European Guidelines for AP/PA chest X-rays: routinely satisfiable in a paediatric radiology division?
Objectives: Accurate collimation helps to reduce unnecessary irradiation and improves radiographic image quality, which is especially important in the radiosensitive paediatric population. For AP/PA chest radiographs in children, a minimal field size (MinFS) from "just above the lung apices" to "T12...
| Publicado en: | European Radiology Vol. 26; no. 2; pp. 495 - 506 |
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| Autores principales: | , , , , , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112262177&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 112262177 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Feb2016 vid: 26 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 112262177 112262177 NLM26002133 112262177 10.1007/s00330-015-3836-7 NLM26002133 112262177 ppf: 495 ppct: 11 formats: fmt: @attributes: type: P tig: atl: European Guidelines for AP/PA chest X-rays: routinely satisfiable in a paediatric radiology division? aug: au: Tschauner, Sebastian Marterer, Robert Gübitz, Michael Kalmar, Peter Talakic, Emina Weissensteiner, Sabine Sorantin, Erich Kalmar, Peter I affil: Division of Paediatric Radiology, Department of Radiology, Medical University of Graz, Auenbruggerplatz 34 8036 Graz Austria sug: subj: Practice Guidelines Radiography, Thoracic Standards Pediatrics Standards Infant Child Child, Preschool Female Male Reproducibility of Results Europe Infant, Newborn Quality Control (Technology) Adolescence Human Infant: 1-23 months Child: 6-12 years Child, Preschool: 2-5 years Infant, Newborn: birth-1 month Adolescent: 13-18 years Female Male ab: Objectives: Accurate collimation helps to reduce unnecessary irradiation and improves radiographic image quality, which is especially important in the radiosensitive paediatric population. For AP/PA chest radiographs in children, a minimal field size (MinFS) from "just above the lung apices" to "T12/L1" with age-dependent tolerance is suggested by the 1996 European Commission (EC) guidelines, which were examined qualitatively and quantitatively at a paediatric radiology division.Methods: Five hundred ninety-eight unprocessed chest X-rays (45% boys, 55% girls; mean age 3.9 years, range 0-18 years) were analysed with a self-developed tool. Qualitative standards were assessed based on the EC guidelines, as well as the overexposed field size and needlessly irradiated tissue compared to the MinFS.Results: While qualitative guideline recommendations were satisfied, mean overexposure of +45.1 ± 18.9% (range +10.2% to +107.9%) and tissue overexposure of +33.3 ± 13.3% were found. Only 4% (26/598) of the examined X-rays completely fulfilled the EC guidelines.Conclusions: This study presents a new chest radiography quality control tool which allows assessment of field sizes, distances, overexposures and quality parameters based on the EC guidelines. Utilising this tool, we detected inadequate field sizes, inspiration depths, and patient positioning. Furthermore, some debatable EC guideline aspects were revealed.Key Points: • European Guidelines on X-ray quality recommend exposed field sizes for common examinations. • The major failing in paediatric radiographic imaging techniques is inappropriate field size. • Optimal handling of radiographic units can reduce radiation exposure to paediatric patients. • Constant quality control helps ensure optimal chest radiographic image acquisition in children. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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