RADIATION EXPOSURE OF PAEDIATRIC GENERAL RADIOGRAPHY, FLUOROSCOPY AND CT PROCEDURES IN THE CZECH REPUBLIC-PILOT STUDY
Language English Country Great Britain, England Media print
Document type Journal Article
PubMed
31832648
DOI
10.1093/rpd/ncz238
PII: 5674024
Knihovny.cz E-resources
- MeSH
- Radiation Dosage MeSH
- Child MeSH
- Fluoroscopy methods MeSH
- Gastrointestinal Diseases diagnostic imaging MeSH
- Radiography, Interventional methods MeSH
- Organs at Risk radiation effects MeSH
- Humans MeSH
- Pilot Projects MeSH
- Tomography, X-Ray Computed methods MeSH
- Image Processing, Computer-Assisted methods MeSH
- Radiation Exposure analysis MeSH
- Radiation Protection MeSH
- Urologic Diseases diagnostic imaging MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
The pilot dose survey on paediatric general radiography, fluoroscopy and CT procedures was performed in four university hospitals. The analysis of data was focused on the radiography and CT imaging of head, chest, abdomen, pelvis and spine and fluoroscopic procedures of gastrointestinal and urinary tracts. The survey was conducted by the National Radiation Protection Institute. Two hospitals exported data from the patient dose management system, while the others collected the data manually. The methodology of diagnostic reference levels assessment was proposed and tested. Local diagnostic reference levels were calculated in terms of air kerma-area product $P_{KA}$, CT air kerma-length product $P_{KL,CT}$ and volumetric CT air kerma index $C_{VOL}$. The lack of procedure standardisation, e.g. in tube voltage setting irrespective of patient's weight, was revealed at one hospital. Dose and exposure parameters distributions with respect to patient's anatomical constitution are presented in this article. In future, this pilot study will be a base for national survey of paediatric diagnostic reference levels.
Motol University Hospital Prague Czech Republic
National Radiation Protection Institute Prague Czech Republic
University Hospital Brno Czech Republic
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