ArticleFrontiers in medicine2026
Clinical implications of lateral head mis-centering on eye lens dose in pediatric computed tomography examinations: a phantom study.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background and aim: Patient mis-centering during pediatric CT examinations can significantly affect radiation dose distribution, particularly to radiosensitive organs such as the eye lens. This study quantitatively evaluates the effect of lateral head mis-centering on eye lens dose and investigates discrepancies between measured and system-reported dose metrics using a low-cost pediatric head phantom. Materials and methods: A low-cost tissue-equivalent pediatric head phantom was constructed locally and validated using CT number comparisons with reference tissue values. Eye lens dose was measured using a pencil ionization chamber at the isocenter and at ±1-3 cm lateral displacements on two CT systems. Measured dose length product (DLP) values were compared with CT-reported DLP and air kerma-derived estimates. The data was analyzed statistically using Pearson correlation, paired sample t-tests, and one-way ANOVA. Results: Strong correlations were observed between isocenter and off-center doses ( Conclusion: Lateral mis-centering introduces systematic dose distribution asymmetry and significant discrepancies in CT dose reporting. These findings highlight the importance of accurate patient positioning and caution in interpreting system-reported dose metrics in pediatric imaging.
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