Background: This study presents pati ent specific and organ dose esti mati on in computed tomography (CT) imaging of thorax directly from pati ent CT image using Monte Carlo simulati on. Pati ent's CT image is considered as the pati ent specific phantom and the best representati ve of pati ent physical index in order to calculate specific organ dose. Materials and Methods: EGSnrc/BEAMnrc Monte Carlo (MC) System was used for CT scanner simulati on and DOSXYZnrc was used in order to produce pati ent specific phantom and irradiati on of photons to phantom in step and shoot mode (axial mode). In order to calculate pati ent thorax organ dose, pati ent CT image of thorax as voxelized phantom was divided to a 64x64x20 matrix and 6.25 x 6.25 x 6.25 mm3 voxel size and this phantom was imported to DOSXYZnrc code. MC results in unit of Gy/parti cle were converted to absorbed dose in unit of mGy by a conversion factor (CF). We calculated pati ent thorax organ dose in MC simulati on from all irradiated slices, in 120 kV and 80 kV photon energies. Results: Effecti ve dose was obtained from organ dose and organ weighti ng factor. Esophagus and spinal cord received the lowest, and bone received the highest dose. In our study, effecti ve dose in CT of thorax was 7.4 mSV and 1.8 mSv in 120 and 80 kV, respecti vely. Conclusion: The results of this study might be used to provide the actual pati ent organ dose in CT imaging and calculati on of real effecti ve dose based on organ dose
