Patients doses Estimation in Common Diagnostic X-Ray Examinations and Local DRLs Determination for All Types of Patients

Objective: Nowadays medical imaging is essential in any medical diagnosis. In 1990, the International commission on radiological protection recommended diagnostic reference level (DRL)  to optimize the X-ray examinations according to the principle of optimization assisting the patient radiation dose...

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Main Authors: Hossein Rahanjam, Hossein Gharaati, Mohamadreza Kardan, Behzad Fasaee, Arash Akbarzadeh
Format: Article
Language:English
Published: Guilan University of Medical Sciences 2016-09-01
Series:Caspian Journal of Health Research
Subjects:
Online Access:http://cjhr.gums.ac.ir/browse.php?a_code=A-10-102-1&slc_lang=en&sid=1
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author Hossein Rahanjam
Hossein Gharaati
Mohamadreza Kardan
Behzad Fasaee
Arash Akbarzadeh
author_facet Hossein Rahanjam
Hossein Gharaati
Mohamadreza Kardan
Behzad Fasaee
Arash Akbarzadeh
author_sort Hossein Rahanjam
collection DOAJ
description Objective: Nowadays medical imaging is essential in any medical diagnosis. In 1990, the International commission on radiological protection recommended diagnostic reference level (DRL)  to optimize the X-ray examinations according to the principle of optimization assisting the patient radiation dose in diagnostic imaging centres not being ignored. Material and Method: 12 common radiography examinations have been conducted for all type of patients in all of Ilam hospitals and imaging centres. The quality control check was performed on the equipment and it used the solid state dosimeters for estimating the Entrance Surface Air Kerma. Then Entrance Skin Dose of patient was estimated. Finally, its third quartile (75%) was presented as DRL. Result: The range of Entrance Skin Dose (ESD) is from 18 mGy to 0.001 mGy in lumbosacral lateral (LAT) in fat adult and Chest of an infant, respectively. Also the range of DRL is from 4.62 mGy is as low as 0.07 mGy in lumbosacral of an adult and infant’s chest, respectively. Conclusion: All DRLs obtained in this study are compared with other reference, countries and other cities in Iran. Almost DRLs in Ilam are less than them. One of the reasons may due to the execution of QA program. Establishing DRL in a province and encouraging radiographers to follow these values; carry out QA program regularly in all radiology departments will causes more effective radiation protection in population and patient dose.
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spelling doaj.art-a6f57544377649318bedcba173982d942022-12-22T00:21:37ZengGuilan University of Medical SciencesCaspian Journal of Health Research2423-81712016-09-01214453Patients doses Estimation in Common Diagnostic X-Ray Examinations and Local DRLs Determination for All Types of PatientsHossein Rahanjam0Hossein Gharaati1Mohamadreza Kardan2Behzad Fasaee3Arash Akbarzadeh4 MSc Student of Radiobiology and Radiation Protection, Radiology Department, School of Paramedical Sciences, Tehran University of Medical Science, Tehran, Iran Master of Medical Physics and Radiotherapy Oncology Department, Medical Physics Department and Cancer Research Center, Tehran University of Medical Sciences, Tehran, Iran Master of Nuclear Science and Technology Research Institute, Nuclear Safety and Radiation Protection Research Group, Atomic Energy Organization of Iran, Tehran, Iran MSc Degree of Medical Physics, Nuclear Safety and Radiation Protection Research Group, Atomic Energy Organization of Iran, Tehran, Iran . MSc student of Biostatistics, Epidemiology and Biostatistics department, school of Public Health, Tehran University of Medical Science, Tehran, Iran Objective: Nowadays medical imaging is essential in any medical diagnosis. In 1990, the International commission on radiological protection recommended diagnostic reference level (DRL)  to optimize the X-ray examinations according to the principle of optimization assisting the patient radiation dose in diagnostic imaging centres not being ignored. Material and Method: 12 common radiography examinations have been conducted for all type of patients in all of Ilam hospitals and imaging centres. The quality control check was performed on the equipment and it used the solid state dosimeters for estimating the Entrance Surface Air Kerma. Then Entrance Skin Dose of patient was estimated. Finally, its third quartile (75%) was presented as DRL. Result: The range of Entrance Skin Dose (ESD) is from 18 mGy to 0.001 mGy in lumbosacral lateral (LAT) in fat adult and Chest of an infant, respectively. Also the range of DRL is from 4.62 mGy is as low as 0.07 mGy in lumbosacral of an adult and infant’s chest, respectively. Conclusion: All DRLs obtained in this study are compared with other reference, countries and other cities in Iran. Almost DRLs in Ilam are less than them. One of the reasons may due to the execution of QA program. Establishing DRL in a province and encouraging radiographers to follow these values; carry out QA program regularly in all radiology departments will causes more effective radiation protection in population and patient dose.http://cjhr.gums.ac.ir/browse.php?a_code=A-10-102-1&slc_lang=en&sid=1Entrance Skin DoseDiagnostic Reference LevelRadiography ExaminationQuality Control
spellingShingle Hossein Rahanjam
Hossein Gharaati
Mohamadreza Kardan
Behzad Fasaee
Arash Akbarzadeh
Patients doses Estimation in Common Diagnostic X-Ray Examinations and Local DRLs Determination for All Types of Patients
Caspian Journal of Health Research
Entrance Skin Dose
Diagnostic Reference Level
Radiography Examination
Quality Control
title Patients doses Estimation in Common Diagnostic X-Ray Examinations and Local DRLs Determination for All Types of Patients
title_full Patients doses Estimation in Common Diagnostic X-Ray Examinations and Local DRLs Determination for All Types of Patients
title_fullStr Patients doses Estimation in Common Diagnostic X-Ray Examinations and Local DRLs Determination for All Types of Patients
title_full_unstemmed Patients doses Estimation in Common Diagnostic X-Ray Examinations and Local DRLs Determination for All Types of Patients
title_short Patients doses Estimation in Common Diagnostic X-Ray Examinations and Local DRLs Determination for All Types of Patients
title_sort patients doses estimation in common diagnostic x ray examinations and local drls determination for all types of patients
topic Entrance Skin Dose
Diagnostic Reference Level
Radiography Examination
Quality Control
url http://cjhr.gums.ac.ir/browse.php?a_code=A-10-102-1&slc_lang=en&sid=1
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