PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
Tytuł artykułu

Patient dose measurement in common medical X-ray examinations and propose the first local dose reference levels to diagnostic radiology in Iran

Identyfikatory
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Introduction: The main purpose of this study was to investigate patient dose in pelvic and abdomen x-ray examinations. This work also provided the LDRLs (local diagnostic reference levels) in Khuzestan region, southwest of Iran to help establish the NDRLs (national diagnostic reference levels). Methods: Patient doses were assessed from patient’s anatomical data and exposure parameters based on the IAEA indirect dosimetry method. With regard to this method, exposure parameters such as tube output, kVp, mAs, FFD and patient anatomical data were used for calculating ESD (entrance skin dose) of patients. This study was conducted on 250 standard patients (50% men and 50% women) at eight high-patient-load imaging centers. Results: The results indicate that mean ESDs for the both pelvic and abdomen examinations were lower than the IAEA and EC reference levels, 2.3 and 3.7 mGy, respectively. Mean applied kVps were 67 and 70 and mean FFDs were 103 and 109, respectively. Tube loadings obtained in this study for pelvic examination were lower than all the corresponding values in the reviewed literature. Likewise, the average annual patient load across all hospitals were more than 37000 patients, i.e. more than 100 patients a day. Conclusions: The authors recommend that DRLs (diagnostic reference levels) obtained in this region, which are the first available data, can be used as local DRLs for pelvic and abdomen procedures. This work also provides that on-the-job training programs for staffs and close cross collaboration between physicists and physicians should be strongly considered.
Rocznik
Strony
67--71
Opis fizyczny
Bibliogr. 24 poz., rys., tab.
Twórcy
autor
  • Department of Radiology Technology, Behbahan Faculty of Medical Sciences, Behbahan, Iran
  • Department of Radiology Technology, Behbahan Faculty of Medical Sciences, Behbahan, Iran
autor
  • Department of Radiology Technology, Behbahan Faculty of Medical Sciences, Behbahan, Iran
autor
  • Department of Radiology Technology, Behbahan Faculty of Medical Sciences, Behbahan, Iran
Bibliografia
  • [1] Sonawane AU, Shirva VK, Pradhan AS. Estimation of skin entrance doses (SEDs) for common medical X-ray diagnostic examinations in India and proposed diagnostic reference levels (DRLs). Radiat Prot Dosimetry. 2010;138(2):129-136.
  • [2] Ofori EK, Antwi WK, Scutt DN, Ward M. Optimization of patient radiation protection in pelvic X-ray examination in Ghana. J Appl Clin Med Phys. 2012;13(4):3719.
  • [3] Kim YH, Choi JH, Kim CK, et al. Patient dose measurements in diagnostic radiology procedures in Korea. Radiat Prot Dosimetry. 2007;123(4):540-545.
  • [4] Milatović A, Ciraj-Bjelac O, Ivanović S, et al. Patient dose measurements in diagnostic radiology procedures in Montenegro. Radiat Prot Dosimetry. 2012;149(4):454-463.
  • [5] Seo D, Jang S, Kim J, et al. A comparative assessment of entrance surface doses in analogue and digital radiography during common radiographic examinations. Radiat Prot Dosimetry. 2014;158(1):22-27.
  • [6] Ciraj O, Marković S, Kosutić D. First results on patient dose measurements from conventional diagnostic radiology procedures in Serbia and Montenegro. Radiat Prot Dosimetry. 2005;113(3):330-335.
  • [7] Hart D HMC, Shrimpton PC. Doses to Patients from Radiographic and Fluoroscopic X-ray Imaging Procedures in the UK – 2005 Review. Chilton: Health Protection Agency; 2007.
  • [8] Hart D HMC, Shrimpton P C. Doses to Patients from Radiographic and Fluoroscopic X-ray Imaging Procedures in the UK – 2010 Review. Chilton: Health Protection Agency; 2012.
  • [9] Zaidi H. Medical physics in developing countries: looking for a better world. Biomed Imaging Interv J. 2008;4(1):e29.
  • [10] Mahdavi SR, Rasuli B, Niroomand-Rad A. Education and training of medical physics in Iran: The past, the present and the future. Phys Med. 2017;36:66-72.
  • [11] Shirin Shandiz M, Bahreyni Toosi MT, Farsi S, Yaghobi K. Local reference dose evaluation in conventional radiography examinations in Iran. J Appl Clin Med Phys. 2014;15(2):4550.
  • [12] Rasuli B, Mahmoud-Pashazadeh A, Tahmasebi Birgani MJ, et al. Quality Control of Conventional Radiology Devices in Selected Hospitals of Khuzestan Province, Iran. Iranian J Med Phys. 2015;12(2):101-108.
  • [13] Shahbazi-Gahrouei D, Baradaran-Ghahfarokhi M. Assessment of entrance surface dose and health risk from common radiology examinations in Iran. Radiat Prot Dosimetry. 2013;154(3):308-313.
  • [14] Khosravi HR, Gholamalizadeh Z, Zadeh MRH, et al. Patient Doses Reduction in Simple Radiographic Examinations in Busy Radiology Departments. Med Phys. 2011;38(6):3414.
  • [15] Khoshdel-Navi D, Shabestani-Monfared A, Deevband MR, et al. Local-Reference Patient Dose Evaluation in Conventional Radiography Examinations in Mazandaran, Iran. J Biomed Phys Eng. 2016;6(2):61-70.
  • [16] Rasuli B, Ghorbani M, Juybari RT. Radiation dose measurement for patients undergoing common spine medical x-ray examinations and proposed local diagnostic reference levels. Radiat Meas. 2016;87:29-34.
  • [17] Rasuli B, Mahmoud-Pashazadeh A, Ghorbani M, et al. Radiation dose measurement for patients undergoing common spine medical x-ray examinations and proposed local diagnostic reference levels. J Appl Clin Med Phys. 2016;17(1):5860.
  • [18] IAEA. Optimization of the Radiological Protection of Patients Undergoing Radiography, Fluoroscopy and Computed Tomography: IAEA; 2004.
  • [19] IAEA. Dosimetry in Diagnostic Radiology: An International Code of Practice; 2007.
  • [20] Scally AJ. Recommended Standards for the Routine Performance Testing of Diagnostic X-Ray Imaging Systems. IPEM Report 91. York: Institute of Physics and Engineering in Medicine, 2005.
  • [21] EC. European Guidelines on Quality Criteria for Diagnostic Radiographic Images. Luxembourg: European Commission, 1996.
  • [22] EC. Radiation Protection 109: Guidance on Diagnostic Reference Levels (DRLs) for Medical Exposures. Directorate-General Environment, Nuclear Safety and Civil Protection; 1999.
  • [23] IAEA. International Basic Safety Standards for Protection Against Ionizing Radiation and for the Safety of Radiation Sources. Safety Series. VIENNA: IAEA, 1996.
  • [24] Hart D, Shrimpton PC. Fourth review of the UK national patient dose database. Br J Radiol. 2012;85(1018):e957-e958.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-d90711c0-826e-4087-a696-916cc244ef62
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.