Evaluation of effective dose from a RANDO phantom in videofluorography diagnostic procedures for diagnosing dysphagia

Objectives: Videofluorography (VF) is useful for diagnosing dysphagia; however, few reports have investigated appropriate effective doses for VF. The present study aimed to estimate the effective radiation dose in VF for diagnosis of dysphagia. Methods: Radiation doses to tissues and organs were measured using the anthropomorphic RANDO woman phantom as an equivalent to the human body. Effective doses were estimated according to the recommendations of the International Commission on Radiological Protection (ICRP) 60 in 1990 and IRCP 103 in 2007. The tissues measured were those recommended by ICRP 60 and ICRP 103 including gonads (ovaries and testes), red bone marrow and tissues in which excessive radiation commonly causes malignant tumours including lung, thyroid gland, stomach, large intestine, liver, oesophagus, bladder, breast, bone marrow, skin, brain and salivary gland. Skin dose was also measured using thermoluminescent dosimeters. Results: Using ICRP 103, the effective dose was estimated as 118.1 mu Sv at a tube voltage of 50 kV and 82.4 mu Sv at 45 kV. However, using ICRP 60 the effective dose for 1 min of VF was estimated at 62.4 mu Sv and 47.2 mu Sv under the same exposure conditions. Conclusions: Using ICRP 103, the effective dose for VF per examination at a total estimation time of 1 min was estimated as approximately 2.5-8.3 times that observed for digital panoramic radiography and 1/12 to 3 times depending on the measurement device for cone beam CT (CBCT). This value can be decreased in the future using a smaller irradiation field and decreased time for examination in VF in the future. Dentomaxillofacial Radiology (2011) 40, 96-101. doi: 10.1259/dmfr/51307488