Hardware monitoring of effective doses in X-ray examinations

1999 ◽  
Vol 33 (4) ◽  
pp. 198-199
Author(s):  
R. V. Stavitskii ◽  
T. V. Zhanina ◽  
A. I. Murashov ◽  
A. S. Kovalev ◽  
L. A. Lebedev ◽  
...  
2020 ◽  
Vol 189 (3) ◽  
pp. 318-322
Author(s):  
Ritva Bly ◽  
Hannu Järvinen ◽  
Sampsa Kaijaluoto ◽  
Verneri Ruonala

Abstract Contemporary collective effective doses to the population from x-ray and nuclear medicine examinations in Finland in 2018 was estimated. The estimated effective dose per caput from x-ray examinations increased from year 2008 to 2018 respectively from 0.45 mSv to 0.72 mSv and from nuclear medicine examinations from 0.03 mSv to 0.04 mSv. The proportional dose due to CT examinations of the total collective effective dose from all x-ray examinations increased from 58% in 2008 to 70% in 2018 and the dose did not change substantially in total when new conversion factors were applied. The collective effective dose from conventional plain radiography did not change substantially during the last ten years while the new (ICRP 103) tissue weighting factors were taken into use in 2018, however frequencies of examinations in total decreased. The collective effective dose from CT in nuclear medicine tripled between 2009 and 2018.


2019 ◽  
Vol 186 (2-3) ◽  
pp. 386-390
Author(s):  
V Dufek ◽  
H Zackova ◽  
L Kotik ◽  
I Horakova

Abstract About 26 000 patients are treated per year with radiotherapy for non-malignant diseases in the Czech Republic. Approximately 75% of them are treated on X-ray therapy units and most of these patients undergo radiotherapy of heel spurs. The evaluation of radiation exposure of these patients was based on measured organ doses and on data from clinical practice. Collective effective doses for particular diagnoses were calculated in order to compare doses resulting from different diagnoses treated on X-ray therapy units. The collective effective dose from radiotherapy of heel spurs in the Czech Republic in 2013 was evaluated to 77 manSv. It represents 25.6% of the total collective effective dose for all diagnoses of radiotherapy for non-malignant diseases treated on X-ray therapy units.


1964 ◽  
Vol 19 (10) ◽  
pp. 929-935 ◽  
Author(s):  
Sigrid Hempel ◽  
Wolfgang Laskowski

A diploid Saccaromyces strain was treated with several doses of X-rays, UV and succinic acid peroxyde (BPO). The inactivation of the ability to form macroscopic colonies as well as the ability to form microcolonies of at least two cells to a few hundred cells has been compared with the inactivation of respiration and fermentation intensity. If the inactivation of macroscopic colony formation is taken as a measure of the effective dose applied, the formation of at least one daughter cell as well as respiration and fermentation intensity is reduced to approximately the same extent after BPO and X-ray treatment. In the latter case, however, much higher effective doses have to be applied and a distinct difference between respiration and fermentation sensitivity is observed. After UV-treatment the formation of at least one daughter cell is exceedingly more sensitive than the fermentation processes. The respiration processes behave most UV resistant. Possible reasons for the observed different relative sensitivities are discussed.


2020 ◽  
Vol 65 (1) ◽  
pp. 13-16
Author(s):  
S. Somov

Purpose: Improving the quality of radiation assessment of patients of the medical institution of the dental profile using the calculated values of effective doses. Material and methods: Using the RED-2018 and ORTO-2018 programs, the values of effective patient exposure doses for 29 medical organizations of the dental profile were calculated. The obtained values of the effective dose were compared with the values specified in the methodological recommendations MP 0100 / 1659-07-26 of February 16, 2007 “Filling of forms of federal state statistical observation 3-DOZ”. Results: The analysis showed that the doses obtained using the RED-2018 and ORTO-2018 computer programs, respectively, are 21 and 14 times lower than the doses indicated in the methodological recommendations MP 0100 / 1659-07-26. Conclusion: It is shown that the developed computer programs can be applied by a dentist practicing physician who performs an x-ray examination in order to automatically and reliably determine the patient’s dose when performing x-ray-mathematical studies in accordance with the guidelines of MU 2.6.1.2944-11 “Monitoring effective doses of patients during x-ray examinations” also used in the preparation of radiation hygienic passports of organizations and statistical form 3-DOZ. The indication of the actually calculated values of the effective dose of the patient, rather than repeatedly overestimated averages, will reduce the level of radiophobia in society.


Author(s):  
Alexander Schegerer ◽  
Reinhard Loose ◽  
Lothar J. Heuser ◽  
Gunnar Brix

Purpose Recent developments in medical technology have broadened the spectrum of X-ray procedures and changed exposure practice in X-ray facilities. For this reason, diagnostic reference levels (DRLs) for diagnostic and interventional X-ray procedures were updated in 2016 and 2018, respectively. It is the aim of this paper to present the procedure for the update of the DRLs and to give advice on their practical application. Materials and Methods For the determination of DRLs, data from different independent sources that collect dose-relevant data from different facilities in Germany were considered. Seven different weight intervals were specified for classifying pediatric X-ray procedures. For each X-ray procedure considered, the 25th, 50th, and 75th percentile of the respective national distribution of the dose-relevant parameters were determined. Additionally, effective doses that correspond to the DRLs were estimated. Results In procedures with already existing DRLs before 2016, the values were lowered by circa 20 % on average. Numerous DRLs were established for the first time (9 for interventional procedures, 10 for CT examinations). Conclusion For dose optimizations even below the new national DRLs, the BfS recommends establishing local reference levels, using dose management software (particularly in CT and interventional radiology), adapting dose-relevant parameters of X-ray protocols to the individual patient size, and establishing internal radiation protection teams responsible for optimizing X-ray procedures in clinical practice. When applying good medical practice and using modern equipment, the median dose values of the nationwide dose distributions can not only be easily achieved but can even be undercut. Key Points: Citation Format


2021 ◽  
Vol 14 (4) ◽  
pp. 60-75
Author(s):  
S. A. Kalnitsky ◽  
N. V. Tselikov

During last 50 years, firstly in the RSFSR in the USSR (1970-80), then in the Russian Federation - RF (1990-2019), the authors studied the radiation safety issues of patients from medical exposure. The reader is offered a complex radiation-hygienic analysis of the 50-year medical exposure of patients and of the population in Russia to inform and analyze the available data on the most common type of use of ionizing radiation sources in the national economy. For a half century, several generations of people have changed and medical diagnostic X-ray equipment and technologies have also radically changed. The information from this article was obtained on the basis of radiation-hygienic statistics, as well as considered our research. The data is presented at the federal level in the form of the volume of research carried out- determined by the number of X-ray procedures, as well as the level of medical exposure in the form of effective dose of patients in Russia - a huge region with a population of about 150 million people, where about 200 million X-Ray procedures were performed annually, i.e. about 10 billion X-Ray procedures for the entire observation period. During the study, a collective effective dose was - 6.5 million person-Sv at the rate of 100 thousand person-Sv and more per year. The paper presents the dynamics and the structure of the studied indicators depending on the type of medical exposure, as well as its localization. The contribution of the X-ray diagnostics to the total volume of radiation diagnostics, which is developing dynamically, is presented. It was found that throughout the study, there were two oppositely directed processes: an increase in the number of X-Ray procedures and a decrease in the effective doses of patients. At present, the minimum dose has been reached, after that it has been increasing began, associated with the use of new computer technologies. It was determined that, depending on the localization, the main radiation load during X-ray procedures falls on the skeleton and digestive organs. It is shown that during the study period (in 1986) there was an accident at the Chernobyl, which significantly affected on medical activities and, in particular, X-ray diagnostic indicators. The paper shows the consequences of these situations. In general, the data presented is huge in volume and significant in information content. The information obtained on the basis of such a unique data is representative and allows, firstly, to analytically study the issues of radiation protection of patients and, secondly, to plan the strategy and tactics of its development.


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