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Obese Patients Are Exposed to Higher Radiation Doses

By MedImaging International staff writers
Posted on 10 Jan 2019

Image: A new study claims that obese patients are exposed to more radiation (Photo courtesy of University of Exeter).

A new study finds that obese patients face an increased radiation-related lifetime cancer risk due to higher dose area product (DAP) radiation exposures.

Researchers at the University of Exeter (United Kingdom), Musgrove Park Hospital (Taunton, United Kingdom), and Derriford Hospital (Plymouth, United Kingdom) conducted a study involving 630 patients from a bariatric clinic who had a projection radiography history. The prime purpose of the study was to evaluate X-ray radiation dose delivered to obese patients, and its relationship to patient size. A secondary purpose was to estimate subsequent projected radiation-related lifetime cancer risk in patients with obesity.

Patients' DAP data were collected for all projection radiography, and the effective risk for patients with obesity was then compared to that of normal-weight patients. The results showed that patients with obesity received higher DAPs for all examinations, with the highest DAPs in abdominal and lumbar spine radiographs. In abdomen and chest x-rays, there were moderate-to-low correlations between patient size and DAP. The projected radiation-related lifetime cancer risk was up to 153% higher than in normal-weight adult patients. The study was published on December 20, 2018, in the Journal of Radiological Protection.

“As a researcher and a radiographer, I believe these radiation doses figures are only to be expected due to the lack of guidelines to aid imaging this group of patients,” said lead author Saeed Alqahtani, MD, of the University of Exeter, and colleagues. “As well as the doses of radiation given to the patient, many technical factors contribute to the image quality of an X-ray. We already started working on this issue in an attempt to produce prediction models that can aid radiographers to choose the best technical factors based on the patient's size.”

DAP reflects not only the dose within the radiation field but also the area of tissue irradiated. Therefore, it may be a better indicator of the overall risk of inducing cancer than the dose within the field. It also has the advantages of being easily measured, with the permanent installation of a DAP meter on the X-ray set. Due to the divergence of a beam emitted from a point source, the area irradiated increases with the square of distance from the source, while radiation intensity decreases according to the inverse square of distance. Consequently, the product of intensity and area, and therefore DAP, is independent of distance from the source.

Related Links:
University of Exeter
Musgrove Park Hospital
Derriford Hospital

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70 (536.91864013672): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294776447 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (440.83595275879): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294776447 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (82.015991210938): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (101.08947753906): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (71.048736572266): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (93.936920166016): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294776447 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (59.127807617188): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294776447 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (47.922134399414): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (104.18891906738): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (63.180923461914): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (159.02519226074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

105 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

106 (108.95729064941): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294776447 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (94.890594482422): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294776447 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

109 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

110 (74.863433837891): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294776447 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (788.92707824707): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294776447 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (827.07405090332): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (532.15026855469): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (168.0850982666): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

115 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

116 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

117 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

118 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

119 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

120 (360.96572875977): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 29971.122741699): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (158.07151794434): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

123 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

124 (648.02169799805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294776447 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294776447 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 689955.94978333): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (118.97087097168): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (46.014785766602): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (41.961669921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (113.01040649414): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (42.915344238281): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (33.140182495117): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (677.82402038574): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (!!!!! 2708.1966400146): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (102.99682617188): SELECT name FROM jos_deeppockets WHERE id=211

136 (46.014785766602): SELECT name FROM jos_deeppockets WHERE id=211

137 (762.939453125): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (684.97657775879): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (122.7855682373): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

140 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

141 (!!!!! 15638.113021851): TRUNCATE TABLE jos_trademed_module

142 (159.97886657715): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294776447 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (89.168548583984): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294776447 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (570.05882263184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

147 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

148 (!!!!! 2656.9366455078): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

150 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

151 (82.015991210938): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294776447 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294776447 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (59.127807617188): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

153 (49.829483032227): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=211 or channel_id is null)

154 (132.08389282227): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (319.00405883789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

156 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294776447 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294776447 AND published='1' LIMIT 1

157 (66.995620727539): select jos_twitters.link from jos_twitters where cat=10

158 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

159 (43.869018554688): select jos_google_plus.link from jos_google_plus where cat=10

160 (44.107437133789): select jos_linkedin.link from jos_linkedin where cat=10

161 (432.96813964844): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 2016.7827606201): insert into jos_banners_delta values (14615,'2025-05-02 10:00:30','3.138.141.138','view'),(14202,'2025-05-02 10:00:30','3.138.141.138','view'),(14203,'2025-05-02 10:00:30','3.138.141.138','view')

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