICATION OF INDICATED SKIN ENTRANCE AIR KERMA FORCARDIAC X-RAY-GUIDED INTERVENTION USING GAFCHROMIC FILM2016Inngår i: Radiation Protection Dosimetry, ISSN 0144-8420, E-ISSN 1742-3406, Vol. 169, nr 1-4, s. 245-248Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this work was to verify the indicated maximum entrance surface air kerma (ESAK) using a GE Innova IGS 520 imaging system during cardiac interventional procedures. Gafchromic XR RV3 films were used for the patient measurements to monitor the maximum ESAK. The films were scanned and calibrated to measure maximum ESAK. Thermoluminescent dosemeters were used to measure the backscatter factor from an anthropomorphic thorax phantom. The measured backscatter factor, 1.53, was in good agreement with Monte Carlo simulations but higher than the one used by the imaging system, 1.20. The median of the ratio between indicated maximum ESAK and measured maximum ESAKwas 0.68. In this work, the indicated maximum ESAK by the imaging system’s dose map model underestimates the measured maximum ESAK by 32 %. The threshold ESAK for follow-up procedures for patient with skin dose in excess of 2 Gy will be reduced to 1.4 Gy.

  • 6.
    Nilsson, Jonas
    Linköpings universitet, Institutionen för medicin och vård, Medicinsk radiofysik. Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Kirurgiska kliniken i Östergötland med verksamhet i Linköping, Norrköping och Motala. Linköpings universitet, Tekniska högskolan.
    Automatic tube-current modulation in CT - A comparison between different solutions2005Inngår i: Radiation Protection Dosimetry, ISSN 0144-8420, E-ISSN 1742-3406, Vol. 114, nr 1-3, s. 308-312Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this study, tube-current modulation systems on two different CT equipments have been evaluated: Care Dose from Siemens and Auto mA from GE Medical Systems. Care Dose modulates the tube current in the xy-plane during rotation whereas Auto mA modulates the tube current in the z-direction. xy-Plane modulation was investigated by using an elliptic Poly-methylmethacrylate phantom and a CTDI-ion chamber. To investigate modulation in the z-direction, an anthropomorphic dosimetry phantom (Atom) was used. Tests performed with and without tube-current modulation were compared with respect to absorbed dose and image quality. In the anthropomorphic phantom measurements, the dose savings were 15% using Care Dose and the photon starvation artefacts were negligible. Using Auto mA the absorbed dose depends on the chosen noise level. Image noise becomes more constant throughout the patient but photon starvation artefacts remain. We conclude that the two tube-current modulation techniques show different dose advantages and image quality artefacts. © The Author 2005. Published by Oxford University Press. All rights reserved.

  • 7.
    Nilsson, Jonas
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Radiofysik. Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Radiofysikavdelningen.
    Lund, Eva
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Radiofysik. Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Radiofysikavdelningen.
    Lund, Anders
    The effects of UV-irradiation on the ESR-dosimetry of tooth enamel2001Inngår i: Applied Radiation and Isotopes, ISSN 0969-8043, E-ISSN 1872-9800, Vol. 54, nr 1, s. 131-139Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Tooth enamel has been shown to be an excellent dosimeter material for retrospective dosimetry. A complication is that it is sensitive to ultraviolet light (UV), creating a signal that interferes with the dosimetric signal. Irradiation of tooth enamel by UV-light induces a mixture of stable and unstable free radicals. The unstable radicals disappear in about three weeks. Stable radicals are created both at the dosimetric peak and at the same g-value as the native peak. The stable peak coinciding with the native peak shows saturation behavior both for UVA/B- and UVC-light. The signal intensity from the sun is roughly estimated to induce a signal comparable to 15 mGy/h from 60 kV X-rays. The blue lamps used by dentists when hardening plastic repairs contain a narrow tail in the UVA/B-region, and it is shown here that these lamps also contribute to the stable peak coincident with the native peak. The contribution to the dosimetry peak, though negligible, at least for the irradiation times is used in this work. Most of the problems with UVA/B-induced signal contributions can probably be avoided by not using front teeth and teeth close to plastic repairs. (C) 2000 Elsevier Science Ltd.Tooth enamel has been shown to be an excellent dosimeter material for retrospective dosimetry. A complication is that it is sensitive to ultraviolet light (UV), creating a signal that interferes with the dosimetric signal. Irradiation of tooth enamel by UV-light induces a mixture of stable and unstable free radicals. The unstable radicals disappear in about three weeks. Stable radicals are created both at the dosimetric peak and at the same g-value as the native peak. The stable peak coinciding with the native peak shows saturation behavior both for UVA/B- and UVC-light. The signal intensity from the sun is roughly estimated to induce a signal comparable to 15 mGy/h from 60 kV X-rays. The blue lamps used by dentists when hardening plastic repairs contain a narrow tail in the UVA/B-region, and it is shown here that these lamps also contribute to the stable peak coincident with the native peak. The contribution to the dosimetry peak, though negligible, at least for the irradiation times is used in this work. Most of the problems with UVA/B-induced signal contributions can probably be avoided by not using front teeth and teeth close to plastic repairs.

  • 8.
    Pettersson, Håkan
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Radiofysik. Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Radiofysikavdelningen.
    Helmrot, Ebba
    Sandborg, Michael
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Radiofysik. Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Radiofysikavdelningen.
    Nilsson, Jonas
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Radiofysik. Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Radiofysikavdelningen.
    Olsson, Sara
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Radiofysik. Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Radiofysikavdelningen.
    Persliden, Jan
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och vård, Radiofysik.
    Cederlund, Torsten
    Prenatal radiation exposures at diagnostic procedures: mathods to identify exposed pregnant patients2002Inngår i: European IRPA Congress 2002, FlorensISBN 88-88648-09-7,2002, 2002Konferansepaper (Fagfellevurdert)
  • 9.
    Sandborg, Michael
    et al.
    Linköpings universitet, Centrum för medicinsk bildvetenskap och visualisering, CMIV. Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Radiofysikavdelningen.
    Nilsson Althen, Jonas
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Gustafsson, Agneta
    Linköpings universitet, Centrum för medicinsk bildvetenskap och visualisering, CMIV. Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Kirurgi- och onkologicentrum, Radiofysikavdelningen.
    EFFICIENT QUALITY ASSURANCE PROGRAMS IN RADIOLOGY AND NUCLEAR MEDICINE IN ÖSTERGÖTLAND, SWEDEN2010Inngår i: Radiation Protection Dosimetry, ISSN 0144-8420, E-ISSN 1742-3406, Vol. 139, nr 1-3, s. 410-417Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Owners of imaging modalities using ionising radiation should have a documented quality assurance (QA) program, as well as methods to justify new radiological procedures to ensure safe operation and adequate clinical image quality. This includes having a system for correcting divergences, written imaging protocols, assessment of patient and staff absorbed doses and a documented education and training program. In this work, how some aspects on QA have been implemented in the County of Östergötland in Sweden, and efforts to standardise and automate the process as an integrated part of the radiology and nuclear medicine QA programs were reviewed. Some key performance parameters have been identified by a Swedish task group of medical physicists to give guidance on selecting relevant QA methods. These include low-contrast resolution, image homogeneity, automatic exposure control, calibration of air kerma-area product metres and patient–dose data registration in the radiological information system, as well as the quality of reading stations and of the transfer of images to the picture archive and communication system. IT-driven methods to automatically assess patient doses and other data on all examinations are being developed and evaluated as well as routines to assess clinical image quality by use of European quality criteria. By assessing both patient absorbed doses and clinical image quality on a routine basis, the medical physicists in our region aim to be able to spend more time on imaging optimisation and less time on periodic testing of the technical performance of the equipment, particularly on aspects that show very few divergences. The role of the Medical Physics Expert is rapidly developing towards a person doing advanced data-analysis and giving scientific support rather than one performing mainly routine periodic measurements. It is concluded that both the European Council directive and the rapid development towards more complex diagnostic imaging systems and procedures support this changing role of the medical physics professional.

  • 10.
    Sandborg, Michael
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Centrum för medicinsk bildvetenskap och visualisering, CMIV. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Nilsson Althen, Jonas
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Gustafsson, Agnetha
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Efficient quality assurance in radiology and Nuclear Medicine2010Konferansepaper (Annet vitenskapelig)
  • 11.
    Sandborg, Michael
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Nilsson Althén, Jonas
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Pettersson, Håkan
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Rossitti, Sandro
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Sinnescentrum, Neurokirurgiska kliniken US.
    Patient Organ Radiation Doses During Treatment for Aneurysmal Subarachnoid Hemorrhage2012Inngår i: Clinical neuroradiology, ISSN 1869-1447, Vol. 22, nr 4, s. 315-325Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The aim of this retrospective study was to estimate risk organ doses and to estimate radiation risks during the imaging work-up and treatment for aneurysmal subarachnoid hemorrhage (SAH). METHODS: The imaging procedures comprised computed tomography and digital subtraction angiography studies for diagnosis or endovascular interventional procedures in 50 consecutive patients. Equivalent organ doses (H(T)) to skin, brain, eye lens, salivary glands, thyroid and oral mucosa were measured using thermoluminescence dosimeters in an anthropomorphic head phantom. Picture archiving and communication system (PACS) and radiological information system (RIS) records were analyzed and the frequency of each imaging procedure was recorded as well as the registered individual kerma-length product (P(KL)) and the kerma-area product (P(KA)). The doses were computed by multiplying the recorded P(KL) and P(KA) values by the conversion coefficients H(T)/P(KL) and H(T)/P(KA) from the head phantom. RESULTS: The mean fluoroscopy time, P(KL) and P(KA) were 38 min, 7269 mGy cm and 286 Gy cm(2), respectively. The estimated mean equivalent doses were as follows: skin 2.51 Sv, brain 0.92 Sv, eye lens 0.43 Sv and salivary glands 0.23 Sv. Maximum organ doses were 2.3-3.5 times higher than the mean. Interventional procedures contributed 66 % to skin dose, 55 % to brain dose and 25 % to eye lens dose. Of the patients with an estimated skin dose exceeding 6 Sv, only 1 developed temporary epilation. CONCLUSION: The risk for radiation-induced cancer for SAH patients is low (2-3 cases per 1,000 patients, of which 90 % are expected to be benign types) compared with the risk of tissue reactions on the head such as skin erythema and epilation (1 temporary epilation per 50 patients).

  • 12.
    Sandborg, Michael
    et al.
    Linköpings universitet, Centrum för medicinsk bildvetenskap och visualisering, CMIV. Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Rossitti, Sandro
    Linköpings universitet, Institutionen för klinisk och experimentell medicin. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Sinnescentrum, Neurokirurgiska kliniken US.
    Pettersson, Håkan
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Nilsson Althen, Jonas
    Linköpings universitet, Institutionen för medicin och hälsa, Medicinsk radiofysik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Centrum för kirurgi, ortopedi och cancervård, Radiofysikavdelningen US.
    Patient organ radiation doses during treatment for aneurismal subarachnoid haemorrhage2011Konferansepaper (Annet vitenskapelig)
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