Otimização dos protocolos de aquisição de tomografia computadorizada por feixe cônico para redução da dose de radiação

Detalhes bibliográficos
Ano de defesa: 2022
Autor(a) principal: Santos, Ananda Amaral lattes
Orientador(a): Silva, Fernanda Paula Yamamoto lattes
Banca de defesa: Silva, Brunno Santos de Freitas, Mosconi, Carla, Silva, Fernanda Paula Yamamoto, Arruda, Karine Evangelista Martins, Paiva, Rogério Ribeiro de
Tipo de documento: Tese
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal de Goiás
Programa de Pós-Graduação: Programa de Pós-graduação em Odontologia (FO)
Departamento: Faculdade de Odontologia - FO (RG)
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/12483
Resumo: CBCT is influenced by a series of variables such as: the equipment, FOV, exposure time, mA, kVp and also the spatial resolution defined by the voxel size. As the dose should be as low as diagnostically possible, it’s reduction is only possible when the image quality is maintained. It is possible to reduce the radiation dose in patients undergoing dental exams without causing harmful impact on the image quality and, therefore, on diagnostic accuracy, by changing exposure parameters in CBCT equipment, so, the optimization of protocols is sought, for each device, characterized by low radiation dose and high image quality. This study aimed to evaluate the influence of different CBCT exposure protocols in reducing the radiation dose in a CBCT equipment while maintaining image quality. For this, medullary follicles were used in thermoluminescent regions, including radiosensitive regions, including bone, bone, skin, salivary glands, brain and eyes, eyes visible in an anthropomorphic Alderson RANDO® phantom. Eight different ones were performed on the Picasso Trio® scanner (Vatech, Hwaseong, South Korea), with different variations of kVp, mA and number of base images. The effective dose was defined by the International Commission in accordance with Radiological Protection. A subjective assessment of image quality was performed by three experts. When comparing the 8 acquisition protocols, the protocol that obtained the lowest values of radiation DE was protocol 1. The protocol that obtained the highest radiation DE was protocol 8. Protocol 5 (3 mA, 99kVp, 450 IB) proves to be an ideal option among the protocols, due to the low DE associated with a good score obtained when evaluating image quality More studies are needed to standardize a methodology in order to compare different equipment.