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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

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Front Med    2013, Vol. 7 Issue (4) : 506-509    https://doi.org/10.1007/s11684-013-0294-y
RESEARCH ARTICLE
An investigation on patient dose in screen-film diagnostic radiology in Lhasa City, Xizang Autonomous Region, China
Xiang Du()
Jiangsu Provincial Center for Disease Prevention and Control, Nanjing 210009, China
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Abstract

This study aimed to investigate patient dose in diagnostic screen-film radiographic examinations in the city of Lhasa, China. Seven out of the twenty-six hospitals registered with the Lhasa Health Bureau were included in the investigation. The entrance surface air Kerma (ESAK) of seven conventional screen-film radiology X-ray equipment in these hospitals was measured with a QA dosimeter in September 2012. The X-ray examinations were divided into three categories: PA (posterior-anterior) chest, upper/lower limb, and AP (anterior-posterior) lumbar spine. For each category, ESAKs were calculated and analyzed. The mean ESAK was 0.6 mGy for PA chest, 0.3 mGy for upper/lower limb, and 1.8 mGy for AP lumbar spine. In addition, the mean ESAK value recorded for PA chest X-ray examinations exceeded the corresponding value recommended by the International Atomic Energy Agency (0.4 mGy).
Keywords radiation dosage      radiology      radiation protection      radiography/statistics & numerical data     
Corresponding Author(s): Du Xiang,Email:xiang_du@126.com   
Issue Date: 05 December 2013
 Cite this article:   
Xiang Du. An investigation on patient dose in screen-film diagnostic radiology in Lhasa City, Xizang Autonomous Region, China[J]. Front Med, 2013, 7(4): 506-509.
 URL:  
https://academic.hep.com.cn/fmd/EN/10.1007/s11684-013-0294-y
https://academic.hep.com.cn/fmd/EN/Y2013/V7/I4/506
GroupsHospital scale
Above 300 patients per dayBelow 300 patients per day
Population hospitals4 (15.4%)22 (84.6%)
Sample hospitals1 (14.3%)6 (85.7%)
Tab.1  Proportion of hospitals with different scales in population and sample hospitals
GroupsGeographic distribution
City regionCounty
Population hospitals19 (73.1%)7 (26.9%)
Sample hospitals4 (57.1%)3 (42.9%)
Tab.2  Proportion of hospitals with different distributions in population and sample hospitals
GroupsHospital scale
GovernmentPrivate
Population hospitals19 (73.1%)7 (26.9%)
Sample hospitals5 (71.4%)2 (28.6%)
Tab.3  Proportion of hospitals with different attributions in population and sample hospitals
Examination categoriesMedian25% Values75% ValuesMeanSDRangeIAEA recommendation
PA chest0.50.20.80.60.50.1-1.50.4
Upper /lower limb0.10.10.40.30.30.04-0.7
AP lumbar spine1.51.02.31.81.00.9-3.610
Tab.4  ESAK calculation results in seven sampling hospitals (mGy)
HospitalExamination categoriesExamination conditionsESAK (mGy)FSD (cm)
Tube voltage (kV)PIt (mA·s)
Lhasa Maternal and Child Care HospitalPA chest80601.5100
Upper/lower limb80300.7100
AP lumbar spine801202.9100
Lhasa People’s HospitalPA chest80100.9100
Upper/lower limb8080.4100
AP lumbar spine80201.8100
Dangxiong County People’s HospitalPA chest72280.8100
Upper/lower limb72150.4100
AP lumbar spine72561.5100
Qushui County People’s HospitalPA chest52500.3100
Upper/lower limb50200.1100
AP lumbar spine64600.9100
Duilongdeqing County People’s HospitalPA chest65250.5100
Upper/lower limb5012.50.1100
AP lumbar spine751253.6100
Houbei HospitalPA chest8050.1100
Upper/lower limb6350.1100
AP lumbar spine84321.0100
Houlan HospitalPA chest706.30.1100
Upper/lower limb5550.04100
AP lumbar spine75321.0100
Tab.5  Characteristics and ESAK results of the radiological procedures
1 Radiation UNSC. Sources and effects of ionizing radiation: United Nations Scientific Committee on the Effects of Atomic Radiation: UNSCEAR 2008 report to the General Assembly, with scientific annexes. New York: United Nations 2010
2 Hart D, Hillier MC, Wall BF, Board GBNR. Doses to patients from medical X-ray examinations in the UK—2000 review. Chilton, Didcot, Oxon: National Radiological Protection Board 2002
3 Hart D, Wall BF, Board GBNR. Radiation exposure of the UK population from medical and dental X-ray examinations. Chilton, Didcot, Oxon [England]: National Radiological Protection Board 2002
4 Commission E. European guidance on estimating population doses from medical X-ray procedures. Brussels 2008
5 Kim YH, Choi JH, Kim CK, Kim JM, Kim SS, Oh YW, Lee CY, Kang DH, Lee YB, Cho PK, Kim HC, Kim CM. Patient dose measurements in diagnostic radiology procedures in Korea. Radiat Prot Dosimetry 2007; 123(4): 540-545
doi: 10.1093/rpd/ncl501 pmid:17223642
6 Muhogora 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. AJR Am J Roentgenol 2008; 190(6): 1453-1461
doi: 10.2214/AJR.07.3039 pmid:18492891
7 Board NRP, Medicine IOPS, Radiographers CO. National protocol for patient dose measurements in diagnostic radiology. National Radiological Protection Board 1992
8 IAEA. International basic safety standards for protection against ionizing radiation and for the safety of radiation sources. Vienna: IAEA 1996
9 Shahbazi-Gahrouei D. Entrance surface dose measurements for routine X-ray examinations in Chaharmahal and Bakhtiari hospitals. Iran J Radiat Res 2006; 1(4): 29-33
10 Shahbazi-Gahrouei D, Baradaran-Ghahfarokhi M. Investigation of patient dose from common radiology examinations in Isfahan, Iran. Adv Biomed Res 2012; 1(1): 11-14
doi: 10.4103/2277-9175.96064 pmid:23210070
11 Milatovi? A, Ciraj-Bjelac O, Ivanovi? S, Jovanovi? S, Spasi?-Joki? V. Patient dose measurements in diagnostic radiology procedures in Montenegro. Radiat Prot Dosimetry 2012; 149(4): 454-463
doi: 10.1093/rpd/ncr317 pmid:21775317
12 Kharita MH, Khedr MS, Wannus KM. Survey of patient doses from conventional diagnostic radiographic examinations in Syria. Radiat Prot Dosimetry 2010; 140(2): 163-165
doi: 10.1093/rpd/ncq106 pmid:20332131
13 Ziliukas J, Krynke L, Urboniene A. Management of patient doses and diagnostic reference levels in X-ray radiography in Lithuania. Radiat Prot Dosimetry 2010; 139(1-3): 313-316
doi: 10.1093/rpd/ncq102 pmid:20211916
14 Hart D, Hillier MC,Shrimpton PC. Doses to patients from radiographic and fluoroscopic X-ray imaging procedures in the UK—2010 Review. Chilton, Didcot, Oxfordshire: HPA 2012
15 Hart D, Hillier MC, Wall BF. Doses to patients from radiographic and fluoroscopic X-ray imaging procedures in the UK—2005 Review. Chilton, Didcot, Oxfordshire: HPA 2007
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