scholarly journals Forecasting the Risk of X-Ray Radiation Exposure to Radiation Workers in the Radiology Department RSUP X. Jakarta

Author(s):  
Agus Riyanto ◽  
Arni Widyastuti
2020 ◽  
Vol 12 (2) ◽  
pp. 97
Author(s):  
Farida Giyartika ◽  
Soedjajadi Keman

Introduction: Health development in Indonesia is influenced by the increasing needs and demands of the community to obtain quality health services. Progress in health service facilities as a form of the use of radiation beams. The utilization of radiation substances in the field of health care is a source of danger for radiation workers in the radiology department. X-ray radiation has an impact on human health, especially the health of radiographers. The purpose of this study was to analyze the increase in leukocytes due to X-ray radiation exposure in workers exposed (radiographers) with unexposed workers (admissions officers) at the Jemursari Islamic Hospital in Surabaya. Methods: This study used an analytic observational study, using a cross sectional research design, and the analysis used was the independent t-test and mann whitney. Research subjects numbered 18 respondents taken from the population in accordance with specified criteria. Result and Discussion: The results showed there was no difference between exposed workers (radiographers) and unexposed workers (admissions officers) on increased leukocytes due to X-ray radiation exposure. Lymphocyte variables were not significantly different (independent t-test p = 0.137), monocyte variable no significant difference (independent t-test p = 0.525), neutrophil variable no significant difference (independent t-test p = 0.137), eosinophil variable no significant difference (mann whitney p = 0.27), there is no significant difference in the basophile variable (independent t-test p = 0.738). Conclusion:X-ray radiation exposure does not affect the increase in leukocytes in the blood in radiology workers. 


Author(s):  
I Ketut Putra ◽  
Ida Bagus Made Suryatika ◽  
I Gusti Agung Ayu Ratnawati ◽  
Gusti Ngurah Sutapa

One source of radiation is X-ray aircraft, which utilization must pay attention to safety aspects. Room design is the first step that must be done before the operation of X-ray aircraft. Radiology Unit Kasih Ibu Kedonganan Hospital operates an X-ray aircraft with specifications of 250 kV-85 mA, needs to be tested for radiation exposure which is an integral part of the verification of radiation protection. Test for radiation exposure at least once a year. The purpose of the installation room design is to ensure that workers or the general public around the plant receive radiation exposure that is smaller than the applicable dose limit value (DLV), by the radiation safety provisions that refer to the Decree. BAPETEN No. 7 of 2009 concerning Radiation Safety in the use of radiographic equipment. This study will test exposure to room wall shields associated with radiation workers and the general public. The results showed that all walls A, B, C, D, and E could still completely weaken the rate of X-ray radiation. The highest radiation dose detected on wall B is the primary wall for the Buky stand examination.


2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Lará Armstrong ◽  
Helen Monaghan ◽  
Sarah Jeffers

Abstract Aim Abdominal radiographs (AXRs) are commonly used in the setting of acute abdominal pain. However, with low diagnostic yield, they can increase workload within the radiology department, increase patient radiation exposure and ultimately delay further diagnostic imaging. The average cost of an abdominal film, excluding staffing costs, is £45. This study aimed to investigate the appropriate use of AXRs in the emergency setting, as per the Royal College of Radiologists Guidelines (RCR). Methods A single centre retrospective review was conducted of all patients referred to the emergency surgical team over a 21 day period. Data was retrieved from electronic handover records. Demographics, radiology request forms and imaging results were obtained from up to date electronic care records. Results A total of 160 patients presented within the audit window, with a median age 49 (16-94) and 61.3% male. Overall, 36.9% of patients underwent an abdominal x-ray, 66.1% of which were not indicated in accordance with RCR guidelines. 71.2% of patients who underwent an abdominal x-ray required further diagnostic imaging by means of CT or USS. Only 10.2% of AXRs provided diagnostic information. Total cost expenditure for inappropriate AXRs = £1,755, excluding staffing costs. Conclusions Approximately two thirds of AXRs performed did not comply with the published RCR guidelines. Adherence to RCR guidelines can reduce needless radiation exposure, hospital costs and delay to diagnosis. We plan to conduct a teaching session on the RCR guidelines alongside the development of information posters, and re-audit our results.


JMS SKIMS ◽  
2010 ◽  
Vol 13 (2) ◽  
pp. 51-55
Author(s):  
M Mohib-ul Haq ◽  
Ghulam Mohammad Mir ◽  
Nazir Ahmad Khan ◽  
Mohammad Ashraf Teli ◽  
M Maqbool Lone ◽  
...  

BACKGROUND: A primary consideration in any radiographic procedure is to reduce the dose to the patient and the operator while still achieving the diagnostic goals. OBJECTIVE: To study the radiation exposure and protective measures in different units of various hospitals in Kashmir valley in compliance to recommendations from regulatory authorities. METHODS: Twenty-eight stationary X-ray units of various major hospitals of the Kashmir Valley were surveyed by the radiation safety group of SKIMS. Panoramic survey meter, Thyac-V survey meter-470A, Prima-7 digital survey meters were used for radiation exposure estimations. The radiation level measurements were carried out at different critical locations like control console, door and the corridor adjacent to the Diagnostic equipment and were compared with the standards of AERB and IAEA. RESULTS: Of the 28 stationary X-Ray units identified 21 were functional and surveyed. Seventy seven Radiation workers (Technicians) operating these units perform about 1335 diagnostic procedures daily on these units. Out of 21 X-ray units surveyed, 9 (42.86%) had dose rate at the control panel within the permissible limits and 12(57.14%) had exposure levels higher than permissible limits. The dose levels at the door and corridor were exceeding the permissible limits in all the units. Most of the radiation workers had no concept of radiation protective measures and did not use any personal radiation monitoring device like TLD (Thermo-luminescent dosimeter). CONCLUSIONS: To avoid radiation exposure, the radiation safety measures ought to be strictly followed which is possible by making the concerned authorities answerable and accountable. Also the radiation workers need to be made aware of hazards of radiation exposure, importance of using personnel monitoring devices and providing knowledge about the safety measures. (JMS 2010;13(2):51-55)


2015 ◽  
Vol 1 (1) ◽  
pp. 10-22
Author(s):  
Fransiska Dian ◽  
Bagaswoto Poedjomartono ◽  
Toto Trikasjono

Background: Attention control in interventional radiology is not yet optimal if compared with diagnostic radiology, but the risk of radiation in interventional radiology is greater than the diagnostic radiology.Objective: To evaluate the level of radiation safety measures by conducting analysis on interventional radiology and vascular cardiac catheterization both therapy and diagnosis in Cath-Lab Room, especially in the Cath-Lab Room 2 of Radiology Unit, RSUP Dr. Sardjito.Materials and methods: Evaluation is done on the structural design of retaining, the leakage rate of X-ray machine, the environmental rate of radiation exposure and dose of radiation workers by comparing between the data with theory.Results: Most of the thick primary and secondary structural barrier has a thickness sufcient although there are still some parts are less. Average of environmental radiation exposure rate is 0,01664 ?R/hr. Then, average of radiation leak rate is 9,225 mR/hr. The average dose received by the doctors and assistants are still far from 20 mSv/year as Dose Value Limit, that is 19,2242 ?Sv/measures for physicians and 9,403 ?Sv/measures for the assistant. The number of measure in the Cath-Lab Room 2 so as not to exceed the NBD 20 mSv/year is a 1.040 measure by doctor and 1.305 act by assistant.Conclusions: In general, the examination room and X-ray machine in Cath Lab Room 2 of Radiology Unit, RSUP Dr. Sardjito Yogyakarta is in a safe condition to operate. Designing of structural barrier, control of environmental radiation exposure rates and the rate of leakage of X-ray machine, and the use of personal protection equipment can reduce radiation dose of Cath-Lab Room 2 sta? in to the lowest possible value so as to ensure the safety of sta? and the community around the Cath-Lab Room 2.


Author(s):  
P Kamusella ◽  
F Scheer ◽  
C Lüdtke ◽  
P Wiggermann ◽  
C Wissgott ◽  
...  
Keyword(s):  

2020 ◽  
Vol 4 (2) ◽  
pp. 722-729
Author(s):  
Usman Sani ◽  
Bashir Gide Muhammad ◽  
Dimas Skam Joseph ◽  
D. Z. Joseph

Poor implementation of quality assurance programs in the radiation industry has been a major setback in our locality. Several studies revealed that occupational workers are exposed to many potential hazards of ionizing radiation during radio-diagnostic procedures, yet radiation workers are often not monitored. This study aims to evaluate the occupational exposure of the radiation workers in Federal Medical Centre Katsina, and to compare the exposure with recommended occupational radiation dose limits. The quarterly readings of 20 thermo-luminescent dosimeters (TLDs') used by the radiation workers from January to December, 2019 were collected from the facility's radiation monitoring archive, and subsequently assessed and analyzed. The results indicate that the average annual equivalent dose per occupational worker range from 0.74 to 1.20 mSv and 1.28 to 2.21 mSv for skin surface and deep skin dose, measured at 10 mm and 0.07 mm tissue depth respectively. The occupational dose was within the recommended national and international limits of 5 mSv per annum or an average of 20 mSv in 5 years. Therefore, there was no significant radiation exposure to all the occupational workers in the study area. Though, the occupational radiation dose is within recommended limit, this does not eliminate stochastic effect of radiation. The study recommended that the occupational workers should adhere and strictly comply with the principles of radiation protection which includes distance, short exposure time, shielding and proper monitoring of dose limits. Furthermore, continuous training of the radiation workers is advised.


2020 ◽  
Vol 3 ◽  
pp. 36-39
Author(s):  
Samson O. Paulinus ◽  
Benjamin E. Udoh ◽  
Bassey E. Archibong ◽  
Akpama E. Egong ◽  
Akwa E. Erim ◽  
...  

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.


2020 ◽  
Vol 11 (1) ◽  
pp. 301
Author(s):  
Sławomir Paśko ◽  
Wojciech Glinkowski

Scoliosis is a three-dimensional trunk and spinal deformity. Patient evaluation is essential for the decision-making process and determines the selection of specific and adequate treatment. The diagnosis requires a radiological evaluation that exposes patients to radiation. This exposure reaches hazardous levels when numerous, repetitive radiographic studies are required for diagnostics, monitoring, and treatment. Technological improvements in radiographic devices have significantly reduced radiation exposure, but the risk for patients remains. Optical three-dimensional surface topography (3D ST) measurement systems that use surface topography (ST) to screen, diagnose, and monitor scoliosis are safer alternatives to radiography. The study aimed to show that the combination of plain X-ray and 3D ST scans allows for an approximate presentation of the vertebral column spinous processes line in space to determine the shape of the spine’s deformity in scoliosis patients. Twelve patients diagnosed with scoliosis, aged 13.1 ± 4.5 years (range: 9 to 20 years) (mean: Cobb angle 17.8°, SD: ±9.5°) were enrolled in the study. Patients were diagnosed using full-spine X-ray and whole torso 3D ST. The novel three-dimensional assessment of the spinous process lines by merging 3D ST and X-ray data in patients with scoliosis was implemented. The method’s expected uncertainty is less than 5 mm, which is better than the norm for a standard measurement tool. The presented accuracy level is considered adequate; the proposed solution is accurate enough to monitor the changes in the shape of scoliosis’s spinous processes line. The proposed method allows for a relatively precise calculation of the spinous process lines based on a three-dimensional point cloud obtained with a four-directional, three-dimensional structured light diagnostic system and a single X-ray image. The method may help reduce patients’ total radiation exposure and avoid one X-ray in the sagittal projection if biplanar radiograms are required for reconstructing the three-dimensional line of the spinous processes line.


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