Radiation dose management in fluoroscopy procedures: less is more?

The aims of this study are (1) to determine the scattered radiation dose levels in routine fluoroscopy procedures and (2) to compare them with the equivalent chest x-rays and also (3) to monitor common techniques and radiation safety measures taken by the medical officers. The study covered a sample...

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Main Authors: Siti Farizwana Mohd Ridzwan, S. Elavarasi Selvarajah, Hamzaini Abdul Hamid
Format: Article
Language:English
Published: Penerbit Universiti Kebangsaan Malaysia 2016
Online Access:http://journalarticle.ukm.my/10120/
http://journalarticle.ukm.my/10120/1/14731-40606-1-SM.pdf
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author Siti Farizwana Mohd Ridzwan,
S. Elavarasi Selvarajah,
Hamzaini Abdul Hamid,
author_facet Siti Farizwana Mohd Ridzwan,
S. Elavarasi Selvarajah,
Hamzaini Abdul Hamid,
author_sort Siti Farizwana Mohd Ridzwan,
building UKM Institutional Repository
collection Online Access
description The aims of this study are (1) to determine the scattered radiation dose levels in routine fluoroscopy procedures and (2) to compare them with the equivalent chest x-rays and also (3) to monitor common techniques and radiation safety measures taken by the medical officers. The study covered a sample of 105 fluoroscopic procedures performed by 18 medical officers. Each officer wore a personal pocket dosimeter inside the lead gown during each procedure. A digital dosimeter was placed near the detector of the fluoroscopy unit while a survey meter was positioned at the control panel area to record the dose levels. There were 14 types of examination included in this study. The total number of images captured was found to be the highest in barium swallow examination with 115 images, almost five times higher compared to the common practices. The longest screening time was observed in barium enema examination which is 9.15 seconds. The median of the scattered dose level was the highest in barium meal examination (165.50 μSv) which is equivalent to 8.28 times of average dose impart by chest x-ray examinations. The number of images and the length of screening time depend on the competency levels of the medical officers. They capture as many images as possible to avoid missing any abnormalities, therefore it will always be better if the fluoroscopist is consulted during each case. They should also consistently practice essential protection by minimizing exposure time, maximizing distance from the source tube and utilizing the radiation shielding.
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spelling oai:generic.eprints.org:101202017-02-20T01:31:15Z http://journalarticle.ukm.my/10120/ Radiation dose management in fluoroscopy procedures: less is more? Siti Farizwana Mohd Ridzwan, S. Elavarasi Selvarajah, Hamzaini Abdul Hamid, The aims of this study are (1) to determine the scattered radiation dose levels in routine fluoroscopy procedures and (2) to compare them with the equivalent chest x-rays and also (3) to monitor common techniques and radiation safety measures taken by the medical officers. The study covered a sample of 105 fluoroscopic procedures performed by 18 medical officers. Each officer wore a personal pocket dosimeter inside the lead gown during each procedure. A digital dosimeter was placed near the detector of the fluoroscopy unit while a survey meter was positioned at the control panel area to record the dose levels. There were 14 types of examination included in this study. The total number of images captured was found to be the highest in barium swallow examination with 115 images, almost five times higher compared to the common practices. The longest screening time was observed in barium enema examination which is 9.15 seconds. The median of the scattered dose level was the highest in barium meal examination (165.50 μSv) which is equivalent to 8.28 times of average dose impart by chest x-ray examinations. The number of images and the length of screening time depend on the competency levels of the medical officers. They capture as many images as possible to avoid missing any abnormalities, therefore it will always be better if the fluoroscopist is consulted during each case. They should also consistently practice essential protection by minimizing exposure time, maximizing distance from the source tube and utilizing the radiation shielding. Penerbit Universiti Kebangsaan Malaysia 2016 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/10120/1/14731-40606-1-SM.pdf Siti Farizwana Mohd Ridzwan, and S. Elavarasi Selvarajah, and Hamzaini Abdul Hamid, (2016) Radiation dose management in fluoroscopy procedures: less is more? Jurnal Sains Kesihatan Malaysia, 14 (2). pp. 103-109. ISSN 1675-8161 http://ejournal.ukm.my/jskm/issue/view/634
spellingShingle Siti Farizwana Mohd Ridzwan,
S. Elavarasi Selvarajah,
Hamzaini Abdul Hamid,
Radiation dose management in fluoroscopy procedures: less is more?
title Radiation dose management in fluoroscopy procedures: less is more?
title_full Radiation dose management in fluoroscopy procedures: less is more?
title_fullStr Radiation dose management in fluoroscopy procedures: less is more?
title_full_unstemmed Radiation dose management in fluoroscopy procedures: less is more?
title_short Radiation dose management in fluoroscopy procedures: less is more?
title_sort radiation dose management in fluoroscopy procedures: less is more?
url http://journalarticle.ukm.my/10120/
http://journalarticle.ukm.my/10120/
http://journalarticle.ukm.my/10120/1/14731-40606-1-SM.pdf