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Factors affecting the optimisation of diagnostic radiation exposures of the population in Hong Kong.

Chan Mok-wah, Paul. / Thesis (Ph.D.)--Chinese University of Hong Kong, 1993. / Includes bibliographical references (leaves [219-231]). / ACKNOWLEDGEMENTS / SUMMARY / LIST OF ABBREVIATIONS / Chapter CHAPTER 1. --- INTRODUCTION / Chapter 1.1 --- HISTORY --- p.1 / Chapter 1.2 --- RADIATION EXPOSURES OF THE POPULATION --- p.1 / Chapter 1.2.1 --- Introduction --- p.1 / Chapter 1.2.1 --- The Projected Expansion of Medical Exposures --- p.2 / Chapter 1.3 --- RADIATION HAZARDS --- p.6 / Chapter 1.3.1 --- Deterministic Effects --- p.6 / Chapter 1.3.2 --- Stochastic Effects --- p.7 / Chapter 1.3.3 --- Pre-natal Irradiation --- p.9 / Chapter 1.4 --- THE LOCAL SITUATION --- p.9 / Chapter 1.5 --- JUSTIFICATION OF THE STUDY OF LOCAL PATIENT DOSE --- p.10 / Chapter CHAPTER 2. --- THE MEDICAL EXPOSURES IN HONG KONG / Chapter 2.1 --- INTRODUCTION --- p.11 / Chapter 2.2 --- MAN-MADE RADIATION IN HONG KONG --- p.11 / Chapter 2.2.1 --- Occupational Exposure --- p.11 / Chapter 2.2.2 --- Radioactive Fall-out --- p.12 / Chapter 2.2.3 --- Nuclear Medicine --- p.12 / Chapter 2.2.4 --- Diagnostic Radiology --- p.12 / Chapter 2.3 --- THE FUTURE TREND --- p.13 / Chapter 2.4 --- THE CURRENT STUDY --- p.15 / Chapter CHAPTER 3. --- METHODS OF OPTIMISATION / Chapter 3.1 --- INTRODUCTION --- p.17 / Chapter 3.2 --- JUSTIFICATION OF DIAGNOSTIC RADIATION EXPOSURE --- p.17 / Chapter 3.3 --- OPTIMISATION OF DIAGNOSTIC RADIATION EXPOSURE --- p.18 / Chapter 3.4 --- THE CONTROL OF EXPOSURES --- p.19 / Chapter 3.4.1 --- The Control of Occupational Exposure --- p.19 / Chapter 3.4.2 --- The Control of Public Exposure --- p.20 / Chapter 3.4.3 --- The Control of Patient Exposure --- p.20 / Chapter 3.5 --- A PRACTICAL APPROACH TO CONTROL PATIENT EXPOSURES --- p.23 / Chapter 3.5.1 --- Intrumental Approach --- p.23 / Chapter 3.5.2 --- Technical Approach --- p.24 / Chapter 3.5.3 --- Administrative Approach --- p.25 / Chapter 3.6 --- CONCLUSION --- p.26 / Chapter CHAPTER 4. --- METHOD OF STUDY / Chapter 4.1 --- INTRODUCTION --- p.27 / Chapter 4.2 --- A WORKING SCHEME --- p.27 / Chapter 4.3 --- THE MEASUREMENT OF ESD --- p.29 / Chapter 4.3.1 --- Thermoluminescent Dosimetry --- p.29 / Chapter 4.3.2 --- The TL Material Adopted --- p.30 / Chapter 4.3.3 --- Irradiated of TLDs --- p.32 / Chapter 4.3.4 --- Readout of the Exposed TLDs --- p.32 / Chapter 4.3.5 --- Accuracy of Readings --- p.35 / Chapter 4.4 --- MONTE CARLO SIMULATION --- p.36 / Chapter 4.4.1 --- Introduction --- p.36 / Chapter 4.4.2 --- History --- p.38 / Chapter 4.4.3 --- The Principle --- p.38 / Chapter 4.4.4 --- Photon History --- p.40 / Chapter 4.4.5 --- The Use of Monte Carlo simulation in Organ Doses Estimation --- p.47 / Chapter 4.4.6 --- The Electron-Gamma-Shower (EGS4) Code System --- p.51 / Chapter 4.5 --- A LOCAL MATHEMATICAL PHANTOM --- p.52 / Chapter 4.5.1 --- Introduction --- p.52 / Chapter 4.5.2 --- An Ideal Mathematical Phantom --- p.52 / Chapter 4.5.3 --- Choice of Mathematical Phantom Model --- p.53 / Chapter 4.5.4 --- The Development of a Chinese Mathematical Phantom --- p.55 / Chapter 4.5.5 --- Results --- p.56 / Chapter 4.5.6 --- A Comparison --- p.60 / Chapter 4.6 --- A SUMMARY --- p.62 / Chapter CHAPTER 5. --- POPULATION STUDIES / Chapter 5.1 --- INTRODUCTION --- p.63 / Chapter 5.2 --- FREQUENCY SURVEY --- p.63 / Chapter 5.2.1 --- Survey in Private Sectors --- p.63 / Chapter 5.2.2 --- Surveyin Government Sectors --- p.64 / Chapter 5.3 --- DOSE SURVEY --- p.66 / Chapter 5.3.1 --- Selection of Regions and Projections --- p.66 / Chapter 5.3.2 --- Selection of Hospitals and Laboratories --- p.66 / Chapter 5.4 --- SAMPLE SIZE --- p.67 / Chapter CHAPTER 6. --- RESULTS / Chapter 6.1 --- INTRODUCTION --- p.68 / Chapter 6.2 --- SAMPLE SIZE --- p.68 / Chapter 6.3 --- AGE BAND AND SEX DISTRIBUTION --- p.68 / Chapter 6.4 --- THE MEASURED ESD --- p.75 / Chapter 6.4.1 --- Histograms of ESDs by Projection --- p.75 / Chapter 6.4.2 --- A Comparison of ESDs by Projection --- p.89 / Chapter 6.4.3 --- A Comparison of ESDs by Centre --- p.93 / Chapter 6.4.4 --- A Comparison of Collective ESDs by Centre --- p.96 / Chapter 6.5 --- THE ESTIMATED ORGAN DOSES --- p.103 / Chapter 6.5.1 --- Introduction --- p.103 / Chapter 6.5.2 --- Method --- p.103 / Chapter 6.5.3 --- Normalised Organ Doses --- p.105 / Chapter 6.5.4 --- Organ doses per Projection --- p.105 / Chapter 6.5.5 --- A Computerised programme --- p.119 / Chapter 6.6 --- A COMPARISON OF ORGAN DOSES ESTIMATED ON LOCAL AND NRPB MODELS --- p.152 / Chapter CHAPTER 7. --- SOURCES OF UNCERTAINTY / Chapter 7.1 --- UNCERTAINTITIES IN COMPUTATION --- p.156 / Chapter 7.1.1 --- Inaccuracy of the Justaposition of Complex Human Anatomy and the X-ray Beam --- p.156 / Chapter 7.1.2 --- Statistical Uncertainties --- p.156 / Chapter 7.1.3 --- Attenuation Coefficient Uncertainties --- p.157 / Chapter 7.1.4 --- Anatomic Inexactitudes --- p.157 / Chapter 7.2 --- ERRORS CONTRIBUTED BY TLDs --- p.155 / Chapter 7.3 --- TOTAL POSSIBLE ERROR --- p.157 / Chapter 7.4 --- VERIFICATION OF THE RESULTS --- p.158 / Chapter 7.4.1 --- Verification of the Measured ESD --- p.158 / Chapter 7.4.2 --- Verification of the Estimated Organ Doses --- p.158 / Chapter CHAPTER 8. --- HEALTH IMPLICATIONS / Chapter 8.1 --- INTRODUCTION --- p.161 / Chapter 8.2 --- DATA SOURCE --- p.161 / Chapter 8.3 --- ASSUMPTIONS --- p.162 / Chapter 8.4 --- SOMATIC RISK --- p.162 / Chapter 8.4.1 --- Somatically Significant Dose (SSD) --- p.162 / Chapter 8.4.2 --- Results --- p.163 / Chapter 8.5 --- LEUKAEMIC RISK --- p.166 / Chapter 8.5.1 --- Leukaemically Significant Dose (LSD) --- p.166 / Chapter 8.5.2 --- Results --- p.167 / Chapter 8.6 --- GENETIC RISK --- p.170 / Chapter 8.6.1 --- Genetically Significant Dose (GSD) --- p.170 / Chapter 8.6.2 --- Results --- p.171 / Chapter 8.7 --- DISCUSSION --- p.174 / Chapter CHAPTER 9. --- DISCUSSION --- p.199 / Chapter 9.1 --- MEAN ESDs PER PROJECTION --- p.199 / Chapter 9.2 --- A COMPARISON OF MEAN ESDs BETWEEN LOCAL CENTRES --- p.200 / Chapter 9.3 --- A COMPARISON OF MEAN ESDs BETWEEN COUNTRIES --- p.202 / Chapter 9.4 --- EFFECTIVE DOSE PER EXAMINATION --- p.203 / Chapter 9.5 --- NEED FOR LOCAL ANTHROPOMORPHIC PHANTOM --- p.204 / Chapter 9.6 --- ORGAN DOSES WITH HIGH CANCER INDUCTION --- p.205 / Chapter 9.7 --- A DISTRIBUTION OF COLLECTIVE DOSES --- p.206 / Chapter 9.8 --- "A DISTRIBUTION OF SSD, LSD AND GSD" --- p.209 / Chapter 9.9 --- OVERALL RISK ESTIMATION --- p.212 / Chapter 9.10 --- POPULATION ORGAN DOSES --- p.213 / Chapter 9.11 --- SUMMARY --- p.214 / Chapter CHAPTER 10. --- CONCLUSION --- p.217 / REFERENCES --- p.R 1 - 12 / APPENDICES / Chapter A. --- RADIATION QUANTITIES USED IN PATIENT DOSIMETRY --- p.A 1 - 12 / Chapter B. --- QUALITY ASSURANCE --- p.B 1 - 14 / Chapter C. --- DOSE REDUCTION --- p.C 1 - 11 / Chapter D. --- REJECT ANALYSIS --- p.D 1 - 15 / Chapter E. --- PUBLISHED WORK IN DOSE MEASUREMENT --- p.E 1 - 18 / Chapter F. --- THERMOLUMINESCENT DOSIMETRY --- p.F 1 - 27 / Chapter G. --- A STUDY ON ANTHROPOMORPHIC PHANTOM --- p.G 1 - 4

Identiferoai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_319235
Date January 1993
ContributorsChan, Mok-wah Paul., Chinese University of Hong Kong Graduate School. Division of Clinical and Pathological Sciences.
PublisherChinese University of Hong Kong
Source SetsThe Chinese University of Hong Kong
LanguageEnglish
Detected LanguageEnglish
TypeText, bibliography
Formatprint, [5], viii, 218, [112] leaves : ill. (some col. & mounted) ; 30 cm.
CoverageHong Kong
RightsUse of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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