Background/introduction
The number of medicalX-rayimagingprocedures is growing exponentially across the globe. Even though the overall benefit from medicalX-rayimagingprocedures far outweighs any associated risks, it is crucial to take all necessary steps to minimize radiation risks to children without jeopardizing image quality [1].Pediatric patients have a higher average risk of developing cancer compared with adults receiving the same dose. The longer life expectancy in children allows more time for any harmful effects of radiation to manifest, and developing organs and tissues are more sensitive to the effects...
Description of activity and work performed
We implemented the program for the diminishing of radiation: 1st - refuse unnecessary x-ray or CT-scan examinations, 2nd - substitute x-ray and CT- scan by non-radiation methods, 3rd - implement a new generation of x-ray and CT-scan, 4th - Cooperation with international subjects, 5th - Introducing the Euro-Safe guidelines (fig. 1).
1st – refuse unnecessary x-ray or CT-scan examinations.
Psychological aspects. X-ray overexposure can be: a) iatrogenic, b) patient-genic.
a) Iatrogenic x-ray overexposure can be of pathological processes which are very clear using ultrasound or...
Conclusion and recommendations
Introducing local and international types of programs in the pediatric hospital can substantially decrease children radiation. The implementation of such a program in the pediatric hospital departments allows diminishing the x-ray radiation in the different departments (Fig.6.). It can include multiple aspects of possible x-ray overexposure: psychological aspectsa) iatrogenic and b) patient-genic, medical aspects, transferring the radiological methods from ionized to non-ionized, changing the old radiological machines to the modern one, cooperate with other pediatric hospital and use Euro-Safe guidelines.
Personal/organisational information
Prof. Andrias M. Hambardzumyan
St. Astvatsamayr Medical Center, Department of Radiology
Address: Artashisian str. 46a, 0039 Yerevan, Armenia
Endovision Medical Center
e-mail:
[email protected]
References
Mahesh M. Update on radiation safety and dosereductioninpediatricneuroradiology. Pediatr. Radiol. 2015 Sep;45 Suppl 3:S370-4. doi: 10.1007/s00247-015-3379-8. Epub 2015 Sep
ICRP,Khong PL,Ringertz H,Donoghue V,Frush D,Rehani M,Appelgate K,Sanchez R. ICRP publication 121: radiological protection in paediatricdiagnosticand interventional radiology. Ann ICRP.2013 Apr;42(2):1-63. doi: 10.1016/j.icrp.2012.10.001.
Johnson C,Martin-Carreras T,Rabinowitz D. Pediatricinterventional radiology and dose-reductiontechniques. Semin Ultrasound CT MR.2014 Aug;35(4):409-14. doi: 10.1053/j.sult.2014.05.007. Epub 2014 May 28.
Khong PL,Frush D,Ringertz H. Radiological protection in paediatric computed tomography. Ann ICRP.2012 Oct-Dec;41(3-4):170-8. doi: 10.1016/j.icrp.2012.06.017. Epub 2012 Sep 12.
Staatz G, Daldrup-Link HE, Herrmann J...