scholarly journals General radiographic patient dose monitoring using conformity test data

2021 ◽  
Vol 7 (6) ◽  
pp. 219-224
Author(s):  
I Ketut Putra ◽  
Gusti Agung Ayu Ratnawati ◽  
Gusti Ngurah Sutapa
Keyword(s):  
Interventional Radiology ◽  
Radiation Dose ◽  
Test Data ◽  
Medical Practitioners ◽  
X Ray ◽  
Patient Protection ◽  
Dose Monitoring ◽  
Test Parameters ◽  
Medical Exposure ◽  
Entrance Surface Air Kerma

Currently, the Nuclear Energy Supervisory Agency (BAPETEN) is actively guiding users or license holders related to patient protection against radiation hazards or often referred to as radiation protection and safety on medical exposure. Protection against medical exposure became a big issue when the mandatory compliance test on X-ray equipment for diagnostic and interventional radiology was introduced. In addition, license holders through their medical practitioners are also required to use the level of medical exposure guidelines. While PERKA BAPETEN No. 9, 2011 concerning the Suitability Test of Diagnostic and Interventional Radiology X-Ray device, states that one of the test parameters that directly affect the patient's radiation dose and determine the feasibility of operating the X-Ray device to the patient is information on the dose or rate of radiation dose received by the patient. Monitoring doses with Entrance Surface Air Kerma (ESAK) or what is often referred to as ESD (entrance surface dose) using suitability conformity test data starting from 50,60,70,80,90 and 100 kVp with 20 mAs at SID 100 meters. The results of the research on the value of ESAK was 0.049 mGy, an ESAK value that still met the national I-DRL value from BAPETEN Regulation No. 1211/K/V/2021.

scholarly journals An Approach for Online Determining the Entrance Surface Air Kerma (ESAK) in Digital Radiology

2021 ◽  
Author(s):  
Ibrahim Idris Suliman
Keyword(s):  
Interventional Radiology ◽  
Digital Imaging ◽  
Digital Information ◽  
Patient Exposure ◽  
Digital Radiology ◽  
X Ray ◽  
Air Kerma ◽  
Dicom Header ◽  
Area Product ◽  
Entrance Surface Air Kerma

Abstract An online method is proposed to determine the entrance surface air kerma (ESAK) in digital radiology from console-displayed kerma area product (PKA) data. ESAK values were calculated from X-ray tube outputs and patient exposure factors across five X-ray examinations. The corresponding PKAvalues were taken from the Digital Imaging and Communications in Medicine (DICOM) header. Using linear regression between ESAK and values, the slope and intercept coefficients for each type of X-ray equipment and procedure were determined. The coefficient to determine ESAK from ranged from 59% for a posteroanterior chest to 88% for anteroposterior lumbar spine view X-ray procedures. The results demonstrated the possibility of online estimates of ESAK from a console that displayed using readily available digital information in radiology. The results may have important implications in interventional radiology, where ESAK values are crucial for preventing skin injuries due to prolonged fluoroscopy times.

scholarly journals Personal Dosimetry Using Monte-Carlo Simulations For Occupational Dose Monitoring In Interventional Radiology: The Results Of A Proof Of Concept In A Clinical Setting

2021 ◽  
Author(s):  
A Almén ◽  
M Andersson ◽  
U O’Connor ◽  
M Abdelrahman ◽  
A Camp ◽  
...  
Keyword(s):  
Monte Carlo ◽  
Interventional Radiology ◽  
Motion Tracking ◽  
Tracking System ◽  
Radiation Doses ◽  
Clinical Environment ◽  
Dose Equivalent ◽  
X Ray ◽  
Dose Monitoring ◽  
Occupational Dose

Abstract Exposure levels to staff in interventional radiology (IR) may be significant and appropriate assessment of radiation doses is needed. Issues regarding measurements using physical dosemeters in the clinical environment still exist. The objective of this work was to explore the prerequisites for assessing staff radiation dose, based on simulations only. Personal dose equivalent, Hp(10), was assessed using simulations based on Monte Carlo methods. The position of the operator was defined using a 3D motion tracking system. X-ray system exposure parameters were extracted from the x-ray equipment. The methodology was investigated and the simulations compared to measurements during IR procedures. The results indicate that the differences between simulated and measured staff radiation doses, in terms of the personal dose equivalent quantity Hp(10), are in the order of 30–70 %. The results are promising but some issues remain to be solved, e.g. an automated tracking of movable parts such as the ceiling-mounted protection shield.

scholarly journals Fluoroscopically-guided interventions with radiation doses exceeding 5000 mGy reference point air kerma: a dosimetric analysis of 89,549 interventional radiology, neurointerventional radiology, vascular surgery, and neurosurgery encounters

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Jacob J. Bundy ◽  
Ian W. McCracken ◽  
David S. Shin ◽  
Eric J. Monroe ◽  
Guy E. Johnson ◽  
...  
Keyword(s):  
Interventional Radiology ◽  
Radiation Dose ◽  
Vascular Surgery ◽  
Reference Point ◽  
Medical Specialty ◽  
Radiation Doses ◽  
Radiation Physics ◽  
Dose Area Product ◽  
Air Kerma ◽  
Dose Monitoring

Abstract Purpose To quantify and categorize fluoroscopically-guided procedures with radiation doses exceeding 5000 mGy reference point air kerma (Ka,r). Ka,r > 5000 mGy has been defined as a “significant radiation dose” by the Society of Interventional Radiology. Identification and analysis of interventions with high radiation doses has the potential to reduce radiation-induced injuries. Materials and methods Radiation dose data from a dose monitoring system for 19 interventional suites and 89,549 consecutive patient encounters from January 1, 2013 to August 1, 2019 at a single academic institution were reviewed. All patient encounters with Ka,r > 5000 mGy were included. All other encounters were excluded (n = 89,289). Patient demographics, medical specialty, intervention type, fluoroscopy time (minutes), dose area product (mGy·cm2), and Ka,r (mGy) were evaluated. Results There were 260 (0.3%) fluoroscopically-guided procedures with Ka,r > 5000 mGy. Of the 260 procedures which exceeded 5000 mGy, neurosurgery performed 81 (30.5%) procedures, followed by interventional radiology (n = 75; 28.2%), neurointerventional radiology (n = 55; 20.7%), and vascular surgery (n = 49; 18.4%). The procedures associated with the highest Ka,r were venous stent reconstruction performed by interventional radiology, arteriovenous malformation embolization performed by neurointerventional radiology, spinal hardware fixation by neurosurgery, and arterial interventions performed by vascular surgery. Neurointerventional radiology had the highest mean Ka,r (7,799 mGy), followed by neurosurgery (7452 mGy), vascular surgery (6849 mGy), and interventional radiology (6109 mGy). The mean Ka,r for interventional radiology performed procedures exceeding 5000 mGy was significantly lower than that for neurointerventional radiology, neurosurgery, and vascular surgery. Conclusions Fluoroscopically-guided procedures with radiation dose exceeding 5000 mGy reference point air kerma are uncommon. The results of this study demonstrate that a large proportion of cases exceeding 5000 mGy were performed by non-radiologists, who likely do not receive the same training in radiation physics, radiation biology, and dose reduction techniques as radiologists.

Requesting physicians’ knowledge of X-radiation exposure from computed tomography scan examinations: A case study of two Nigerian tertiary hospitals

2020 ◽  
Vol 3 ◽  
pp. 36-39
Author(s):  
Samson O. Paulinus ◽  
Benjamin E. Udoh ◽  
Bassey E. Archibong ◽  
Akpama E. Egong ◽  
Akwa E. Erim ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Ionizing Radiation ◽  
Ct Scan ◽  
Radiation Exposure ◽  
Work Experience ◽  
Radiation Risk ◽  
Radiological Protection ◽  
X Ray ◽  
Tertiary Hospitals ◽  
Medical Exposure

Objective: Physicians who often request for computed tomography (CT) scan examinations are expected to have sound knowledge of radiation exposure (risks) to patients in line with the basic radiation protection principles according to the International Commission on Radiological Protection (ICRP), the Protection of Persons Undergoing Medical Exposure or Treatment (POPUMET), and the Ionizing Radiation (Medical Exposure) Regulations (IR(ME)R). The aim is to assess the level of requesting physicians’ knowledge of ionizing radiation from CT scan examinations in two Nigerian tertiary hospitals. Materials and Methods: An 18-item-based questionnaire was distributed to 141 practicing medical doctors, excluding radiologists with work experience from 0 to >16 years in two major teaching hospitals in Nigeria with a return rate of 69%, using a voluntary sampling technique. Results: The results showed that 25% of the respondents identified CT thorax, abdomen, and pelvis examination as having the highest radiation risk, while 22% said that it was a conventional chest X-ray. Furthermore, 14% concluded that CT head had the highest risk while 9% gave their answer to be conventional abdominal X-ray. In addition, 17% inferred that magnetic resonance imaging had the highest radiation risk while 11% had no idea. Furthermore, 25.5% of the respondents have had training on ionizing radiation from CT scan examinations while 74.5% had no training. Majority (90%) of the respondents were not aware of the ICRP guidelines for requesting investigations with very little (<3%) or no knowledge (0%) on the POPUMET and the IR(ME)R respectively. Conclusion: There is low level of knowledge of ionizing radiation from CT scan examinations among requesting physicians in the study locations.

scholarly journals Optimization of X-ray Investigations in Dentistry Using Optical Coherence Tomography

Sensors ◽  
2021 ◽  
Vol 21 (13) ◽  
pp. 4554
Author(s):  
Ralph-Alexandru Erdelyi ◽  
Virgil-Florin Duma ◽  
Cosmin Sinescu ◽  
George Mihai Dobre ◽  
Adrian Bradu ◽  
...  
Keyword(s):  
Optical Coherence Tomography ◽  
Radiation Dose ◽  
Imaging Techniques ◽  
Image Resolution ◽  
Optical Coherence ◽  
X Rays ◽  
High Quality ◽  
X Ray

The most common imaging technique for dental diagnoses and treatment monitoring is X-ray imaging, which evolved from the first intraoral radiographs to high-quality three-dimensional (3D) Cone Beam Computed Tomography (CBCT). Other imaging techniques have shown potential, such as Optical Coherence Tomography (OCT). We have recently reported on the boundaries of these two types of techniques, regarding. the dental fields where each one is more appropriate or where they should be both used. The aim of the present study is to explore the unique capabilities of the OCT technique to optimize X-ray units imaging (i.e., in terms of image resolution, radiation dose, or contrast). Two types of commercially available and widely used X-ray units are considered. To adjust their parameters, a protocol is developed to employ OCT images of dental conditions that are documented on high (i.e., less than 10 μm) resolution OCT images (both B-scans/cross sections and 3D reconstructions) but are hardly identified on the 200 to 75 μm resolution panoramic or CBCT radiographs. The optimized calibration of the X-ray unit includes choosing appropriate values for the anode voltage and current intensity of the X-ray tube, as well as the patient’s positioning, in order to reach the highest possible X-rays resolution at a radiation dose that is safe for the patient. The optimization protocol is developed in vitro on OCT images of extracted teeth and is further applied in vivo for each type of dental investigation. Optimized radiographic results are compared with un-optimized previously performed radiographs. Also, we show that OCT can permit a rigorous comparison between two (types of) X-ray units. In conclusion, high-quality dental images are possible using low radiation doses if an optimized protocol, developed using OCT, is applied for each type of dental investigation. Also, there are situations when the X-ray technology has drawbacks for dental diagnosis or treatment assessment. In such situations, OCT proves capable to provide qualitative images.

scholarly journals Radiation dose estimation for pencil beam X-ray luminescence computed tomography imaging

2021 ◽  
pp. 1-12
Author(s):  
Ignacio O. Romero ◽  
Changqing Li
Keyword(s):  
Computed Tomography ◽  
Radiation Dose ◽  
Small Animal ◽  
Pencil Beam ◽  
Computed Tomography Imaging ◽  
Step Size ◽  
Imaging Protocol ◽  
X Ray ◽  
Beam Geometry ◽  
Muscle Tissues

BACKGROUND: Pencil beam X-ray luminescence computed tomography (XLCT) imaging provides superior spatial resolution than other imaging geometries like sheet beam and cone beam geometries. However, the pencil beam geometry suffers from long scan times, resulting in concerns overdose which discourages the use of pencil beam XLCT. OBJECTIVE: The dose deposited in pencil beam XLCT imaging was investigated to estimate the dose from one angular projection scan with three different X-ray sources. The dose deposited in a typical small animal XLCT imaging was investigated. METHODS: A Monte Carlo simulation platform, GATE (Geant4 Application for Tomographic Emission) was used to estimate the dose from one angular projection scan of a mouse leg model with three different X-ray sources. Dose estimations from a six angular projection scan by three different X-ray source energies were performed in GATE on a mouse trunk model composed of muscle, spine bone, and a tumor. RESULTS: With the Sigray source, the bone marrow of mouse leg was estimated to have a radiation dose of 44 mGy for a typical XLCT imaging with six angular projections, a scan step size of 100 micrometers, and 106 X-ray photons per linear scan. With the Sigray X-ray source and the typical XLCT scanning parameters, we estimated the dose of spine bone, muscle tissues, and tumor structures of the mouse trunk were 38.49 mGy, 15.07 mGy, and 16.87 mGy, respectively. CONCLUSION: Our results indicate that an X-ray benchtop source (like the X-ray source from Sigray Inc.) with high brilliance and quasi-monochromatic properties can reduce dose concerns with the pencil beam geometry. Findings of this work can be applicable to other imaging modalities like X-ray fluorescence computed tomography if the imaging protocol consists of the pencil beam geometry.

Encapsulated protamine-hyaluronic acid particles for targeting carboplatin directed by radiation

2017 ◽  
Vol 27 (01n02) ◽  
pp. 37-42
Author(s):  
T. Segawa ◽  
S. Harada ◽  
S. Ehara ◽  
K. Ishii ◽  
T. Sato ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Radiation Dose ◽  
Cancer Treatment ◽  
Standard Error ◽  
Room Temperature ◽  
Pixe Analysis ◽  
X Ray ◽  
Clinical Cancer

Encapsulated protamine-hyaluronic acid particles containing carboplatin were prepared and their ability to release carboplatin was tested in vivo. Protamine–hyaluronic acid particles containing carboplatin were prepared by mixing protamine (1.6 mg) and hyaluronic acid (1.28 mg) into a 5 mg/mL carboplatin solution for 30 min at room temperature. A 1 mL solution of protamine–hyaluronic acid particles was poured into an ampule of COATSOME[Formula: see text] EL-010 (Nichiyu, Tokyo, Japan), shaken three times by hand, and allowed to incubate at room temperature for 15 min. Following that, 10 or 20 Gy of 100 kiloelectronvolt (KeV) soft X-ray was applied. The release of carboplatin was imaged using a microparticle-induced X-ray emission (PIXE) camera. The amount of carboplatin released was expressed as the amount of platinum released and measured via quantitative micro-PIXE analysis. The diameter of the generated encapsulated particles measured [Formula: see text] nm (mean ± standard error). The release of carboplatin from the encapsulated protamine–hyaluronic acid particles was observed under a micro-PIXE camera. The amount of carboplatin released was [Formula: see text] under 10 Gy of radiation, and [Formula: see text] under 20 Gy of radiation, which was a sufficient dose for cancer treatment. However, 10 or 20 Gy of radiation is much greater than the dose used for clinical cancer treatment (2 Gy). Further research to reduce the radiation dose to 2 Gy in order to release sufficient carboplatin for cancer treatment is required.

Estimation of Radiation Doses in X-Ray Visualization of Biological Objects

2014 ◽  
Vol 880 ◽  
pp. 53-56 ◽  
Author(s):  
Sergei Stuchebrov ◽  
Andrey Batranin ◽  
Dan Verigin ◽  
Yelena Lukyanenko ◽  
Maria Siniagina ◽  
...  
Keyword(s):  
Radiation Dose ◽  
Biological Object ◽  
Gas Discharge ◽  
Radiation Doses ◽  
Semiconductor Detectors ◽  
Interior Structure ◽  
Dose Calculations ◽  
Object Control ◽  
X Ray ◽  
Biological Objects

Two setups for X-ray visualization of objects interior structure were designed and assembled in TPU. These radiographic systems are based on linear gas-discharge and GaAs semiconductor detectors. During investigation of biological object control of radiation doses has a high priority. In this report radiation dose calculations in X-ray visualization are presented. These calculation also includes dose calculations of sinograms which are used for reconstruction of tomography slices.

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