Patient dose from radiographic rejects/repeats in radiology centers of Urmia University of Medical Sciences, Iran

Jabbari, Nasrollah; Zeinali, Ahad; Rahmatnezhad, Leili

doi:10.4236/health.2012.42015

Cited by 11 publications

(19 citation statements)

References 18 publications

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“…Although constituting 40-60% of all rejects in the analog systems, the relative contribution of exposure errors in the digital systems has been reduced to less than 15%. [12] In KAMC, the rejection due to artifact is 13%. Comparable studies show rejection due to artifact ranging from 7% up to 11% depending on the type of hospital.…”

Section: Discussionmentioning

confidence: 99%

“…[10,11] In terms of body parts, the most frequently rejected radiographs are extremities and chest, followed by spine, pelvis, head and neck, and abdomen. [9,12,13] This is expected due to the fact that extremities and chest are the most common body parts radiographed in imaging department. The purpose of this study was to evaluate the radiographs reject rate and to identify the causes of rejection.…”

Section: Introductionmentioning

confidence: 99%

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Radiograph Reject Analysis in a Large Tertiary Care Hospital in Riyadh, Saudi Arabia

Alyousef

Alkahtani

Alessa

et al. 2019

Global Journal on Quality and Safety in Healthcare

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Background: Analysis of rejected radiographs is an important quality indicator of any radiology department. At King Abdulaziz Medical City (KAMC), about 185,000 radiographs are performed annually. Methods: The rejected radiographs over a period of 5 years were analyzed using a dedicated electronic rejection system. The rejection is performed by a certified radiologist and communicated electronically to the concerned technologist. Results: A total of 455 rejected radiographs were reviewed and analyzed. Of the reviewed rejected radiographs, 247 were adults (60%) whereas 166 were pediatrics (40%). In terms of sex, 231 (56%) of the rejected radiographs were for men and 182 (44%) were for women. The most common reason for rejection was labeling (22%), followed by procedure protocol (20%). Other reasons included positioning (14%), processing (14%), artifacts (13%), wrong documentation (9%), and exposure error (6%). The rejection due to exposure error was very low (6%) owing to the utilization of digital systems that offer a wide exposure latitude. Reported data at hospitals that use analog systems show up to 67% of rejections were due to exposure error. In terms of body parts, the highest rejection was for extremities (43%) followed by chest (31%). The remaining rejected radiographs includes abdomen (9%), spine (8%), pelvis (5%), and head and neck (4%).Conclusion: The outcome of this study can be used to set up training programs to improve radiological services and reduce the unnecessary radiation exposure to the patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Radiograph Reject Analysis in a Large Tertiary Care Hospital in Riyadh, Saudi Arabia

Alyousef

Alkahtani

Alessa

et al. 2019

Global Journal on Quality and Safety in Healthcare

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“…20 The radiation dose received by the patient will increase in line with radiographs image retrieval. 11 The higher radiation dose will increase the severity of the radiation effect. 12 Previous study reported a significant increase in GCF volume after exposure to panoramic radiographs.…”

Section: Discussionmentioning

confidence: 99%

“…2 Repetition of radiography increases the radiation dose received by the patient. 11 The higher the radiation dose, the effect of radiation will increase in terms of severity and frequency. 12 Radiation protection can minimize the effect of radiation exposure on patients and operators.…”

Section: Introductionmentioning

confidence: 99%

Effect of β-carotene patch application on gingival crevicular fluid volume after repeated periapical radiographic exposure

Puspitaningrum

Shantiningsih

Yanuaryska

2019

Majalah Kedokteran Gigi Indonesia

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Free radicals generated during ionization process of X-rays can damage biological tissues. Radiation exposure to gingival sulcus area will damage endothelial cells and increase permeability of blood vessels under sulcular and junctional epithelium. That inflammation will increase gingival crevicular fluid (GCF) volume. Repeated periapical radiographs often occurs due to the unfulfillment of quality assurance and leads to an increase amount of radiation dose received by the patient. Previous studies have shown that β-carotene mucoadhesive gingival patch can penetrate mucous membrane and provide protection against radiation by reducing the number of gingival epithelial cells micronuclei. The aims of this study was to observe β-carotene mucoadhesive gingival patch effect in GCF volume from patient exposed to repeated periapical radiographs. We recruited 10 participants from patients who receive repeated periapical radiographs in instalation of dentomaxillofacial radiology, Prof Soedomo dental and oral hospital Faculty of Dentistry UGM. The teeth of the subjects are divided into control and treatment group. β-carotene mucoadhesive gingival patch was applied to treatment group. GCF was collected using an absorbing paper strip before and after exposure, then measured bysliding caliper. Paired T-test showed significant differences (p<0.05) between GCF volume before and after radiographic exposure in each group. Independent T-test showed significant differences (p<0.05) of GCF volume between control and treatment group. Conclusion of this study is β-carotene mucoadhesive gingival patch significantly reduce GCF volume after repeated periapical radiographic exposure.

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“…Ces facteurs ont été mis en cause dans plusieurs études antérieures (Jabbari, Zeinali, & Rahmatnezhad, 2012;Abubakar, et al, 2016;Sniureviciute & Adliene, 2005). Ils ont été mis en cause dans plus de la moitié des rejets.…”

Section: Les Causes Du Rebut Des Clichés Et éValuation De La Perte Fiunclassified

Analyse Du Rebut Des Cliches Radiographiques Dans Le Service De Radiologie Et Imagerie Médicale Du Chu Campus De Lomé Au Togo

Gbande¹,

Sonhaye²,

Adambounou³

et al. 2017

ESJ

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Purpose: To analyze the waste factors of rejected X-rays films. Methodology: Descriptive and analytical prospective study from 1 January to 30 June 2017 carried out in the department of radiology and medical imaging of the Campus University Hospital of Lomé in Togo. Results: 4912 patients had received 5630 radiographic incidences, including 3288 (58.4%) on the analogy and 2342 (41.5%) on the digital. The reject rate was 12.5%. The vast majority of the X-rays films, 682 (96.9%) were rejected by the radiographers themselves just after development. The resumption frequency ranged from one repeat (550 X-rays films, or 78%) to 4 repeats (8 X-rays films, or 1%). Almost all of the rejected films, 702 (99.7%) came from the analogical room. Chest X-ray was the incidence with more rejection in 33.9% followed by pelvic and lower limb incidences in 21% of cases. More than 2/3 of the rejected films, 473 (67.2%), came from the students' act. The causes of the rejection were mainly centering (25.5%), underexposure (20.17%) and overexposure (12.93). The financial loss caused by the scrap of X-rays films amounted to about 418800F CFA or 638.5 €. Conclusion: Strengthening communication between radiographers and radiologists is necessary to avoid unnecessary repeats of patient's radiographs. incidences radiographiques dont 3288 (58,4%) à l'analogie et 2342 (41,6%) au numérique. Le taux de rebut était de 12,5%. 682 clichés (96,9%) ont été rejetés par les réalisateurs eux-mêmes juste après le développement. Les clichés ont été repris une fois dans 78 % et 4 fois dans 1 %. . Les clichés rejetés provenaient de la salle analogique dans 99,7 % ds cas. La radiographie du thorax était l'incidence qui avait connue plus de rebut dans 33,9% des cas suivi des incidences du bassin et des membres inférieurs dans 21% des cas. Les clichés rejetés provenaient des actes des étudiants dans 67,2 %. Les causes du rebut étaient principalement le centrage (25,5%), la sous-exposition (20,17%) et la surexposition (12,93). La perte financière causée par le rebut de clichés s'élevait à environ 418800F CFA soit 638,5€. Conclusion: Le renforcement de la communication entre techniciens de radio et radiologues s'avère nécessaire pour éviter aux patients des reprises de clichés inutiles.

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Patient dose from radiographic rejects/repeats in radiology centers of Urmia University of Medical Sciences, Iran

Cited by 11 publications

References 18 publications

Radiograph Reject Analysis in a Large Tertiary Care Hospital in Riyadh, Saudi Arabia

Radiograph Reject Analysis in a Large Tertiary Care Hospital in Riyadh, Saudi Arabia

Effect of β-carotene patch application on gingival crevicular fluid volume after repeated periapical radiographic exposure

Analyse Du Rebut Des Cliches Radiographiques Dans Le Service De Radiologie Et Imagerie Médicale Du Chu Campus De Lomé Au Togo

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