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Radiation Safety in Children in Children’s Medical Center Hospital

机译:儿童医疗中心医院儿童的辐射安全

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Background: Diagnostic radiology studies in children harbor more radiation hazards than in adults due to their small size and higher cellular proliferation rate. Therefore, reducing the radiation burden to children should be top priority. Measurement of radiation dose is the first step to this goal. Nevertheless, we do not know whether the radiation of portable radiographs at our hospital meets the standards or not. Objectives: This study aims at measuring the primary and scattered radiation at different distances from patients. This eventually would help us to keep the radiation to minimum. Methods: This study was conducted on 84 patients from 4 different wards (U1-U2) in our hospital in 2017. After obtaining ethical approval from ethical committee and also written consent from parents, all patients who needed portable X-ray were included in our study. A thermo-luminescent dosimeter was placed on the patient’s chest to measure the entrance surface dose (ESD), while Geiger-Muller dosimeters located at one and two-meter distances from the X-ray tube used to scale the scattered radiation. Then, data were analyzed in SPSS 16. Results: The average ESD was 0.3873, 0.3867, 0.3700, and 0.4033 millisievert (mSv) in U1 to U4 respectively, whereas the scattered radiation doses measured as 0.00986, 0.00750, 0.01250, 0.1014 at one-meter and 0.00250, 0.00220, 0.00238, 0.00314 mSv at two-meter distances. There was no significant difference in radiation dose between those units (P 0.05). Conclusions: Radiation received by patients in this study was three to four times higher than the standard dose. Significant scattered radiation was also detected at one and two-meter distances. To reduce radiation, improvement of exposure protocols such as reducing mAs and using proper shielding is emphasized.
机译:背景:由于其小尺寸和更高的细胞增殖率,儿童诊断放射学研究涉及比成人更多的辐射危险。因此,减少对儿童的辐射负担应该是最重要的。辐射剂量的测量是该目标的第一步。尽管如此,我们不知道我们医院的便携式射线照片的辐射是否符合标准。目的:本研究旨在测量患者不同距离处的初级和散射辐射。这最终会帮助我们将辐射保持到最低限度。方法:2017年在我们院4名不同病房(U1-U2)的84名患者中进行了这项研究。在获得道德委员会的道德批准并从父母书面书面上书面书面,所有需要便携式X射线的患者都包含在我们的学习。将热发光剂量计置于患者的胸部上以测量入射表面剂量(ESD),而Geiger-Muller剂量计仪位于距X射线管的一个和两米距离,用于缩放散射辐射。然后,在SPSS 16中分析数据。结果:平均ESD分别为0.3873,0.3867,0.3700和0.4033毫秒(MSV),分别为0.04033毫秒(MSV),而散射的辐射剂量测量为0.00986,0.00750,0.01250,0.1014仪表和0.00250,000220,000238,0.00314 MSV,在两米的距离。这些单位之间的辐射剂量没有显着差异(p> 0.05)。结论:本研究患者接收的辐射比标准剂量高出三至四倍。在一个和两米的距离下也检测到显着的散射辐射。为了减少辐射,强调,改善曝光协议,例如还原MAS和使用适当的屏蔽。

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