Evaluation of Radiation Protection Status of Diagnostic Radiology Departments of Hamadan University of Medical Sciences Hospitals
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Abstract
Purpose: The concept of Quality Control (QC) is considered a regular method to control, stabilize, and inspect the function of the diagnostic imaging system. The objective of implementing the QC program is to produce high-quality images by applying a minimum dose of radiation based on the As Low As Reasonably Achievable (ALARA) principle. Therefore, this study aimed to evaluate the status of radiation protection in diagnostic radiology wards of educational hospitals affiliated with Hamadan University of Medical Sciences.
Materials and Methods: In order to implement the QC programs, standard QC tests were performed for 11 devices at educational hospitals affiliated with Hamadan University of Medical Sciences. A Sweden QC kit called Pirranha was used to carry out the QC tests of X-ray devices, and the dosimetry of controlled areas. Also, the measurement of ambient dose in different places was performed by Graetz dosimeter made in Germany.
Results: Voltage Reproducibility, Exposure time reproducibility, tube outlet Linearity, and tube outlet reproducibility tests in all radiology departments which were in accordance with standard criteria were accepted; however, about 10% of the total filtration resulted in different centers needed to be corrected. In terms of radiation protection, 5% of the centers had problems related to warning signs, dimensions of radiology rooms were not standard at 7% of wards and also required protection was not sufficient at 9 percent. Moreover, there were problems with 12% of radiology centers in terms of dosimetry results and the efficiency of different parts of the radiology device.
Conclusion: QC programs performed by authorized companies are costly. But if these programs are done by qualified physicists in addition to reducing costs, we will see a significant increase in the accuracy and precision of the obtained results.
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8- Jan Wondergem and Eduardo Rosenblatt, "IAEA activities related to radiation biology and health effects of radiation." Journal of radiological protection, Vol. 32 (No. 1), p. N123, (2012).
9- Nobuyuki Hamada and Yuki Fujimichi, "Classification of radiation effects for dose limitation purposes: history, current situation and future prospects." Journal of radiation research, Vol. 55 (No. 4), pp. 629-40, (2014).
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11- Hanan Datz et al., "The additional dose to radiosensitive organs caused by using under-collimated X-ray beams in neonatal intensive care radiography." Radiation protection dosimetry, Vol. 130 (No. 4), pp. 518-24, (2008).
12- T Duetting, Birgit Foerste, Thilo Knoch, Kassa Darge, and Jochen Troeger, "Radiation exposure during chest X-ray examinations in a premature intensive care unit: phantom studies." Pediatric radiology, Vol. 29 (No. 3), pp. 158-62, (1999).
13- Mohammad Mirdoraghi, Jafar Fatahi Asl, and Javad Fatahi Asl, "Evaluation of Radiation Protection Condition in Educational Hospital Radiological Centers of Ahwaz University of Medical Sciences." Paramedical Sciences and Military Health, Vol. 11 (No. 4), pp. 1-8, (2017).
14- Mahtab Karami and Nasrin Hafizi, "Health Information from Management to Technology: Development of a Radiology Patient Safety Monitoring System." (2021).
15- MA Périard and P Chaloner, "Diagnostic X-ray imaging quality assurance: an overview." Canadian Journal of Medical Radiation Technology, Vol. 27pp. 171-77, (1996).
16- Ariel Durán, Sim Kui Hian, Donald L Miller, John Le Heron, Renato Padovani, and Eliseo Vano, "Recommendations for occupational radiation protection in interventional cardiology." Catheterization and cardiovascular interventions, Vol. 82 (No. 1), pp. 29-42, (2013).
17- PJ Mountford and DH Temperton, "Recommendations of the international commission on radiological protection (ICRP) 1990." Vol. 19, ed: Springer, (1992), pp. 77-79.
18- DBM Shahbazi-Gahrouei, "Quality control of diagnostic radiology devices in charmahal and bakhtiari hospitals." Shahrekord medical sciences university journal, Vol. 8(2003).
19- Declan R Johnson, John Kyriou, Edward J Morton, Andrew Clifton, Michael Fitzgerald, and Emer Macsweeney, "Radiation protection in interventional radiology." Clinical radiology, Vol. 56 (No. 2), pp. 99-106, (2001).
20- B Aghahadi, Z Zhang, S Zareh, S Sarkar, and PS Tayebi, "Impact of quality control on radiation doses received by patients undergoing abdomen X-ray examination in ten hospitals." (2006).
21- Darush Shabazi, "Quality control of the radiological equipment in Chaharmahal & Bakhtiari Hospitals." Journal of Shahrekord Uuniversity of Medical Sciences, Vol. 5(2004).
22- J Jankowski and MA Staniszewska, "Methodology for the set-up of a quality control system for diagnostic X ray units in Poland." Radiation protection dosimetry, Vol. 90 (No. 1-2), pp. 259-62, (2000).
23- P Ortiz, C Maccia, R Padovani, E Vano, G Alm Carlsson, and H Schibilla, "Results of the IAEA-CEC co-ordinated research programme on radiation doses in diagnostic radiology and methods for reduction." Radiation protection dosimetry, Vol. 57 (No. 1-4), pp. 95-99, (1995).
24- J Zoetelief, RTM Van Soldt, II Suliman, J Th M Jansen, and Hilde Bosmans, "Quality control of equipment used in digital and interventional radiology." Radiation protection dosimetry, Vol. 117 (No. 1-3), pp. 277-82, (2005).
25- Mohammad Haghparast, POUR R AFZALI, Saeed Ahmadi, YAZDI MS GOLVERDI, INALOO K DINDARLOO, and Mansoor Saanei, "Quality control of radiology devices in Health Centers Affiliated with Hormozgan University of Medical Sciences." (2015).
26- Hossein Rahanjam, Hossein Qeraati, and Mohammad Reza Kardan, "Assessment of Quality Control for Medical Imaging Devices in Ilam Imaging Centers." Payavard Salamat, Vol. 10 (No. 4), pp. 370-78, (2016).
27- Farzaneh Allahveysi, Mozafar Mahmoodi, Farideh Elahimanesh, and Shadi Parvizpoor, "Common X-ray machine quality control in hospitals affiliated with Kurdistan University of Medical Sciences." Scientific Journal of Nursing, Midwifery and Paramedical Faculty, Vol. 2 (No. 2), pp. 58-72, (2016).
28- Babak Goodarzi, Narges Hahsemi, and Zoha Heidarinejad, "health and Protection status of radiology centers of Bandar Abbas city in 2016." Journal of Preventive Medicine, Vol. 4 (No. 1), pp. 47-55, (2017).
29- Peter Eshiet, Joseph Dlama, Adejoh Tom, Gloria Musa, Goriya Kpaku, and Abubakar Mundi, "Assessment of radiation protection measures in a Nigerian Tertiary Health Care Center." Journal of Radiology and Medical Science, Vol. 31(2016).
30- Fatemeh Shabani et al., "Radiation protection knowledge, attitude, and practice (KAP) in interventional radiology." Oman medical journal, Vol. 33 (No. 2), p. 141, (2018).
31- Hamed Masoumi et al., "A survey on the radiation protection status among radiology staff." Iranian Journal of Medical Physics, Vol. 15 (No. 3), pp. 176-81, (2018).
32- Richard C Semelka, Diane M Armao, Jorge Elias, and Walter Huda, "Imaging strategies to reduce the risk of radiation in CT studies, including selective substitution with MRI." Journal of Magnetic Resonance Imaging: an Official Journal of the International Society for Magnetic Resonance in Medicine, Vol. 25 (No. 5), pp. 900-09, (2007).
2- FI Peer, "A balancing act: potential benefits versus possible risks of radiation exposure: peer reviewed opinion article." South African Radiographer, Vol. 47 (No. 2), pp. 14-17, (2009).
3- BN Praveen, AR Shubhasini, R Bhanushree, PS Sumsum, and CN Sushma, "Radiation in dental practice: awareness, protection and recommendations." The journal of contemporary dental practice, Vol. 14 (No. 1), p. 143, (2013).
4- Martha S Linet et al., "Cancer risks associated with external radiation from diagnostic imaging procedures." CA: a cancer journal for clinicians, Vol. 62 (No. 2), pp. 75-100, (2012).
5- Vahid Karami and Mansour Zabihzadeh, "Radiation protection in diagnostic X-ray imaging departments in Iran: a systematic review of published articles." Journal of Mazandaran University of Medical Sciences, Vol. 26 (No. 135), pp. 175-88, (2016).
6- Reza Alipoor, Ghazal Mousavian, Ali Abbasnezhad, Seyede Farnaz Mousavi, and Gholamhasan Haddadi, "Knowledge, attitude, and performance of radiographers about the principles of radiation protection and following protective standards in medical imaging centers of hospitals in Fasa in 2015." Journal of Fasa University of Medical Sciences, Vol. 5 (No. 4), pp. 564-70, (2016).
7- GW Marshall and S Keene, "Radiation safety in the modern radiology department: a growing concern." Internet J Radiol, Vol. 5 (No. 2), pp. 1-6, (2007).
8- Jan Wondergem and Eduardo Rosenblatt, "IAEA activities related to radiation biology and health effects of radiation." Journal of radiological protection, Vol. 32 (No. 1), p. N123, (2012).
9- Nobuyuki Hamada and Yuki Fujimichi, "Classification of radiation effects for dose limitation purposes: history, current situation and future prospects." Journal of radiation research, Vol. 55 (No. 4), pp. 629-40, (2014).
10- J Valentin et al., "Published on behalf of the International Commission on Radiological Protection." (2007).
11- Hanan Datz et al., "The additional dose to radiosensitive organs caused by using under-collimated X-ray beams in neonatal intensive care radiography." Radiation protection dosimetry, Vol. 130 (No. 4), pp. 518-24, (2008).
12- T Duetting, Birgit Foerste, Thilo Knoch, Kassa Darge, and Jochen Troeger, "Radiation exposure during chest X-ray examinations in a premature intensive care unit: phantom studies." Pediatric radiology, Vol. 29 (No. 3), pp. 158-62, (1999).
13- Mohammad Mirdoraghi, Jafar Fatahi Asl, and Javad Fatahi Asl, "Evaluation of Radiation Protection Condition in Educational Hospital Radiological Centers of Ahwaz University of Medical Sciences." Paramedical Sciences and Military Health, Vol. 11 (No. 4), pp. 1-8, (2017).
14- Mahtab Karami and Nasrin Hafizi, "Health Information from Management to Technology: Development of a Radiology Patient Safety Monitoring System." (2021).
15- MA Périard and P Chaloner, "Diagnostic X-ray imaging quality assurance: an overview." Canadian Journal of Medical Radiation Technology, Vol. 27pp. 171-77, (1996).
16- Ariel Durán, Sim Kui Hian, Donald L Miller, John Le Heron, Renato Padovani, and Eliseo Vano, "Recommendations for occupational radiation protection in interventional cardiology." Catheterization and cardiovascular interventions, Vol. 82 (No. 1), pp. 29-42, (2013).
17- PJ Mountford and DH Temperton, "Recommendations of the international commission on radiological protection (ICRP) 1990." Vol. 19, ed: Springer, (1992), pp. 77-79.
18- DBM Shahbazi-Gahrouei, "Quality control of diagnostic radiology devices in charmahal and bakhtiari hospitals." Shahrekord medical sciences university journal, Vol. 8(2003).
19- Declan R Johnson, John Kyriou, Edward J Morton, Andrew Clifton, Michael Fitzgerald, and Emer Macsweeney, "Radiation protection in interventional radiology." Clinical radiology, Vol. 56 (No. 2), pp. 99-106, (2001).
20- B Aghahadi, Z Zhang, S Zareh, S Sarkar, and PS Tayebi, "Impact of quality control on radiation doses received by patients undergoing abdomen X-ray examination in ten hospitals." (2006).
21- Darush Shabazi, "Quality control of the radiological equipment in Chaharmahal & Bakhtiari Hospitals." Journal of Shahrekord Uuniversity of Medical Sciences, Vol. 5(2004).
22- J Jankowski and MA Staniszewska, "Methodology for the set-up of a quality control system for diagnostic X ray units in Poland." Radiation protection dosimetry, Vol. 90 (No. 1-2), pp. 259-62, (2000).
23- P Ortiz, C Maccia, R Padovani, E Vano, G Alm Carlsson, and H Schibilla, "Results of the IAEA-CEC co-ordinated research programme on radiation doses in diagnostic radiology and methods for reduction." Radiation protection dosimetry, Vol. 57 (No. 1-4), pp. 95-99, (1995).
24- J Zoetelief, RTM Van Soldt, II Suliman, J Th M Jansen, and Hilde Bosmans, "Quality control of equipment used in digital and interventional radiology." Radiation protection dosimetry, Vol. 117 (No. 1-3), pp. 277-82, (2005).
25- Mohammad Haghparast, POUR R AFZALI, Saeed Ahmadi, YAZDI MS GOLVERDI, INALOO K DINDARLOO, and Mansoor Saanei, "Quality control of radiology devices in Health Centers Affiliated with Hormozgan University of Medical Sciences." (2015).
26- Hossein Rahanjam, Hossein Qeraati, and Mohammad Reza Kardan, "Assessment of Quality Control for Medical Imaging Devices in Ilam Imaging Centers." Payavard Salamat, Vol. 10 (No. 4), pp. 370-78, (2016).
27- Farzaneh Allahveysi, Mozafar Mahmoodi, Farideh Elahimanesh, and Shadi Parvizpoor, "Common X-ray machine quality control in hospitals affiliated with Kurdistan University of Medical Sciences." Scientific Journal of Nursing, Midwifery and Paramedical Faculty, Vol. 2 (No. 2), pp. 58-72, (2016).
28- Babak Goodarzi, Narges Hahsemi, and Zoha Heidarinejad, "health and Protection status of radiology centers of Bandar Abbas city in 2016." Journal of Preventive Medicine, Vol. 4 (No. 1), pp. 47-55, (2017).
29- Peter Eshiet, Joseph Dlama, Adejoh Tom, Gloria Musa, Goriya Kpaku, and Abubakar Mundi, "Assessment of radiation protection measures in a Nigerian Tertiary Health Care Center." Journal of Radiology and Medical Science, Vol. 31(2016).
30- Fatemeh Shabani et al., "Radiation protection knowledge, attitude, and practice (KAP) in interventional radiology." Oman medical journal, Vol. 33 (No. 2), p. 141, (2018).
31- Hamed Masoumi et al., "A survey on the radiation protection status among radiology staff." Iranian Journal of Medical Physics, Vol. 15 (No. 3), pp. 176-81, (2018).
32- Richard C Semelka, Diane M Armao, Jorge Elias, and Walter Huda, "Imaging strategies to reduce the risk of radiation in CT studies, including selective substitution with MRI." Journal of Magnetic Resonance Imaging: an Official Journal of the International Society for Magnetic Resonance in Medicine, Vol. 25 (No. 5), pp. 900-09, (2007).
| Files | ||
| Issue | Vol 9 No 3 (2022) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/fbt.v9i3.9646 | |
| Keywords | ||
| Radiation Protection Quality Control Dosimetry Radiology | ||
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How to Cite
1.
Ghazikhanlousani K, Khosravi H, Faraji K, Rezayi S. Evaluation of Radiation Protection Status of Diagnostic Radiology Departments of Hamadan University of Medical Sciences Hospitals. Frontiers Biomed Technol. 2022;9(3):199-205.
