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Hello good morning my name is MahaRERA Mahesh I'm a medical physicist medical physics is a field of which bridges the gap between physics and medicine I'm a qualified medical physicist and I want to talk about physics topics starting with this radiation dose in CT today I'm going to talk about on the following topics how are CT does measure what are City dose descriptors understanding City dose display and what are the typical radiation dose for typical City procedures let me start with explaining why the city dose is such an important aspect right now in this particular graph we are seeing here is the radiation exposure of the US population from variety of sources on the right-hand side is a pie chart showing the radiation exposure to the US population as published in 2009 it's a snapshot data based on 2006 this data is an update on the previous published data back in 1982 if you look at the 1992 data the majority of the radiation exposed to US population was from background only about 15 was for medical exposure however the medical exposure pie chart has increased tremendously in the past 25 years among them one of the major contributors is City dose and that's where the emphasis about CT does have reached a point what I want to also want to talk about the growth of CT procedures in the US in this particular graph shown here is the number of CT procedures in the US in the past 15 years the number of CT procedures have grown linearly from 26 million procedures in 1998 all the way to close to 780 to say 80 million procedures as of 2015 as you can see the number of City procedures have increased both in the hospital and non hospital settings uniformly just to add an information the multi detector city was become commercially available in 1998 and that has led to a tremendous growth in City procedures so is the number of City benefits from this ma the new technology to understand Ct doses it's also imperative to understand what the type of radium procedures we do normally in clinic this is the data published in 2015 demonstrating the category of City procedures as you can see here the majority of the CT procedures are head chest abdomen in pelvic in fact nearly 76 percent of all the procedures done in the US is head just abdomen and pelvic and there are other procedures — just beginning to show on the national data such as CT angiography cardiac CT and calcium scoring and so forth having this in the background I just want to discuss some basic physics of CT does measurement when I say CT does measurement um it is embedded — and start with how CT does is measure the first caveat is the CT does is not measured directly on patients even though we express it he does to patients all the measurement is done using standard phantoms medical physicists typically use standard phantoms measuring those on the phantom and then extrapolate in terms of explaining to CT does to the patient measurements are then used to estimate the patient loss it is also...
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