Chest X-ray studies rank among the most frequently performed radiographic procedures in children. [1-4] In 2014 a precursor study was conducted to analyse whether the requirements of the European Commission (EC) guidelines for AP/PA radiographs in children were satisfied in day-to-day operations. [5, 6] A semi-automatic tool for time efficient quality audits, and possible amendments to the guidelines were proposed.
This study was adapted to further examine the adequacy of the aforementioned tool and the EC guidelines for the use of mobile units in paediatric...
Description of activity and work performed
Methods and materials
Seven hundred twenty-three (n = 723, 47.7% female 52.3% male) unprocessed DICOM images of digital radiographic (DR) chest X-rays of PICU patients were acquired from the local PACS at the author’s sponsoring institution. An approval by the local ethics committee (29-558 ex 16/17) was acquired prior to the collection of the images from the archives.
Data Acquisition: Images were acquired based on the following age groups suggested by the National Institute of Child Health and Development (NICHD): newborn (0–29 days, n =...
Conclusion and recommendations
8.16% (59/723) of the total number of images met all qualitative diagnostic requirements, without MinFS truncations or exposure beyond tolerance.
Quantitative analysis showed mean overexposure of 43±17%, and mean tissue overexposure of 38±16% in relation to the MinFS (Table 2). Observed mean distances from respective MinFS edges to their AEA borders were 20±12mm for cervical, 10±8mm for lateral and 9±22mm for abdominal respectively. The mean abdominal distance in relation to MinFS turned out to be negative with -1.2±8.6mm in the newborns sub group. Regression...
M. Meister; Graz/AT - Author at Divison of Paediatric Radiology, Department of Radiology, Medical University of Graz, Austria
E. Sorantin; Graz/AT - Author at Divison of Paediatric Radiology, Department of Radiology, Medical University of Graz, Austria
S. Tschauner; Graz/AT - Author at Divison of Paediatric Radiology, Department of Radiology, Medical University of Graz, Austria
1.NCRP. Ionizing radiation exposure of the population of the United States. . Bethesda, : National Council on Radiation Protection and Measurements, ; 2009, .
2.Joarde R, Crundwell N. Chest x-ray in clinical practice [Ebook]: Springer, London; 2009.
3.Dorfman AL, Fazel R, Einstein AJ, Applegate KE, Krumholz HM, Wang Y, et al. Use of medical imaging procedures with ionizing radiation in children: a population-based study. Archives of pediatrics & adolescent medicine. 2011;165(5):458-64.
4.IAEA. Radiation Protection in Paediatric Radiology. Vienna: INTERNATIONAL ATOMIC ENERGY AGENCY; 2013.