Journal of Medical Physics
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TECHNICAL NOTE
Year : 2012  |  Volume : 37  |  Issue : 2  |  Page : 112-116

Cancer incidence risks to patients due to hysterosalpingography


1 Radiation Protection Institute, Ghana Atomic Energy Commission, Legon, Accra, Ghana
2 Radiological and Medical Sciences Research Institute, Ghana Atomic Energy Commission, Legon, Accra, Ghana

Correspondence Address:
Prince K Gyekye
Radiation Protection Institute, Ghana Atomic Energy Commission, P. O. Box LG80, Accra
Ghana
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Source of Support: Ghana Atomic Energy Commission, Conflict of Interest: None


DOI: 10.4103/0971-6203.94747

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Cancer incidence estimates and dosimetry of 120 patients undergoing hysterosalpingography (HSG) without screening at five rural hospitals and with screening using image intensifier-TV at an urban hospital have been studied. Free in air kerma measurements were taken for patient dosimetry. Using PCXMC version 1.5, organ and effective doses to patients were estimated. Incidence of cancer of the ovary, colon, bladder and uterus due to radiation exposure were estimated using biological effects of ionising radiation committee VII excess relative risk models. The effective dose to patients was estimated to be 0.20 ± 0.03 mSv and 0.06 ± 0.01 mSv for procedures with and without screening, respectively. The average number of exposures for both procedures, 2.5, and screening time of 48.1 s were recorded. Screening time contributed majority of the patient doses due to HSG; therefore, it should be optimised as much as possible. Of all the cancers considered, the incidence of cancer of the bladder for patients undergoing HSG procedures is more probable.


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