scholarly journals Assessment of entrance surface air kerma in patients undergoing chest X-ray from conventional diagnostic radiology in Ogun State, Nigeria

2015 ◽  
Vol 7 (6) ◽  
pp. 117-120
Author(s):  
Owoade L R ◽  
Sambo Isa ◽  
Tijani S A
Keyword(s):  
Diagnostic Radiology ◽  
X Ray ◽  
Air Kerma ◽  
Ogun State ◽  
Chest X Ray ◽  
Entrance Surface Air Kerma

SU-GG-I-62: Entrance Skin Air Kerma of National Lung Screening Trial Chest X-Ray Exams

2010 ◽  
Vol 37 (6Part3) ◽  
pp. 3115-3115
Author(s):  
P Judy ◽  
R Kruger ◽  
C Cagnon ◽  
M Flynn ◽  
J Seibert ◽  
...  
Keyword(s):  
X Ray ◽  
Air Kerma ◽  
National Lung Screening Trial ◽  
Chest X Ray ◽  
Lung Screening ◽  
Screening Trial

scholarly journals An Approach for Online Determining the Entrance Surface Air Kerma (ESAK) in Digital Radiology

2021 ◽  
Author(s):  
Ibrahim Idris Suliman
Keyword(s):  
Interventional Radiology ◽  
Digital Imaging ◽  
Digital Information ◽  
Patient Exposure ◽  
Digital Radiology ◽  
X Ray ◽  
Air Kerma ◽  
Dicom Header ◽  
Area Product ◽  
Entrance Surface Air Kerma

Abstract An online method is proposed to determine the entrance surface air kerma (ESAK) in digital radiology from console-displayed kerma area product (PKA) data. ESAK values were calculated from X-ray tube outputs and patient exposure factors across five X-ray examinations. The corresponding PKAvalues were taken from the Digital Imaging and Communications in Medicine (DICOM) header. Using linear regression between ESAK and values, the slope and intercept coefficients for each type of X-ray equipment and procedure were determined. The coefficient to determine ESAK from ranged from 59% for a posteroanterior chest to 88% for anteroposterior lumbar spine view X-ray procedures. The results demonstrated the possibility of online estimates of ESAK from a console that displayed using readily available digital information in radiology. The results may have important implications in interventional radiology, where ESAK values are crucial for preventing skin injuries due to prolonged fluoroscopy times.

scholarly journals Dosimetric evaluation of X-ray examinations of paranasal sinuses in pediatric patients

2016 ◽  
Vol 49 (2) ◽  
pp. 79-85 ◽  
Author(s):  
Beatriz de Lucena Villa-Chan Cantalupo ◽  
Aline Carvalho da Silva Xavier ◽  
Clemanzy Mariano Leandro da Silva ◽  
Marcos Ely Almeida Andrade ◽  
Vinícius Saito Monteiro de Barros ◽  
...  
Keyword(s):  
Paranasal Sinuses ◽  
Pediatric Patients ◽  
Radiological Examination ◽  
Patient Exposure ◽  
X Ray ◽  
Thermoluminescent Dosimeters ◽  
Air Kerma ◽  
Radiosensitive Organs ◽  
The City ◽  
Entrance Surface Air Kerma

Abstract Objective: To estimate the entrance surface air kerma (Ka,e) and air kerma in the region of radiosensitive organs in radiographs of pediatric paranasal sinuses. Materials and Methods: Patient data and irradiation parameters were collected in examinations of the paranasal sinuses in children from 0 to 15 years of age at two children's hospitals in the city of Recife, PE, Brazil. We estimated the Ka,e using the X-ray tube outputs and selected parameters. To estimate the air kerma values in the regions of the eyes and thyroid, we used thermoluminescent dosimeters. Results: The Ka,e values ranged from 0.065 to 1.446 mGy in cavum radiographs, from 0.104 to 7.298 mGy in Caldwell views, and from 0.113 to 7.824 mGy in Waters views. Air kerma values in the region of the eyes ranged from 0.001 to 0.968 mGy in cavum radiographs and from 0.011 to 0.422 mGy in Caldwell and Waters views . In the thyroid region, air kerma values ranged from 0.005 to 0.932 mGy in cavum radiographs and from 0.002 to 0.972 mGy in Caldwell and Waters views. Conclusion: The radiation levels used at the institutions under study were higher than those recommended in international protocols. We recommend that interventions be initiated in order to reduce patient exposure to radiation and therefore the risks associated with radiological examination of the paranasal sinuses.

scholarly journals Comparison of entrance surface air kerma measurement with MTS-N (LiF: Mg, Ti) chips with a kilovoltage X-ray source

2021 ◽  
Vol 22 (1) ◽  
pp. 20-34
Author(s):  
Akintayo Daniel Omojola ◽  
Samuel Olaolu Adeneye ◽  
Michael Onoriode Akpochafor ◽  
Isiaka Olusola Akala ◽  
Azuka Anthonio Agboje
Keyword(s):  
Ionization Chamber ◽  
Radiation Detectors ◽  
Field Size ◽  
Peak Voltage ◽  
X Ray ◽  
Air Kerma ◽  
Image Distance ◽  
The Mean ◽  
Dose Accuracy ◽  
Entrance Surface Air Kerma

Objective: Radiation detectors are key components that ensure the accuracy and performances of dosimetry equipment. The study is aimed to compare the mean entrance surface air kerma (ESAK) between a DCT-10mm ionization chamber (IC) and MTS-N (LiF: Mg, Ti) chips when both detectors are exposed to ≤ 5mGy with a 10 by 10 field size, with an X-ray source and to determine the accuracy of the Thermoluminescent (TL) chips. Also, the dose will be compared to similar studies. Materials and Methods: A functional, Digital Radiography (DR) X-ray System was used. A DCT-10mm ionization chamber (IC) and an XR Multidetector was positioned at a Source to Image Distance (SID) of 100cm on polystyrene, about 20cm thick. An X-ray spectrum generated at a Practical Peak Voltage (PPV) of 60-107kV with Half Value Layer (HVL) of 2.4-4.3mmAl and filtration > 3mmAl was used. The same setup was used for the MTS-N chips. Results: The mean doses for 1-5 mGy with the MTS-N chips were 1.07±0.07, 1.60±0.13, 2.23±0.11, 2.58±0.07 and 3.45±0.10 mGy respectively, with accuracies of 7, 20, 26, 36 and 31%. Dose accuracy at 1and 2mGy was within 25% respectively. Dose accuracies at 3, 4 and 5mGy was within >25%. The correction factor for 1-5mGy was 0.94, 1.25, 1.35, 1.55 and 1.45 respectively. Conclusion: Validation of the MTS-N chips with the reference ionization chamber to this study was within 36%. The Radiation and Nuclear Safety Authority (STUK) recommends that ESAK be within 25% for entrance surface dose. ESAK accuracy mostly increased with dose as observed in this study.

Use of weight-based vs age-based groupings in the study of typical values of air kerma area product (PKA) for paediatric radiographs of chest and abdomen

2021 ◽  
pp. 20210331
Author(s):  
Ioannis Delakis ◽  
Charlotte Kelly
Keyword(s):  
Age Groups ◽  
Equivalent Weight ◽  
Late Adolescent ◽  
Weight Group ◽  
X Ray ◽  
Air Kerma ◽  
Chest X Ray ◽  
The Difference ◽  
Area Product ◽  
Weight Groups

Objective: To compare age groupings versus weight groupings in the calculation of typical air kerma area product (PKA) values in paediatric X-ray exams of chest and abdomen in our hospital. Methods: Data were analysed from 687 abdominal and 1374 chest X-ray examinations. The PKA of exams was extracted with Radimetrics, and patient weights were collected from electronic records. Data were organised in different age groups and typical PKA values were estimated. The process was repeated by organising data in different weight groups. Results: Typical PKA values for the four younger age groups (<1m, 1m - < 4y, 4y - < 10y and 10y - < 14y) were comparable to typical values for their equivalent weight groups (<5 kg, 5–15 kg, 15–30 kg and 30–50 kg, respectively). However, typical PKA values at the late adolescent age group (14y - < 18y) were much lower than its equivalent weight group (>50 kg). Conclusions: Age and weight groupings were found at our site to be interchangeable for the calculation of typical paediatric PKA values. The only exception was the late adolescent group, whose weight distribution can account for the difference in typical PKA results within its equivalent weight group. Advances in knowledge: In calculating typical PKA values for radiological paediatric body examinations, departments must ascertain if using age groups, which is typical practice, is equivalent to using weight groups. Otherwise, results may misrepresent local practice.

scholarly journals Family medicine residents’ skill levels in emergency chest X-ray interpretation

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Malak Al Shammari ◽  
Ali Hassan ◽  
Nouf AlShamlan ◽  
Sarah Alotaibi ◽  
Manar Bamashmoos ◽  
...  
Keyword(s):  
Family Medicine ◽  
Diagnostic Accuracy ◽  
General Practitioners ◽  
Diagnostic Radiology ◽  
X Rays ◽  
Diagnostic Confidence ◽  
X Ray ◽  
Chest X Ray ◽  
Radiology Residents ◽  
Family Medicine Residents

Abstract Background Family medicine physicians may encounter a wide variety of conditions, including acute and urgent cases. Considering the limited access to diagnostic investigations in primary care practice, chest X-ray remains the imaging modality of choice. The current study assessed the competency of family medicine residents in the interpretation of chest X-rays for emergency conditions and to compare it with that of diagnostic radiology residents, general practitioners, and medical interns. Methods An online survey was distributed to 600 physicians, including family medicine residents, medical interns, general practitioners, and diagnostic radiology residents. The study included some background information such as gender, years in practice, training type, interest in pulmonary medicine and diagnostic radiology, and having adequate training on the interpretation of chest X-rays. The survey had 10 chest X-ray cases with brief clinical information. Participants were asked to choose the most likely diagnosis and to rate their degree of confidence in the interpretation of the chest X-ray for each case. Results The survey was completed by 205 physicians (response rate = 34.2%). The overall diagnostic accuracy was 63.1% with a significant difference between family medicine and radiology residents (58.0% vs. 90.5%; P < 0.001). The COVID-19 pneumonia (85.4%) and pneumoperitoneum (80.5%) cases had the highest diagnostic accuracy scores. There was a significant correlation between the diagnostic confidence and accuracy (rs = 0.39; P < 0.001). Multivariable regression analysis revealed that being diagnostic radiology residents (odds ratio [OR]: 13.0; 95% confidence interval [CI]: 2.5–67.7) and having higher diagnostic confidence (OR: 2.2; 95% CI: 1.3–3.8) were the only independent predictors of achieving high diagnostic accuracy. Conclusion The competency of family medicine residents in the interpretation of chest X-ray for emergency conditions was far from optimal. The introduction of radiology training courses on emergency conditions seems imperative. Alternatively, the use of tele-radiology in primary healthcare centers should be considered.

ESTIMATION OF ENTRANCE SURFACE AIR KERMA IN DIGITAL RADIOGRAPHIC EXAMINATIONS

2021 ◽  
Vol 193 (1) ◽  
pp. 16-23
Author(s):  
Chanchal Kaushik ◽  
Inderjeet Singh Sandhu ◽  
A K Srivastava ◽  
Mansi Chitkara
Keyword(s):  
Cervical Spine ◽  
Lumbar Spine ◽  
Dose Assessment ◽  
Dose Calculations ◽  
Energy Agency ◽  
X Ray ◽  
Air Kerma ◽  
Tube Output ◽  
Effective Doses ◽  
Entrance Surface Air Kerma

Abstract Purpose: Contribution of radiation doses from medical X-ray examination to collective dose is significant. Unusually, high doses may increase the risk of stochastic effects of radiations. Therefore, radiation dose assessment was performed in 241 digital X-ray examinations in the study and was compared with published dose reference levels (DRLs). Methods: Entrance surface air kerma (ESAK) was calculated in chest PA, cervical AP/Lat, abdomen AP, lumbar AP/Lat and pelvis AP digital radiographic examinations (119 male and 122 female) following the International Atomic Energy Agency recommended protocol. Initially, 270 digital examinations were selected, reject analysis was performed and final 241 examinations were enrolled in the study for dose calculations. The exposure parameters and X-ray tube output were used for dose calculations. Effective doses were estimated with the help of conversion coefficients from ICRP 103. Results: Median ESAK (mGy) and associated effective doses obtained were cervical spine AP (1.30 mGy, 0.045 mSv), cervical spine Lat (0.25 mGy, 0.005 mSv), chest PA (0.11 mGy, 0.014 mSv), abdomen AP (0.90 mGy, 0.118 mSv), lumbar spine AP (1.52 mGy, 0.177 mSv), lumbar spine Lat (7.76 mGy, 0.209 mSv) and pelvis AP (0.82 mGy, 0.081 mSv). Results were compared with the studies of UK, Oman, India and Canada. Conclusion: The calculated ESAK and effective dose values were less than or close to previously published literature except for cervical spine AP and lumbar spine Lat. The results reinforce the need for radiation protection optimization, improving examination techniques and appropriate use of automatic exposure control in digital radiography. ESAK values reported in this study could further contribute to establishing local DRLs, regional DRLs and national DRLs.

Entrance surface air kerma in X-ray systems for paediatric interventional cardiology: a national survey

2015 ◽  
Vol 165 (1-4) ◽  
pp. 107-110 ◽  
Author(s):  
C. Ubeda ◽  
E. Vano ◽  
P. Miranda ◽  
E. Valenzuela ◽  
F. Vergara ◽  
...  
Keyword(s):  
National Survey ◽  
Interventional Cardiology ◽  
X Ray ◽  
Air Kerma ◽  
Entrance Surface Air Kerma
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