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Patients Exposure Assessment Undergoing Conventional Radiology in the Central Region of Cote d'Ivoire

Received: 5 May 2023    Accepted: 27 May 2023    Published: 10 June 2023
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Abstract

Our study takes place in the radiology room of the University Hospital Center (CHU) of Bouaké in the central region of Cote d’Ivoire. The work involved 60 patients, including 30 for the examination of the front chest and 30 for the examination of the front lumbar spine. We used a DAP- meter to measure the dose in the air each time the beam was sent to the patient by the technician medical imaging. By a calculation we were able to obtain the Entrance Surface Dose ESD for each patient and the 75th percentile allowed us to obtain the Diagnostic Reference Level (DRL) for each of the two examinations at the CHU of Bouaké. The comparison of the DRL to the mean dose ESDm allows us to say that the dose is not optimized for the examination of the front chest and that corrective measures are to be taken by choosing appropriately the voltage, the charge, the distance focus detector (DFD) and using a total filtration of at least 2.5mm Al. However, for the examination of the front lumbar spine, although the dose is optimized, we can further increase the voltage and decrease the charge within the limits recommended by the learned societies of radiology, to reduce the dose. The DFD can be increased to 140 cm and also increase the total filtration to at least 2.5mm Al.

Published in Radiation Science and Technology (Volume 9, Issue 2)
DOI 10.11648/j.rst.20230902.12
Page(s) 22-25
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Entrance Surface Dose (ESD), Dose in Air (Dair), Mean Dose (Dem), DRL, Optimization

References
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[2] National Council on Radiation Protection and Measurements (NCRP). Ionizing radiation exposure of the population of the United States. NCRP report 93; 1987.
[3] National Radiological Protection Board (NRPB). A national survey of doses to patients undergoing selected routine radiological examinations in england hospitals. NRPB Report 261; 1993.
[4] Y. Cordoliani, H. Foerhrenbach. Radiation protection in medical settings. Principles and practice. 2nd edition, Paris: Masson; ISBN: 978-2294703157. 2008.
[5] National Radiological Protection Board (NRPB). Patient dose reduction in diagnostic radiology. NRPB 1990; 1 (3). 5. Commission of European Communities (CEC). European Commission. European.
[6] Official Journal, Article 4D 497 of Decree No. 67-321 of 21 July 1967, codifying the regulatory provisions adopted for the application of Title VI hygiene and medical security_service of Law No. 64-290 of 1 August 1964, on the Labour Code 9 July 1968.
[7] IRSN PRP-HOM / 2014-9, Analysis of data relating to the update of diagnostic reference levels in radiology and nuclear medicine. Review 2011-2012.
[8] PTW. User manual diasoft version 5.2. D154.131. O/7 2014. https://fr.scribd.com/document/480862858/DIAMENTOR-M4KDK. Retrieved June 01 2023.
[9] Dr H. LECLET, Preside%nt of the AFNOR standardization commission. Metrology of dose levels in radiodiagnostic practices http://www.bivi.metrologie.afnor.org, accessed 2022/09/12.
[10] T. Piketty, «Income inequality in France, 1901-1998», Journal of political economy, vol. 111, no 5,‎ 2003, p. 1004-1042. https://fr.wikipedia.org/wiki/Centile#cite_ref-1. Retrieved 2023/06/02
[11] F. Mazerolle. Arithmetic mean. 2012. https://fr.wikipedia.org/wiki/Moyenne. Retrieved 2023/06/02
[12] Y. Cordoliani, H. Foerhrenbach. Radiation protection in medical settings. Principles and practice. 3rd edition, Elsevier Masson SAS. ISBN: 978-2294739828. 2014.
[13] Anderson L. M., Thompson J. W., Roberts G. H.. Principles and Operation of Ionization Chambers in Conventional Radiology. Radiology Physics and Technology Volume: 7, N° 3, P 249-257, 2014.
[14] J. N. Foulquier, Technological Elements for Reducing Dose in Conventional and Digital Radiology. Journal of Radiology Vol 89 October 2008.
[15] French Society of Radiology (FSR). Guide to Radiological Procedures. Quality and optimization criteria. 2014/03/26.
[16] J. N. Foulquier, Technological Elements for Reducing Dose in Conventional and Digital Radiology. Journal of Radiology Vol 91 November 2010.
[17] https://www.radiationprotection.org/articles/ Evaluation of doses delivered during radiological examination. Retrieved 2021/09/13.
Cite This Article
  • APA Style

    Konate Issa, Kezo Ponaho, Agba Dabo Salif Ignace. (2023). Patients Exposure Assessment Undergoing Conventional Radiology in the Central Region of Cote d'Ivoire. Radiation Science and Technology, 9(2), 22-25. https://doi.org/10.11648/j.rst.20230902.12

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    ACS Style

    Konate Issa; Kezo Ponaho; Agba Dabo Salif Ignace. Patients Exposure Assessment Undergoing Conventional Radiology in the Central Region of Cote d'Ivoire. Radiat. Sci. Technol. 2023, 9(2), 22-25. doi: 10.11648/j.rst.20230902.12

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    AMA Style

    Konate Issa, Kezo Ponaho, Agba Dabo Salif Ignace. Patients Exposure Assessment Undergoing Conventional Radiology in the Central Region of Cote d'Ivoire. Radiat Sci Technol. 2023;9(2):22-25. doi: 10.11648/j.rst.20230902.12

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  • @article{10.11648/j.rst.20230902.12,
      author = {Konate Issa and Kezo Ponaho and Agba Dabo Salif Ignace},
      title = {Patients Exposure Assessment Undergoing Conventional Radiology in the Central Region of Cote d'Ivoire},
      journal = {Radiation Science and Technology},
      volume = {9},
      number = {2},
      pages = {22-25},
      doi = {10.11648/j.rst.20230902.12},
      url = {https://doi.org/10.11648/j.rst.20230902.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.rst.20230902.12},
      abstract = {Our study takes place in the radiology room of the University Hospital Center (CHU) of Bouaké in the central region of Cote d’Ivoire. The work involved 60 patients, including 30 for the examination of the front chest and 30 for the examination of the front lumbar spine. We used a DAP- meter to measure the dose in the air each time the beam was sent to the patient by the technician medical imaging. By a calculation we were able to obtain the Entrance Surface Dose ESD for each patient and the 75th percentile allowed us to obtain the Diagnostic Reference Level (DRL) for each of the two examinations at the CHU of Bouaké. The comparison of the DRL to the mean dose ESDm allows us to say that the dose is not optimized for the examination of the front chest and that corrective measures are to be taken by choosing appropriately the voltage, the charge, the distance focus detector (DFD) and using a total filtration of at least 2.5mm Al. However, for the examination of the front lumbar spine, although the dose is optimized, we can further increase the voltage and decrease the charge within the limits recommended by the learned societies of radiology, to reduce the dose. The DFD can be increased to 140 cm and also increase the total filtration to at least 2.5mm Al.},
     year = {2023}
    }
    

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    AU  - Konate Issa
    AU  - Kezo Ponaho
    AU  - Agba Dabo Salif Ignace
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    T2  - Radiation Science and Technology
    JF  - Radiation Science and Technology
    JO  - Radiation Science and Technology
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    PB  - Science Publishing Group
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    AB  - Our study takes place in the radiology room of the University Hospital Center (CHU) of Bouaké in the central region of Cote d’Ivoire. The work involved 60 patients, including 30 for the examination of the front chest and 30 for the examination of the front lumbar spine. We used a DAP- meter to measure the dose in the air each time the beam was sent to the patient by the technician medical imaging. By a calculation we were able to obtain the Entrance Surface Dose ESD for each patient and the 75th percentile allowed us to obtain the Diagnostic Reference Level (DRL) for each of the two examinations at the CHU of Bouaké. The comparison of the DRL to the mean dose ESDm allows us to say that the dose is not optimized for the examination of the front chest and that corrective measures are to be taken by choosing appropriately the voltage, the charge, the distance focus detector (DFD) and using a total filtration of at least 2.5mm Al. However, for the examination of the front lumbar spine, although the dose is optimized, we can further increase the voltage and decrease the charge within the limits recommended by the learned societies of radiology, to reduce the dose. The DFD can be increased to 140 cm and also increase the total filtration to at least 2.5mm Al.
    VL  - 9
    IS  - 2
    ER  - 

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Author Information
  • Nuclear Physics and Radiation Protection Team, Laboratory of Material Sciences Environment and Solar Energy, University Félix Houphouet Boigny, Abidjan, Cote d’Ivoire

  • Laboratory of Environmental Science and Technology, University Jean Lorougnon Guede, Daloa, Cote d’Ivoire

  • Laboratory of Fundamental and Applied Physics (LFAP), Training and Research Unit of Fundamental and Applied Sciences (UFR SFA), University Nangui Abrogoua (UNA), Abidjan, Cote d'Ivoire

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