The screen-film system is replaced by computed radiography system for recording the images of the patients during X-ray radiography examinations. The change in imaging system requires the re-establishment of the institutional diagnostic reference levels (DRLs) for different types of X-ray examinations conducted at the hospital. For this purpose, patient specific parameters [age, height, weight, body mass index (BMI), object to image distance (OID)] and machine specific parameters (kVp, mAs, distance and field sizes) of 1875 patients during 21 different types of X-ray examinations were recorded for estimating the entrance skin dose (ESD). The ESD for each of these patients were estimated using measured X-ray beam output and the standard value of the back scatter factor. Five number summary was calculated for all the data for their presentation in the Box-Whisker plot, which provides the statistical distribution of the data. The data collected indicates that majorly performed examinations are cervical spine AP, Chest PA and Knee Lat with percentage contributions of 16.05, 16 and 8.27% respectively. The lowest contribution comes from Hip Lat which is about 1.01%. The ratio of measured ESD (maximum to minimum) for these examinations is found to be highest for the cervical spine AP with a value of 50 followed by Thoracic spine AP of 32.36. The ESD ratio for Chest PA, Knee Lat and Lumbar Spine AP are 30.75, 30.4 and 30.2 respectively. The lowest ESD ratio is for Hip Lat which is 2.68. The third quartile values of ESDs are established as the institutional DRLs. The ESD values obtained for 21 different X-ray projections are either comparable or lesser than the reported national/international values.
In order to obtain a correlation of lead in bone and osteoporosis and other toxic related disease a study was carried out on bones. Femoral head bone samples obtained from osteoporosis patients were analyzed using Cd109 induced EDXRF consisting of a Si(Li) X-ray detector spectrometer coupled to a PC based Multichannel Analyzer. Besides other trace elements, calcium and strontium were predominantly seen in all samples. Lead was also detected.
The radiation protection programme is aimed at safe usage of radiation at workplace, ensuring minimum possible dose to radiation workers, patients and members of the public. Verification of the adequacy of protective measures in actual workplace is important, especially for diagnostic radiology facilities, as a substantial number of suspected overexposures are reported from these facilities. To address this issue, a study was conducted for mapping workplace radiation field at various locations in nine Diagnostic Radiology Facilities of two hospitals in India. The cumulative doses were measured for a period of 1–3 months, using personnel monitoring TLD badges. The dosemeters were placed at positions representative of two exposure situations: (1) probable locations of workers during procedures, leading to genuine exposure and (2) inappropriate storage locations of personal dosemeters at user end for probing claims of nongenuine exposures. The results indicate that the measured doses at locations (1) were just a fraction of the permissible dose, provided all safety practices are adhered to. However, the measured doses at certain locations (2) exceeded the investigation levels and indicate that any inadvertent storage of the dosemeters at such locations could lead to reporting of the overexposure from these radiology facilities. The outcome of the study will be useful for the investigation of such exposures and better understanding of the readout patterns of TLD badges in radiology workplaces.
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