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Journal of the American Veterinary Medical Association2024; 263(1); 63-70; doi: 10.2460/javma.24.06.0424

Radiation exposure during simulated equine head and limb fan beam standing computed tomography appears safe for personnel using lead shielding.

Abstract: To evaluate the radiation dose to personnel locations during simulated head and limb scans with a novel equine standing CT (sCT) system. Methods: Measurements were made with the use of a helical fan beam sCT system (Equina; Asto CT Inc). Scatter radiation was measured in different positions in the sCT room to mimic the location of the control operator, horse handler, and lead rope handler during simulated equine head and limb imaging. Operator/handler dose was quantified at each location using entrance air kerma measured with a spherical ionization chamber and electrometer. Results: Radiation dose to the control operator, horse handler, and lead rope handler locations wearing a lead apron during simulated head imaging was 13.3, 3.5, and 6.8 µGy, respectively. Radiation dose to the control operator location wearing a lead apron was 1.3 µGy, and dose to the lead rope handler location wearing a lead apron was 0.2 and 5.4 µGy during simulated pelvic limb and thoracic limb imaging, respectively. Conclusions: With the more widespread clinical use of equine sCT units in clinical practice, there is concern for increased risk of radiation exposure to personnel who stay in the sCT room during scanning. The control operator location had the highest dose during simulated head imaging, and the lead rope handler location in thoracic limb sCT had the highest dose during simulated limb imaging. Limiting the number of personnel in the sCT room, rotating personnel between handler positions, increasing operator distance from the scanner, and using lead shields and eyeglasses are recommended. Conclusions: Our findings suggest that scanning large numbers of horses per year with the Asto CT Equina would not lead to occupational radiation exposure above the recommended safe threshold for handlers using lead shields and eyeglasses.
Publication Date: 2024-09-20 PubMed ID: 39305927DOI: 10.2460/javma.24.06.0424Google Scholar: Lookup
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  • Journal Article

Summary

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Overview

  • This study measured radiation exposure to veterinary personnel during simulated equine head and limb scans using a novel standing computed tomography (CT) system designed for horses.
  • The research aimed to determine whether radiation doses remained safe for operators and handlers when using lead shielding.

Introduction and Purpose

  • The use of standing CT (sCT) for equine imaging is increasing in clinical practice due to its diagnostic benefits.
  • However, radiation exposure to personnel who remain in the CT room during scanning is a safety concern.
  • This study sought to quantify radiation doses at typical personnel positions during simulated equine head and limb sCT scans to evaluate potential occupational risks.
  • Positions mimicked in the study included the control operator, horse handler, and lead rope handler.

Methodology

  • Radiation measurements were taken using an Equina helical fan beam sCT system (Asto CT Inc), specifically designed for standing horses.
  • Scatter radiation was measured at various locations corresponding to where personnel would stand during imaging of the equine head and limbs.
  • Entrance air kerma (a measure of radiation energy delivered per unit mass of air) was used to quantify dose using a spherical ionization chamber and electrometer.
  • Personnel were assumed to be wearing protective lead aprons and lead eyeglasses during measurements to simulate actual safety protocols.

Results

  • For simulated head scans with lead aprons:
    • Control operator location received 13.3 µGy (microroentgen equivalent doses)
    • Horse handler location received 3.5 µGy
    • Lead rope handler location received 6.8 µGy
  • For simulated limb scans with lead aprons:
    • Control operator received 1.3 µGy during both pelvic and thoracic limb imaging
    • Lead rope handler received 0.2 µGy during pelvic limb imaging and 5.4 µGy during thoracic limb imaging
  • The highest radiation doses were noted at the control operator position during head scans and at the lead rope handler position during thoracic limb scans.

Interpretations and Recommendations

  • The measured radiation doses to personnel were low and below recommended occupational exposure limits when using lead shielding and eyeglasses.
  • To further reduce exposure, the study recommends:
    • Limiting the number of personnel inside the sCT room during scans.
    • Rotating personnel between handler positions to distribute dose evenly.
    • Increasing the distance of operators from the scanner where possible.
    • Consistent use of lead shields and leaded eyeglasses for all personnel in the room.

Conclusion

  • This study supports that the novel Equina standing CT system delivers radiation doses to personnel within safe occupational exposure limits when appropriate protective measures are taken.
  • Thus, scanning a large number of horses annually using this system is unlikely to result in harmful radiation doses to veterinary staff.
  • These findings are important for ensuring safety protocols in equine veterinary practices using this technology.

Cite This Article

APA
Veitch KE, Szczykutowicz TP, Brounts SH, Ergun DL, Muir P, Loeber SJ. (2024). Radiation exposure during simulated equine head and limb fan beam standing computed tomography appears safe for personnel using lead shielding. J Am Vet Med Assoc, 263(1), 63-70. https://doi.org/10.2460/javma.24.06.0424

Publication

ISSN: 1943-569X
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 263
Issue: 1
Pages: 63-70

Researcher Affiliations

Veitch, Kaylynn E
  • 1Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI.
Szczykutowicz, Timothy P
  • 1Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI.
  • 4Department of Biomedical Engineering, College of Engineering, University of Wisconsin-Madison, Madison, WI.
Brounts, Sabrina H
  • 1Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI.
Ergun, David L
  • 3Department of Medical Physics, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI.
  • 5Asto CT Inc, Middleton, WI.
Muir, Peter
  • 1Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI.
  • 5Asto CT Inc, Middleton, WI.
Loeber, Samantha J
  • 1Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI.

MeSH Terms

  • Animals
  • Horses
  • Occupational Exposure / prevention & control
  • Tomography, X-Ray Computed / veterinary
  • Radiation Protection / instrumentation
  • Radiation Dosage
  • Radiation Exposure / prevention & control
  • Lead
  • Head
  • Humans

Citations

This article has been cited 1 times.
  1. Gaida JL, Steinberg T, Stieger-Vanegas SM, Merle R, Lischer CJ. Equine Standing Multidetector Computed Tomography of the Distal Thoracic Limb and Tarsus Has a Lower Cumulative Radiation Dose than Digital Radiography.. Vet Radiol Ultrasound 2025 Jul;66(4):e70049.
    doi: 10.1111/vru.70049pubmed: 40420323google scholar: lookup