Diagnostic reference levels for the most frequent radiological examinations carried out in Brazil.
Objectives. A large-scale survey of doses to patients undergoing the most frequent radiological examinations was carried out in health services in São Paulo (347 radiological examinations per 1000 inhabitants), the most populous Brazilian state. Methods. A postal dosimetría kit with thermoluminescen...
| Publicado en: | Pan American Journal of Public Health Vol. 25; no. 2; pp. 95 - 105 |
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| Autores principales: | , |
| Formato: | Artículo |
| Publicado: |
Pan American Health Organization
Feb2009
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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=ssf&AN=510765478&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 510765478 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10204989 I3S jtl: Pan American Journal of Public Health issn: 10204989 maglogo: N pubinfo: dt: Feb2009 vid: 25 iid: 2 pid: 13497 pub: Pan American Health Organization artinfo: ui: 510765478 10.1590/S1020-49892009000200001 ppf: 95 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P size: 3.5MB tig: atl: Diagnostic reference levels for the most frequent radiological examinations carried out in Brazil. aug: au: Freitas, Marcelo B. Yoshimura, Elisabeth M. su: Physiological effects of radiation Radiography, Medical Medical care Brazil sug: subj: Brazil Physiological effects of radiation Radiography, Medical Medical care ab: Objectives. A large-scale survey of doses to patients undergoing the most frequent radiological examinations was carried out in health services in São Paulo (347 radiological examinations per 1000 inhabitants), the most populous Brazilian state. Methods. A postal dosimetría kit with thermoluminescence dosimeters was used to evaluate the entrance surface dose (ESD) to patients. A stratified sampling technique applied to the national health database furnished important data on the distribution of equipment and the annual number of examinations. Chest, head (skull and sinus), and spine (cervical, thoracic, and lumbar) examinations were included in the trial. A total of 83 rooms and 868 patients were included, and % 415 values of ESD were measured. Results. The data show large coefficients of variation in tube charge, giving rise to large variations in ESD values. Also, a series of high ESD values associated with unnecessary localizing fluoroscopy were detected. Diagnostic reference levels were determined, based on the 75th percentile (third quartile) of the ESD distributions. For adult patients, the diagnostic reference levels achieved are very similar to those obtained in international surveys. However, the situation is different for pediatric patients: the ESD values found in this survey are twice as large as the international recommendations for chest radiographs of children. Conclusions. Despite the reduced number of ESD values and rooms for the pediatric patient group, it is recommended that practices in chest examinations be revised and that specific national reference doses and image quality be established after a broader survey is carried out. Reprinted by permission of the publisher. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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