Patient Radiation Dose Assessment during Fluoroscopic Procedures: A Survey to Propose Local Diagnostic Reference Levels for Selected Facilities

The primary aim of this work was to propose local diagnostic reference levels (LDRLs) for fluoroscopy examinations in two selected radiological imaging facilities in Ghana for subsequent improvement of optimization. DRLs was established for the frequently performed procedures, which includes, hysterosalpingogram (HSG), urethrogram (Utg) and barium swallow (BaS) examinations. The DRLs for KAP and screening time values estimated for hysterosalpingography was 6.0 Gy.cm2 and 0.60 minutes, ; Barium swallow was 12.1 Gy.cm2 and 1.4 minutes ; and urethrogram studies was 7.0 Gy.cm2 and 0.7 minutes for Facility A . Whiles for Facility B, the DRLs for KAP and screening time values estimated for hysterosalpingography was 4.1 Gy.cm2 and 0.50 minutes, ; Barium swallow was 11.2 Gy.cm2 and 1.2 minutes ; and urethrogram studies was 6.5 Gy.cm2 and 0.7 minutes.

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Towards dose reduction in CT: patient radiation dose assessment for CT examinations at university health center in Canada and comparison with national diagnostic reference levels

Radiation Protection Dosimetry ◽

10.1093/rpd/ncr024 ◽

2011 ◽

Vol 148 (2) ◽

pp. 202-210 ◽

Cited By ~ 15

Author(s):

R. Heliou ◽

L. Normandeau ◽

G. Beaudoin

Keyword(s):

Radiation Dose ◽

Health Center ◽

Dose Reduction ◽

Dose Assessment ◽

Diagnostic Reference Levels ◽

Reference Levels ◽

Radiation Dose Assessment ◽

Patient Radiation Dose

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Patient radiation dose assessment system for diagnostic nuclear medicine procedures: Implementation and first results

Nuclear Technology and Radiation Protection ◽

10.2298/ntrp2004380d ◽

2020 ◽

Vol 35 (4) ◽

pp. 380-385

Author(s):

Dea Dundara-Debeljuh ◽

Slaven Jurkovic ◽

Ivan Pribanic ◽

Neva Girotto ◽

Svjetlana Grbac-Ivankovic ◽

...

Keyword(s):

Nuclear Medicine ◽

Radiation Dose ◽

Radiation Risk ◽

Assessment System ◽

Dose Assessment ◽

Medical Documentation ◽

Diagnostic Nuclear Medicine ◽

Nuclear Medicine Procedures ◽

Radiation Dose Assessment ◽

Patient Radiation Dose

Dose assessment of diagnostic nuclear medicine procedures is necessary to further optimize respective procedure, estimate radiation risk, improve radiation safety and verify compliance of local practice with guidelines. In line with Council Directive 2013/59/EURATOM, patient medical documentation should include information related to radiation exposure. The aim of this work is to present the patient radiation dose assessment system designed for routine clinical use, that uses in-house designed worksheets for dose calculation based on relevant parameters introduced by the ICRP publications. Dose reports provide information about the absorbed dose delivered to the target and non-target organs of interest and the effective dose for each diagnostic procedure. The data from the dose reports was used to investigate average patient exposure levels during a one-year period and the results are presented. The implemented system has improved the quality of services provided and understanding of radiation risks. Moreover, the presented results have stimulated further optimization of nuclear medicine processes.

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Patient Radiation Dose Assessment in Pelvic X-ray Examination in Ghana

OMICS Journal of Radiology ◽

10.4172/2167-7964.1000151 ◽

2013 ◽

Vol 2 (8) ◽

Cited By ~ 1

Author(s):

Eric K Ofori

Keyword(s):

Radiation Dose ◽

Dose Assessment ◽

X Ray ◽

Radiation Dose Assessment ◽

Patient Radiation Dose

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Diagnostic Reference Levels for Common Orthopedic Hand and Wrist Procedures Using Intraoperative mini C-arm Fluoroscopy

Hand ◽

10.1177/1558944721994257 ◽

2021 ◽

pp. 155894472199425

Author(s):

Kiran R. Madhvani ◽

Matthew J. R. Clark ◽

Alex A. J. Kocheta

Keyword(s):

Radiation Dose ◽

Fracture Fixation ◽

Wrist Fracture ◽

Radiation Doses ◽

Diagnostic Reference Levels ◽

Reference Levels ◽

Audit Data ◽

Small Joint ◽

Open Fixation ◽

Phalangeal Fracture

Background: Diagnostic reference levels are radiation dose levels in medical radiodiagnostic practices for typical examinations for groups of standard-sized individuals for broadly defined types of equipment. This study aimed to contribute to national diagnostic reference levels for common hand and wrist procedures using mini C-arm fluoroscopy. Small joint and digital fracture procedure diagnostic reference levels have not been reported in significant numbers previously with procedure-level stratification. Methods: Data were collected from fluoroscopy logbooks and were cross-referenced against the audit log kept on fluoroscopy machines. A total of 603 procedures were included. Results: The median radiation dose for wrist fracture open fixation was 2.73 cGycm2, Kirschner wiring (K-wiring) procedures was 2.36 cGycm2, small joint arthrodesis was 1.20 cGycm2, small joint injections was 0.58 cGycm2, and phalangeal fracture fixation was 1.05 cGycm2. Conclusions: Wrist fracture fixation used higher radiation doses than phalangeal fracture fixation, arthrodeses, and injections. Injections used significantly less radiation than the other procedures. There are significant differences in total radiation doses when comparing these procedures in hand and wrist surgery. National and international recommendations are that institutional audit data should be collected regularly and should be stratified by procedure type. This study helps to define standards for this activity by adding to the data available for wrist fracture diagnostic reference levels and defining standards for digital and injection procedures.

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