Estimation of patients' organ doses and conceptus doses from selected X-ray examinations in two Nigeria X-ray centres

In this study, organ and conceptus doses of patients undergoing chest, abdomen and skull radiograph examinations at two Nigeria X-ray centres, Niger State General Hospital (NGH) and Two-Tees (TTX), are reported. Air kerma was measured, and entrance surface dose (ESD) and half-value layer estimated for each set of tube potential (kVp), focus to skin distance and current-time product (mAs) used for each of the patients included in this study. Results show that the mean air kerma in the two centres are similar for the three projections considered in this study. Organ doses ranged from <0.01 to 2.18 mGy in NGH and from <0.01 to 1.29 mGy in TTX for examinations of the abdomen, from <0.01 to 0.20 mGy in NGH and from <0.01 to 0.13 mGy in TTX for examinations of the skull and from <0.01 to 3.90 mGy in NGH and from <0.01 to 1.96 mGy in TTX for examinations of the chest. Generally, no significant difference is seen between the organ doses of male and female patients. In NGH, organ doses are generally greater than those from TTX for the three examinations. The mean ESDs for examinations of the chest postero-anterior, abdomen antero-posterior (AP) and skull AP are, respectively, 5.37, 6.28 and 4.24 mGy in NGH, and 5.82, 5.33 and 4.76 mGy in TTX. The ESDs reported in this study, except for examinations of the chest, are generally lower than comparable values published in the literature. Conceptus doses were also estimated for female patients using normalised published conceptus dose data for abdomen examinations. The estimated conceptus doses were >1 mGy even when the conceptus was located 12 cm below the surface of the abdomen. (authors)