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The objective of this study was to evaluate organ dose and effective dose to patients from examinations of the upper gastrointestinal (GI) tract. Absorbed doses of various tissues and organs were measured using novel photodiode dosimeters installed in an anthropomorphic phantom representing a standard Japanese adult body. The organ dose and the effective dose were assessed from the absorbed doses according to the definitions seen in the publications of the International Commission on Radiological Protection. Dose measurements were performed for each projection of the upper GI tract examination in seven procedures at four hospitals and in a mobile coach, and organ doses and effective doses were assessed for each procedure. Organ doses obtained in the observation areas such as the stomach, esophagus and colon were in the order of several to more than 60mGy, though they decreased to less than 1mGy for tissues and organs distant from the observation areas. Organ doses and effective doses differed largely according to tube voltage, filtration and tube current or mAs value of the x-ray generator used, and by examination protocol, number of images, fluoroscopy time, and imaging units such as screen/film, computed radiography, digital radiography and flat panel detector. The number of images and the fluoroscopy time were 7 and 1.5min for the examination in the mobile coach, and 18-22 and 2-6min in the hospitals. Evaluated effective dose for the examination in the mobile coach was 2.9mSv, and that in the hospitals ranged from 4.0-13.4mSv at a ratio of more than three.

Evaluation of Patient Doses from Upper Gastrointestinal Tract Examinations Based on the Dosimetry in an Anthropomorphic Phantom