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Radiation doses to paediatric patients up to 5 years of age undergoing micturating cystourethrography examinations and its dependence on patient age: a Monte Carlo study

Department of ¹ Medical Physics and ² Radiology, Medical School, Aristotelian University of Thessaloniki, Thessaloniki 54124, Greece

The effective dose received by children up to 5 years of age from micturating cystourethrography (MCU) examinations was estimated in this study. The MCU examination consisted of 5 radiological views, 2 anteroposterior (AP) and three oblique (OBL) views. Entrance surface doses (ESD) were measured with thermoluminescent dosimeters for 30 children. The average ESD values per view varied from 0.34 mGy up to 0.57 mGy. In order to calculate the organ and effective doses, Monte Carlo MCNP-4A radiation transport simulation code was used. It was applied to three mathematical phantoms representing newborn, 1 and 5 year old children and all the patients were classified in those three groups. The effective dose conversion factors (C_f) were calculated as the ratio of effective dose over the entrance dose. The C_f factors decrease as the children's age increases. Children simulated by a newborn mathematical phantom, had C_f factors almost double those represented by a 1-year-old mathematical phantom. For children simulated by a 5 year old phantom, the C_f factors for AP and OBL views were almost the same. This was true for both male and female patients. The mean effective dose per view for male and female patients was found to be E=0.16 mSv. The effective dose per examination for male patients was E=0.86±0.31 mSv and E=0.76±0.28 mSv for female patients.

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