CT-dose measurement of the spinal cord region using XR-QA2 radiochromic films and TLD 100H dosimeters

The European Directive 2013/59/Euratom focuses on the radiation protection and patient dosimetry. In particular, the dose absorbed by serial organs such as the spinal cord due to diagnostic exams plays a crucial role in the appraisal of medical exposure. In this work, a comparison between dose measurements performed with Gafchromic™ XR-QA2 and TLD 100H is presented. The dosimeters—after a calibration procedure through an X-ray tube—were placed within the thorax region of an anthropomorphic phantom corresponding to the spinal cord area exposed to a thoracic CT procedure. The mean-dose value was measured with Gafchromic™ first, and it was then compared to the dose value obtained with TLDs, resulting in a good agreement between the two dosimetric methodologies. Additionally, the results showed that—due to the usage of the automatic exposure control (EC) system—the discrepancy between the two methods is proportional to the current output of the CT system.