EFFECTIVE DOSES IN CHEST AND ABDOMINAL RADIOGRAPHY FOLLOWING THE ICRP RECOMMENDATIONS OF 1991 AND 2007 IN A REGIONAL HOSPITAL. Effective dose tissue weighting factor
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Abstract
Background of Study: Radiation protection is of core importance in radiodiagnostic centres, to keep both patients care givers and staff of the centres from stochastic and non- stochastic effects of radiation. The effectiveness and protectiveness of aprons are of valuable importance, it is therefore necessary to assess these aprons to ensure efficacy. Such quality checks have not been reported in the South – South region of Nigeria.
Method: Twenty two protective lead aprons from 18 radiological clinics in South-South Nigeria were directly exposed to X-rays with average factors of 70 ± 5kVp, 16 mAs and 100 cm Source to apron distance, with 43 x 35 cm cassettes places underneath to cover the upper (thoracic half) and the lower (abdominal half) respectively. Exposed films were processed in each centre following regular processing protocols to obtain radiographs with images of the state of the aprons.
Results: Results showed that 68% of all the aprons under study were defective, having cracks (44%), tears (33%), splits (15%) and/or rips (8%). About 73 % of the defective aprons had more than one (1) type of defect.
Conclusion: Over two-thirds (⅔) of lead aprons found in diagnostic radiology centres in South – South Nigeria, have shown sufficient evidence of defects to suggest that they may not be useful for radiation protection of the users.
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References
Hart D, Hillier MC, Shrimpton PC, Bungay D. Doses to patients from medical X-ray examinations in the UK: 1995 review. Didcot, Chilton, England, 1996.
Hart D, Hillier M, Wall B. Doses to patients from radiographic and fluoroscopic X-ray imaging procedures in the UK: 2005 review. Didcot, Chilton, England, 2007.
Hart D, Hillier MC, Wall BF. Doses to patients from medical X-ray exposures in the UK: 2000 review. National Radiological Protection Board (NRPB), 2002.
Hughes JS, Watson SJ, Jones AL, Oatway WB. Review of the radiation exposure of the UK population. Journal of Radiological Protection, 2005; 25:493.
International Commission on Radiological Units and Measurements (ICRU). Interaction data for body tissues. Bethesda, USA, 1992.
International Commission on Radiological Protection (ICRP). ICRP Publication 103: The 2007 Recommendations of the International Commission on Radiological Protection. Annals of the ICRP, Elsevier, 2007.
International Commission on Radiological Protection (ICRP). ICRP Publication 26: Recommendations of the International Commission on Radiological Protection. Annals of the ICRP, 1977; vol. 1.
International Commission on Radiological Protection (ICRP). ICRP Publication 60: 1990 Recommendations of the International Commission on Radiological Protection. Annals of the ICRP, 1991; 21(1-3).
Yakoumakis E, Tsalafoutas IA, Nikolaou D, Nazos I, Koulentianos E, Proukakis C. Differences in effective dose estimation from dose-area product and entrance surface dose measurements in intravenous urography. British Journal of Radiology, 2001; 74:727–734.
Kawaura C, Aoyama T, Koyama S, Achiwa M, Mori M. Organ and effective dose equivalent in diagnostic radiology based on in-phantom dose measurements with novel photodiode dosemeters. Radiation Protection Dosimetry, 2006; 118(4):421–430.
Regulla DF, Eder H. Patient exposure in medical X-ray imaging in Europe. Radiation Protection Dosimetry, 2005; 114(1-3):11–25.
Compagnone G, Pagan L, Baleni MC, Calzolaio FL, Barozzi L, Bergamini C. Patient doses in digital projection radiography. Radiation Protection Dosimetry, 2008. Available from: www.rpd.oxfordjournals.org/cgi
. [12:05:2008]
Brenner D, Huda W. Effective dose: A useful concept in diagnostic radiology? Radiation Protection Dosimetry, 2008; 128(4):503–508.
Martin CJ. How should it be applied to medical exposure? British Journal of Radiology, 2007; 80:639–647.
Egbe NO, Heaton B, Sharp PF. Application of a simple phantom in assessing the effects of dose reduction on image quality in chest radiography. Radiography, 2009; 16:108–114. doi:10.1016/j.radi.2009.09.007
Egbe NO, Heaton B, Sharp PF. Application of a simple phantom to study the effects of dose reduction (by kVp increment) below current dose levels on CR chest image quality. Radiography, 2010; 16:327–332. doi:10.1016/j.radi.2010.05.004
Egbe NO, Heaton B, Sharp PF. Chest radiography doses with film screen: Is further reduction possible? South African Radiographer, 2010; 48(2):28–31.
Egbe NO, Sharp PF. Adapting the CDRH abdominal phantom for dose–image quality optimisation in abdominal radiography. X-RAY: Journal of Association of Radiographers of Nigeria, 2007; 21:30–38.
Papadimitriou D, Perris A, Molfetas MG, Panagiotakis N, Manetou A, Tsourouflis G, Vassileva J, Chronopoulos P, Karapanagiotou O, Kottou S. Patient dose, image quality and radiographic techniques for common X-ray examinations in two Greek hospitals and comparison with European guidelines. Radiation Protection Dosimetry, 2001; 95(1):43–48.
Schultz FW, Zoetelief J. Dose conversion coefficients for interventional procedures. Radiat. Med. Med. Imaging Radiat. Oncol., 2005; 117(1-3):225–230.
Stratakis J, Damilakis J, Gourtsoyiannis N. Organ and effective dose conversion coefficients for radiographic examinations of the paediatric skull estimated by Monte Carlo methods. European Radiology, 2005; 15:1948–1958.
Hart D, Jones DG, Wall BF. Estimation of effective doses in diagnostic radiology from entrance surface dose and dose-area product measurements. National Radiological Protection Board, Chilton, England, 1994.
Wrixon AD. New recommendations from the International Commission on Radiological Protection—a review. Physics in Medicine and Biology, 2008; 53:R41–R60.
Begum Z. Entrance surface, organ and effective doses for some of the patients undergoing different types of X-ray procedures in Bangladesh. Radiation Protection Dosimetry, 2001; 95(3):257–262.
International Commission on Radiological Protection (ICRP). Reference Man: Anatomical, physiological and metabolic characteristics. Pergamum Press, Oxford, 1975.
Ogundare FO, Olarinoye IO, Obed RI. Estimation of patients’ organ doses and conceptus doses from selected X-ray examinations in two Nigerian X-ray centres. Radiation Protection Dosimetry, 2009; 1–8. doi:10.1093/rpd/ncn317
UNSCEAR. Sources and effects of ionising radiation. Report to the General Assembly, with scientific annexes. 2000.
Muhugora WE, Ahmed NA, Almosabihi A, Alsuwaidi JS, Beganovic A, Ciraj-Bjelac O, Kabuya FK, Krisanachinda A, Milakovic M, Mukwada G, Ramanandraibe MJ, Rehani MM, Rouzitalab J, Shandorf C. Patient doses in radiographic examinations in 12 countries in Asia, Africa, and Eastern Europe: Initial results from IAEA projects. American Journal of Radiology, 2008; 190:1453–1461.
Compagnone G, Pagan L, Bergamini C. Effective dose calculations in conventional diagnostic X-ray examinations for adult and paediatric patients in a large Italian hospital. Radiation Protection Dosimetry, 2005; 114(1-3):164–167.
Perez-Martinez M, Ruiz-Cruces R, Martinez-Morillo M, Diez De Los Ríos De Lagado A. Organ doses, detriment and genetic risk from simple X-ray examinations in Malaga (Spain). European Journal of Radiology, 1997; 25:55–61.
Brenner DJ. Effective dose: A flawed concept that could and should be replaced. British Journal of Radiology, 2008; 81:521–523.