scholarly journals Radiographer knowledge and practice of paediatric radiation dose protocols in digital radiography in Gauteng

Radiography ◽  
2020 ◽  
Vol 26 (2) ◽  
pp. 117-121 ◽  
Author(s):  
N. Moolman ◽  
F. Mulla ◽  
S. Mdletshe
2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Fatemeh Salemi ◽  
Abbas Shokri ◽  
Maryam Foroozandeh ◽  
Maryam Farhadian ◽  
Ayoub Yeganeh

Objective: This study aimed to assess the knowledge level of Iranian dental practitioners about digital radiography(DR) andcone-beamcomputedtomography (CBCT). Material and Methods: In this crosssectional study, a researcher-designed questionnaire was administered among 180 general dentists and specialists. The questionnaire had three main domains of demographic information, fifteen questions about knowledge of DR (advantages, disadvantages, physical properties) and twenty six questions about knowledge of CBCT (indications, applications, advantages, route of knowledge acquisition). Data were analyzed using descriptive statistics, t-test and Pearson’s correlation coefficient. Results: Of 180 participants, 76 (42.2%) were females. The minimum, maximum and mean± standard deviation scores obtained in DR were 4, 14, and 9.031 ± 1.85 and in CBCT were 0,26 and 18.56 ± 4.81, respectively. In the CBCT domain, the participants had maximum knowledge about “low radiation dose” (72.8%) and minimum knowledge about the “role of CBCT in determination of bone density” (45%). In DR domain, the participants had maximum knowledge about “no need for radiographic films” (75.6%) and minimum knowledge about “not requiring manual processing” (15.6%). Overall, participants had higher level of knowledge about CBCT than DR. An inverse correlation was noted between age and work experience with the number of correct answers. However, no significant difference was noted in the knowledge level of males and females regarding CBCT or DR (p = 0.233 and p = 0.227, respectively). Conclusions: further education seem imperative for dentists in this respect for more efficient diagnosis and treatment planning, minimize patient radiation dose and save time and cost.   Keywords Digital radiography; Cone-Beam computed tomography; Knowledge; Dentists.


2019 ◽  
Vol 49 (4) ◽  
pp. 531-539 ◽  
Author(s):  
Zlatan Alagic ◽  
Robert Bujila ◽  
Anders Enocson ◽  
Subhash Srivastava ◽  
Seppo K. Koskinen

Abstract Objective The purpose of this study was to assess if ultra-low-dose CT is a useful clinical alternative to digital radiographs in the evaluation of acute wrist and ankle fractures. Materials and methods An ultra-low-dose protocol was designed on a 256-slice multi-detector CT. Patients from the emergency department were evaluated prospectively. After initial digital radiographs, an ultra-low-dose CT was performed. Two readers independently analyzed the images. Also, the radiation dose, examination time, and time to preliminary report was compared between digital radiographs and CT. Results In 207 extremities, digital radiography and ultra-low-dose CT detected 73 and 109 fractures, respectively (p < 0.001). The odds ratio for fracture detection with ultra-low-dose CT vs. digital radiography was 2.0 (95% CI, 1.4–3.0). CT detected additional fracture-related findings in 33 cases (15.9%) and confirmed or ruled out suspected fractures in 19 cases (9.2%). The mean effective dose was comparable between ultra-low-dose CT and digital radiography (0.59 ± 0.33 μSv, 95% CI 0.47–0.59 vs. 0.53 ± 0.43 μSv, 95% CI 0.54–0.64). The mean combined examination time plus time to preliminary report was shorter for ultra-low-dose CT compared to digital radiography (7.6 ± 2.5 min, 95% CI 7.1–8.1 vs. 9.8 ± 4.7 min, 95% CI 8.8–10.7) (p = 0.002). The recommended treatment changed in 34 (16.4%) extremities. Conclusions Ultra-low-dose CT is a useful alternative to digital radiography for imaging the peripheral skeleton in the acute setting as it detects significantly more fractures and provides additional clinically important information, at a comparable radiation dose. It also provides faster combined examination and reporting times.


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