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Patient doses in radiographic examinations in 12 countries in Asia, Africa, and Eastern Europe: initial results from IAEA projects.

Publication ,  Journal Article
Muhogora, WE; Ahmed, NA; Almosabihi, A; Alsuwaidi, JS; Beganovic, A; Ciraj-Bjelac, O; Kabuya, FK; Krisanachinda, A; Milakovic, M; Mukwada, G ...
Published in: AJR Am J Roentgenol
June 2008

OBJECTIVE: The purpose of this study was to survey image quality and the entrance surface air kerma for patients in radiographic examinations and to perform comparisons with diagnostic reference levels. SUBJECTS AND METHODS: In this multinational prospective study, image quality and patient radiation doses were surveyed in 12 countries in Africa, Asia, and Eastern Europe, covering 45 hospitals. The rate of unsatisfactory images and image quality grade were noted, and causes for poor image quality were investigated. The entrance surface doses for adult patients were determined in terms of the entrance surface air kerma on the basis of X-ray tube output measurements and X-ray exposure parameters. Comparison of dose levels with diagnostic reference levels was performed. RESULTS: The fraction of images rated as poor was as high as 53%. The image quality improved up to 16 percentage points in Africa, 13 in Asia, and 22 in Eastern Europe after implementation of a quality control (QC) program. Patient doses varied by a factor of up to 88, although the majority of doses were below diagnostic reference levels. The mean entrance surface air kerma values in mGy were 0.33 (chest, posteroanterior), 4.07 (lumbar spine, anteroposterior), 8.53 (lumbar spine, lateral), 3.64 (abdomen, anteroposterior), 3.68 (pelvis, anteroposterior), and 2.41 (skull, anteroposterior). Patient doses were found to be similar to doses in developed countries and patient dose reductions ranging from 1.4% to 85% were achieved. CONCLUSION: Poor image quality constitutes a major source of unnecessary radiation to patients in developing countries. Comparison with other surveys indicates that patient dose levels in these countries are not higher than those in developed countries.

Duke Scholars

Published In

AJR Am J Roentgenol

DOI

EISSN

1546-3141

Publication Date

June 2008

Volume

190

Issue

6

Start / End Page

1453 / 1461

Location

United States

Related Subject Headings

  • Relative Biological Effectiveness
  • Radiometry
  • Radiography
  • Practice Patterns, Physicians'
  • Nuclear Medicine & Medical Imaging
  • Male
  • Humans
  • Female
  • Body Burden
  • Asia
 

Citation

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Muhogora, W. E., Ahmed, N. A., Almosabihi, A., Alsuwaidi, J. S., Beganovic, A., Ciraj-Bjelac, O., … Shandorf, C. (2008). Patient doses in radiographic examinations in 12 countries in Asia, Africa, and Eastern Europe: initial results from IAEA projects. AJR Am J Roentgenol, 190(6), 1453–1461. https://doi.org/10.2214/AJR.07.3039
Muhogora, Wilbroad E., Nada A. Ahmed, Aziz Almosabihi, Jamila S. Alsuwaidi, Adnan Beganovic, Olivera Ciraj-Bjelac, Francois K. Kabuya, et al. “Patient doses in radiographic examinations in 12 countries in Asia, Africa, and Eastern Europe: initial results from IAEA projects.AJR Am J Roentgenol 190, no. 6 (June 2008): 1453–61. https://doi.org/10.2214/AJR.07.3039.
Muhogora WE, Ahmed NA, Almosabihi A, Alsuwaidi JS, Beganovic A, Ciraj-Bjelac O, et al. Patient doses in radiographic examinations in 12 countries in Asia, Africa, and Eastern Europe: initial results from IAEA projects. AJR Am J Roentgenol. 2008 Jun;190(6):1453–61.
Muhogora, Wilbroad E., et al. “Patient doses in radiographic examinations in 12 countries in Asia, Africa, and Eastern Europe: initial results from IAEA projects.AJR Am J Roentgenol, vol. 190, no. 6, June 2008, pp. 1453–61. Pubmed, doi:10.2214/AJR.07.3039.
Muhogora WE, Ahmed NA, Almosabihi A, Alsuwaidi JS, Beganovic A, Ciraj-Bjelac O, Kabuya FK, Krisanachinda A, Milakovic M, Mukwada G, Ramanandraibe MJ, Rehani MM, Rouzitalab J, Shandorf C. Patient doses in radiographic examinations in 12 countries in Asia, Africa, and Eastern Europe: initial results from IAEA projects. AJR Am J Roentgenol. 2008 Jun;190(6):1453–1461.

Published In

AJR Am J Roentgenol

DOI

EISSN

1546-3141

Publication Date

June 2008

Volume

190

Issue

6

Start / End Page

1453 / 1461

Location

United States

Related Subject Headings

  • Relative Biological Effectiveness
  • Radiometry
  • Radiography
  • Practice Patterns, Physicians'
  • Nuclear Medicine & Medical Imaging
  • Male
  • Humans
  • Female
  • Body Burden
  • Asia