Abstract
Recently, high-concentration barium sulfate has been developed and is used in many medical facilities. This study compared radiation dose using high-concentration and moderate-concentration barium sulfate. The dose was evaluated with an experimental method using a gastric phantom and with a clinical examination. In the former, the dose and X-ray tube load were measured on the phantom with two concentrations of barium sulfate. In the latter, the fluoroscopic dose-area product (DAP), the radiographic DAP and their sum, the total DAP, were investigated in 150 subjects (112 males, 38 females) treated with both concentrations of barium sulfate. The effective dose was calculated by the software of PCXMC in every case. The results of the experimental evaluation indicated that the effective dose and X-ray tube load were greater with high-concentration barium sulfate than with moderate-concentration barium sulfate (p < 0.05). The results of the clinical evaluation indicated that the fluoroscopic DAP was greater with moderate-concentration barium sulfate than with high-concentration barium sulfate (p < 0.05), but the radiographic DAP was quite the reverse, so the total DAP and effective dose were almost same with both concentrations of barium sulfate. We conclude that high-concentration barium sulfate does not increase radiation dose in mass screening for gastric cancer.
Similar content being viewed by others
References
Ahmedin, J., Andrea, T., Taylor, M., and Michael, T.,Cancer Statistics, 2002. CA Cancer J Clin, 52:3–47, 2002.
Oshima, A., Hirata, N., Ubukata, T., Umeda, K. and Fujimoto, I.,Evaluation of a mass screening program for stomach cancer with a case-control study design, Int J Cancer, 38:829–833, 1986.
Fukao, A., Tsubono, Y., Tsuji, I., Hisamichi, S., Sugahara, N. and Takano, A.,The evaluation of screening for gastric cancer in Miyagi Prefecture, Japan: a population based case-control study, Int J Cancer, 60:45–48, 1995.
Hamashima, C., Shibuya, D., Yamazaki, H., Inoue, K., Fukao, A., Saito, H. and Sobue, T.,The Japanese guidelines for gastric cancer screening, Jpn J Clin Oncol, 38:259–267, 2008.
Yamamoto, K., Kubo, T., Yamazaki, H., Yatake, H., Ikemiyagi M., Miki, N., Kawashima, T. and Kuroda, C.,New technique for gastric cancer screening using high-concentration barium and a large quantity of gas-producing powder, J Gastroenterol Mass Surv, 42:163–168, 2004 (in Japanese).
Hamashima, C. and Sasaki, S.,A critical appraisal of the studies concerning gastrofluorography using high-density barium meal, J Jpn Assoc Cancer Detect Diag, 13:123–134, 2006 (in Japanese).
Berrington De Gonzales, A. and Darby, S.,Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries, The Lancet, 363:345–351, 2004.
Abe, S., Noguchi, T., Shimada, T. and Shibuya, D.,A study of indirect X-ray examination with high-density barium sulfate, J Gastroenterol Mass Surv, 38:579–586, 2000 (in Japanese).
Shimizu, K., Matsunaga, N., Kawamura, S., Tanaka, N., Kawakami, Y. and Kunihiro, K.,Problems associated with new standard method in gastric mass survey for regional population—a questionnaire study, J Gastroenterol Mass Surv, 43:311–317, 2005 (in Japanese).
Vogel, H.,Radiation-risk in roentgendiagnostic of the gastrointestinal tract, Rontgenblatter, 32:314–318, 1979.
ICRP Publication 103, 2008.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yamamoto, K., Azuma, M., Kuroda, C. et al. Radiation dose in mass screening for gastric cancer with high-concentration barium sulfate compared with moderate-concentration barium sulfate. Australas. Phys. Eng. Sci. Med. 32, 88–91 (2009). https://doi.org/10.1007/BF03178633
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF03178633