Study on dose reduction by source to image distance in lateral X-ray examination of the sternum

https://doi.org/10.53730/ijhs.v6nS1.6976

Authors

  • Woo-Taek Lim Dept. of Radiology, KonKuk University Medical Center, 120-1, Neungdong-ro, Gwangjin-gu, Seoul, 05030, Republic of Korea
  • Sang-Hyun Kim Dept. of Radiological Science, Shin-Han University, 95, Hoam-ro, Uijeongbu-si, Gyeonggi-do, 11644, Republic of Korea

Keywords:

Source to image distance, Exposure dose, Exposure Index, Sternum, Filter, Digital Radiography system

Abstract

Background/Objectives: The purpose of this study is to improve the image quality and minimize the exposure dose that the patient receives by changing the source to image distance (SID) during the lateral examination of sternum in general examinations. Methods/Statistical analysis: The study used digital radiography (DR) system and manikin chest phantom. To describe the sternum lateral view, the phantom was examined in the true lateral position. The examination parameters were adjusted to 75, 85, 95 kVp of tube voltage and 11, 16, 20, 25, 32, 40, 50 mAs of tube current, 130, 180cm of SID. As for the filter, the study used Non-filter, 1 mmAl filter, 1 mmAl + 0.1mmCu composite filter. For dose assessment, the study measured entrance surface dose (ESD) and dose area product (DAP) for each setting, and calculated signal to noise ratio (SNR) and contrast to noise ratio (CNR) for image quality assessment. Findings: As the result, based on proper exposure index (EI) value, 180cm SID and 85 kVp, 25 mAs, non-filter setting, the ESD was 0.91 mGy and DAP was 88.2 Gycm2.

Downloads

Download data is not yet available.

References

Moores B, Regulla D. A review of the scientific basis for radiation protection of the patient. Radiation protection dosimetry. 2011;147(1-2):22-9.

Alzimami K, Sassi S, Alkhorayef M, Britten A, Spyrou N. Optimisation of computed radiography systems for chest imaging. Nuclear Instruments and Methods in Physics Research Section A: Accelerators, Spectrometers, Detectors and Associated Equipment. 2009;600(2):513-8.

Shetty CM, Barthur A, Kambadakone A, Narayanan N, Kv R. Computed radiography image artifacts revisited. American Journal of Roentgenology. 2011;196(1):W37-W47.

Kim SC, Kim CY, Ahn SM. Calculation method of entrance skin dose in X-ray beam quality factor. the Journal of the Korea Contents Association. 2010;10(2):258-67.

Kurtul S, Kurtul N. The Level of Knowledge About Radiation Safety and the Frequency of the Use of Protective Equipment Among Healthcare workers Exposed to Radiation in Different Units. Turkish Journal of Oncology/Türk Onkoloji Dergisi. 2018;33(3).

Long BW, Rollins JH, Smith BJ. Merrill's Atlas of Radiographic Positioning and Procedures E-Book: Volume 3: Elsevier Health Sciences; 2018.

Kim KW, Son JH. Study on Exposure Dose According to Change of Source to Image Distance and Additional Filter Using Abdomen Phantom. Journal of radiological science and technology. 2016;39(3):407-14.

Jeukens CR, Kütterer G, Kicken PJ, Frantzen MJ, van Engelshoven JM, Wildberger JE, et al. Gonad shielding in pelvic radiography: modern optimised X-ray systems might allow its discontinuation. Insights into imaging. 2020;11(1):1-11.

Gholami M, Nemati F, Karami V. The evaluation of conventional X-ray exposure parameters including tube voltage and exposure time in private and governmental hospitals of Lorestan Province, Iran. Iranian Journal of Medical Physics. 2015;12(2):85-92.

Martin L, Ruddlesden R, Makepeace C, Robinson L, Mistry T, Starritt H. Paediatric x-ray radiation dose reduction and image quality analysis. Journal of Radiological Protection. 2013;33(3):621.

Neitzel U. Management of pediatric radiation dose using Philips digital radiography. Pediatric radiology. 2004;34(3):S227-S33.

Choi NG, Seong HJ, Jeon J, Kim YH, Seong DO. A comparative study of image quality and radiation dose according to variable added filter and radiation exposure in diagnostic x-ray radiography. Journal of Radiation Protection and Research. 2012;37(1):25-34.

Peters SE, Brennan PC. Digital radiography: are the manufacturers' settings too high? Optimisation of the Kodak digital radiography system with aid of the computed radiography dose index. European radiology. 2002;12(9):2381-7.

Kumar, S. (2022). A quest for sustainium (sustainability Premium): review of sustainable bonds. Academy of Accounting and Financial Studies Journal, Vol. 26, no.2, pp. 1-18

Choi SK. Change of the scattered dose by field size in X-ray radiography. The Journal of the Korea Contents Association. 2013;13(3):198-203.

Published

06-05-2022

How to Cite

Lim, W.-T., & Kim, S.-H. (2022). Study on dose reduction by source to image distance in lateral X-ray examination of the sternum. International Journal of Health Sciences, 6(S1), 8772–8782. https://doi.org/10.53730/ijhs.v6nS1.6976

Issue

Section

Peer Review Articles