:: Volume 2, Issue 2 (12-2016) ::
CJHR 2016, 2(2): 18-27 Back to browse issues page
Survey Effect of the Corrective Actions and Quality Control in Image Quality and Patient Dose in Radiography Examinations
Hossein Rahanjam 1, Hossein Gharaati * 2, Mohamadreza Kardan 3, Arash Akbarzadeh 4, Behzad Fasaee 5
1- MSc Student of Radiobiology and Radiation Protection, Radiology Department, School of Paramedical Sciences, Tehran University of Medical Science, Tehran, Iran
2- Master of Medical Physics and Radiotherapy Oncology Department, Medical Physics Department and Cancer Research Center, Tehran University of Medical Sciences, Tehran, Iran , hgharaati@yahoo.co.uk
3- Master of Nuclear Science and Technology Research Institute, Nuclear Safety and Radiation Protection Research Group, Atomic Energy Organization of Iran, Tehran, Iran
4- . MSc student of Biostatistics, Epidemiology and Biostatistics department, school of Public Health, Tehran University of Medical Science, Tehran, Iran
5- MSc Degree of Medical Physics, Nuclear Safety and Radiation Protection Research Group, Atomic Energy Organization of Iran, Tehran, Iran
Abstract:   (1422 Views)

Objectives: X-ray exposure in medicine is considered to be the major part in man-made radiation. The purpose of this study was to survey the effect of optimization in image quality and entrance skin dose for patients in radiographic examinations.

 Methods:  In this survey, seven radiographic examinations were studied. First, patient dose of radiation was measured and the quality of the radiography images was considered. Also, the number and causes of rejected films were checked. Then, corrective action of the European Commission (EC) was implemented and quality control of radiology equipment was performed. Once more, patient radiation dose, quality of radiographic images and number and cause of rejected films were analysed.

Results: The image quality was not convenient before corrective actions. With implementation of the corrective actions, the quality of radiographic images was increased so that it was statically significant. Total rejections in all types of radiographies were 18.33% and 11.17%, respectively, before and after improvements. Entrance Skin Dose for patients was 1.59 mGy before improvements and 1.21 mGy after improvements.

Conclusion: The result of this survey demonstrated that it’s possible to implement a program for coordination of protection optimization in general radiology. After implementing the corrective actions for optimization of protection, the radiation dose decreased with clinically acceptable images as well as with the number of rejected films. This decreased dose can reduce cumulative dose, which reduces probability of cancer risk and genetic effects in society.

Keywords: Radiological examination, Entrance skin dose, Image quality, Rejected film, P-value
Full-Text [PDF 913 kb]   (840 Downloads)    
Article Type: Original Contributions | Subject: Health Management
Received: 2016/03/2 | Accepted: 2016/08/22 | Published: 2016/12/8

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Volume 2, Issue 2 (12-2016) Back to browse issues page