Compliance to Diagnostic Reference Levels for radiation exposure in common radiological procedures in Dutch hospitals: A nation-wide survey carried out by medical imaging students

Bijwaard, Harmen; Vries, Geert de; Scheurleer, Jelle; Roding, Thom; Erenstein, H.; Ravensbergen, W.; Haarmans-Jonkman, S.; Welie, Frank van

doi:10.1016/j.radi.2017.03.005

Cited by 5 publications

(4 citation statements)

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“…1000) b Assuming AP projection dominates pelvic effective dose given in RP180 c Most common DRL in Europe is a KAP of 3.0 Gy cm 2 , also in the Netherlands [70]. The Dutch target is 1.5 Gy cm 2 , however [74] d The annual frequency of pelvic radiographs in the Netherlands is 39.8 per 1000 population [77] diseases. Importantly, only a fraction of these are likely to be compatible with live births.…”

Section: Discussionmentioning

confidence: 99%

“…As 50% or more of the hospitals had a KAP lower than 1.0 Gy cm 2 , KAP values lower than 1.5 Gy cm 2 should be easily attainable. This value is currently the (still conservative) Dutch DRL target [74]. It was used in calculations for 2017, together with a high voltage of 80 kV, an anode angle of 16°, 3.5 mm Al total filtration and a 105-cm focus-detector distance.…”

Section: Methodsmentioning

confidence: 99%

“…Most common DRL in Europe (KAP = 3.0 Gy cm 2 )[70] d Conservative Dutch target DRL (KAP = 1.5 Gy cm 2 )[74] …”

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confidence: 99%

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Gonad shielding in pelvic radiography: modern optimised X-ray systems might allow its discontinuation

et al. 2020

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Objective: As gonad shielding is currently under debate, this study evaluates the practice, from its introduction in about 1905 until today. Methods: The literature was searched for developments in shielding and insights into the effects of ionising radiation on gonads. Based on own pre-1927 dose reconstructions, reported doses after 1927, a 2015-report from the European Union and recent own measurements, the effects of technological evolution and optimisation on radiation dose and hereditary risk were assessed. Results: In the 1900s, gonad shielding was first applied to prevent male sterility, but was discontinued when instrumental developments led to reduced radiation doses. In the 1950s, concerns about hereditary risks intensified and gonad shielding was recommended again, becoming routine worldwide. Imaging-chain improvements over time were considerable: in 2018, the absorbed dose was 0.5% of its 1905 value for the testes and 2% for the ovaries, our optimised effective dose a factor five lower than the value corresponding to the current EU diagnostic reference level, and the reduction in detriment-adjusted risk by shielding less than 1 × 10 −6 for women and 5 × 10 −6 for men. Conclusions: Assessment of pelvic doses revealed a large reduction in radiation risks facilitated by technological developments. Optimisation likewise contributed, but unfortunately, its potential was never adequately exploited. Today, using a modern and optimised X-ray system, gonad shielding can be safely discontinued for women. For men, there might be a marginal benefit, but potential negative side-effects may well dominate. Discontinuation of gonad shielding seems therefore justifiable.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Gonad shielding in pelvic radiography: modern optimised X-ray systems might allow its discontinuation

et al. 2020

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“…Sun rays, radio waves that enable radio and television communication, radiofrequency waves emitted from mobile phones, waves emitted by devices used for diagnosis and treatment in health field, x-rays used in industry constitute part of the radiation sources which effect our daily lives (Bauer, Janßen, Schmitz, & Ott, 2017;Bijwaard et al, 2017;Daroit, Visioli, Magnusson, Vieira, & Rados, 2015;Kaya, Adapınar, & Özkan, 1997).…”

Section: Introductionmentioning

confidence: 99%

The Determination of Health Services Vocational School Students’ Knowledge Levels About the Effects of Radiation on Health

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et al. 2019

İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi

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Radiation is the energy emitted from atomic nuclei when passing to steady state. People are exposed to radiation from many different sources. This research was carried out to determine the students' knowledge levels about the effects of radiation on health. This descriptive research was conducted by using 'questionnaire application method' with 351 students of Health Services Vocational School. The statistical analysis of the data was done by using descriptive statistics and chi-square analysis. Medical Imaging Program students' answering ratios to the statements; 'Radiation causes headache by damaging brain cells' (86.0%), 'Radiation emitting devices disrupt people's psychology'(75.0%) and 'Cell phones have serious negative impacts on health' (68.0%) as 'yes' were statistically different from other students. The students who stated to take necessary precautions against radiation were determined; not to bring mobile phone in the bedroom (81.1%), to keep radiation emitting devices away from head while asleep (61.1%), not to use mobile phone while it is charged (55.2%), to use laptops away from body (58.3%) in higher ratios. It has been determined that the radiation knowledge level of the students taking health education is not sufficient. In this regard, it would be beneficial to make arrangements in their curricula.

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Digital imaging and radiographic practise in diagnostic radiography: An overview of current knowledge and practice in Europe

et al. 2018

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Compliance to Diagnostic Reference Levels for radiation exposure in common radiological procedures in Dutch hospitals: A nation-wide survey carried out by medical imaging students

Cited by 5 publications

References 5 publications

Gonad shielding in pelvic radiography: modern optimised X-ray systems might allow its discontinuation

Gonad shielding in pelvic radiography: modern optimised X-ray systems might allow its discontinuation

The Determination of Health Services Vocational School Students’ Knowledge Levels About the Effects of Radiation on Health

Digital imaging and radiographic practise in diagnostic radiography: An overview of current knowledge and practice in Europe

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