NEW APPROACH FOR THE DETERMINATION OF THE STANDARD PATIENT TO BE USED FOR THE OPTIMIZATION OF THE MEDICAL EXPOSURE PROTECTION
Abstract
This study is devoted to the assessment of the relations between the digital chest x-ray screening procedure parameters, different dose quantities (DAP, ESD, Effective dose) for different age and gender patient groups and patient’s anthropometric indicators. We selected the anthropometric indicators with the maximum impact on patient’s doses. We propose a new approach for the determination of the standard patient to be used for the medical exposure protection optimization using DRLs.
About the Authors
A. V. Vodovatov
Saint-Petersburg Research Institute of Radiation Hygiene after professor P.V. Ramzaev
Russian Federation
Russian Federation
I. G. Kamyshanskaja
City Mariinsky hospital, Saint-Petersburg
Russian Federation
Russian Federation
A. A. Drozdov
City Mariinsky hospital, Saint-Petersburg
Russian Federation
Russian Federation
References
1. Publication 103 of the International Commission on Radiological Protection (ICRP). Lane from English. /, Ed. MF Kiseleva and N.K.Shandaly. M .:. PKF "Alan", 2009.
2. Radiation protection in medicine. ICRP Publication 105. Lane with Eng. / Under Ed. D. Valentine. – St. Petersburg, 2011.
3. Guidance on Diagnostic Reference Levels (DRLs) for Medical Exposures. Radiation Protection 109. Directorate-General, Environment, Nuclear Safety and Civil Protection. European Commission. 1999.
4. Leitz W., Alme'n A. Unsolved or unsolvable problems with diagnostic reference levels .// Radiation Protection Dosimetry. – 2005 – vol. 114, № 1-3. – P. 180-182
5. Monitoring the effectiveness of patient doses in medical X-ray examinations MU 2.6.1.2944-11. M. CPS. 2011.
6. The use of diagnostic reference levels for optimization of radiation protection of the patient's X-ray studies of general purpose: 2.6.1. Ionizing radiation, radiation safety guidelines MR 2.6.1.0066-12 / – Moscow: Federal Service, 2012
7. Barkovskiy AN, Baryshkov NI Kormanovskiy TA et al. Doses of the population of the Russian Federation in 2012. St. Petersburg. 2013.
8. ICRP Publication 89. Basic Anatomical and Physiological Data for Use in Radiological Protection: Reference Values. Annals ICRP vol.32 (3-4), 2002.
9. User manual chest phantom http://www.kyotokagaku.com/ products/detail03/pdf/ph-1_manual.pdf
10. Tapiovaara M., Siiskonen T. PCXMC 2.0 User guide. STUKTR7 / Helsinki, STUK, 2008
11. Vodovatov AV, Kalnitsky SA, Balonov MI, Kamyshanskii IG To develop diagnostic reference levels of patient exposure in domestic X-ray diagnostics. – Radiation gigena. T. 6, № 3. 2013. pp 29-36
12. Aichinger H., Dierker J., Joite-Barfuß S., at al. Radiation Exposure and Image Quality in X-Ray Diagnostic Radiology. Physical Principles and Clinical Applications. Second Edition. Springer, 2012
13. WHO MBI Database http://apps.who.int/bmi/index. jsp?introPage=intro_3.html
14. Brenner DJ Effective Dose – A Flawed Concept that could and should be replaced. WC 2009, IFMBE Proceedings 25 / III, pp. 488-490, 2009.
15. Sources and Effects of Ionising Radiation. United Nations Scientific Committee on the Effects of Atomic Radiation. UNSCEAR 2008 Report, Volume I. – NY.: United Nation S. 2010.
Review
For citations:
Vodovatov A.V., Kamyshanskaja I.G., Drozdov A.A. NEW APPROACH FOR THE DETERMINATION OF THE STANDARD PATIENT TO BE USED FOR THE OPTIMIZATION OF THE MEDICAL EXPOSURE PROTECTION. Radiatsionnaya Gygiena = Radiation Hygiene. 2014;7(4):104-116.
Views:
916
Email this article 