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Sample records for patients pelvic x-ray

  1. Evaluation of build-up dose from 6 MV X-rays under pelvic and abdominal patient immobilisation devices

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    Cheung Tsang; Butson, M.J.Martin J. E-mail: mbutson@usa.netmbutson@guessmail.com; Yu, P.K.N

    2002-06-01

    The use of pelvic and abdominal immobilisation devices in radiotherapy is required for accurate positioning and repositioning of patients during their fractionated treatment delivered normally over a period of 5-6 weeks. 6 MV X-rays produced by a medical linear accelerator have a skin sparing effect whereby the skin dose delivered is considerably less than that received by the tumour. The treatment through a vacuum compressed immobilisation device (Vacbag) however increases the dose delivered to the skin by interactions of the X-rays within the Vacbag material. For example, the basal layer doses increased from 16% for an open field to 52% of maximum with a bag thickness of 2.5 cm for a 10 cmx10 cm field at 6 MV X-ray energy. At the same field size the dermal skin layer (1 mm depth) doses increased from 44% (no bag) to 60% for a bag thickness of 2.5 cm at 6 MV X-rays. The Vacbag should be placed outside the treatment field whenever possible to keep skin dose to a minimum level.

  2. Evaluation of build-up dose from 6 MV X-rays under pelvic and abdominal patient immobilisation devices

    International Nuclear Information System (INIS)

    Cheung Tsang; Butson, M.J.Martin J.; Yu, P.K.N.

    2002-01-01

    The use of pelvic and abdominal immobilisation devices in radiotherapy is required for accurate positioning and repositioning of patients during their fractionated treatment delivered normally over a period of 5-6 weeks. 6 MV X-rays produced by a medical linear accelerator have a skin sparing effect whereby the skin dose delivered is considerably less than that received by the tumour. The treatment through a vacuum compressed immobilisation device (Vacbag) however increases the dose delivered to the skin by interactions of the X-rays within the Vacbag material. For example, the basal layer doses increased from 16% for an open field to 52% of maximum with a bag thickness of 2.5 cm for a 10 cmx10 cm field at 6 MV X-ray energy. At the same field size the dermal skin layer (1 mm depth) doses increased from 44% (no bag) to 60% for a bag thickness of 2.5 cm at 6 MV X-rays. The Vacbag should be placed outside the treatment field whenever possible to keep skin dose to a minimum level

  3. Optimization of patient radiation protection in pelvic X-ray examination in Ghana.

    Science.gov (United States)

    Ofori, Eric K; Antwi, William K; Scutt, Diane N; Ward, Matt

    2012-07-05

    Pelvis X-ray examinations inevitably involve exposure of the gonads to ionizing radiation. In line with the principle of keeping doses as low as reasonably practicable (ALARP), accurate patient dose measurement is vital if we are to ascertain that these exposures are fully optimized. The study aimed to provide patient dose estimates for pelvis examination being undertaken at 10 separate hospitals in Ghana in order to provide an initial quantitative indication of each site's typically achievable radiation safety and quality standards. The method employed was adapted from established methods and peer reviewed literature, such as the International Atomic Energy Agency (IAEA) publications on optimization of the radiological protection of patients undergoing radiography, fluoroscopy, and computed tomography examinations in some countries in Africa, Asia, and Eastern Europe. Dose measurements were calculated on 323 patients (137 (42%) male, 186 (58%) female, ages, 38.56 yr ± 9.0; range 20-68). The entrance surface dose (ESD) was determined by an indirect method, using the patient's anatomical data and exposure parameters utilized for the specific examination. The Quality Assurance Dose Database software (QADDs) developed by Integrated Radiological Services Ltd. in Liverpool, UK was used to generate the ESD values. The study identified variations in the technique factors used compared with the recommendations in the European Commission (EC) quality criteria. Eighty percent of the hospitals recorded lower ESD values below IAEA recommended diagnostic reference levels (10 mGy) and 40% of the hospitals exceeded the UK national reference value (4 mGy). However, one hospital consistently recorded higher ESDs than the other hospitals. The variations in the data recorded demonstrate the importance of creating awareness by the radiographic staff on quality assurance and standardization of protocols to ensure satisfactory standards and optimized radiation dose to patients and

  4. Reproducibility of the interpretation of pelvic x-ray 3 months after hysteroscopic sterilization with Essure.

    Science.gov (United States)

    Veersema, Sebastiaan; Mol, Ben W J; Brölmann, Hans A M

    2010-09-01

    To estimate the diagnostic accuracy and the interobserver reproducibility of pelvic x-rays in the diagnosis of successful bilateral sterilization with Essure after a 3-month follow-up period. Interobserver study. Outpatient department of obstetrics and gynecology in a Dutch teaching hospital. Patients with successful bilateral Essure placement. Hysteroscopic sterilization with Essure and pelvic x-ray and hysterosalpingography after a 3-month follow-up period. Six observers evaluations of 47 pelvic x-rays from 47 patients 3 months after a technical successful bilateral placement of microinserts to estimate the reliability of the sterilization. Diagnostic accuracy of pelvic x-ray per observer in detecting incorrectly positioned microinserts was expressed in terms of sensitivity and specificity, with hysterosalpingography as the reference strategy. Reproducibility of the interpretation of the pelvic x-ray was expressed as kappa-values. The sensitivity and specificity for x-rays read by gynecologists was 0.67 (95% confidence interval [CI], 0.29-0.96) and 0.79 (95% CI, 0.58-1.00) and for radiologists 1.0 and 0.5 (95% CI, 0.36-0.64). The interobserver agreement in reliability of pelvic x-ray of hysteroscopic sterilization assessment with Essure ranged from slight (kappa-value=0.09) for gynecologists to moderate (kappa-value=0.52) for radiologists. Test characteristics of pelvic x-ray as the imaging technique to assess the position of the Essure microinserts and tubal patency were poor, as was the reproducibility, particularly if gynecologists performed the evaluation. We do not recommend the use of pelvic x-ray for the assessment of the positioning of microinserts after hysteroscopic sterilization. Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  5. Radiological assessment of the placement of Essure® in order to reduce hysterosalpingography: Pelvic X-ray versus combined pelvic X-ray and ultrasound.

    Science.gov (United States)

    Petit, C; Vernet, T; Verpillat, P; Rubod, C; Cosson, M; Giraudet, G

    2017-10-01

    Three months after hysteroscopic sterilisation with Essure ® , a confirmation test is required to evaluate the correct location of the inserts. The test may be conducted using a pelvic ultrasound (2D or 3D) or an abdominal X-ray. Should the location not look satisfactory on these tests, a follow-up hysterosalpingography (HSG) would be required. The objective of our study is to assess whether the Essure ® 3-month confirmation test using a single X-ray or a combination of X-ray and ultrasound could reduce the use of HSG. This retrospective study examined patients who underwent birth control Essure ® procedure between 2009 and 2015 in the Gynaecological Surgery Department at the Regional University Hospital Centre (CHRU) in Lille. We divided patients into two groups based on the imaging tests performed: single X-ray (2009-2010) versus X-ray and pelvic ultrasound (2014-2015). We then compared the results of the imaging tests and the use of HSG between the two groups. One hundred and thirty-four patients were tested, of which 60 (44.8%) using a single X-ray and 74 (55.2%) using a combination of X-ray and ultrasound. We note that the combined X-ray/ultrasound test reduces significantly the number of HSG performed (26.7% versus 12.2%, P=0.04). Compared to a single X-ray, the combination of X-ray and ultrasound enables to significantly limit the use of HSG. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  6. Evaluation of the Prevalence and Utility of Gonad Shielding in Pediatrics Undergoing Pelvic X-Ray

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    Vahid Karami

    2016-11-01

    Full Text Available Background: Gonad shielding has been recommended during pelvic x-rays since the 1950s. The popular method of gonad shielding is placement a lead shield in the midline of the pelvis. The aim of this study was to evaluate the prevalence and utility of gonad shielding in pediatrics undergoing pelvic x-rays.Materials and MethodsFollowing study approval, we retrospectively retrieved data from the digital image library of ten radiology depertments of Khuzestan provience-Iran to identify pediatric patients who underwent pelvic x-ray (anteriorposterior [AP] view. All the images were reviewed for the probable evidence of gonad shield. If there was evidence of shielding, the accuracy positioning of the shield was also investigated by a single assistant radiologist.ResultsIn all 1745 pelvic x-rays (942 girls and 803 boys were identified of which the shield was present in 51 (5.41% radiographs of girls and 132 (16.43% radiographs of boys. When a shield was present; the shields has adequate positioning only in 8 (15.68% radiographs in girls and 59 radiographs in boys. Inaccurate placement and absence of gonad shields were more common in girls than the boys. Due to the shield has concealed the anatomical criteria of the pelvis, retakes of the examination was required in 11 (21.56% radiographs of girls and 14 (10.6% radiographs of boys.ConclusionThe current methods of gonad shielding in girls pelvic x-ray was not effective nor is justifiable. We  no longer advocate of gonad shielding during girls pelvic x-ray. However in boys it is controversial and depends on the skill and effort of radiographers.

  7. Study on the use of gonadal protection shields during paediatric pelvic X-rays.

    Science.gov (United States)

    Sikand, Manoj; Stinchcombe, S; Livesley, P J

    2003-11-01

    There are national guidelines issued by all hospital radiology departments concerning the use of gonadal protection shields for taking X-rays of the pelvis. It is important to follow these guidelines especially when paediatric X-rays are taken. Gonads are very susceptible to radiation as they fall directly in the line of radiation exposure when pelvic X-rays are taken. To examine whether these guidelines were being followed. This audit considered 355 radiographs taken in a 6-month period on 149 patients, under the age of 16 years, attending the orthopaedic department at King's Mill Hospital. In only 23% of the cases studied, the correct use of gonad protection shields had been performed. In 67% of the unprotected patients, the shields were not used at all. In the remainder, the shield was incorrectly applied. Out of all the patients, 45% had more than one X-ray thus exposing the gonads to unnecessary radiation. In addition, 8% of patients had a CT scan, 6% had fluoroscopy and 42% had radiographs of other regions of the body. Guidelines should be adhered to as far as possible and efforts always be made to decrease radiation exposure. Application of the current guidelines excludes the first X-ray exposure of the female pelvis and of the pelvis of trauma patients from the use of shields, thus adding to the number of the X-rays done without protection.

  8. Evaluation of the Prevalence and Utility of Gonad Shielding in Pediatrics Undergoing Pelvic X-Ray

    OpenAIRE

    Vahid Karami; Mansour Zabihzadeh; Nasim Shams; Saman Sarikhani

    2016-01-01

    Background: Gonad shielding has been recommended during pelvic x-rays since the 1950s. The popular method of gonad shielding is placement a lead shield in the midline of the pelvis. The aim of this study was to evaluate the prevalence and utility of gonad shielding in pediatrics undergoing pelvic x-rays.Materials and MethodsFollowing study approval, we retrospectively retrieved data from the digital image library of ten radiology depertments of Khuzestan provience-Iran to identify pediatric p...

  9. Radiation risks for patients having X rays

    International Nuclear Information System (INIS)

    Hale, J.; Thomas, J.W.

    1985-01-01

    In addition to radiation from naturally occurring radioactive materials and cosmic rays, individuals in developed countries receive radiation doses to bone marrow and gonads from the medical diagnostic use of X rays. A brief discussion of radiation epidemiology shows that deleterious effects are low even when doses are high. The concept of acceptable risk is introduced to help evaluate the small, but still existent, risks of radiation dose. Examples of bone marrow and gonadal doses for representative X-ray examinations are presented along with the current best estimates, per unit of X-ray dose, of the induction of leukemia or of genetic harm. The risk to the patient from an examination can then be compared with the normal risk of mortality from leukemia or of the occurrence of genetic defects. The risk increase is found to be very low. The risks to unborn children from radiographic examinations are also discussed. The benefit to the patient from information obtained from the examination must be balanced against the small risks

  10. Reproducibility of the interpretation of pelvic x-ray 3 months after hysteroscopic sterilization with Essure

    NARCIS (Netherlands)

    Veersema, Sebastiaan; Mol, Ben W. J.; Brölmann, Hans A. M.

    2010-01-01

    Objective: To estimate the diagnostic accuracy and the interobserver reproducibility of pelvic x-rays in the diagnosis of successful bilateral sterilization with Essure after a 3-month follow-up period. Design: Interobserver study. Setting: Outpatient department of obstetrics and gynecology in a

  11. X-ray exposures to dental patients

    International Nuclear Information System (INIS)

    McKlveen, J.W.

    1980-01-01

    An elastic mask worn by patients and a skeleton encased in plastic were instrumented with LiF thermoluminescent dosimeters to determine radiation exposures delivered from full-face diagnostic dental X-rays. Measurements were made using various panoramic radiographical and periapical machines. Locations of interest included skin surface, eyes, upper and lower teeth and thyroid. Exposures in the 100 mR range were common and a maximum of over 6000 mR was measured in the teeth region during a full-face examination with a periapical unit. In general, exposures received from periapical equipment were several times those obtained from panoramic devices. (author)

  12. Pelvic X-ray misses out on detecting sacral fractures in the elderly - Importance of CT imaging in blunt pelvic trauma.

    Science.gov (United States)

    Schicho, Andreas; Schmidt, Stefan A; Seeber, Kevin; Olivier, Alain; Richter, Peter H; Gebhard, Florian

    2016-03-01

    Patients aged 75 years and older with blunt pelvic trauma are frequently seen in the ER. The standard diagnostic tool in these patients is the plain a.p.-radiograph of the pelvis. Especially lesions of the posterior pelvic ring are often missed due to e.g. bowel gas projection and enteric overlay. With a retrospective study covering these patients over a 3 year period in our level I trauma centre, we were able to evaluate the rate of missed injuries in the a.p.-radiograph whenever a corresponding CT scan was performed. Age, gender, and accompanying fractures of the pelvic ring were recorded. The intrinsic test characteristics and the performance in the population were calculated according to standard formulas. Thus, 233 consecutive patients with blunt pelvic trauma with both conventional radiographic examination and computed tomography (CT) were included. Thereof, 56 (23%) showed a sacral fracture in the CT scan. Of 233 pelvic X-ray-images taken, 227 showed no sacral fracture. 51 (21.7%) of these were false negative, yielding a sensitivity of just 10.5%. Average age of patients with sacral fractures was 85.1±6.1 years, with 88% being female. Sacral fractures were often accompanied by lesions of the anterior pelvic ring with pubic bone fractures in 75% of sacrum fracture cases. Second most concomitant fractures are found at the acetabulum (23.3%). Plain radiographic imaging is especially likely to miss out fractures of the posterior pelvic ring, which nowadays can be of therapeutic consequence. Besides the physicians experience in the ED, profound knowledge of insensitivity of plain radiographs in finding posterior pelvic ring lesions is crucial for a reliable diagnostic routine. Since the high mortality caused by prolonged immobilisation due to pelvic ring injuries, all fractures should be identified. We therefore provide a diagnostic algorithm for blunt pelvic trauma in the elderly. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. Study of the X-Ray Diagnosis of Unstable Pelvic Fracture Displacements in Three-Dimensional Space and its Application in Closed Reduction.

    Science.gov (United States)

    Shi, Chengdi; Cai, Leyi; Hu, Wei; Sun, Junying

    2017-09-19

    ABSTRACTS Objective: To study the method of X-ray diagnosis of unstable pelvic fractures displaced in three-dimensional (3D) space and its clinical application in closed reduction. Five models of hemipelvic displacement were made in an adult pelvic specimen. Anteroposterior radiographs of the pelvis were analyzed in PACS. The method of X-ray diagnosis was applied in closed reductions. From February 2012 to June 2016, 23 patients (15 men, 8 women; mean age, 43.4 years) with unstable pelvic fractures were included. All patients were treated by closed reduction and percutaneous cannulate screw fixation of the pelvic ring. According to Tile's classification, the patients were classified into type B1 in 7 cases, B2 in 3, B3 in 3, C1 in 5, C2 in 3, and C3 in 2. The operation time and intraoperative blood loss were recorded. Postoperative images were evaluated by Matta radiographic standards. Five models of displacement were made successfully. The X-ray features of the models were analyzed. For clinical patients, the average operation time was 44.8 min (range, 20-90 min) and the average intraoperative blood loss was 35.7 (range, 20-100) mL. According to the Matta standards, 7 cases were excellent, 12 cases were good, and 4 were fair. The displacements in 3D space of unstable pelvic fractures can be diagnosed rapidly by X-ray analysis to guide closed reduction, with a satisfactory clinical outcome.

  14. X-ray radiography equipment for patients in standing position

    International Nuclear Information System (INIS)

    Snijder, J.G.N.

    1974-01-01

    X-ray radiography equipment suited for patients in standing position is described. The patient's body centre of mass is indicated by its vertical projection line appearing on the X-ray image. To that end, an X-ray absorbing wire is positioned through the centre of mass by means of an electrical signal acting on a servomotor and derived from the pressure on three non-colinear points in the foot plate through an analogue computer

  15. Shielding during x-ray examination of pediatric female patients with developmental dysplasia of the hip

    International Nuclear Information System (INIS)

    Tsai, Yi-Shan; Liu, Yi-Sheng; Chuang, Ming-Tsung; Wang, Chien-Kuo; Lai, Cheng-Shih; Tsai, Hong-Ming; Lu, Chia-Hsing; Lin, Chii-Jeng

    2014-01-01

    Patients with developmental dysplasia of the hip (DDH) generally undergo multiple x-ray examinations of both hip joints. During these examinations, the gonads are completely exposed to radiation, unless shielded. Although many types and sizes of gonad shields exist, they often do not provide adequate protection because of size and placement issues; additionally, these shields are frequently omitted for female patients. Our aim was to assess gonad protection during x-ray examination that is provided by gonad shields designed for individual female patients with DDH. We retrospectively retrieved data from the Picture Archiving and Communication System database; pelvic plain x-ray films from 766 females, 18 years old or younger, were included in our analysis. Based on x-ray measurements of the anterior superior iliac spine, we developed a system of gonad shield design that depended on the distance between anterior superior iliac spine markers. We custom-made shields and then examined shielding rates and shielding accuracy before and after these new shields became available. Standard (general-purpose) shields were used before our custom design project was implemented. The shielding rate and shielding accuracy were, respectively, 14.5% and 8.4% before the project was implemented and 72.7% and 32.2% after it was implemented. A shield that is more anatomically correct and available in several different sizes may increase the likelihood of gonad protection during pelvic x-ray examinations. (paper)

  16. Shielding during x-ray examination of pediatric female patients with developmental dysplasia of the hip.

    Science.gov (United States)

    Tsai, Yi-Shan; Liu, Yi-Sheng; Chuang, Ming-Tsung; Wang, Chien-Kuo; Lai, Cheng-Shih; Tsai, Hong-Ming; Lin, Chii-Jeng; Lu, Chia-Hsing

    2014-12-01

    Patients with developmental dysplasia of the hip (DDH) generally undergo multiple x-ray examinations of both hip joints. During these examinations, the gonads are completely exposed to radiation, unless shielded. Although many types and sizes of gonad shields exist, they often do not provide adequate protection because of size and placement issues; additionally, these shields are frequently omitted for female patients. Our aim was to assess gonad protection during x-ray examination that is provided by gonad shields designed for individual female patients with DDH.We retrospectively retrieved data from the Picture Archiving and Communication System database; pelvic plain x-ray films from 766 females, 18 years old or younger, were included in our analysis. Based on x-ray measurements of the anterior superior iliac spine, we developed a system of gonad shield design that depended on the distance between anterior superior iliac spine markers. We custom-made shields and then examined shielding rates and shielding accuracy before and after these new shields became available. Standard (general-purpose) shields were used before our custom design project was implemented. The shielding rate and shielding accuracy were, respectively, 14.5% and 8.4% before the project was implemented and 72.7% and 32.2% after it was implemented. A shield that is more anatomically correct and available in several different sizes may increase the likelihood of gonad protection during pelvic x-ray examinations.

  17. Trends in x-ray photography and patient exposure dose

    International Nuclear Information System (INIS)

    Orito, Takeo; Sanada, Shigeru; Maekawa, Ryuichi; Koshida, Kichiro; Hiraki, Tatsunosuke

    1980-01-01

    The exposure doses of patients in X-ray photography are influenced by such technological factors as X-ray tube voltage, filter, sensitizing screen, film and grid. Survey by questionnnaire was made previously in 1973 on the above factors. The trends five years after were surveyed similarly, in connection with the exposure doses of patients. Questionnaires were sent to 200 radiation technicians, and 121 (60.5%) answered the survey in March, 1979. The results in the cases of simple X-ray photography and obstetric, infant and breast X-ray photographings are described. X-ray tube voltage is generally on the increase. In the sensitizing screens, exposure doses are fairly decreased due to the use of improved intensifying screen (LT-II). In the grid, the ratio 8 : 1 is used more than 5 : 1. In the usage of additional filters and in the distance of photography, improvements are desired. (J.P.N.)

  18. New methods of X-ray study of the rectum and colon in patients with constipation

    International Nuclear Information System (INIS)

    Zarodnyuk, I.V.; Tikhonov, A.A.; Sinyaeva, L.M.

    1998-01-01

    Rectal and colonic X-ray findings of 100 patients with constipation are presented. Modified irrigoscopic procedure using barium enema was used. This made it possible not only to determine the shape, dimensions, and position of the rectum and colon, but to reveal a number of anatomic and functional changes in the rectum and pelvic floor, which was helpful in choosing a treatment policy for patients with colonic evacuator dysfunction

  19. X-Ray Hip Examination in Patients with Cerebral Palsy

    OpenAIRE

    Holiuk, Ye.L.

    2017-01-01

    Background. X-ray indicators of the hip are important diagnostic factors of spastic hip dislocation in cerebral palsy. Correct X-ray examination has a decisive influence on the treatment strategy. Correct positioning parameters are well known, but their importance is often underestimated. This could be a trigger factor for further diagnostic and treatment errors. Materials and me-thods. The material was radiographs of the hip joints of 126 patients with cerebral palsy aged 2 to 18 years. Retr...

  20. Estimation of pelvic tilt on anteroposterior X-rays - a comparison of six parameters

    International Nuclear Information System (INIS)

    Tannast, M.; Murphy, S.B.; Langlotz, F.; Anderson, S.E.; Siebenrock, K.A.

    2006-01-01

    To compare six different parameters described in literature for estimation of pelvic tilt on an anteroposterior pelvic radiograph and to create a simple nomogram for tilt correction of prosthetic cup version in total hip arthroplasty. Simultaneous anteroposterior and lateral pelvic radiographs are taken routinely in our institution and were analyzed prospectively. The different parameters (including three distances and three ratios) were measured and compared to the actual pelvic tilt on the lateral radiograph using simple linear regression analysis. One hundred and four consecutive patients (41 men, 63 women with a mean age of 31.7 years, SD 9.2 years, range 15.7-59.1 years) were studied. The strongest correlation between pelvic tilt and one of the six parameters for both men and women was the distance between the upper border of the symphysis and the sacrococcygeal joint. The correlation coefficient was 0.68 for men (P<0.001) and 0.61 for women (P<0.001). Based on this linear correlation, a nomogram was created that enables fast, tilt-corrected cup version measurements in clinical routine use. This simple method for correcting variations in pelvic tilt on plain radiographs can potentially improve the radiologist's ability to diagnose and interpret malformations of the acetabulum (particularly acetabular retroversion and excessive acetabular overcoverage) and post-operative orientation of the prosthetic acetabulum. (orig.)

  1. Pelvic proportions in x-ray pictures of german shepherd dog, rottweiler and great dane, a contribution to hip dysplasia

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    Koeppel, E. (Veterinaermedizinische Univ., Vienna (Austria))

    1983-01-01

    Measurements of length and breadth were done in 439 X-ray pictures of the pelvis of German Shepherd Dog, Rottweiler and Great Dane. The relation of pelvic proportions to hip dysplasia was checked. In 66 X-ray pictures of the pelvis of young dogs the ischiadic part of the acetabulum was measured. In all breeds the ischium formed 68,8 percent of the acetabulum. Ilium and ischium showed changes in relation to hip dysplasia, which could be proved unequivocally only in Rottweilers. Changes of pelvic proportions in other breeds were not perceived. In Rottweilers also those changes can be seen distinctly only in severe cases of hip dysplasia. For the special case valid accordance with any degree of hip dysplasia could not be found.

  2. Patients Radiation Load Caused by Digitalised X-Ray Equipment

    International Nuclear Information System (INIS)

    Nikodemova, D.; Prikazska, M.; Horvathova, M.

    2001-01-01

    Full text: The radiation load of population all over the world from medical examinations clearly demonstrate the importance of implementation of quality assurance and quality control programmes into the activities of radiological departments. The basic aim of quality assurance programme is to ensure that the radiation dose is kept as low as reasonably practicable consistent with adequate image quality. As many other fields, the rapid development of techniques brought change-over from the conventional analogue technique to the digital technique. In this connection conventional X-ray film is being abandoned and images are being viewed on either laser film or monitor. The main advantages of using digital equipment lay in improved image quality and diagnostic accuracy through digital image processing, reduction in patient exposure, cost reduction by reduction film usage, more efficient storage and retrieval of radiographic images through picture archiving. Several studies that have been conducted for comparison of various diagnostic examinations performed on digital and analogue X-ray equipment have shown that in barium meal examinations, there is potential for dose saving in the digital image intensifier technique. The aim of this study was to compare measured values of dose-area product for colon investigations using different X-ray equipment types, on digital and one analogue. Our material consisted of 60 randomly selected patients, 24 of them were examined with digital equipment and 36 patients with the analogue equipment. (author)

  3. The measurement of patient doses from diagnostic x-rays

    International Nuclear Information System (INIS)

    Morris, N.D.; Solomon, S.B.

    1980-06-01

    As part of the National Health and Medical Research Council survey to determine the genetic and mean bone-marrow doses to the Australian population from the medical, dental and chiropractic uses of radiation sources, doses to patients undergoing X-ray diagnostic procedures were evaluated. The doses were measured using capsules of LiF or CaF 2 :Dy thermoluminescent dosemeters (TLD). The evaluation of the TLD measurements is described and the mean values of the skin doses for patients undergoing various radiographic examinations in Australia in 1970 are presented

  4. Patient doses due to a diagnostic X-ray picture

    International Nuclear Information System (INIS)

    Riet, A. van 't.

    1977-09-01

    The influence of technical parameters on patient doses in X-ray diagnostics has been investigated. During an X-ray picture (30 x 40 or 35 x 43 cm 2 ) for general survey in intraveneous pyelography (IVP), skin exposure measurements in the centre of the radiation beam were carried out at 650 adult female patients in 46 Dutch hospitals. In addition, the first half-value layer of the radiation was measured. In 15 of these hospitals, similar measurements were also carried out at a Rando phantom. Small LiF thermoluminescent dosemeters were used for all measurements. The results show a remarkable variation in the mean entrance- and exit-exposure per hospital. The variation in the mean entrance-exposure per hospital (factor 8) is mainly caused by differences in radiation quality. In some hospitals, no added filtration is used while others use a relatively heavy filtration. The variation in the mean exit-exposure per hospital could not be explained uniquely from technical parameters like grid, screen and film sensivity. From phantom measurements it was found that other parameters like adjustment of the automatic exposure timer and film density required by the radiographer are of importance. The measuring system used has shown to be an adequate and simple tool for a crude selection of those hospitals where skin exposures are relatively high. On the basis of the collected data some recommendations are given to promote dose reduction in X-ray diagnostics. The use of fast screen-film combinations is of great potential importance. However further investigation seems desirable, especially concerning patient dose during fluoroscopy 0

  5. Patient size and x-ray transmission in body CT.

    Science.gov (United States)

    Ogden, Kent; Huda, Walter; Scalzetti, Ernest M; Roskopf, Marsha L

    2004-04-01

    Physical characteristics were obtained for 196 patients undergoing chest and abdomen computed tomography (CT) examinations. Computed tomography sections for these patients having no evident pathology were analyzed to determine patient dimensions (AP and lateral), together with the average attenuation coefficient. Patient weights ranged from approximately 3 kg to about 120 kg. For chest CT, the mean Hounsfield unit (HU) fell from about -120 HU for newborns to about -300 HU for adults. For abdominal CT, the mean HU for children and normal-sized adults was about 20 HU, but decreased to below -50 HU for adults weighing more than 100 kg. The effective photon energy and percent energy fluence transmitted through a given patient size and composition was calculated for representative x-ray spectra at 80, 100, 120, and 140 kV tube potentials. A 70-kg adult scanned at 120 kVp transmits 2.6% of the energy fluence for chest and 0.7% for abdomen CT examinations. Reducing the patient size to 10 kg increases transmission by an order of magnitude. For 70 kg patients, effective energies in body CT range from approximately 50 keV at 80 kVp to approximately 67 keV at 140 kVp; increasing patient size from 10 to 120 kg resulted in an increase in effective photon energy of approximately 4 keV. The x-ray transmission data and effective photon energy data can be used to determine CT image noise and image contrast, respectively, and information on patient size and composition can be used to determine patient doses.

  6. Measurements of X ray absorbed doses to dental patients in two dental X ray units in Nigeria

    International Nuclear Information System (INIS)

    Ogundare, F.O.; Oni, O.M.; Balogun, F.A.

    2002-01-01

    Measurements of absorbed doses from radiographic examinations to various anatomical sites in the head and neck of patients with an average age of 45 years using intra-oral dental radiography have been carried out. LiF (TLD-100) dosemeters were used for the measurements of the absorbed dose. The measured absorbed doses to the various anatomical sites in the two units are reported, discussed and compared with results from the literature. Quality control measurements were also performed using a Victoreen quality control test device on the X ray units. The tube voltage accuracies for the two units were found to be within acceptable limits (less than ±10%). On the other hand the exposure time accuracies for these units have large deviations (>20%). These results and those that have been reported in the literature may be an indication that high patient doses are common in most dental X ray centres and countries. As a result of this, regular compliance and performance checks of dental diagnostic X ray equipment are essential in order to ensure proper performance and to minimise unnecessary patient and operator doses. (author)

  7. Is Routine Preoperative Chest X-ray Indicated in Elderly Patients ...

    African Journals Online (AJOL)

    Background: In our hospital pre-operative chest x-ray (CXR) are routinely requested without prior establishment of any medical indication for patients of 70 or more years of age who are undergoing elective surgery. The aim of this study was to determine if routine preoperative chest x-rays are justifiably indicated for elderly ...

  8. Pelvic X-ray examinations in follow-up of hip arthroplasty or femoral osteosynthesis – Dose reduction and quality criteria

    Energy Technology Data Exchange (ETDEWEB)

    Kloth, Jost Karsten, E-mail: jost.kloth@med.uni-heidelberg.de [Diagnostic and Interventional Radiology, University Hospital Heidelberg, Im Neuenheimer Feld 110, D-69120 Heidelberg (Germany); Rickert, Markus, E-mail: markus.rickert@ortho.med.uni-giessen.de [Department of Orthopaedics and Orthopaedic Surgery, University Hospital Giessen and Marburg, Klinikstrasse 33, D-35392 Giessen (Germany); Gotterbarm, Tobias, E-mail: tobias.gotterbarm@med.uni-heidelberg.de [Orthopedic and Trauma Surgery, University Hospital Heidelberg, Schlierbacher Landstraße 200a, D-69118 Heidelberg (Germany); Stiller, Wolfram, E-mail: wolfram.stiller@med.uni-heidelberg.de [Diagnostic and Interventional Radiology, University Hospital Heidelberg, Im Neuenheimer Feld 110, D-69120 Heidelberg (Germany); Burkholder, Iris, E-mail: stabil@burkholder.de [Department of Nursing and Health, University of Applied Sciences of the Saarland, Goebenstrasse 40, D-66117 Saarbruecken (Germany); Kauczor, Hans-Ulrich, E-mail: hans-ulrich.kauczor@med.uni-heidelberg.de [Diagnostic and Interventional Radiology, University Hospital Heidelberg, Im Neuenheimer Feld 110, D-69120 Heidelberg (Germany); Ewerbeck, Volker, E-mail: volker.ewerbeck@med.uni-heidelberg.de [Orthopedic and Trauma Surgery, University Hospital Heidelberg, Schlierbacher Landstraße 200a, D-69118 Heidelberg (Germany); Weber, Marc-André, E-mail: marcandre.weber@med.uni-heidelberg.de [Diagnostic and Interventional Radiology, University Hospital Heidelberg, Im Neuenheimer Feld 110, D-69120 Heidelberg (Germany)

    2015-05-15

    Highlights: • Pelvic radiographs with speed class 400 and 800 in follow-up of hip arthroplasty were compared. • Radiographs with reduced dose (800) were not inferior to those with standard dose (400). • We recommend speed class 800 as new reference parameter in these examinations. - Abstract: Objective: Digital plain radiographs of the pelvis are frequently performed in follow-up examinations of patients who received total hip arthroplasty (THA) or osteosynthesis (OS). Thus, the purpose was to reduce the radiation dose and to determine objective quality control criteria to ensure accurate assessment. Materials and methods: Institutional review board approval was obtained. In this prospective randomized study, 289 patients underwent X-ray examination of the pelvis as follow up after receiving THA or OS with standard and reduced dose. The evaluation of the plain radiographs was conducted using the following criteria: bone–implant interface, implant–implant discrimination, implant–surface character and periarticular heterotopic ossification. Two radiologists evaluated these criteria using a score ranging from 1 (definitely assessable) to 4 (not assessable). If a single criterion had been evaluated with a score of 3 or more or more than 2 criteria with 2 points, the radiograph was scored as “not assessable“. The study was designed as non-inferiority-trial. Results: Seven (2.4%) examined X-rays were scored as not assessable. There was no statistical inferiority between the examinations with standard (0.365 mSv) or reduced dose (0.211 mSv). Reduced dose only led to limitations in the evaluation of ceramic components with low clinical impact in most scenarios. Conclusion: Plain radiography of the pelvis in patients with THA or OS can be performed with a dose reduction of about 42% without a loss of important information. The obtained quality control criteria were clinically applicable.

  9. Number of X-ray examinations performed on paediatric and geriatric patients compared with adult patients

    International Nuclear Information System (INIS)

    Aroua, A.; Bochud, F. O.; Valley, J. F.; Vader, J. P.; Verdun, F. R.

    2007-01-01

    The age of the patient is of prime importance when assessing the radiological risk to patients due to medical X-ray exposures and the total detriment to the population due to radiodiagnostics. In order to take into account the age-specific radiosensitivity, three age groups are considered: children, adults and the elderly. In this work, the relative number of examinations carried out on paediatric and geriatric patients is established, compared with adult patients, for radiodiagnostics as a whole, for dental and medical radiology, for 8 radiological modalities as well as for 40 types of X-ray examinations. The relative numbers of X-ray examinations are determined based on the corresponding age distributions of patients and that of the general population. Two broad groups of X-ray examinations may be defined. Group A comprises conventional radiography, fluoroscopy and computed tomography; for this group a paediatric patient undergoes half the number of examinations as that of an adult, and a geriatric patient undergoes 2.5 times more. Group B comprises angiography and interventional procedures; for this group a paediatric patient undergoes a one-fourth of the number of examinations carried out on an adult, and a geriatric patient undergoes five times more. (authors)

  10. Exposure doses of the patient and the medical staff during urological X-ray examens

    International Nuclear Information System (INIS)

    Vogel, H.; Loehr, H.; Haug, P.; Schuett, B.

    1977-01-01

    During 32 intravenous urografies and 48 angiografies of the kidney and the suprarenal glands the X-ray doses at the patient's skin and gonades were determined. During the angiografies the doses were mesured at the hands. the gonades and the front (eyes) of the medical staff. The results are discussed. Because the X-ray doses are relatively high, the number of the pictures and the exposure time is to be reduced to the minimum. Clinical experience and special knowledge is the best X-ray protection. (orig.) [de

  11. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... drawer under the table holds the x-ray film or image recording plate . Sometimes the x-ray ... extended over the patient while an x-ray film holder or image recording plate is placed beneath ...

  12. Comparison of setup accuracy between exactrac X-ray 6 dimensions and cone-beam computed tomography for intracranial and pelvic image-guided radiotherapy

    International Nuclear Information System (INIS)

    Kudo, Tsuyoshi; Ono, Kaoru; Furukawa, Kengo; Fujimoto, Sachie; Akagi, Yukio; Koyama, Tadashi; Hirokawa, Yutaka

    2012-01-01

    The aim of this study was to compare the setup difference measured with ExacTrac X-ray 6D (ETX6D) and cone-beam computed tomography (CBCT) for non-invasive fractionated radiotherapy. Setup data were collected on a Novalis Tx treatment unit for both a head phantom and patients with intracranial tumors and a pelvic phantom and patients with prostate cancer. Initially, setup was done for a phantom using ETX6D. Secondly, a treatment couch was shifted or rotated by each already known value. Thirdly, ETX6D and CBCT scans were obtained. Finally, setup difference was determined: the registrations of ETX6D images with the corresponding digitally reconstructed radiographs using ETX6D fusion, and registrations of CBCT images with the planning CT using online 6D fusion. The setup difference between ETX6D and CBCT was compared. The impact of shifts and rotations on the difference was evaluated. Patients' setup data was similarly analyzed. In phantom experiments, the root mean square (RMS) of difference of the shift and rotation was less than 0.45 mm for translations, and 0.17 degrees for rotations. In intracranial patients' data, the RMS of that was 0.55 mm and 0.44 degree, respectively. In prostate cancer patients' data, the RMS of that was 0.77 mm and 0.79 degree, respectively. In this study, we observed modest setup differences between ETX6D and CBCT. These differences were generally less than 1.00 mm for translations, and 1.00 degrees for rotations, respectively. (author)

  13. Doppler and x-ray patterns in patients with cervicogenic headache

    International Nuclear Information System (INIS)

    Kalashnikov, V.I.; Abdullaev, R.Ya.; Sysun, L.A.; Spuzyak, R.M.

    2014-01-01

    The state of cervical spine and arterial and venous hemodynamics in vessels of vertebrobasillar system in young patients with various kinds of headache was studied. We have studied 75 patients with headache on the background of cervical spine pathology. All patients received functional x-ray study of cervical spine with bending and unbending

  14. Effect of pelvic irradiation of lactose absorption. [. gamma. rays or x rays were used in gynecologic malignancy therapy

    Energy Technology Data Exchange (ETDEWEB)

    Stryker, J.A.; Mortel, R.; Hepner, G.W.

    1978-01-01

    Twenty-four patients undergoing pelvic irradiation for gynecologic malignancies had /sup 14/C-lactose breath tests performed in the first and fifth weeks of their treatment. The /sup 14/C-lactose breath test was performed by administering 2 ..mu..Ci of /sup 14/C-lactose by mouth along with 50 g of lactose. Breath samples were collected in ethanolic hyamine 1, 2, and 3 hr later; the radioactivity of the trapped /sup 14/CO/sub 2/ was determined by liquid scintillation spectroscopy. In the first week of treatment the percentage of administered /sup 14/C excreted as /sup 14/CO/sub 2/ at 1, 2, and 3 hr was 1.7 +- 0.8% (mean +- SD), 4.5 +- 1.6%, and 5.8 +- 1.4%, respectively. In the fifth week of treatment the 1-hr, 2-hr, and 3-hr values were 1.2 +- 0.9%, 3.6 +- 2.0%, and 4.7 +- 1.9%, respectively. The difference between the first week and fifth week test results at 1, 2, and 3 hr was statistically significant (t = 2.64, p < 0.02), (t = 2.24, p < 0.05), (t = 2.95, p < 0.01). There was a negative correlation between the 1-hr /sup 14/C-lactose breath test results in the fifth week and the stool frequency at that time (r = -0.44, p < 0.05). Seven of 12 patients whose 1 hr /sup 14/C-lactose breath test results in the fifth week were below normal (<1.2%) had nausea at that time. The data suggest that in some patients, lactose malabsorption as a result of the effect of radiation on small intestinal function may be etiologically related to the symptoms of nausea and diarrhea which occur commonly in patients who are undergoing pelvic irradiation. In addition, the results suggest that lactose-containing foods should be restricted in some patients who are undergoing pelvic irradiation to prevent symptoms resulting from radiation-induced lactose intolerance.

  15. PATIENT RADIATION DOSE FROM CHEST X-RAY EXAMINATIONS IN THE WEST BANK-PALESTINE.

    Science.gov (United States)

    Lahham, Adnan; Issa, Ahlam; ALMasri, Hussein

    2018-02-01

    Radiation doses to patients resulting from chest X-ray examinations were evaluated in four medical centers in the West Bank and East Jerusalem-Palestine. Absorbed organ and effective doses were calculated for a total of 428 adult male and female patients by using commercially available Monte Carlo based softwares; CALDOSE-X5 and PCXMC-2.0, and hermaphrodite mathematical adult phantoms. Patients were selected randomly from medical records in the time period from November 2014 to February 2015. A database of surveyed patients and exposure factors has been established and includes: patient's height, weight, age, gender, X-ray tube voltage, electric current (mAs), examination projection (anterior posterior (AP), posterior anterior (PA), lateral), X-ray tube filtration thickness in each X-ray equipment, anode angle, focus to skin distance and X-ray beam size. The average absorbed doses in the whole body from different projections were: 0.06, 0.07 and 0.11 mGy from AP, PA and lateral projections, respectively. The average effective dose for all surveyed patients was 0.14 mSv for all chest X-ray examinations and projections in the four investigated medical centers. The effect of projection geometry was also investigated. The average effective doses for AP, PA and lateral projections were 0.14, 0.07 and 0.22 mSv, respectively. The collective effective dose estimated for the exposed population was ~60 man-mSv. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  16. [Evaluation of dental X-ray apparatus in terms of patient exposure to ionizing radiation].

    Science.gov (United States)

    Olszewski, Jerzy; Wrzesień, Małgorzata

    2017-06-27

    The use of X-ray in dental procedures causes exposure of the patient to ionizing radiation. This exposure depends primarily on the parameters used in tooth examination. The aim of the study was to determine the patients exposure and to assess the technical condition of X-ray tubes. Seventeen hundred dental offices were covered by the questionnaire survey and 740 questionnaires were sent back. Direct measurements were performed in 100 units by using the thermoluminescent detectors and X-ray films. The results showed that the most commonly used exposure time is 0.22±0.16 s. The average entrance dose for the parameters used most commonly by dentists is 1.7±1.4 mGy. The average efficiency of X-ray tube estimated on the basis of exposures is 46.5±23.7 μGy/mAs. The study results indicate that the vast majority of X-ray tubes meet the requirements specified in the binding regulations. Med Pr 2017;67(4):491-496. This work is available in Open Access model and licensed under a CC BY-NC 3.0 PL license.

  17. Radiodiagnostic errors by X-ray pictures of the chest taken at bed resting patients

    Energy Technology Data Exchange (ETDEWEB)

    Ross, D.; Deininger, H.K.

    1981-03-01

    The roentgenological findings of 383 cases have been compared with the anatomical and pathological diagnosis of the autopsy report. In 29% the radiodiagnosis was incorrect. About 70% of the X-ray examinations had to be carried out succenturiately at bed side in bedridden patients. The error rate of the interpretation of these examinations was higher than in examinations under standardized conditions. Especially, carcinomatous lymphangiosis, miliary tuberculosis and pulmonary embolism can be diagnosed badly in those incomplete X-ray pictures caused by the clinical situation of the bed resting patients. The publication analyses the most common errors in the diagnosis of cardiac and pulmonary diseases, and they will be demonstrated in examples.

  18. Patient size and x-ray technique factors in head computed tomography examinations. II. Image quality

    International Nuclear Information System (INIS)

    Huda, Walter; Lieberman, Kristin A.; Chang, Jack; Roskopf, Marsha L.

    2004-01-01

    We investigated how patient head characteristics, as well as the choice of x-ray technique factors, affect lesion contrast and noise values in computed tomography (CT) images. Head sizes and mean Hounsfield unit (HU) values were obtained from head CT images for five classes of patients ranging from the newborn to adults. X-ray spectra with tube voltages ranging from 80 to 140 kV were used to compute the average photon energy, and energy fluence, transmitted through the heads of patients of varying size. Image contrast, and the corresponding contrast to noise ratios (CNRs), were determined for lesions of fat, muscle, and iodine relative to a uniform water background. Maintaining a constant image CNR for each lesion, the patient energy imparted was also computed to identify the x-ray tube voltage that minimized the radiation dose. For adults, increasing the tube voltage from 80 to 140 kV changed the iodine HU from 2.62x10 5 to 1.27x10 5 , the fat HU from -138 to -108, and the muscle HU from 37.1 to 33.0. Increasing the x-ray tube voltage from 80 to 140 kV increased the percentage energy fluence transmission by up to a factor of 2. For a fixed x-ray tube voltage, the percentage transmitted energy fluence in adults was more than a factor of 4 lower than for newborns. For adults, increasing the x-ray tube voltage from 80 to 140 kV improved the CNR for muscle lesions by 130%, for fat lesions by a factor of 2, and for iodine lesions by 25%. As the size of the patient increased from newborn to adults, lesion CNR was reduced by about a factor of 2. The mAs value can be reduced by 80% when scanning newborns while maintaining the same lesion CNR as for adults. Maintaining the CNR of an iodine lesion at a constant level, use of 140 kV increases the energy imparted to an adult patient by nearly a factor of 3.5 in comparison to 80 kV. For fat and muscle lesions, raising the x-ray tube voltage from 80 to 140 kV at a constant CNR increased the patient dose by 37% and 7

  19. Patient dose evaluations from medical X-ray exposure in Italy: an analysis of next data

    International Nuclear Information System (INIS)

    Marchetti, A.; Paganini, F.M.; Susanna, A.

    1980-01-01

    NEXT (Nationwide Evaluation of X-ray Trends) is a program for the evaluation of patient exposure in X-ray diagnostic tests. The program is aimed at reducing patient exposure by pin-pointing poor radiological techniques and improving them. CNEN (Comitato Nazionale per l'Energia Nucleare) and ISS (Istituto Superiore di Sanita) have been developing such a program in Italy since 1976. Up to now two regional administrations applied the method and regional operators collected the needed data in all the medical institutions in their areas. The results show a wide spread of values for all the parameters studied in the 12 X-ray projections selected. Gonad dose and skin entrance exposure were found to be spread over a range up to about two orders of magnitude. (H.K.)

  20. Initial assessment of chest X-ray in thoracic trauma patients: Awareness of specific injuries

    NARCIS (Netherlands)

    Aukema, Tjeerd S.; Beenen, Ludo F. M.; Hietbrink, Falco; Leenen, Luke Ph

    2012-01-01

    To compare the reported injuries on initial assessment of the chest X-ray (CXR) in thoracic trauma patients to a second read performed by a dedicated trauma radiologist. By retrospective analysis of a prospective database, 712 patients with an injury to the chest admitted to the University Medical

  1. Health risk assessment of doses to patients\\' eyes from dental X-ray ...

    African Journals Online (AJOL)

    The skin entry dose to patients\\' eyes during dental x-ray examination was carried out on one hundred and ten patients comprising infants and adult of both sexes. The dose measurements was performed at Alpha dental centre, Ibadan, using Lithium fluoride thermoluminiscent dosimeters (TLD). The results of the study ...

  2. Radiation exposure to the patient during X-ray fluoroscopy and radiography

    International Nuclear Information System (INIS)

    Dimov, A.; Vassileva, J.

    2006-01-01

    Full text: The aim of this study is to assess the patient doses received during conventional and digital X-ray radiography, conventional fluoroscopy of the lungs, and one of the highest dose X-ray procedures - contrast examination of the large intestine (Barium enema examination). The measured quantity is Kerma area product (KAP), registered with a clinical dosimeter DRK-1 (Doza, Russia). A total number of 89 patients are included in the study. The Organ doses and Effective doses were assessed using Monte Carlo calculation code (PCXMC 1.4 (Finland). The measurements took place at the following X-ray units: a CGR (Koch and Sterzel) with two working posts - for radiography and fluoroscopy, a Philips Telediagnost (for barium enema) and an Oldelft N800HF Digidelca (for digital radiography of the chest). The typical KAP per procedure at digital radiography, conventional X-ray radiography and fluoroscopy and Barium enema examination are: 17; 95; 928 and 3630 cGy.cm 2 respectively; the average effective doses are: 0.022; 0.053; 0.728 and 8.0 mSv respectively. Doses to the lungs at digital radiography, conventional radiography and fluoroscopy are: 0.066; 0.136 and 2.412 mSv respectively and the dose to the upper and lower large intestine are: 11.7 and 8.6 mSv respectively. Conclusion: The approach used is applicable for assessment of radiation exposure to the patient during X-ray radiography and fluoroscopy. It needs registration of KAP meter readings when this device is installed on the stationary X-ray units

  3. X-ray examination of patients with gangrenous pulmonary abscesses

    International Nuclear Information System (INIS)

    Palamarchuk, V.P.; Gordeeva, T.Ya.

    1980-01-01

    Analysis of variability of some signs in the process of roentgenological dynamic observation of 31 patients with gangrenous pulmonary abscess who received conservative treatment is carried out. On the basis of the results of statistical processing of roentgenological data on the changes of the expansion of inflammatory infiltration, the cavity diameter, thickness of its walls and sizes of sequester optimum time of roentgenological study in the dynamics during conservative treatment of gangrenous abscess are suggested

  4. Radiation protection of patients in X-ray diagnostic techniques

    International Nuclear Information System (INIS)

    Gerhardt, P.

    1975-01-01

    The author states as a result that the care taken by the physician and the technical assistant is the most important factor in reducing the radiation exposure of patients. A fair relation between efficiency and possible unnecessary exposure is provided by careful and conscientious work which has to be based on sound knowledge of the effects of ionizing radiation on the organism and of the possibilities of reducing the doses responsible for these effects. (orig./AK) [de

  5. Analysis of Patients' X-ray Exposure in 146 Percutaneous Radiologic Gastrostomies.

    Science.gov (United States)

    Petersen, Tim-Ole; Reinhardt, Martin; Fuchs, Jochen; Gosch, Dieter; Surov, Alexey; Stumpp, Patrick; Kahn, Thomas; Moche, Michael

    2017-09-01

    Purpose  Analysis of patient´s X-ray exposure during percutaneous radiologic gastrostomies (PRG) in a larger population. Materials and Methods  Data of primary successful PRG-procedures, performed between 2004 and 2015 in 146 patients, were analyzed regarding the exposition to X-ray. Dose-area-product (DAP), dose-length-product (DLP) respectively, and fluoroscopy time (FT) were correlated with the used x-ray systems (Flatpanel Detector (FD) vs. Image Itensifier (BV)) and the necessity for periprocedural placement of a nasogastric tube. Additionally, the effective X-ray dose for PRG placement using fluoroscopy (DL), computed tomography (CT), and cone beam CT (CBCT) was estimated using a conversion factor. Results  The median DFP of PRG-placements under fluoroscopy was 163 cGy*cm 2 (flat panel detector systems: 155 cGy*cm 2 ; X-ray image intensifier: 175 cGy*cm 2 ). The median DLZ was 2.2 min. Intraprocedural placement of a naso- or orogastric probe (n = 68) resulted in a significant prolongation of the median DLZ to 2.5 min versus 2 min in patients with an already existing probe. In addition, dose values were analyzed in smaller samples of patients in which the PRG was placed under CBCT (n = 7, median DFP = 2635 cGy*cm 2 ), or using CT (n = 4, median DLP = 657 mGy*cm). Estimates of the median DFP and DLP showed effective doses of 0.3 mSv for DL-assisted placements (flat panel detector 0.3 mSv, X-ray image converter 0.4 mSv), 7.9 mSv using a CBCT - flat detector, and 9.9 mSv using CT. This corresponds to a factor 26 of DL versus CBCT, or a factor 33 of DL versus CT. Conclusion  In order to minimize X-ray exposure during PRG-procedures for patients and staff, fluoroscopically-guided interventions should employ flat detector systems with short transmittance sequences in low dose mode and with slow image frequency. Series recordings can be dispensed with. The intraprocedural placement of a naso- or orogastric probe

  6. X-ray absorbed doses evaluation on patients under radiological studies

    International Nuclear Information System (INIS)

    Medeiros, Regina Bitelli; Daros, Kellen A.C.

    1996-01-01

    The skin absorbed doses were evaluated on patient submitted to the following x-ray exams : chest, facial sinus, lumbar spine. Thermoluminescent dosimetry was used and a variety of irradiation techniques performed. The results shown considerable differences on the absorbed dose for the various alternative technical conditions

  7. Skin Entrance dose to patients from routine P-A chest X-ray ...

    African Journals Online (AJOL)

    Background: Radiation of any amount is potentially hazardous and it should be minimized as much as possible during health care delivery. Objective: To determine and assess the variation of the dose received by patients undergoing chest x-ray examination, and to provide a useful baseline data to evaluate the dose to the ...

  8. Entrance skin dose on patients undergoing X-ray examinations at ...

    African Journals Online (AJOL)

    survey was conducted on the Entrance Skin Dose (ESD) in patients undergoing X-ray examinations [Skull Postero-Anterior (PA), Skull Lateral (LAT), Chest Postero-Anterior (PA), Chest Lateral (LAT), Abdomen Antero-Posterior (AP) and Pelvis Antero-Posterior (AP)] in five hospitals/Xray centres in Yaba, Lagos State, Nigeria ...

  9. [Conventional X-Rays of Ankle Joint Fractures in Older Patients are Not Always Predictive].

    Science.gov (United States)

    Jubel, A; Faymonville, C; Andermahr, J; Boxberg, S; Schiffer, G

    2017-02-01

    Background: Ankle fractures are extremely common in the elderly, with an incidence of up to 39 fractures per 100,000 persons per year. We found a discrepancy between intraoperative findings and preoperative X-ray findings. It was suggested that many relevant lesions of the ankle joint in the elderly cannot be detected with plain X-rays. Methods: Complete data sets and preoperative X-rays of 84 patients aged above 60 years with ankle fractures were analysed retrospectively. There were 59 women and 25 men, with a mean age of 69.9 years. Operation reports and preoperative X-rays were analysed with respect to four relevant lesions: multifragmentary fracture pattern of the lateral malleolus, involvement of the medial malleolus, posterior malleolar fractures and bony avulsion of anterior syndesmosis. Sensitivity, specificity, positive predictive value, negative predictive value, accuracy and prevalence were calculated. Results: The prevalence of specific ankle lesions in the analyzed cohort was 24 % for the multifragmentary fracture pattern of the lateral malleolus, 38 % for fractures of the medial malleolus, 25 % for posterior malleolar fractures and 22.6 % for bony avulsions of the anterior syndesmosis. Multifragmentary fracture patterns of the lateral malleolus (sensitivity 0 %) and bony avulsions of the anterior syndesmosis (sensitivity 5 %) could not be detected in plain X-rays of the ankle joint at all. Fractures of the medial malleolus and involvement of the dorsal tibial facet were detected with a sensitivity of 96.8 % and 76.2 %, respectively, and specificity of 100 % in both cases. Conclusions: This study confirms that complex fracture patterns, such as multifragmentary involvement of the lateral malleolus, additional fracture of the medial malleolus, involvement of the dorsal tibial facet or bony avulsion of the anterior syndesmosis are common in ankle fractures of the elderly. Therefore, CT scans should be routinely considered for primary

  10. Cancer mortality among patients with ankylosing spondylitis not given X-ray therapy

    International Nuclear Information System (INIS)

    Smith, P.G.; Doll, R.; Radford, E.P.

    1977-01-01

    The causes of death among 1021 patients with ankylosing spondylitis not treated with X-rays (the 'untreated' group) have been compared with (i) those expected in a population of similar age and sex subject to the national mortality rates for England and Wales over the same period and (ii) those observed in 14000 similar patients given deep X-ray therapy (the 'treated' group). The untreated patients with spondylitis were enrolled in Great Britain and Northern Ireland during the period 1935 to 57 and have been followed up to 1965. The men in both treatment groups appear to have had spondylitis of similar severity, as judged from their death rates from various causes, but the 'untreated' women appear to have had a milder form of the disease. The number of deaths from cancer in the untreated group was not greater than that expected from national death rates, and there was no death from leukaemia. In the treated series the number of deaths from leukaemia was significantly raised (P = 0.03) when compared with that among patients not treated with X-rays. Deaths from cancers of sites classified as 'heavily irradiated' were also higher in the treated group though this difference was not statistically significant. Thus the excess leukaemia mortality in the treated patients, and possibly also the excess from other cancers, is likely to be associated with the X-ray treatment rather than with the disease process itself. Death rates from causes other than cancer were similar among treated and untreated patients. It is likely that modern X-ray treatment with smaller fields and lower dosage will carry a smaller risk of induced malignancy. This risk must be balanced against the possible therapeutic advantages of radiation treatment, the extent of which can be determined only by controlled trials. (author)

  11. SU-E-J-23: Characteristics of X-Rays From ExacTrac and Patient Dose From Imaging Procedures

    Energy Technology Data Exchange (ETDEWEB)

    Ding, G [Vanderbilt University, Nashville, TN (United States)

    2015-06-15

    Purpose: The purpose of this investigation is 1) provide the beam characteristics of x-rays produced by a Novalis TX ExacTrac system; 2) present a method to commission such beams, 3) present radiation dose to patients resulting from the imaging procedures. Methods: The Monte Carlo simulations were used to obtain the characteristics of kV beams and validated by measurements. The calculated beam HVLs, profiles and depth-dose curves were benchmarked against measurements. Twelve different image acquisition protocols were studied. The x-ray tube voltage ranges from 70 - 145 kV and milliampere-second (mAs) ranges from 8 - 80 mAs depending on the selection of Cranium, Head & Neck, Thorax or Abdomen imaging protocols. The beam output of each image acquisition protocol was determined by using an ionization chamber. The air kerma calibration factors of the ion chamber were obtained from an Accredited Dosimetry Calibration Laboratory for specified HVLs. Results: The agreements between measured and simulated results were within the uncertainties for HVLs, dose profiles and depth-dose curves. When %dd was normalized at 1 cm depth, its values at depth of 5 cm ranged from 45% to 66% of in water for kV beams range from 70 kVp to 145 kVp respectively. For head images, a typical dose to eye resulting from single projection ranged from 0.008 cGy to 0.025 cGy depending on the cranial image protocols selected. For a single pelvic image the skin dose could reach up to 0.1 cGy from an abdominal protocol. Conclusion: Although multiple pairs of x-ray images are commonly acquired during a daily patient treatment, the imaging doses to patients resulting from the sum of these projected x-rays are generally much less than 0.5 cGy. The knowledge obtained from this investigation can be used to estimate the image dose and optimize the used of the system.

  12. Patient and population protection in X-ray examinations -a general roentgenological and health problem

    International Nuclear Information System (INIS)

    Khadzhidekov, G.; Dermendzhiev, Kh.

    1975-01-01

    Population exposure in excess of that due to natural radiation background is known to result primarily (to 70-90%) from medical X-rays given in mass screening. Protection of the population is a problem of great concern in present-day radiology and is approached by balancing benefits of diagnostic X-rays against risks presented by the probability of overexposing the patient. An evaluation on such a basis necessitates detailed and accurate information on patient radiation exposure and takes into account factors leading to a population hazard by making assessments in terms of so-called genetically significant doses. Gonad doses have to be carefully analysed, implying a need for studies of various types of X-ray procedures, precautionary measures taken, etc. An important issue in the choice and adoption of an appropriate method for large-scale gonad dose assessments in routine practice. To obtain an estimate of radiation hazard from medical roentgenology in terms of genetically significant doses and identify measures necessary to limit exposure risks, collaborative efforts are needed involving participation of roentgenologists and hygienists, and use of dosimetric, organizational-methodological, and statistical techniques. These efforts should lead to an abrupt reduction in radiation burden to the population from diagnostic X-rays. (author)

  13. What do patients really know or want to know about x-rays?

    International Nuclear Information System (INIS)

    Corbett, R.H.

    2000-01-01

    In the United Kingdom, there is a general feeling that patients want to know all about everything that is to be done to or for them by the Medical Profession. Indeed the General Medical Council requires doctors to obtain informed consent' for all procedures. Should this apply to x-rays? Certainly a full explanation of complex procedures with risks and benefits explained is important, especially for interventional procedures. But do patients really need to know about dose, and if they are told, are they in a position to understand such information? Indeed, do patients really want to know much about their x-rays at all, other than the result? To try to answer these and other questions about patients' experiences in x-ray departments, a pilot study has been carried out in may department. This is ongoing. So far, (17/8/99), some 30 patients have completed a questionnaire which includes questions on their knowledge of radiation, including background radiation, techniques to be used, questions on what they want from medical staff in the way of explanations and just as important, when they should receive the explanations. The questionnaire will be presented and the reasons for the questions discussed. An analysis of the replies will be given. An initial assessment is that most patients would appreciate arriving in the x-ray department with a reasonable idea of why they were coming and what for, but there is a substantial minority who would rather not know. Few were interested in the radiation aspects, generally relying on medical staff to look after their interests. Patients' knowledge of radiation is generally vague. Many considered that ultrasound used ionising radiation. The paper will conclude with some ideas for the further education of, and explanations to, patients. (author)

  14. Patient positioning with X-ray detector self-calibration for image guided therapy

    International Nuclear Information System (INIS)

    Selby, B.P.; Sakas, G.; Stilla, U.; Groch, W.-D.

    2011-01-01

    Full text: Automatic alignment estimation from projection images has a range of applications, but misaligned cameras induce inaccuracies. Calibration methods for optical cameras requiring calibration bodies or detectable features have been a matter of research for years. Not so for image guided therapy, although exact patient pose recovery is crucial. To image patient anatomy, X-ray instead of optical equipment is used. Feature detection is often infeasible. Furthermore, a method not requiring a calibration body, usable during treatment, would be desirable to improve accuracy of the patient alignment. We present a novel approach not relying on image features but combining intensity based calibration with 3D pose recovery. A stereoscopic X-ray camera model is proposed, and effects of erroneous parameters on the patient alignment are evaluated. The relevant camera parameters are automatically computed by comparison of X-ray to CT images and are incorporated in the patient alignment computation. The methods were tested with ground truth data of an anatomic phantom with artificially produced misalignments and available real-patient images from a particle therapy machine. We show that our approach can compensate patient alignment errors through mis-calibration of a camera from more than 5 mm to below 0.2 mm. Usage of images with artificial noise shows that the method is robust against image degradation of 2-5%. X-ray camera sel calibration improves accuracy when cameras are misaligned. We could show that rigid body alignment was computed more accurately and that self-calibration is possible, even if detection of corresponding image features is not. (author)

  15. Chromosomal sensitivity to X-rays in lymphocytes from patients with Turner syndrome

    International Nuclear Information System (INIS)

    Heras, J.G.; Coco, R.

    1986-01-01

    Lymphocytes from patients with Turner syndrome were irradiated with X-rays to determine the chromosomal aberration frequency in first-division metaphases. Five patients with 45,X karyotype; three 45,X/46,Xi(X)q mosaics; one 45,X/47,XXX mosaic and 9 female controls were studied. Patients with a 45,X karyotype exhibited a radioinduced chromosomal aberration frequency similar to controls. In the mosaics, 45,X cells has a mean frequency of 38.75 +- 2.16; 46,Xi(X)q cells a mean of 38 +- 2.16 and the control group a rate of 36.25 +- 4.32. No differences were observed between 45,X and 46,Xi(X)q cells, 45,X and normal cells or 46,Xi(X)q and normal cells. Apparently neither the X monosomy nor the Xq isochromosome influences the 'in vitro' X-ray-induced chromosomal damage in Turner syndrome lymphocytes. (Auth.)

  16. Patient and population doses of x-ray diagnostics in Finland

    Energy Technology Data Exchange (ETDEWEB)

    Rannikko, S; Karila, K T.K.; Toivonen, M

    1997-09-01

    Periodic surveys of patient and population doses are important because of the large contribution of x-ray diagnostics to the artificial population dose. Measured entrance surface doses and dose-area products are the main quantities used for monitoring patient doses in hospitals, and most population dose studies have been derived from these quantities and from the frequences of x-ray examinations. This study is based on the radiation, exposure geometry, and patient parameters recorded by experienced radiographers and postgraduated students. The software used in the work (ODS-60 of Rados Technology) suits the determination of effective and organ doses from such detailed data using a human-like patient phantom which can be adapted for sex and size. The program, together with the very detailed input data, made it possible to determine organ equivalent and effective doses for complicated dynamic x-ray examinations and interventions in more detail than in previous studies. Collective organ and effective doses were derived for 50 examination types. The annual collective dose from diagnostic x-ray examinations in 1994 was 0.5 mSv per capita in Finland. The five groups of examinations or examinations that had greatest contributions to the collective dose were CT, barium enema: double contrast, lumbar spine, carotid angiography, and intestinal transit. Together they represented for about 60 % of the total dose. The highest dose-area products (about 2000 Gy cm{sup 2}) were obtained from certain angiographic and interventional examinations. A literature survey showed that Finland patient doses are at the same average level as in other countries of a high standard of health care. (orig.). 125 refs.

  17. Patient and population doses of x-ray diagnostics in Finland

    International Nuclear Information System (INIS)

    Rannikko, S.; Karila, K.T.K.; Toivonen, M.

    1997-09-01

    Periodic surveys of patient and population doses are important because of the large contribution of x-ray diagnostics to the artificial population dose. Measured entrance surface doses and dose-area products are the main quantities used for monitoring patient doses in hospitals, and most population dose studies have been derived from these quantities and from the frequences of x-ray examinations. This study is based on the radiation, exposure geometry, and patient parameters recorded by experienced radiographers and postgraduated students. The software used in the work (ODS-60 of Rados Technology) suits the determination of effective and organ doses from such detailed data using a human-like patient phantom which can be adapted for sex and size. The program, together with the very detailed input data, made it possible to determine organ equivalent and effective doses for complicated dynamic x-ray examinations and interventions in more detail than in previous studies. Collective organ and effective doses were derived for 50 examination types. The annual collective dose from diagnostic x-ray examinations in 1994 was 0.5 mSv per capita in Finland. The five groups of examinations or examinations that had greatest contributions to the collective dose were CT, barium enema: double contrast, lumbar spine, carotid angiography, and intestinal transit. Together they represented for about 60 % of the total dose. The highest dose-area products (about 2000 Gy cm 2 ) were obtained from certain angiographic and interventional examinations. A literature survey showed that Finland patient doses are at the same average level as in other countries of a high standard of health care. (orig.)

  18. Assessment of patient radiation doses in chest X-ray examinations

    International Nuclear Information System (INIS)

    Orsini, S.; Scribano, V.S.; Merluzzi, F.; Tosca, L.

    1987-01-01

    The paper reports the initial results of a radioprotection programme for diagnostic radiology carried out in a major hospital in Milan. The data cover chest X-ray examinations. The dose values were obtained using different techniques, according to the specific diagnostic requirements in each departement. A wide radiation dose range was observed between the different techniques, with a ratio between maximum and minimum dose > 30 for the skin and the spine. The doses were however lower than those capable of inducing non-stochastic effects by about 10000 and were so low that the probability of a stochastics effect is minimal. Nevertheless, because chest X-rays are performed so frequently, it is recommended that radiologists take greater account of patient dose, as far as compatible with diagnostic requirements. Radiology technicians must strictly observe the regulations for radioprotection of the patient

  19. Radiodiagnostic errors by X-ray pictures of the chest taken at bed resting patients

    International Nuclear Information System (INIS)

    Ross, D.; Deininger, H.K.

    1981-01-01

    The roentgenological findings of 383 cases have been compared with the anatomical and pathological diagnosis of the autopsy report. In 29% the radiodiagnosis was incorrect. About 70% of the X-ray examinations had to be carried out succenturiately at bed side in bedridden patients. The error rate of the interpretation of these examinations was higher than in examinations under standardized conditions. Especially, carcinomatous lymphangiosis, miliary tuberculosis and pulmonary embolism can be diagnosed badly in those incomplete X-ray pictures caused by the clinical situation of the bed resting patients. The publication analyses the most common errors in the diagnosis of cardiac and pulmonary diseases, and they will be demonstrated in examples. (orig.) [de

  20. Quality assurance of a system for improved target localization and patient set-up that combines real-time infrared tracking and stereoscopic X-ray imaging.

    Science.gov (United States)

    Verellen, Dirk; Soete, Guy; Linthout, Nadine; Van Acker, Swana; De Roover, Patsy; Vinh-Hung, Vincent; Van de Steene, Jan; Storme, Guy

    2003-04-01

    The aim of this study is to investigate the positional accuracy of a prototype X-ray imaging tool in combination with a real-time infrared tracking device allowing automated patient set-up in three dimensions. A prototype X-ray imaging tool has been integrated with a commercially released real-time infrared tracking device. The system, consisting of two X-ray tubes mounted to the ceiling and a centrally located amorphous silicon detector has been developed for automated patient positioning from outside the treatment room prior to treatment. Two major functions are supported: (a) automated fusion of the actual treatment images with digitally reconstructed radiographs (DRRs) representing the desired position; (b) matching of implanted radio opaque markers. Measurements of known translational (up to 30.0mm) and rotational (up to 4.0 degrees ) set-up errors in three dimensions as well as hidden target tests have been performed on anthropomorphic phantoms. The system's accuracy can be represented with the mean three-dimensional displacement vector, which yielded 0.6mm (with an overall SD of 0.9mm) for the fusion of DRRs and X-ray images. Average deviations between known translational errors and calculations varied from -0.3 to 0.6mm with a standard deviation in the range of 0.6-1.2mm. The marker matching algorithm yielded a three-dimensional uncertainty of 0.3mm (overall SD: 0.4mm), with averages ranging from 0.0 to 0.3mm and a standard deviation in the range between 0.3 and 0.4mm. The stereoscopic X-ray imaging device integrated with the real-time infrared tracking device represents a positioning tool allowing for the geometrical accuracy that is required for conformal radiation therapy of abdominal and pelvic lesions, within an acceptable time-frame.

  1. Patient size and x-ray technique factors in head computed tomography examinations. I. Radiation doses

    International Nuclear Information System (INIS)

    Huda, Walter; Lieberman, Kristin A.; Chang, Jack; Roskopf, Marsha L.

    2004-01-01

    We investigated how patient age, size and composition, together with the choice of x-ray technique factors, affect radiation doses in head computed tomography (CT) examinations. Head size dimensions, cross-sectional areas, and mean Hounsfield unit (HU) values were obtained from head CT images of 127 patients. For radiation dosimetry purposes patients were modeled as uniform cylinders of water. Dose computations were performed for 18x7 mm sections, scanned at a constant 340 mAs, for x-ray tube voltages ranging from 80 to 140 kV. Values of mean section dose, energy imparted, and effective dose were computed for patients ranging from the newborn to adults. There was a rapid growth of head size over the first two years, followed by a more modest increase of head size until the age of 18 or so. Newborns have a mean HU value of about 50 that monotonically increases with age over the first two decades of life. Average adult A-P and lateral dimensions were 186±8 mm and 147±8 mm, respectively, with an average HU value of 209±40. An infant head was found to be equivalent to a water cylinder with a radius of ∼60 mm, whereas an adult head had an equivalent radius 50% greater. Adult males head dimensions are about 5% larger than for females, and their average x-ray attenuation is ∼20 HU greater. For adult examinations performed at 120 kV, typical values were 32 mGy for the mean section dose, 105 mJ for the total energy imparted, and 0.64 mSv for the effective dose. Increasing the x-ray tube voltage from 80 to 140 kV increases patient doses by about a factor of 5. For the same technique factors, mean section doses in infants are 35% higher than in adults. Energy imparted for adults is 50% higher than for infants, but infant effective doses are four times higher than for adults. CT doses need to take into account patient age, head size, and composition as well as the selected x-ray technique factors

  2. Will it hurt? Patients' experience of X-ray examinations: a pilot study

    Energy Technology Data Exchange (ETDEWEB)

    Chesson, Rosemary A. [Health Services Research Group, Robert Gordon University, Aberdeen (United Kingdom); Good, Maureen [Royal Aberdeen Children' s Hospital, Aberdeen (United Kingdom); Hart, Cleone L. [Department of Child and Adolescent Psychiatry, Moray Health Services, Elgin (United Kingdom)

    2002-01-01

    Background: There is a worldwide trend towards involving patients in health care, but little is known about children's expectations of routine radiological procedures. Objective: To determine children's perceptions of X-ray examinations. Materials and methods: A convenience sample was selected from consecutive patients referred to a children's hospital in Scotland. Children were allocated either to a drawing study (n=20) or a two-stage interview (n=25). The investigation was restricted to first-time users of the radiological service aged 7-14 years if accompanied by a parent and consent having been obtained. Children were excluded if pain control was administered in the Accident and Emergency Department. Children's drawings were reported on by an art therapist and a child psychiatrist. Results: All children approached agreed to participate. Seventeen children provided accurate pictures of the X-ray examination room. Concordance existed between the psychiatrist's and art therapist's reports. Children at interview had at least a minimal level of knowledge of X-rays and this was from (1) family, friends and neighbours, (2) the school classroom, and (3) television programmes. Conclusions: Children had anxieties revealed through drawings and interviews. We recommend drawings for establishing children's views of radiology. (orig.)

  3. Will it hurt? Patients' experience of X-ray examinations: a pilot study

    International Nuclear Information System (INIS)

    Chesson, Rosemary A.; Good, Maureen; Hart, Cleone L.

    2002-01-01

    Background: There is a worldwide trend towards involving patients in health care, but little is known about children's expectations of routine radiological procedures. Objective: To determine children's perceptions of X-ray examinations. Materials and methods: A convenience sample was selected from consecutive patients referred to a children's hospital in Scotland. Children were allocated either to a drawing study (n=20) or a two-stage interview (n=25). The investigation was restricted to first-time users of the radiological service aged 7-14 years if accompanied by a parent and consent having been obtained. Children were excluded if pain control was administered in the Accident and Emergency Department. Children's drawings were reported on by an art therapist and a child psychiatrist. Results: All children approached agreed to participate. Seventeen children provided accurate pictures of the X-ray examination room. Concordance existed between the psychiatrist's and art therapist's reports. Children at interview had at least a minimal level of knowledge of X-rays and this was from (1) family, friends and neighbours, (2) the school classroom, and (3) television programmes. Conclusions: Children had anxieties revealed through drawings and interviews. We recommend drawings for establishing children's views of radiology. (orig.)

  4. Assessment of patient doses and image quality in X-ray diagnostics in Norway

    International Nuclear Information System (INIS)

    Olerud, H.M.

    1998-01-01

    Results from other industrialized countries indicate that the annual number of diagnostic procedures approaches one for every member of the population, and in many cases the individual radiation doses are higher than from any other human activity. Furthermore, the doses to patients for the same type of examination differ widely from place to place, suggesting that there is a considerable potential for dose reduction. This motivated an investigation of the diagnostic use of X-rays in Norway. The trends in the number of X-ray examinations performed annually have been studied. The patient doses (all diagnostics) and image quality (mammography and computed tomography) have been assessed for various radiological procedures. This form the basis for the assessment of total collective effective dose (CED) from X-rays in Norway, and further risk estimates. The radiological practice has then been evaluated according to the radiation protection principles of justification and optimisation. Based on the 1993 examination frequency, the total CED was assessed to 3400 manSv (0.78 mSv/inhabitant). It is estimated that this radiation burden may cause about 100 excess cancer deaths annually. The frequency of CT examination has doubled every fifth year, and did in 1993 represent 7% of the total number of examinations and 30% of the total CED. 129 refs

  5. Assessment of patient doses and image quality in X-ray diagnostics in Norway

    Energy Technology Data Exchange (ETDEWEB)

    Olerud, H M

    1998-06-01

    Results from other industrialized countries indicate that the annual number of diagnostic procedures approaches one for every member of the population, and in many cases the individual radiation doses are higher than from any other human activity. Furthermore, the doses to patients for the same type of examination differ widely from place to place, suggesting that there is a considerable potential for dose reduction. This motivated an investigation of the diagnostic use of X-rays in Norway. The trends in the number of X-ray examinations performed annually have been studied. The patient doses (all diagnostics) and image quality (mammography and computed tomography) have been assessed for various radiological procedures. This form the basis for the assessment of total collective effective dose (CED) from X-rays in Norway, and further risk estimates. The radiological practice has then been evaluated according to the radiation protection principles of justification and optimisation. Based on the 1993 examination frequency, the total CED was assessed to 3400 manSv (0.78 mSv/inhabitant). It is estimated that this radiation burden may cause about 100 excess cancer deaths annually. The frequency of CT examination has doubled every fifth year, and did in 1993 represent 7% of the total number of examinations and 30% of the total CED. 129 refs.

  6. Surface dose of X rays to patients during extracorporeal shock wave lithotripsy

    International Nuclear Information System (INIS)

    Jiang Qingqi; Weng Zhigeng; Feng Ming; Wang Guomin.

    1990-01-01

    During extracorporeal shock wave lithotripsy (ESWL), the fluoroscopy must be made to show the location and size of the stone thus the patient has to be exposed to X rays. The surface dose to patients during ESWL was measured in an investigation on 134 cases of renal lithiasis admitted in a certain hospital of Shanghai. The results show that the average skin dose equivalent for these patients was 162 mSv and the magnitude of doses was depended upon some factors such as the size and location of the stone

  7. Does a chest x-ray alter the management of new patients attending a geriatric day hospital?

    Science.gov (United States)

    Logan, J A; Vallance, R; Williams, B O; Paul, H

    1997-01-01

    Studies have suggested that routine chest x-ray is never indicated but all new attenders at our day hospitals have a chest x-ray carried out. Our aim was to determine if this investigation altered the clinical management of patients and to try to select those patients in whom a chest x-ray is indicated. A prospective study was carried out over a 7 month period from February to September 1995. All new patients had cardiorespiratory symptoms/signs documented and a management plan made. A chest x-ray was then carried out and change in management as a result of the x-ray report noted. Knightswood and Drumchapel Geriatric Day Hospitals, West Glasgow University NHS Trust. All new Day Hospital attenders. Of 207 new Day Hospital attenders, 53 had no clinical indication for a chest x-ray and although 70% had an abnormal film in no case was patient management changed as a result of this. A chest x-ray was indicated in 154 patients and of these 114 (74%) had an abnormal film with a resultant change in management in 23 patients (this comprised either a change in drug treatment or a further investigation.) Of those whose management was changed as a result of the x-ray report 61% had respiratory symptoms. We would recommend that chest x-ray should be performed in those patients who have a clear clinical indication and that the diagnostic yield is highest in the presence of respiratory symptoms or signs.

  8. Commentary: progress in optimization of patient dose and image quality in x-ray diagnostics

    International Nuclear Information System (INIS)

    Carlsson, G.A.; Chan, H.-P.

    1999-01-01

    X-ray diagnostics gives the largest contribution to the population dose from man-made radiation sources. Strategies for reduction of patient doses without loss of diagnostic accuracy are therefore of great interest to society and have been focussed in general terms by the ICRP (ICRP 1996) through the introduction of the concept of diagnostic reference levels. The European Union has stimulated research in the field, and, based on patient dose measurements and radiologists' appreciation of acceptable image quality, good radiographic techniques have been identified and recommended (EUR 1996a, b) for conventional screen-film imaging. These efforts have resulted in notable dose reductions in clinical practices (Hart et al 1996). In spite of 100 years of use of x-rays for diagnostics, the choice of technique parameters still relies to a great extent on experience. Scientific efforts to optimize the choice in terms of finding the parameter settings which yield sufficient image quality at the lowest possible cost in dose are still rare. True optimization requires (1) estimation of the image quality needed to make a correct diagnosis and (2) methods to investigate all possible means of achieving this image quality in order to be able to decide which of them gives the lowest dose. The paper by Tapiovaara, Sandborg and Dance published in this issue of Physics in Medicine and Biology (pages 537-559) addresses the optimization of paediatric fluoroscopy, a timely and important topic. Fluoroscopy procedures, used to guide x-ray examinations or interventional procedures, are little standardized and may result in high dose levels; radiation exposure in childhood is likely to result in a higher lifetime risk than the same exposure later in life. The authors represent an interesting mix of expertise within various scientific fields: the theory of medical imaging and assessment of image quality, the physics of diagnostic radiology and radiation dosimetry. They provide good insights

  9. Dose evaluation in paediatric patients undergoing chest X-ray examinations

    Science.gov (United States)

    Piantini, F.; Schelin, H. R.; Denyak, V.; Bunick, A. P.; Legnani, A.; Ledesma, J. A.; Filipov, D.; Paschuk, S. A.

    2017-11-01

    This study aimed to estimate the incident air kerma in chest X-ray examinations, for lateral (LAT) and anterior-posterior (AP) (together with posterior-anterior (PA)) projections, in one of the largest paediatric hospitals in Brazil, and to compare these with the results obtained in a general hospital of the same city. The dosimetric results were analysed along with the patient characteristics and radiographer strategies. The examinations of 225 (119 male and 106 female) patients were studied and 389 X-ray scans (200 AP/PA projections and 189 LAT projections) of paediatric patients were acquired. For analysis of the results, the patients were divided into the following age groups: 0-1 y, 1-5 y, 5-10 y, and 10-15 y. Patient's thickness can be determined from age, height or weight with an uncertainty of 20-30%. In different hospitals, the difference in patient's thicknesses between the same age groups can reach 25-55%. A minimal correlation between the patient dose and thickness was observed, with a 4-fold difference in the dose for patients of the same thickness. By standardizing radiological protocols, it should be possible to keep the dose within intervals of 50-100 μGy for LAT projection and 40-80 μGy for AP/PA projection.

  10. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... can be taken to the patient in a hospital bed or the emergency room. The x-ray ... position possible that still ensures x-ray image quality. top of page Who interprets the results and ...

  11. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... wrist, arm, elbow, shoulder, spine, pelvis, hip, thigh, knee, leg (shin), ankle or foot. top of page ... the patient standing upright, as in cases of knee x-rays. A portable x-ray machine is ...

  12. Age-related X-ray feature of the spine in patients with achondroplasia

    International Nuclear Information System (INIS)

    Shevtsov, V.I.; D'yachkova, G.V.; Novikova, O.S.

    1999-01-01

    Age-related X-ray features of the spine in patients with achondroplasia are studied. It gives the time course of changes in the shape of vertebrae, the specific features of apophyseal ossification, provides a quantitative account of the shorter caudal lumbar vertebral arch root distance symptom. The time course of changes in the size of the lumbosacral angle was examined. The findings suggest that there are not only considerable static changes in the spine of patients with achondroplasia, but also significant age-related features of vertebral tissue growth and differentiation [ru

  13. Quality control and patient dose from X-ray examinations in some hospitals in Estonia

    International Nuclear Information System (INIS)

    Servomaa, A.; Rannikko, S.; Parviainen, T.; Holmberg, P.; Kuus, E.; Mueuersepps, T.; Jaerv, V.

    1995-01-01

    Quality control measurements of X ray diagnostic units were carried out in four hospitals in Estonia. Measurements were focused on the unit's technical performance, on image quality and on patient dose and film processing. The main problems are in the areas of image receptors and film processing: image receptors are of low speed type causing high patient doses and manual film processing results in low contrast and high base plus fog. Spatial resolution, both in film imaging and in image intensifiers, is reasonably good. It is recommended that quality assurance programmes be established, that basic measuring equipment be acquired and personnel assigned to perform such measurements be trained. (Author)

  14. Trends in Radiation Doses to Patients from Medical X-ray Examinations in Romania

    Energy Technology Data Exchange (ETDEWEB)

    Olga Iacob; Irina Anca Popescu [Institute of Public Health, Iassy (Romania); Mihai Radu Iacob [University ' Al. I. Cuza' Iassy (Romania)

    2006-07-01

    Even if the doses received by patients during 2005 survey are lower than those estimated in the 2000 national survey on diagnostic medical radiation exposure by 27 percent, on average, their values still indicate an urgent need to develop radiation protection and optimization activities for X ray examinations, especially in pediatrics radiology. The increasing attention given in last years to radiation protection for conventional examinations, with development of national patient dosimetry protocols and reference doses, new radiation protection legislation and norms have played a significant part in this substantial reduction in effective doses. (N.C.)

  15. Radiological protection in X-ray diagnosis: How to minimize the patient exposure in X-ray diagnosis

    International Nuclear Information System (INIS)

    Araujo, A.M.C. de.

    1986-01-01

    The principles involved in the radiation protection and the radiographic process are discussed. An adequate systematic work is presented, to achieve the main goal of the Radiation Protection that is, to irradiate the patient and the staff with lowest possible exposure. (M.A.C.) [pt

  16. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... The x-ray tube is connected to a flexible arm that is extended over the patient while an x-ray film holder or image recording plate is placed beneath the patient. top of page How does the procedure work? X-rays are a form of radiation like ...

  17. Implementation of a patient dose monitoring system in conventional digital X-ray imaging: initial experiences

    Energy Technology Data Exchange (ETDEWEB)

    Heilmaier, Christina; Zuber, Niklaus; Weishaupt, Dominik [Stadtspital Triemli Zurich, Department of Radiology and Nuclear Medicine, Zurich (Switzerland)

    2017-03-15

    The purpose was to report on the initial experience after implementation of a patient dose-monitoring system in conventional X-ray imaging. A dose-monitoring system collected dose data relating to different radiographs (one projection) and studies (two or more projections). Images were acquired on digital X-ray systems equipped with flat-panel detectors. During period 1, examinations were performed in a routine fashion in 12,614 patients. After period 1, technical modifications were performed and radiographers underwent training in radiation protection. During period 2, examinations were performed in 14,514 patients, and the radiographers were advised to read dose data after each radiograph/study. Dose data were compared by means of kerma area product (KAP, gray x centimetre squared) and entrance surface air kerma (ESAK, milligray). During period 1, 13,955 radiographs and 8,466 studies were performed, and in period 2 16,090 radiographs and 10,389 studies. In period 2, KAP values for radiographs were an average of 25 % lower and for studies 7 % lower, and ESAK values for radiographs were 24 % lower and for studies 5 % lower. The reduction in KAP was significant in 8/13 radiographs and in 6/14 studies, and the reduction in ESAK was significant in 6/13 radiographs and 5/14 studies. Implementation of a patient dose-monitoring system in conventional X-ray imaging allows easy data collection, supports dose reduction efforts, and may increase radiographers' dose awareness. (orig.)

  18. Skin fibroblasts from a D-deletion type retinoblastoma patient are abnormally X-ray sensitive

    International Nuclear Information System (INIS)

    Weichselbaum, R.R.; Nove, J.; Little, J.B.

    1977-01-01

    Retinoblastoma is a rare malignant eye tumour that appears either spontaneously or in genetically predisposed persons. The latter group is composed of persons who inherit the tumour with a dominant mode of transmission (the familial type) and those who have a deletion in the long arm of chromosome 13 referred to as the D-deletion type. When this deletion is present it is observed in many somatic cells and is often associated with structural defects. Survivors of the genetic forms of retinoblastoma have an increased risk of the development of cancers at other sites. A single genetic locus is unlikely to predispose many somatic cells to tumour formation unless a fundamental molecular defect, possibly related to DNA repair, is present. In order to investigate this hypothesis a study was made of the in vitro X-ray sensitivity of skin fibroblasts derived from three retinoblastoma patients, comprising a pair of twins with the familial type accompanied by no gross chromosome abnormalities, and a patient with the D-deletion type. It was found that fibroblasts derived from the D-deletion patient were significantly more radiosensitive than those from the other two patients. X-ray survival curves are shown. It is concluded that skin fibroblasts derived from a patient with the D-deletion variant of retinoblastoma are abnormally radiosensitive. Future investigations may indicate a specific defect in molecular repair of DNA that will explain the predisposition of these patients to the development of other tumours. (U.K.)

  19. Evaluation of skin entrance radiation dose in pediatric patients undergoing chest X-rays exams

    International Nuclear Information System (INIS)

    Gabardo, Farly Piantini

    2016-01-01

    The aim of this work was to estimate the incident air kerma of lateral (LAT) and anterior-posterior (AP) together with posterior-anterior (PA) projection chest X-ray exams in one of the largest pediatric hospitals in Brazil. Dosimetric results are accompanied with the detailed analysis of patient characteristics and radiographer strategy. The exams of 225 (119 male and 106 female) patients were studied and 389 X-ray exams (200 AP/PA projections and 189 LAT projections) of pediatric patients were acquired. Patient thickness can be restored from age, height or weight with the uncertainty of ∼20-30%. Very slight correlation between the patient dose and thickness was observed with the difference in dose for patients of the same thickness reaching 4 times. By standardization of radiological protocols, it should be possible to keep dose within the intervals 50-100 μGy for LAT projection and 40-80 μGy for AP/PA projection. The dose values are lower than those recommended by major European guidelines to good practice. (author)

  20. Estimation of dose to patients undergoing computed radiography x-ray examinations in some Khartoum hospitals

    International Nuclear Information System (INIS)

    Badri, Fatima Abulgasiem Abdulrhman

    2015-12-01

    This study was designed to evaluate the entrance surface air kerma to the patient during x-ray examination to (chest PA, lumbar spine AP and Lat, pelvis AP) by using computed radiography (CR) in different three hospitals in Khartoum. Three x-ray machines were covered. A total of 135 patients were evaluated. The entrance surface air kerma was calculated for each patient from the exposure parameters using cal dose software version 3.5. The obtained results showed that, the entrance surface air kerma range founded to be (0.28-1.59) for chest PA, (1.98-2.62) for lumbar spine and (0.438-2.47) for pelvis AP. The higher entrance surface air kerma for all projections were observed in Center 1, except for pelvis it is higher in center 2. And the lower entrance surface air kerma were observed in center 3. This study recommends that CR operator must to be used to achieve optimize the patient dose by use the best strategies available for reducing radiation dose, computed radiography must be used with high level of training for medical staff to reduce the dose, each radiology department should implement a patient dose measurement quality assurance programme, doses to the patients should be regularly monitored and the proposed national DRLs should be taken as guidance for optimization.(Author)

  1. X-ray apparatus

    International Nuclear Information System (INIS)

    Grady, J.K.

    1985-01-01

    X-ray apparatus is described which has a shutter between the X-ray source and the patient. The shutter controls the level of radiation to which the patient is exposed instead of merely discontinuing the electric power supplied to the source. When the shutter is opened a radiation sensor senses the level of X-radiation. When a preset quantity of X-radiation has been measured an exposure control closes the shutter. Instead of using the radiation sensor, the integrated power supplied to the anode of the X-ray source may be measured. (author)

  2. A protective screen for persons assisting in X-ray examination of children and patients with severe diseases

    International Nuclear Information System (INIS)

    Krylov, N.V.

    1978-01-01

    To increase the radiation protection reliability when carrying out auxiliary actions by medical attendants or patient relatives during X-ray investigations of children and seriously ill patients, X-ray screen provided with self-installed supporting rolls, a window with secured lead glass and a hand port is suggested. A screen constructure is described. Using the screens improves the radiation protection of roentgenologist

  3. An estimation of doses received by patients in a diagnostic X-ray department

    International Nuclear Information System (INIS)

    Milner, S.C.; Naylor, E.

    1989-01-01

    This article describes a method of estimating the effective dose equivalent received by patients undergoing (non-fluoroscopic) diagnostic x-ray examinations. This allows those clinically or physically directing exposures to comply with the requirement, item 3, in the core knowledge contained in the schedule of the health and safety document number 778. The method described can be carried out without the use of expensive equipment or time consuming procedures and is based on the data contained in the publication NRPB R200. (author)

  4. Hygiene implications associated with x-ray exposures to dental patients

    International Nuclear Information System (INIS)

    McKlveen, J.W.

    1980-01-01

    An elastic mask worn by patients, then a skeleton encased in plastic, was instrumented with LiF thermoluminescent dosimeters to quantify radiation exposures delivered from full-face diagnostic dental x-rays. Locations of interest included skin surface, eyes, upper and lower teeth and thyroid. Exposures in the 100 mR range were common and a maximum of over 6000 mR was measured in the teeth region during a full-face examination with a periapical unit. In general, exposures received from periapical equipment were several times those obtained from panoramic devices

  5. Calculating patient specific doses in X-ray diagnostics and from radiopharmaceuticals

    International Nuclear Information System (INIS)

    Lampinen, J.

    2000-01-01

    The risk associated with exposure to ionising radiation is dependent on the characteristics of the exposed individual. The size and structure of the individual influences the absorbed dose distribution in the organs. Traditional methods used to calculate the patient organ doses are based on standardised calculation phantoms, which neglect the variance of the patient size or even sex. When estimating the radiation dose of an individual patient, patient specific calculation methods must be used. Methods for patient specific dosimetry in the fields of X-ray diagnostics and diagnostic and therapeutic use of radiopharmaceuticals were proposed in this thesis. A computer program, ODS-60, for calculating organ doses from diagnostic X-ray exposures was presented. The calculation is done in a patient specific phantom with depth dose and profile algorithms fitted to Monte Carlo simulation data from a previous study. Improvements to the version reported earlier were introduced, e.g. bone attenuation was implemented. The applicability of the program to determine patient doses from complex X-ray examinations (barium enema examination) was studied. The conversion equations derived for female and male patients as a function of patient weight gave the smallest deviation from the actual patient doses when compared to previous studies. Another computer program, Intdose, was presented for calculation of the dose distribution from radiopharmaceuticals. The calculation is based on convolution of an isotope specific point dose kernel with activity distribution, obtained from single photon emission computed tomography (SPECT) images. Anatomical information is taken from magnetic resonance (MR) or computed tomography (CT) images. According to a phantom study, Intdose agreed within 3 % with measurements. For volunteers administered diagnostic radiopharmaceuticals, the results given by Intdose were found to agree with traditional methods in cases of medium sized patients. For patients

  6. X-ray apparatus

    International Nuclear Information System (INIS)

    Bernstein, S.; Stagg, L.; Lambert, T.W.; Griswa, P.J.

    1976-01-01

    A patient support system for X-ray equipment in arteriographic studies of the heart is described in detail. The support system has been designed to overcome many of the practical problems encountered in using previous types of arteriographic X-ray equipment. The support system is capable of horizontal movement and, by a series of shafts attached to the main support system, the X-ray source and image intensifier or detector may be rotated through the same angle. The system is highly flexible and details are given of several possible operational modes. (U.K.)

  7. Estimate of X-ray radiation for patient during uterine artery embolization to uterine leiomyomas

    International Nuclear Information System (INIS)

    Chen Shengli; Zhu Dongliang; Huang Qihao; Chen Guodong; Huang Zicheng; Zou Rongzhu

    2005-01-01

    Objective: To evaluate the X-ray radiation of patients during uterine artery embolization (UAE) for leiomyomas. Methods: Radiation dose was measured in 90 patients who underwent UAE for leiomyomas. Measurements were obtained by a dosimeters system (Diamentor K1 and Diamentor ED) equipped in DSA setting Angiostar-Plus (Siemens, Germany), dose-area product (DAP) and entrance surface dose (ESD) were recorded on line, effect dose (ED) was estimated by Monte-Carlo conversion coefficient from DAP. Results: the mean fluoroscopic time was 28.60 ± 23.73 minutes, and the mean number of angiographic exposures was 87 ± 38. The mean DAP dose was (6178 ± 3802) cGycm 2 , and the mean ESD was 378 ± 245) mGy, ED was (9.89 ± 6.08) mSv. The contribution of pulsed fluoroscopy (PF) dose to the total DAP (34.05% ± 10.65%) was smaller than that of radiography (R) (65.94% ± 10.65%), and the contribution of PF for total ESD (61.09% ± 12.88%) was bigger than that of R(65.94% ± 10.65%). Conclusion: The leiomyoma patient suffered a large dose X-ray exposure from a UAE procedure. (authors)

  8. Chromosomal sensitivity to X-rays in lymphocytes from patients with Turner syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Heras, J G; Coco, R

    1986-03-01

    Lymphocytes from patients with Turner syndrome were irradiated with X-rays to determine the chromosomal aberration frequency in first-division metaphases. Five patients with 45,X karyotype; three 45,X/46,Xi(X)q mosaics; one 45,X/47,XXX mosaic and 9 female controls were studied. Patients with a 45,X karyotype exhibited a radioinduced chromosomal aberration frequency similar to controls. In the mosaics, 45,X cells has a mean frequency of 38.75 +- 2.16; 46,Xi(X)q cells a mean of 38 +- 2.16 and the control group a rate of 36.25 +- 4.32. No differences were observed between 45,X and 46,Xi(X)q cells, 45,X and normal cells or 46,Xi(X)q and normal cells. Apparently neither the X monosomy nor the Xq isochromosome influences the in vitro X-ray-induced chromosomal damage in Turner syndrome lymphocytes. (Auth.). 29 references, 4 tables.

  9. Personnel and patient doses: Are there ethical consequences to the use of X-rays?

    International Nuclear Information System (INIS)

    Faulkner, K.

    2005-01-01

    Interventional cardiology has witnessed a period of great technological change. The introduction of new dedicated cardiology X-ray equipment, as well as advances in catheter and stent design, has revolutionised clinical practice in cardiology. As a consequence, the number, range and complexity of procedures have increased. This has meant that patients can be treated as outpatients without requiring hospitalisation for surgery. The public are aware of these benefits and demand greater access. However, these changes have had an impact on patient and staff doses and these are reviewed. Simple approaches to dose reduction for patients and staff are illustrated. There are a number of ethical issues concerning both patients and staff. For patients, these are related to informed consent. For staff, the ethical issues are associated with dose control. These issues will be discussed. (authors)

  10. The dose received by patients during dental X-ray examination and the technical condition of radiological equipment.

    Science.gov (United States)

    Bekas, Marcin; Pachocki, Krzysztof A

    2013-01-01

    Implementation of X-ray dental examination is associated with the patients exposure to ionizing radation. The size of the exposure depends on the type of medical procedure, the technical condition of the X-ray unit and selected exposure conditions. The aim of this study was to determine the dose received by patients during dental X-ray examination and the assessment of the technical condition of medical equipment, The study included a total number of 79 dental X-ray units located in the region of Mazovia. The test methods for the assessment of the technical condition of dental X-ray units and measurement of radiation dose received by patients were based on the procedures elaborated in the Department of Radiation Hygiene and Radiobiology in the National Institute of Public Health - National Institute of Hygiene (Warszawa, Poland) accredited for the certification of compliance with PN-EN 17025. The research found that 69.6% fully meets the criteria set out in the Polish legislation regarding the safe use of ionizing radiation in medicine, while 30.4% did not meet some of them. A tenfold difference in the size of the dose received by patients during dental X-ray examinations was discovered. For example, during a radiography of the canine teeth of a child, the recorded entrance surface dose (ESD) ranged from 72.8 to 2430 microGy with the average value of 689.1 microGy. Cases where the dose reference level defined in Polish legislation of 5 mGy was exceeded were also found. CONCKUSIONS: It is essential to constantly monitor the situation regarding the technical condition of X-ray units which affects the size of the population's exposure to ionizing radiation as well as raising dentists' awareness about the effects of X-rays on the human body.

  11. Patient's dose assessment during sinus X-rays radiography at 'Hopital du Point G'

    International Nuclear Information System (INIS)

    Sidibe, S.; Sacko, B.Y.; Doucoure, M.; Traore, B.; Traore, I.

    2001-01-01

    Objective: To evaluate the patient's X-rays dose during head radiography for sinusitis; To precise the influence of source-image distance on the patient's dose. Material and method: From May 1997 to January 1999, 83 patients with clinical suspicious sinusitis have been included in this study. Skull radiography in 3 positions (posterior, lateral and Blondeau view) have been achieved for each patient on 24x30 centimeters size films. These radiographies were realised on a Diagnost 7 Masio Philip X-rays machine. Three TLD dosimeters were pasted against every patient target organs (thyroid, right and left eyes). The source-image distance (SID) was 100 centimeters for the first group (35 patients) and 125 centimeters for the second group (48 patients). The selected parameters (high voltage and charge) were as follows: Skull postero-anterior view: 65 to 85 kV, 80 mAs; Skull lateral view: 60 to 75 kV, 80 mAs; Blondeau view (paranasal sinuses): 90 to 95 kV, 100 mAs. Results: All the radiographies were analysed by the same radiologist who didn't know the SID. All the films were of good quality. The patient's dose in millisievert for each target organ were: Group I (SID = 100 cm): Left eye 3,2 (+ ou - 0,66); Right eye 3, 0 (+ ou - 0,82); Thyroid 0,62 (+ ou - 0,09). Group II (SID = 125 cm): Left eye 1,9 (+ ou - 0,48); Right eye 1, 86 (+ ou - 0,50); Thyroid 0,39 (+ ou - 0,08). In conclusion, the increase of SID from 100 to 125 centimeters allows patient's dose reduction by a factor of 1.6 without the alteration of the films quality, hence the reliability of the diagnosis. (author)

  12. Validity of dual X-ray absorptiometry scanning for determination of body composition in IDDM patients

    DEFF Research Database (Denmark)

    Rosenfalck, A M; Almdal, T; Gotfredsen, A

    1995-01-01

    Data on body composition in patients with insulin-dependent diabetes mellitus (IDDM) are scarce. Dual X-ray absorptiometry (DXA) scanning has proved useful for this purpose in other groups of patients. We tested the validity of the DXA scanner for the determination of fat-free mass (FFM) and fat......, 5 males and 8 females, aged 34.2 years +/- SD 10.4, and 11 IDDM patients, 5 males, 6 females, aged 28.1 years +/- 7.3, diabetes duration 4.2 +/- 2.9 (1.0-9.9), were examined. The patients had no long-term diabetic complications and they had normal ophthalmoscopy and urine albumin excretion...

  13. Patient dose measurement in common medical X-ray examinations and propose the first local dose reference levels to diagnostic radiology in Iran

    Science.gov (United States)

    Rasuli, Behrouz; Tabari Juybari, Raheleh; Forouzi, Meysam; Ghorbani, Mohammad

    2017-09-01

    Introduction: The main purpose of this study was to investigate patient dose in pelvic and abdomen x-ray examinations. This work also provided the LDRLs (local diagnostic reference levels) in Khuzestan region, southwest of Iran to help establish the NDRLs (national diagnostic reference levels). Methods: Patient doses were assessed from patient's anatomical data and exposure parameters based on the IAEA indirect dosimetry method. With regard to this method, exposure parameters such as tube output, kVp, mAs, FFD and patient anatomical data were used for calculating ESD (entrance skin dose) of patients. This study was conducted on 250 standard patients (50% men and 50% women) at eight high-patient-load imaging centers. Results: The results indicate that mean ESDs for the both pelvic and abdomen examinations were lower than the IAEA and EC reference levels, 2.3 and 3.7 mGy, respectively. Mean applied kVps were 67 and 70 and mean FFDs were 103 and 109, respectively. Tube loadings obtained in this study for pelvic examination were lower than all the corresponding values in the reviewed literature. Likewise, the average annual patient load across all hospitals were more than 37000 patients, i.e. more than 100 patients a day. Conclusions: The authors recommend that DRLs (diagnostic reference levels) obtained in this region, which are the first available data, can be used as local DRLs for pelvic and abdomen procedures. This work also provides that on-the-job training programs for staffs and close cross collaboration between physicists and physicians should be strongly considered.

  14. One Year Study of Chest X-Ray Changes in Opiate -poisoned Patients in Hamadan

    Directory of Open Access Journals (Sweden)

    Jafari M.R.

    2010-06-01

    Full Text Available Background and Objectives: Intoxication with opiates is one of the most common causes of referring to emergency departments in Iran. Because respiratory signs are one of the most common and important signs in these patients, this study was designed to evaluate the chest x-ray changes of the patients.Methods: The present study was a cross-sectional one. The changes noted in the Chest X-Ray (CXR of the patients having been intoxicated with opiates and referred with respiratory signs of intoxication during the one year period between July 2007 till July 2008 to Farshchian Hospital in Hamadan were studied. The data, then, were gathered and analyzed using T and chi-square statistical tests.Results: Out of 1698 patients having referred due to poisoning with drugs and chemical agents, 318(18.72% patients were admitted due to opiates intoxication. Among them, 214 (67.29% had respiratory signs. 84.1% were male and 15.9% were female. Their average age was 35.6. The most important substance used was opium (57.5%.Most of the cases (84.1% were due to abuse. The most common physical signs were: miosis (83.6%, respiratory distress (74.8%, rales & wheezing (67.3%. The most common radiographic abnormality was pulmonary edema (14.5%. And the most common substance causing pulmonary edema was crack (59.4% revealing a significant statistical difference (p=0.001. Conclusion: As expected, one of the most important complications and common causes of death in opiate-poisoned patients was respiratory problems; we suggest that physicians and staffs working in the emergency department be well-trained in management of such patients.Keywords: Radiography, Thoracic; Analgesics, Opioid; Poisoning; Pulmonary Edema.

  15. Effect of medical x-ray exposure on subsequent reproductive outcomes in scoliosis patients

    International Nuclear Information System (INIS)

    Visscher, W.A.

    1987-01-01

    A retrospective cohort study was done which was designed to assess the effects of medical x-ray exposure on cancer incidence among scoliosis patients. Although the primary purpose of the study was to assess cancer incidence, a secondary goal was to investigate whether diagnostic x-ray exposure is related to adverse reproductive events in the female subjects. A series of case-control analyses were done which were designed to assess these effects. Radiation exposure was measured both by total films received and by an estimate of the number of films received and by an estimate of the number of films which involved ovarian irradiation. Radiation appeared to increase a woman's risk of any adverse event in the overall analysis and her risk of a premature or low birth weight infant in the separate analyses. Radiation did not appear to be related to spontaneous abortion, complications of pregnancy or delivery or birth defects, although the results of the pregnancy complications analysis was suggestive

  16. Validity of dual X-ray absorptiometry scanning for determination of body composition in IDDM patients

    DEFF Research Database (Denmark)

    Rosenfalck, A M; Almdal, Thomas Peter; Gotfredsen, A

    1995-01-01

    Data on body composition in patients with insulin-dependent diabetes mellitus (IDDM) are scarce. Dual X-ray absorptiometry (DXA) scanning has proved useful for this purpose in other groups of patients. We tested the validity of the DXA scanner for the determination of fat-free mass (FFM) and fat....... The agreement between FFM estimated by DXA and the other methods, expressed as mean difference +/- 2 SD was; for DXA vs. TBK, 0.09 +/- 6.26 and 0.50 +/- 5.26 kg for controls and IDDM patients respectively; DXA vs. TBW, -2.07 +/- 2.56 and -1.07 +/- 4.58 kg; DXA vs. Ucrea, -2.62 +/- 8.02 and 2.00 +/- 10.0 kg; DXA...

  17. X-ray scatter correction method for dedicated breast computed tomography: improvements and initial patient testing

    International Nuclear Information System (INIS)

    Ramamurthy, Senthil; D’Orsi, Carl J; Sechopoulos, Ioannis

    2016-01-01

    A previously proposed x-ray scatter correction method for dedicated breast computed tomography was further developed and implemented so as to allow for initial patient testing. The method involves the acquisition of a complete second set of breast CT projections covering 360° with a perforated tungsten plate in the path of the x-ray beam. To make patient testing feasible, a wirelessly controlled electronic positioner for the tungsten plate was designed and added to a breast CT system. Other improvements to the algorithm were implemented, including automated exclusion of non-valid primary estimate points and the use of a different approximation method to estimate the full scatter signal. To evaluate the effectiveness of the algorithm, evaluation of the resulting image quality was performed with a breast phantom and with nine patient images. The improvements in the algorithm resulted in the avoidance of introduction of artifacts, especially at the object borders, which was an issue in the previous implementation in some cases. Both contrast, in terms of signal difference and signal difference-to-noise ratio were improved with the proposed method, as opposed to with the correction algorithm incorporated in the system, which does not recover contrast. Patient image evaluation also showed enhanced contrast, better cupping correction, and more consistent voxel values for the different tissues. The algorithm also reduces artifacts present in reconstructions of non-regularly shaped breasts. With the implemented hardware and software improvements, the proposed method can be reliably used during patient breast CT imaging, resulting in improvement of image quality, no introduction of artifacts, and in some cases reduction of artifacts already present. The impact of the algorithm on actual clinical performance for detection, diagnosis and other clinical tasks in breast imaging remains to be evaluated. (paper)

  18. Routine X-ray of the chest is not justified in staging of cutaneous melanoma patients

    DEFF Research Database (Denmark)

    Gjorup, Caroline Asirvatham; Hendel, Helle Westergren; Pilegaard, Rita Kaae

    2016-01-01

    -up was 34 months (range: 13-75 months). Of the 603 patients, 25 (4%) had a positive CXR and 578 (96%) had a negative CXR. Four (0.7%) patients had lung metastases of whom two had a true positive and two a false negative CXR, respectively. The sensitivity was 50%, specificity was 96%, the positive predictive...... received funding from the Department of Plastic Surgery, the Research Council at Herlev Gentofte Hospital and the Danish Cancer Society. TRIAL REGISTRATION: The Danish Regional Committee on Biomedical Research Ethics (r. no.: H-4-2014-127), the Danish Data Protection Agency (2012-58-0004, local record no......INTRODUCTION: The incidence of cutaneous melanoma is increasing in Denmark and worldwide. However, the prevalence of distant metastases at the time of diagnosis has decreased to 1%. We therefore questioned the value of routine preoperative chest X-ray (CXR) for staging asymptomatic melanoma...

  19. Some experiences from radiation protection of patients undergoing X-ray examinations in Tanzania

    International Nuclear Information System (INIS)

    Ngaile, J.E.; Muhogora, W.E.; Nyanda, A.M.

    2001-01-01

    A study of patient entrance surface dose (ESD) received by adult patients was undertaken in five major diagnostic facilities in Tanzania. Five selected X-ray projections for chest PA; abdomen AP; lumbar spine AP; lumbar spine LAT and pelvis AP were done in the study. The mean ESDs after introduction of dose reduction methods were 0.34 mGy, 5.41 mGy, 3.7 mGy, 4.8 mGy and 8.8 mGy for chest PA; abdomen AP; pelvis AP; lumbar spine AP and lumbar spine LAT, respectively. The variations of doses observed in the study were influenced by performance characteristic of X-ray equipment, patient shape and size, type of image receptor, radiographic techniques as well as skills employed. The results show that increasing the tube voltage reduced the ESD by 35.5%, while lowering of mAs reduced ESD in the range from 15% to 60%. The reduction of ESD by increasing the filtration ranged from 11% to 58% while increasing of speed class of film-screen combination reduced the ESD in the range from 33% to 57%. The corresponding results of image quality show that out of 1064 scores of image criteria 298,481 and 285 were rated for good, satisfactory and poor respectively. The results of this study provide an evidence of existing potential for dose reduction in the diagnostic radiology facilities and the most important factor for improvement is to increase awareness, both from reality of harm from unnecessary radiation exposure and with relative ease doses can be reduced. The study should therefore be implemented on the national scale as an approach to establish guidance levels of patient entrance surface dose for good medical practice and regular monitoring purposes. (author)

  20. The completeness of chest X-ray procedure codes in the Danish National Patient Registry

    Directory of Open Access Journals (Sweden)

    Hjertholm P

    2017-03-01

    Full Text Available Peter Hjertholm,1 Kaare Rud Flarup,1 Louise Mahncke Guldbrandt,1 Peter Vedsted1,2 1Research Center for Cancer Diagnosis in Primary Care, Department of Public Health, 2University Clinic for Innovative Health Care Delivery, Diagnostic Centre, Silkeborg Hospital, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark Objective: The aim of this validation study was to assess the completeness of the registrations of chest X-rays (CXR in two different versions of the Danish National Patient Registry (DNPR. Material and methods: We included electronic record data on CXR performed on patients aged 40 to 99 years from nine radiology departments covering 20 Danish hospitals. From each department, we included data from three randomly selected weeks between 2004 and 2011 (reference standard. In two versions of the DNPR from the State Serum Institute (SSI and Statistics Denmark, respectively, we investigated the proportion of registered CXR compared to the reference standard. Furthermore, we compared the completeness of the recorded data according to the responsible department (main department. Results: We identified 11,235 patients and 12,513 CXR in the reference standard. The data from the SSI contained 12,265 (98% CXR, whereas the data from Statistics Denmark comprised 9,151 (73.1% CXR. The completeness of the SSI data was fairly constant across years, radiology departments, medical specialties, and age groups. The data from Statistics Denmark was almost complete in 2011 (95.8%. However, for the remaining study period, the data with radiology departments registered as the main department were lacking in the version from Statistics Denmark, and so the overall completeness was 73.1%. Conclusion: The completeness of CXR registrations varied between 98% and 73% depending on the information source, and this should be considered when investigating radiology services in the basis of DNPR. Keywords: chest X-ray, Danish National Patient Registry

  1. X-ray analysis of 80 patients with severe endemic fluorosis caused by coal burning

    Energy Technology Data Exchange (ETDEWEB)

    Zhao, Z.P.; Yuan, M.B.; Liu, G.F. [Luzhou Medical College, Luzhou (China)

    1996-05-01

    Radiographs of 80 patients with severe endemic fluorosis of coalburning type (CBFF) - 49 males and 31 females aged 30 to 70 years - were analysed to examine the changes to the bone substance, peripheral structure of bone, and joints. The changes to bone substance were: (1) osteosclerosis type, 62 cases (77.5%); (2) mixed type, 16 cases (21.25%); (3) osteoporosis type, one case (1.25%); (4) osteomalacia type, one case (1.25%). The changes to the joints were found in the hips and elbows in 79 cases (98.75%), and in the knees in 75 cases (93.75%). When combinations of the above three changes occur, the classification of the disease is according to the most severe one of the three. Our findings can increase the accuracy of X-ray diagnosis, making it more consistent with clinical diagnosis, thus improving prevention and treatment of CBEF.

  2. Applying the PCXMC software for dose assessment in patients submitted to abdomen and pelvis X-ray examinations

    International Nuclear Information System (INIS)

    Oliveira, V.L.S.; Silva, T.A. da

    2009-01-01

    The PCXMC R computational methodology was applied as a evaluation tool of the organ doses in patients submitted to different X-ray conventional diagnoses examinations. Simulations were made based in x-ray parameters and exposure geometry of three patient of same age group in an Emergency Hospital of the metropolitan area of Belo Horizonte city. Contributions to the effective dose from critical organs were evaluated and analyzed in terms of patient height and weight for the examinations of abdomen and pelvis. (author)

  3. Patient dose simulation in X-ray CT using a radiation treatment-planning system

    International Nuclear Information System (INIS)

    Nakae, Yasuo; Oda, Masahiko; Minamoto, Takahiro

    2003-01-01

    Medical irradiation dosage has been increasing with the development of new radiological equipment and new techniques like interventional radiology. It is fair to say that patient dose has been increased as a result of the development of multi-slice CT. A number of studies on the irradiation dose of CT have been reported, and the computed tomography dose index (CTDI) is now used as a general means of determining CT dose. However, patient dose distribution in the body varies with the patient's constitution, bowel gas in the body, and conditions of exposure. In this study, patient dose was analyzed from the viewpoint of dose distribution, using a radiation treatment-planning computer. Percent depth dose (PDD) and the off-center ratio (OCR) of the CT beam are needed to calculate dose distribution by the planning computer. Therefore, X-ray CT data were measured with various apparatuses, and beam data were sent to the planning computer. Measurement and simulation doses in the elliptical phantom (Mix-Dp: water equivalent material) were collated, and the CT irradiation dose was determined for patient dose simulation. The rotational radiation treatment technique was used to obtain the patient dose distribution of CT, and patient dose was evaluated through simulation of the dose distribution. CT images of the thorax were sent to the planning computer and simulated. The result was that the patient dose distribution of the thorax was obtained for CT examination. (author)

  4. COMPARATIVE ASSESSMENT OF CHEMOTHERAPY EFFICIENCY MONITORING IN PULMONARY TUBERCULOSIS PATIENTS BY X-RAY EXAMINATION AND DIGITAL TOMOSYNTHESIS

    Directory of Open Access Journals (Sweden)

    M. M. Nikitin

    2016-01-01

    Full Text Available Goal of the study: to investigate the capabilities of digital tomosynthesis for monitoring of tuberculous changes in the lungs against the background of chemotherapy.Materials and methods. Results of chemotherapy efficiency monitored by X-ray in 55 respiratory tuberculosis patients were analyzed. Before treatment and in 2 months after chemotherapy start all patients had X-ray and DT with consequent analysis of the obtained data.Results. When monitoring the efficiency of drug therapy for pulmonary tuberculosis by DT some additional diagnostic data were obtained in 36,4% of cases compared to X-ray. The article describes specific features of tuberculous changes visualization of the chest with the follow-up of changes by DT; opportunities for X-ray monitoring efficiency enhancement in these patients are presented.Conclusions. DT provides more accurate evaluation of tuberculous changes in the lungs compared to X-ray, which greatly enhances understanding of the course of the disease and registration of the pulmonary disease cure. 

  5. Comparison of the dose surface product in patients with X-ray contrast examinations of the stomach with intermittent and continuous radiographic methods

    International Nuclear Information System (INIS)

    Porzel, C.

    1975-01-01

    After commenting on the proplems of radiation exposure during X-raying and a brief survey of the development of image storage systems, the author explains the pulsed storage system used for X-raying the stomach instead of conventional X-raying. Applying the intermittent X-raying method, the exposure dose could be reduced by 75%, especially in patients with a strong abdominal girth. Advantages and disadvantages and possible ways to use the method for angiography, angiocardiography and X-raying in connection with bone operations are discussed. (ORU) [de

  6. X-ray and CT signs of connective tissue dysplasia in patients with primarily diagnosed infiltrative pulmonary tuberculosis

    International Nuclear Information System (INIS)

    Sukhanova, L.A.; Sharmazanova, O.P.

    2009-01-01

    The x-ray signs of connective tissue systemic dysplasia (CTSD) in patients with primarily diagnosed pulmonary tuberculosis was investigated. Fifty-four patients (28 med and 26 women aged 18-70) with primarily diagnosed infiltrative pulmonary tuberculosis underwent x-ray study. In patients with infiltration pulmonary tuberculosis CTSD in the lungs manifests by their diminishing, deformity of the lung pattern, high position of the diaphragm cupola, mediastinum shift to the side of the pathology, which is better seen on CT. The degree of CTSD x-ray signs in the lungs depends on the number of phenotypical signs that is the degree of the disease manifestation. CT allows more accurate determining of the signs of connective tissue dysplasia in which tuberculosis develops

  7. Response of the 'patient dose calibrator' chamber for incident positions and sizes of X-ray fields

    International Nuclear Information System (INIS)

    Oliveira, Cassio M.; Abrantes, Marcos Eugenio S.; Ferreira, Flavia C. Bastos; Lacerda, Marco A. de Souza; Alonso, Thessa C.; Silva, Teogenes A. da; Oliveira, Paulo Marcio C.

    2009-01-01

    The evaluation of patient doses is an important tool for optimizing radiodiagnostic medical procedures with conventional X-ray equipment and for improving the quality of the radiographic image. The Patient Dose Calibrator (PDC) chamber is a dosimetric instrument that is used in the evaluation of the air kerma-area product (P KA ) quantity aiming the reduction of patient doses. The objective this work was to study the P KA variation caused by different field incident positions and sizes of the X-ray beam on the PDC chamber. Results showed that the PDC chamber has repeatability lower than 0.6%, beam position dependence of 3% and linearity response within ± 6%; these characteristics are to be taken into account during evaluation of the radiological protection conditions of conventional x-ray equipment. (author)

  8. Skull x-ray

    Science.gov (United States)

    X-ray - head; X-ray - skull; Skull radiography; Head x-ray ... There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most ...

  9. Neck x-ray

    Science.gov (United States)

    X-ray - neck; Cervical spine x-ray; Lateral neck x-ray ... There is low radiation exposure. X-rays are monitored so that the lowest amount of radiation is used to produce the image. Pregnant women and ...

  10. Registration of SPECT, PET and/or X-ray CT images in patients with lung cancer

    International Nuclear Information System (INIS)

    Uemura, K.; Toyama, H.; Miyamoto, T.; Yoshikawa, K.; Mori, Y.

    2002-01-01

    Aim: In order to evaluate the therapeutic gain of heavy ion therapy performed on patients with lung cancer, the regional pulmonary functions and the amount of radio tracer accumulation to the tumor, we are investigated by using the region of interest based on anatomical information obtained from X-ray CT. There are many registration techniques for brain images, but not so much for the other organ images that we have studied registration of chest SPECT, PET and/or X-ray CT images. Materials and Methods: Perfusion, ventilation and blood pool images with Tc 99m labeled radiopharmaceuticals and SPECT, tumor images with 11 C-methionine and PET and X-ray CT scans were performed on several patients with lung cancer before and after heavy ion therapy. The registrations of SPECT-CT, PET-CT and CT-CT were performed by using AMIR (Automatic Multimodality Image Registration), which was developed by Babak et al. for registration of brain images. In a case of SPECT-CT registration, each of the three functional images was registered to the X-ray CT image, and the accuracy of each registration was compared. In the studies of PET-CT registration, the transmission images and X-ray CT images were registered at first, because the 11 C-methionine PET images bear little resemblance to the underlying anatomical images. Next, the emission images were realigned by using the same registration parameters. The X-ray CT images obtained from a single subject at the different time were registered to the first X-ray CT images, respectively. Results: In the SPECT-CT registration, the blood pool-CT registration is the best among three SPECT images in visual inspection by radiologists. In the PET-CT registration, the Transmission-CT registrations got good results. Therefore, Emission-CT registrations also got good results. In the CT-CT registration, the X-ray CT images obtained from a single subject at the different time were superimposed well each other except for lower lobe. As the results, it was

  11. Chromosome inversions in lymphocytes of prostate cancer patients treated with X-rays and carbon ions

    International Nuclear Information System (INIS)

    Pignalosa, Diana; Lee, Ryonfa; Hartel, Carola; Sommer, Sylvester; Nikoghosyan, Anna; Debus, Jürgen; Ritter, Sylvia; Durante, Marco

    2013-01-01

    Background and purpose: To investigate the cytogenetic damage of the intrachange type in peripheral blood lymphocytes of patients treated for prostate cancer with different radiation qualities. Material and methods: Prostate cancer patients were enrolled in a clinical trial based at the Heidelberg University Hospital and at the GSI Helmholtz Centre for Heavy Ion Research in 2006. Patients were treated either with intensity-modulated radiation therapy (IMRT) alone or with a carbon-ion boost followed by IMRT. Blood samples were collected at the end of the therapy and the mBAND technique was used to investigate the cytogenetic damage of the inter and intrachange types. Moreover, the mBAND analysis was performed on healthy donor cells irradiated in vitro with X-rays or C-ions. Results: Our results show no statistically significant differences in the yield and the spectrum of chromosome aberrations among patients treated only with IMRT and patients receiving the combined treatment when similar target volumes and doses to the target are compared. Conclusion: The study suggests that the risks of normal tissue late effects and second malignancies in prostate cancer patients are comparable when heavy ions or IMRT radiotherapy are applied

  12. Improving Patient Safety with X-Ray and Anesthesia Machine Ventilator Synchronization: A Medical Device Interoperability Case Study

    Science.gov (United States)

    Arney, David; Goldman, Julian M.; Whitehead, Susan F.; Lee, Insup

    When a x-ray image is needed during surgery, clinicians may stop the anesthesia machine ventilator while the exposure is made. If the ventilator is not restarted promptly, the patient may experience severe complications. This paper explores the interconnection of a ventilator and simulated x-ray into a prototype plug-and-play medical device system. This work assists ongoing interoperability framework development standards efforts to develop functional and non-functional requirements and illustrates the potential patient safety benefits of interoperable medical device systems by implementing a solution to a clinical use case requiring interoperability.

  13. Radiation levels and image quality in patients undergoing chest X-ray examinations

    International Nuclear Information System (INIS)

    Campos de Oliveira, Paulo Márcio; Carmo Santana, Priscila do; Sousa Lacerda, Marco Aurélio de; Silva, Teógenes Augusto da

    2017-01-01

    Patient dose monitoring for different radiographic procedures has been used as a parameter to evaluate the performance of radiology services; skin entrance absorbed dose values for each type of examination were internationally established and recommended aiming patient protection. In this work, a methodology for dose evaluation was applied to three diagnostic services: one with a conventional film and two with digital computerized radiography processing techniques. The x-ray beam parameters were selected and “doses” (specifically the entrance surface and incident air kerma) were evaluated based on images approved in European criteria during postero-anterior (PA) and lateral (LAT) incidences. Data were collected from 200 patients related to 200 PA and 100 LAT incidences. Results showed that doses distributions in the three diagnostic services were very different; the best relation between dose and image quality was found in the institution with the chemical film processing. This work contributed for disseminating the radiation protection culture by emphasizing the need of a continuous dose reduction without losing the quality of the diagnostic image. - Highlights: • A methodology for dose evaluation was applied to three diagnostic services. • The doses in patients were evaluated when the images were adequate. • Data were collected from 200 patients. • Is possible doses optimization with digital system without an image quality reduction. • The best dose and image quality was found in chemical film processing.

  14. Analysis of computed X-ray tomography of the brain in incontinence patients with senile dementia

    Energy Technology Data Exchange (ETDEWEB)

    Suzuki, Yasuyuki; Machida, Toyohei; Oishi, Yukihiko [Jikei Univ., Tokyo (Japan). School of Medicine; Kamachi, Chikahumi; Okabe, Tsutomu; Akazawa, Kouhei; Takasaka, Satoshi

    1994-02-01

    To evaluate the condition of incontinence in patients with senile dementia, we performed computed tomography X-rays to the brain and analyzed the relationship among the circulatory defect of the brain, the brain atrophy and the degree of incontinence. There were 92 patients subjected to this study who were hospitalised due to senile dementia; 74 patients had vascular dementia, 10 patients had senile dementia of Alzheimer type, and 8 patients had the mixed type. (age range: 54-95 years; mean: 80.3 years). The degree of incontinence in these patients varied as follows: 18 patients with continence, 16 patients with moderate incontinence, 58 patients with total incontinence. The diagnosis of circulatory defect of the brain was based on computed tomography observation of periventricular lucency (P.V.L.), and the degree of brain atrophy was evaluated based on 4 criteria: the Lateral body ratio, the Huckman number, the Evans ratio, and the enlargement of the subarachnoid space. Among the 92 patients, P.V.L. was present in 31 patients, among them 27 patients suffered from incontinence. There was a significant correlation between P.V.L. and incontinence (p<0.001). As the incontinence progressively worsened (Continence, Moderate incontinence, Total incontinence), the lateral body ratio increased to 24.8, 27.8, 28.6, (p<0.05). The Huckman number also increased to 18.3, 19.3, 21.3, (p<0.01), and the evans ratio likewise 29.9, 32.3, 33.7 (p<0.01). The enlargement of the subarachnoid space was also correlated with the severity of incontinence. We conclude that urinary incontinence originating from senile dememtia is connected to brain atrophy and is strongly influenced by the circulatory disorders of the brain. (author).

  15. Validity of dual X-ray absorptiometry scanning for determination of body composition in IDDM patients

    DEFF Research Database (Denmark)

    Rosenfalck, A M; Almdal, Thomas Peter; Gotfredsen, A

    1995-01-01

    Data on body composition in patients with insulin-dependent diabetes mellitus (IDDM) are scarce. Dual X-ray absorptiometry (DXA) scanning has proved useful for this purpose in other groups of patients. We tested the validity of the DXA scanner for the determination of fat-free mass (FFM) and fat...... mass in IDDM patients and control subjects, as compared to other reference methods, i.e. total body potassium by 40K whole body counting (TBK), total body water by tritiated water (TBW), bioelectrical impedance analysis (BIA) and 24-h urinary creatinine excretion (Ucrea). A total of 13 healthy controls....... The agreement between FFM estimated by DXA and the other methods, expressed as mean difference +/- 2 SD was; for DXA vs. TBK, 0.09 +/- 6.26 and 0.50 +/- 5.26 kg for controls and IDDM patients respectively; DXA vs. TBW, -2.07 +/- 2.56 and -1.07 +/- 4.58 kg; DXA vs. Ucrea, -2.62 +/- 8.02 and 2.00 +/- 10.0 kg; DXA...

  16. X-ray microanalysis of chloride in nails from cystic fibrosis and control patients

    Energy Technology Data Exchange (ETDEWEB)

    Chapman, A.L.; Fegley, B.; Cho, C.T. (Department of Anatomy, KUMC Electron Microscopy Research Center, and Department of Pediatrics, University of Kansas Medical Center, USA)

    1984-01-01

    Nail clippings from 60 individuals were examined. There were 34 ''old'' (>16 years) controls, 16 ''young'' controls and 10 CF patients. In regard to elements found, Si and Al were considered as exogenous contamination. Other elements examined were variable in both control and CF. Examination of the Cl levels among the 3 groups showed a highly significant difference between the mean Cl integral values of the young controls (619 integral) and the CF patients (2956 integral) The results of the older control population ranged from 0-905 integral with a mean of 269 integral. We found no age or sex difference in the amount of Cl or any other element from either the CF or control population. Results show that the x-ray energy dispersive system (EDS) is very useful in studying the Cl in nails. We found that examination of nails frozen in liquid nitrogen followed by fracturing without prior washing was the preferred method. Although the results of this study clearly show statistically the value of EDS analysis of Cl in the diagnosis of CF, we must await further study of a larger group of patients to determine its usefulness in evaluating individual patients, particularly newborns.

  17. Use of dual energy X-ray absorptiometry in pediatric patients.

    Science.gov (United States)

    Wasserman, Halley; O'Donnell, Jennifer M; Gordon, Catherine M

    2017-11-01

    Dual Energy X-ray Absorptiometry (DXA) is a vital tool for assessing bone health in patients at risk for fragility fractures. In pediatric patients, this technology is used in conjunction with clinical fracture history to diagnosis osteoporosis and monitor treatment response. Childhood and adolescence is characterized by linear growth and bone mass accrual; thus there are important differences in the interpretation of bone measurements obtained by DXA in these young patients. This review aims to explore the current indications for DXA use and interpretation of DXA in the pediatric age group using currently available reference databases. Limitations of DXA in pediatric patients, specifically in children with short stature, will be explored. We will review several pathophysiologic mechanisms that may lead to low bone density in children, discussing representative diseases and the recommendations for monitoring bone health with DXA in these conditions. Finally, we will highlight new methods by which DXA imaging can gather additional information on bone health in children and may improve our ability to predict fractures and osteoporosis. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Age as a factor in assessing risks to patients from the use of x-rays

    International Nuclear Information System (INIS)

    Le Heron, J.

    1996-01-01

    Effective dose is currently widely used as a means of quantifying patient dose (and hence patient risk) in diagnostic radiology. Its appeal stems primarily from being able to normalise partial body irradiations into equivalent whole body irradiations, and additionally from being linked to a sound definition of radiation detriment. However there are several aspects of effective dose that should lead to its use being accompnied by a degree of caution. One such factor is age. Calculation of age specific tissue weighting factors for the tissues used in the formulation of effective dose show that the relative contributions of the tissues vary considerably as a function of age. When this is combined with age specific risk factors for cancers and hereditary effects, the implications of a given 'effective dose' for an x-ray procedure depend markedly on the age of the patient. Because of the elderly component of the patient population, the ensuing risks arising from diagnostic radiology are at a level considerably less than that assessed using the population-averaged approach. (author)

  19. Staff and patient exposure to X-ray radiation during cardiac procedures

    International Nuclear Information System (INIS)

    Jankowski, J.; Papierz, D.; Domienik, J.; Kacprzyk, J.; Tybor-Czerwinska, M.; Werduch, A.

    2008-01-01

    The aim of this study was to define and compare staff and patient doses during the most common types of cardiac procedures. The influence of operators' technique and quality of X-ray unit in use on doses received by the staff and patients was investigated. The study was conduced in two independent hemodynamic rooms (I and II). The doses to hand for medical staff (operators and nurses) were monitored. For hand dose assessment, ring thermoluminescent dosimeters were used. Regarding patient dosimetry, dose-area product was collected for selected procedures. The monthly hand doses ranged from 0.4 mSv to 41.2 mSv in room I and from 0.1 to 8.95 mSv in room II. On the basis of the above measurements, the annual doses were estimated. The maximum annual hand doses for the operator and for the nurse in room I were 232.8 mSv/year and 11.5 mSv/year and in room II - 29.8 mSv/year and 14.1 mSv/year, respectively. Additionally, to compare the doses received by the particular medical operators, the doses were normalized to the total workload. Hand dose per procedure ranged from 109 to 614 μSv/procedure and were significantly larger in room I. The typical DAP values (median) recorded for the CA and CA+PTCA procedures were 55 Gy/cm 2 and 171 Gy/cm 2 in room I and 35 Gy/cm 2 and 87 Gy/cm 2 in the room II, respectively. As a result of this survey, the impact of medical operator's experience as well as technique and quality of available X-ray units on doses received by staff and patients has been proven. On the basis of the above results, the special need for monitoring hand doses for medical staff, apart from the effective dose, has been recognized. (author)

  20. The parameters of X-ray equipment that influence in patient exposure

    International Nuclear Information System (INIS)

    Peixoto, J.E.

    1988-01-01

    The main components of the X-rays equipment and the secondary device for radiodiagnosis examination are showed. The influence of all radiographs parameters in human exposure as tension and current are also analysed. (C.G.C.) [pt

  1. Significance of X-ray examinations of patients with Crohn's disease after intestinal-tract resections

    Energy Technology Data Exchange (ETDEWEB)

    Kulke, H.; Hoerl, M.; Kasper, H.; Auer, I.O.

    1988-12-01

    After intestinal tract resection, the status of the intestinal tract of patients with Crohn's disease who had recurrent anastomoses versus those that did not analyzed using standardized procedures of stomach X-ray with small bowel follow through, barium enema and fistulography. The intestinal tract resections included ileostomy, transverse ileostomy, rectal ileostomy, and atypical procedures. The anstomoses and surrounding tissue were evaluated. The results were discussed and the X-ray characteristics of the current anastomosis and the existing changes in its environment were analyzed.

  2. The significance of X-ray examinations of patients with Crohn's disease after intestinal-tract resections

    International Nuclear Information System (INIS)

    Kulke, H.; Hoerl, M.; Kasper, H.; Auer, I.O.

    1988-01-01

    After intestinal tract resection, the status of the intestinal tract of patients with Crohn's disease who had recurrent anastomoses versus those that did not analyzed using standardized procedures of stomach X-ray with small bowel follow through, barium enema and fistulography. The intestinal tract resections included ileostomy, transverse ileostomy, rectal ileostomy, and atypical procedures. The anstomoses and surrounding tissue were evaluated. The results were discussed and the X-ray characteristics of the current anastomosis and the existing changes in its environment were analyzed. (orig.) [de

  3. Radiation dose to procedural personnel and patients from an X-ray volume imaging system

    International Nuclear Information System (INIS)

    Paul, Jijo; Mbalisike, Emmanuel C.; Vogl, Thomas J.

    2013-01-01

    To evaluate the radiation dose received by procedural personnel and patients from an X-ray volume imaging (XVI) system during interventional procedures. Forty patients were examined using catheter angiography (group A), digital subtraction angiography (group B) and cone-beam CT (CBCT, group C). Doses to procedural personnel (using thermo-luminescent dosimeters, TLDs) and patients were estimated. Image quality and lesion delineation were assessed using objective and subjective methods. Shapiro-Wilk, two-sided Student's t and Wilcoxon matched-pairs tests were used to test statistical significance. Doses (milligrays) measured in the hands and left knee of the interventionist were higher than those in an assistant physician (P < 0.05). Doses (dose-area product and skin entry dose) were lower in group A and higher in C compared with other groups; moreover, comparison among the groups were significant (all P = 0.0001). Subjective and objective lesion delineation showed significant results (all P < 0.05) among the tumour types considered. Image quality estimation showed the opposite results for objective and subjective analysis. More doses were obtained for hands of the procedural personnel compared to other anatomical regions measured. Catheter angiography showed lower dose compared with other imaging groups examined. Lesion delineation was clearly possible using CBCT. Objective and subjective analysis showed the opposite results regarding image quality because of higher noise levels and artefacts. (orig.)

  4. Radiation doses to paediatric patients and comforters undergoing chest x rays

    International Nuclear Information System (INIS)

    Sulieman, A.; Vlychou, M.; Tsougos, I.; Theodorou, K.

    2011-01-01

    Pneumonia is an important cause of hospital admission among children in the developed world and it is estimated to be responsible for 3-18 % of all paediatric admissions. Chest X ray is an important examination for pneumonia diagnosis and for evaluation of complications. This study aims to determine the entrance surface dose (ESD), organ, effective doses and propose a local diagnostic reference level. The study was carried out at the university hospital of Larissa (Greece). Patients were divided into three groups: organ and effective doses were estimated using National Radiological Protection Board software. The ESD was determined by thermoluminescent dosemeters for 132 children and 76 comforters. The average ESD value was 55±8 μGy. The effective dose for patients was 11.2±5 μSv. The mean radiation dose for comforter is 22±3 mGy. The radiation dose to the patients is well within dose constraint, in the light of the current practice. (authors)

  5. Radiation levels and image quality in patients undergoing chest X-ray examinations

    Science.gov (United States)

    de Oliveira, Paulo Márcio Campos; do Carmo Santana, Priscila; de Sousa Lacerda, Marco Aurélio; da Silva, Teógenes Augusto

    2017-11-01

    Patient dose monitoring for different radiographic procedures has been used as a parameter to evaluate the performance of radiology services; skin entrance absorbed dose values for each type of examination were internationally established and recommended aiming patient protection. In this work, a methodology for dose evaluation was applied to three diagnostic services: one with a conventional film and two with digital computerized radiography processing techniques. The x-ray beam parameters were selected and "doses" (specifically the entrance surface and incident air kerma) were evaluated based on images approved in European criteria during postero-anterior (PA) and lateral (LAT) incidences. Data were collected from 200 patients related to 200 PA and 100 LAT incidences. Results showed that doses distributions in the three diagnostic services were very different; the best relation between dose and image quality was found in the institution with the chemical film processing. This work contributed for disseminating the radiation protection culture by emphasizing the need of a continuous dose reduction without losing the quality of the diagnostic image.

  6. Doses to patients from medical X-ray examinations in the UK. 2000 review

    CERN Document Server

    Hart, D; Wall, B F

    2002-01-01

    In 1992 NRPB established a National Collation Centre for measurements of doses to patients made by x-ray departments throughout the UK. This report is the second in a series of five-yearly reviews of the national patient dose database and analyses the information collected during the period January 1996 to December 2000. It includes the results of 28,000 entrance surface dose (ESD) measurements and 13,000 dose-area product (DAP) measurements for single radiographs, and 140,000 DAP measurements and 128,000 records of the fluoroscopy time for complete examinations, collected from 371 hospitals throughout the UK. Information on the patient dose distributions and exposure conditions for over 30 types of examination and radiograph is presented. National reference doses based on the rounded third quartile values of these dose distributions are recommended and are seen to be about 20% lower than corresponding values in the previous (1995) review. They have approximately halved since the original UK national referenc...

  7. Patient doses from x-ray examinations in Sweden - follow-up of remedial actions

    International Nuclear Information System (INIS)

    Joensson, Helene; Leitz, W.

    2002-03-01

    In early 1999 the Swedish Radiation Protection Authority (SSI) requested data about patient doses etc. for a number of specified x-ray examinations. The aim was on one hand to get a basis for planned regulations on diagnostic reference levels (DRL) and on the other hand to obtain an overview of how the situation is in the country with respect to patient doses. The licensees who reported dose values exceeding (provisional) DRL were asked to perform investigations about the grounds for the high dose and to take remedial actions for reducing the dose. In this report the outcome is presented. The dose reductions were large: on average between 35 and 60 % for the various examinations. A large proportion of the measures taken were simple and cheap, such as increase of radiation quality, improved examination methodology (smaller radiation fields, use of compression, reduced number of images or fluoroscopy time) and optimising the film processing. This is indicating that the planned regulations on diagnostic reference levels have a good chance to succeed with a large reduction of the patient doses in Sweden

  8. Algorithm for management of patients with X-ray endovascular artery embolization of the prostate for its benign hyperplasia

    Directory of Open Access Journals (Sweden)

    O. B. Zhukov

    2016-01-01

    Full Text Available X-ray endovascular prostatic artery embolization (XEPAE is a comparatively new alternative treatment for benign prostatic hyperplasia (BPH, which has shown good results in Russia and foreign countries. The dissimilarity from other treatments for this nosology is the use of superselective artery ischemia of the prostate, which leads to a decrease in its sizes and a progressive reduction in lower urinary tract symptoms. Twelve patients aged 59–71 years (mean age, 66 years with BPH have been operated on since 2014. The mean follow-up period was 8.4 months (3–17 months. The patients were divided into 3 groups in accordance with prostate volume: 1 60–100 cm3 (n = 3; 2 100–200 сm3 (n = 5; 3 ≥ 200 см3 (n = 4. The mean prostatic specific antigen level was 5.1 ± 2.7 ng/ml (2.7–6.3 ng/ml. Due to the increased pro static specific antigen level up to 4 ng/ml, 6 patients underwent transrectal and/or targeted biopsy of the prostate, which failed to reveal the morphological signs of its malignant process. The examination algorithm included all necessary laboratory and clinical examinations, as those during surgery for BPH, as well as multislice spiral computed tomography and/or magnetic resonance imaging, angiography of small pelvic vessels and organs.  Postoperative patient monitoring revealed that the total International Prognostic Scoring System scores decreased by 41.3 and 61.4 % at 3- and 6-month follow-ups, respectively; then these values were insignificant. The prostate volume substantially decreased at 3 months; but at 6 months it was 47 % of the baseline one. The urine flow rate rose from 6.7 to 15.9 ml/sec. The quality of life index became summarily quite satisfactory at 6-month follow-up and amounted to 3.3 ± 1.3. Thus, it may be stated that XEPAE is a safe and highly effective treatment for BPH if its medical treatment is ineffective. This surgical treatment performed for 3–6 months substantially decreases the prostate

  9. Patient and fetal dose in diagnostic x-rays and radiotherapy in Bangkok, Thailand

    International Nuclear Information System (INIS)

    Pataramontree, J.; Wangsuphachart, S.; Apaiphonlacharn, J.; Chaichan, P.; Sompradit, S.; Suteerakul, K.; Thamwerawong, W.

    2001-01-01

    In 1999 the multicenter study of the patient surface dose was conducted at Department of Radiology of Chulalongkorn Hospital, another two university hospitals and a hospital in the suburb. Adult female patients were selected to measure the entrance skin dose and accumulated dose by using the thermoluminescent dosimeters and the kerma area product meter, respectively. The fetal doses were calculated by Monte Carlo method using the computer program written by Le Heron J.C. The average fetal doses were studied for each diagnostic radiographic procedure. The fetus got 0.29, 0.35, 2.63 mGy when its mother had radiography of pelvis, lumbosacral spine, excretory urography respectively. The estimated fetal doses for barium meal, barium enema and renal angiography were 1.47, 33.5 and 3.68 mGy, respectively. The fetal dose varies so much about 2-3 times of the average fetal dose due to equipment and techniques. The study of lower abdomen by computed tomography gave 48.4 mGy on average to a fetus. The scattered dose level outside radiotherapeutic x-rays at fetal position in Random Phantom depends on the primary beam area rather than the energy of radiation. If the threshold dose for fetal malformation is 0.1 Gy, the minimum safety distance for him is 22 cm from beam edges for the tumor dose of 60 Gy. (author)

  10. Quantitative X-ray computed tomography peritoneography in malignant peritoneal mesothelioma patients receiving intraperitoneal chemotherapy.

    Science.gov (United States)

    Leinwand, Joshua C; Zhao, Binsheng; Guo, Xiaotao; Krishnamoorthy, Saravanan; Qi, Jing; Graziano, Joseph H; Slavkovic, Vesna N; Bates, Gleneara E; Lewin, Sharyn N; Allendorf, John D; Chabot, John A; Schwartz, Lawrence H; Taub, Robert N

    2013-12-01

    Intraperitoneal chemotherapy is used to treat peritoneal surface-spreading malignancies. We sought to determine whether volume and surface area of the intraperitoneal chemotherapy compartments are associated with overall survival and posttreatment glomerular filtration rate (GFR) in malignant peritoneal mesothelioma (MPM) patients. Thirty-eight MPM patients underwent X-ray computed tomography peritoneograms during outpatient intraperitoneal chemotherapy. We calculated volume and surface area of contrast-filled compartments by semiautomated computer algorithm. We tested whether these were associated with overall survival and posttreatment GFR. Decreased likelihood of mortality was associated with larger surface areas (p = 0.0201) and smaller contrast-filled compartment volumes (p = 0.0341), controlling for age, sex, histologic subtype, and presence of residual disease >0.5 cm postoperatively. Larger volumes were associated with higher posttreatment GFR, controlling for pretreatment GFR, body surface area, surface area, and the interaction between body surface area and volume (p = 0.0167). Computed tomography peritoneography is an appropriate modality to assess for maldistribution of intraperitoneal chemotherapy. In addition to identifying catheter failure and frank loculation, quantitative analysis of the contrast-filled compartment's surface area and volume may predict overall survival and cisplatin-induced nephrotoxicity. Prospective studies should be undertaken to confirm and extend these findings to other diseases, including advanced ovarian carcinoma.

  11. Comparative analysis of brain X-ray computed tomography in patients with acromegaly before and after gamma-ray teletherapy

    International Nuclear Information System (INIS)

    Balkanov, A.S.; Stashuk, G.A.; Polyakov, P.Yu.; Sherman, L.A.; Bychenkov, O.A.

    1999-01-01

    Results are analysed of the application of X-ray computerized tomography (KT) of brain in acromegaly patients before and after remote gamma therapy (RGT). Efficiency is shown of the KT method permitting both to reveal pituitary adenomas in case of acromegaly and to be applicable in the combination with other methods to assessment of the RGT efficiency when treating acromegaly [ru

  12. Arrangement for making a panoramic X-ray recording of the jaw and teeth of a patient

    International Nuclear Information System (INIS)

    1979-01-01

    Tha apparatus includes a holder connected to the frame for positioning the patient and an arm which carries the X-ray source and film cassette. This arm is connected to the frame by means of two parallel axes in such a way that rotation is enabled. (T.P.)

  13. Radiation doses of patients undergoing abdomen, pelvis and lumbar spine x-ray examinations in Nigeria

    International Nuclear Information System (INIS)

    Ogundare, F.O.; Uche, C.Z.; Balogun, F.A.

    2003-01-01

    Full text: Thermoluminescence dosemeters (TLD) have been used to measure the entrance surface doses (ESD) of patients undergoing diagnostic x-ray examinations in Pelvis, Abdomen and Lumbar Spine in Nigeria. A total of 4 randomly selected public hospitals and 240 patients were included in this investigation. Age of the patients used is from 45 years and above. Mean, median, first and third quartiles of ESDs are reported. The results showed that in most cases, for each of the examinations, the mean ESDs are higher than the published reference doses and their corresponding values from other countries. Nevertheless the ESD of each of the patients fall within the ranges of ESDs that have been reported from other countries as quoted by UNSCEAR. The distribution of the ESDs was also found to be negatively skewed. This suggests that radiographic departments need to review their radiographic practices in order to bring their doses to optimum levels. Effective doses were also calculated from the ESD values. The importance of good regulatory activities and trained personnel is stressed in this work It is therefore suggested that further dose reduction program, while still having in focus ways of optimizing the various radiological parameters in order for patient to receive least dose and the radiologist having an acceptable image, should include emphasis on good regulatory control and use of well-trained personnel. Apart from the fact that the data provided in this work will be useful for the formulation of national guidance levels, it also provides patient dosimetry information on healthcare level IV countries

  14. The impact of diagnostic reference levels on patient doses from X-ray examinations

    International Nuclear Information System (INIS)

    Leitz, W.; Almen, A.

    2008-01-01

    The aim of this study was to evaluate the effect of diagnostic reference levels (DRL). For this study patient doses for the years 1999 and 2006 were available. Patient doses on a national level for eleven specified X-ray examinations were assessed. For the conventional examinations DRL have been used after the first survey in 1999, for computed tomography no DRL were used and for mammography DRL have been used for more than 20 years. Whereas the patient doses for conventional examinations were 30% lower in 2006 compared to 1999 the doses remained essentially the same for computed tomography and mammography. The widths of the dose distributions had only slightly decreased for conventional examinations and remained the same for computed tomography and mammography. This study has shown that after implementation of DRL a considerable dose reduction can be expected. Practices exceeding DRL will perform remedial actions with the aim to reduce dose, as demonstrated for the conventional examinations. Despite the fact that practices for computed tomography could compare doses with others practices, in the absence of DRL no actions to reduce doses were performed. The margin for further dose reductions in mammography is small due to the long term use of DRL. The impact of DRL on patient doses is changing with time. When introduced large dose reductions can be expected. After long term use DRL will counteract the introduction of new technique with unjustified high patient doses. Despite the merits in terms of dose saving it must be recognized that DRL has its limits - it has to be amended with other radiological protection activities. Other means and measures have to be developed, for example by the authorities, in order to ensure that optimisation is continued even when the patient doses are below the DRL. (author)

  15. Exposure of patients and creation of system of quality assurance in conventional x-ray radiology in Lithuania

    International Nuclear Information System (INIS)

    Morkunas, G.; Ziliukas, J.

    1999-01-01

    One of the most important sources of exposure is medical application of ionizing radiation. X-ray examination comprise a significant part of medical exposure. Doses received by patients and quality of diagnostic images are to be optimized. Measurements of these doses were started by the Radiation Protection Centre in 1997. These measurements are performed in randomly selected x-ray departments all around Lithuania during examinations of chest and lumbar spine. Dose and parameters related to exposure and patient are registered. Quality control measurements by PMX-III are being performed on each x-ray machine used for examination. The results show that in many cases the guidance levels are of entrance surface dose for standard patient determined by the Basic Radiation Protection Standard of Lithuania are exceeded. Quality control of x-ray machines performed in 1997-1999 shows that more than 30% of these machines did not comply with the requirements though in many cases shortcomings are minor and easily removed. (au)

  16. Mortality among patients with ankylosing spondylitis after a single treatment course with x-rays

    International Nuclear Information System (INIS)

    Darby, S.C.; Doll, R.; Smith, P.G.

    1985-01-01

    Court Brown and Doll identified over 14,000 patients with ankylosing spondylitis who had been treated with one or more courses of x-irradiation from 1935 to 1954 at one of 87 radiotherapy centers in Great Britain and Northern Ireland. The first reports from this study analyzed mortality among these patients from leukemia and other causes, particularly cancer, but these analyses included many patients who had been treated with x-rays for their spondylitis more than once. This complicated the interpretation of the late effects of the treatment on mortality, as it was not clear to what extent the subsequent treatments contributed to the excess of deaths that persisted for many years after the first treatment. Smith and Doll (1982) avoided this difficulty by examining the death rate from leukemia and other radiation-induced cancers at different times after a single course of treatment. A comparison of the mortality of this group with the mortality of Japanese atomic bomb survivors revealed good agreement between the two studies, thus increasing confidence in the belief that both studies are giving sensible estimates of the risk of cancer from high doses of radiation. The follow-up of those spondylitic patients who received a single course of treatment only has recently been extended until the end of 1982, that is, for an additional 13 years. A further 1406 patients are now known to have died, including an additional 335 deaths for which the certified cause is cancer. Detailed results of this further follow-up will be presented

  17. Dual-energy X-ray absorptiometry body composition in patients with secondary osteoporosis.

    Science.gov (United States)

    Messina, Carmelo; Monaco, Cristian Giuseppe; Ulivieri, Fabio Massimo; Sardanelli, Francesco; Sconfienza, Luca Maria

    2016-08-01

    Due to the tight relationship between bone and soft tissues, there has been an increased interest in body composition assessment in patients with secondary osteoporosis as well as other pathological conditions. Dual-energy X-ray absorptiometry (DXA) is primarily devoted to the evaluation of bone mineral status, but continuous scientific advances of body composition software made DXA a rapid and easily available technique to assess body composition in terms of fat mass and lean mass. As a result, the International Society for Clinical Densitometry (ISCD) recently developed Official Positions regarding the use of this technique for body composition analysis. According to ISCD paper, indications are mainly limited to three conditions: HIV patients treated with antiretroviral agents associated with a risk of lipoatrophy; obese patients undergoing treatment for high weight loss; patients with sarcopenia or muscle weakness. Nevertheless, there are several other interesting clinical applications that were not included in the ISCD position paper, such as body composition assessment in patients undergoing organ transplantation, pulmonary disease as well as all those chronic condition that may lead to malnutrition. In conclusion, DXA body composition offers new diagnostic and research possibilities for a variety of diseases; due to its high reproducibility, DXA has also the potential to monitor body composition changes with pharmacological, nutritional or physic therapeutic interventions. ISCD addressed and recommended a list of clinical condition, but the crescent availability of DXA scans and software improvements may open the use of DXA to other indication in the next future. This article provides an overview of DXA body composition indications in the management of secondary osteoporosis and other clinical indications in adults. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  18. Relationship between source-surface distance and patient dose in fluoroscopic X-ray examinations

    International Nuclear Information System (INIS)

    Suzuki, Shoichi; Asada, Yasuki; Nishi, Kazuta; Mizuno, Emiko; Hara, Natsue; Orito, Takeo; Kamei, Tetsuya; Koga, Sukehiko

    2000-01-01

    The International Electrotechnical Commission, IEC provided in its standard IEC 60601-1-3 (1994) to prevent the use during radioscopic irradiation of focal spot to skin distances less than 20 cm if the X-RAY EQUIPMENT is specified for RADIOSCOPY during surgery or 30 cm for other specified applications. This standard was reflected in the Japanese Industrial Standard JIS Z 4701-1997, which provided the minimum distance from focal spot to skin to be 30 cm for the use of a fluoroscopic and radiographic table (Under-table type). However, JIS had formerly provided the minimum distance to be 40 cm and so does the current Medical Treatment Law. The draft revision for the Medical Treatment Law currently discussed has consideration to adopt the value 30 cm in accordance with the current JIS. Our research intended to investigate the impact on the entrance surface dose for the change of the focal spot to skin distance from 40 cm to 30 cm. The result was 20-30% increase of the entrance surface dose for the focal spot to skin distance 30 cm. Taking patient exposure dose into account, we need further and more sufficient discussion with this result before adopting this value to the Medical Treatment Law. (author)

  19. Reduction of patient dose delivered by CHR diagnostic x-ray examinations

    International Nuclear Information System (INIS)

    Evans, R.D.; Schlenker, R.A.

    1978-01-01

    Three changes in technique have been made which reduce the x-ray dose delivered by diagnostic examinations of patients of the Center for Human Radiobiology (CHR): Kodak Lanex Regular screens and Kodak Ortho G film have been substituted for DuPont Cronex Parspeed screens and DuPont Cronex 4 film for five projections in the MIT examinations; 3 mm Al added filtration is now used in place of 1 mm Al added filtration in the ANL examination; improvements in collimation for the ANL examination have been made. Use of the new screen-film combination at MIT has reduced the mean dose to the active marrow of the female RANDO phantom from 606 +- 69 mrad to 235 +- 16 mrad; it has reduced the ovary dose from 606 +- 40 mrad to 291 +- 19 mrad and has left the breast dose unchanged at 333 +- 103 mrad. The change from 1 mm Al to 3 mm Al added filtration at ANL, without changes in collimation, would reduce the mean marrow dose in the phantom from 232 +- 14 mrad to 175 +- 26 mrad, reduce the ovary dose from 243 +- 25 mrad to 162 +- 38 mrad and reduce the breast dose from 388 +- 35 mrad to 226 +- 9 mrad. The changes in collimation at ANL should reduce these doses even further but the quantitative effect has not been ascertained

  20. Mortality among patients with ankylosing spondylitis after a single treatment course with x-rays

    International Nuclear Information System (INIS)

    Smith, P.G.; Doll, R.

    1982-01-01

    Mortality was studied in 14,111 patients with ankylosing spondylitis given a single course of x-ray treatment during 1935-54. Mortality from all causes was 66% greater than that of the general population of England and Wales. The substantial excesses of deaths from non-neoplastic conditions appeared to be associated with the disease itself rather than its treatment. A nearly fivefold excess of deaths from leukaemia and a 62% excess of deaths from cancers of sites that would have been in the radiation fields (''heavily irradiated sites'') were likely to have been a direct consequence of radiation treatment. Excess death rate from leukaemia was greatest three to five years after treatment and close to zero after 18 years. Excess of cancers of heavily irradiated sites did not become apparent until nine or more years after irradiation continuing for a further 11 years. More than 20 years after irradiation the excess risk declined but the fall was not statistically significant. The number of cancers of sites not considered to be in the radiation beams was 20% greater than expected. This excess, although not statistically significant, may have been due to scattered radiation. The risk of a radiation-induced leukaemia or other cancer was related to age at treatment time. (author)

  1. Chest X-Ray

    Medline Plus

    Full Text Available Toggle navigation Test/Treatment Patient Type Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos ... x-ray is used to evaluate the lungs, heart and chest wall and may be used to ...

  2. X-ray filtration apparatus

    International Nuclear Information System (INIS)

    Thompson, G.

    1992-01-01

    This invention relates to an X-ray shielding support device. In spite of considerable development in X-ray taking techniques, a need still exists for effective shielding, inter alia, to compensate for variations in the thickness, density and the absorption properties of the object being studied. By appropriate shielding, the X-ray image produced is of sufficient detail, contrast and intensity over its entire area to constitute a useful diagnostic aid. It is also desirable to subject the patient to the smallest possible X-ray dosage. 4 figs

  3. Analysis of X-ray radiation doses from different types of intervention for cardiovascular patients

    International Nuclear Information System (INIS)

    Feng Jun; Cheng Jinglin; Guo Jie; Wang Ailing

    2012-01-01

    Objective: To explore the X-ray radiation dose to patients from different cardiovascular interventional procedures and analyze the dose-affecting factors. Methods: In accordance with the A, B, C operators, 442 patients undergoing cardiovascular interventional procedures were collected, including single coronary angiography (CAG), percutaneous coronary intervention (PCI), radiofrequency catheter ablation (RFCA), congenital heart disease intervention (CHD) and permanent cardiac pacemaker implantation (PCPI), to observe dose area product (DAP), cumulative radiation dose (CD), fluoroscopy time. Results: CD values of patients in groups of CAG, PCI, RFCA, CHD, PCPI were (0.34 ±0.23), (1.33 ±0.76), (0.71 ±0.43), (0.27 ±0.22) and (0.92±0.42) Gy and DAP values were (34.18 ±23.33), (135.92 ±81.14), (79.79 ±50.66),(27.93 ±23.66), and (94.60 ±48.11 ) Gy·cm 2 , respectively. Fluoroscopy time were (4.82 ±3.73), (16.64 ±9.01), (17.04 ± 15.29), (9.60 ±5.97) and (7.31 ±6.45) min. DAP values and fluoroscopy time were highly correlated (r=0.84, P<0.05). Conclusions: There is significant difference in radiation dose for cardiovascular interventional procedures. Radiation dose and fluoroscopy time are directly related to surgeons' proficiency in operations. Improvement of operation proficiency should be carried out to reduce the patients' radiation dose. (authors)

  4. Digital image acquisition in the X-ray diagnostics. Its influence on the patients' exposure

    International Nuclear Information System (INIS)

    Hoberg, Bernd; Voigt, Stefan

    2012-01-01

    Radiation exposure in the classical X-ray diagnostics was continuously reduced during the past years. The annual report 2009 of the Bundesamt fuer Strahlenschutz (BfS) shows that 46% of the radiological examinations in Germany concern the skeleton, the lungs and the digestive and urogenital tract. The respective radiation dose is only 20% of the total dose of the public from X-ray diagnostic measures. Considering computerized tomography, angiography and interventional radiology, that amount to about 10% of the radiological examinations, their dose percentage reaches about 80%. Therefore, the emphasis of modern radiation protection has to be targeted to digital techniques in the future X-ray diagnostics. The authors describe digital detectors, direct and indirect digitalized image receivers, flat-panel detectors and dynamic detectors.

  5. Development of a concept for radiation patients exposure assessment during dental X-ray examinations and statistical data acquisition for the determination of a diagnostic reference value

    International Nuclear Information System (INIS)

    Kueppers, C.; Sering, M.; Poppe, B.; Poplawski, A.; Looe, H.K.; Beyer, D.; Pfaffenberger, A.; Chofor, N.; Eenboom, F.

    2012-01-01

    The research project on the development a concept for radiation patients exposure assessment during dental X-ray examinations and statistical data acquisition for the determination of a diagnostic reference value includes the following issues: Fundamental facts: dental X-ray examination techniques, dose relevant factors and characteristics during X-ray examinations, radiation exposed organs during dental X-ray examinations, dose assessment based on phantoms. Materials and methodologies of the project: TLD measurements using the phantom, calculation of the effective dose during dental X-ray examinations, properties and settings of the reference facilities for the determination of radiation exposure, selection of dental offices, dosimetric measurements, data acquisition and statistical evaluation. Results of dosimetric examinations: results of dosimetric measurements at reference facilities, results of dosimetric measurements in dental offices. Discussion of the concept for the determination of the radiation exposure during dental X-ray examinations.

  6. Improvements in the management of rheumatic patients from vertebral image obtained through dual-energy X-ray absorptiometry

    Directory of Open Access Journals (Sweden)

    D. Gatti

    2011-09-01

    Full Text Available The diagnosis of asymptomatic vertebral fracture is clinically useful and the identification of new fractures may influences the choice of appropriate therapeutic measures. In order to identify moderate and asymptomatic vertebral deformities in an objective and reproducible manner, vertebral morphometry is performed. This method measures the vertebral body’s anterior, middle and posterior heights at the dorsal and lumbar level. Currently this technique is performed on lateral images of the spine obtained through the traditional X-ray method (radiological morphometry or morphometric X-ray radiography, MRX and, more recently from images obtained through dual-energy X-ray absorptiometry (DXA machines (visual assessment of x-ray absoptiometry scans or morphometric X-ray absorptiometry, MXA, commonly used to measure bone mineral density. The main advantage of MXA relative to MRX is the lower radiation dose to which the patient is exposed during the exam. In addition, MXA scans offers the advantage of acquiring a single image of thoracic and lumbar spine, without any distortion (e.g.: coning. The most obvious advantage of MXA is the opportunity of obtaining during the same session a bone mineral density evaluation, and digital images that are easily processable, manageable, recordable and comparable for the patient’s follow up. A limitation of the MXA technique is the inferior quality of the images, that make often impossible the detection of the vertebral edges, and the impossibility to visualize the upper thoracic vertebral bodies. MXA, despite its intrinsic limitations, when carried out by trained personnel may provide substantial improvements in the management (diagnosis and follow-up of rheumatic patients.

  7. X-Ray

    Science.gov (United States)

    ... enema. What you can expect During the X-ray X-rays are performed at doctors' offices, dentists' offices, ... as those using a contrast medium. Your child's X-ray Restraints or other techniques may be used to ...

  8. Abdominal x-ray

    Science.gov (United States)

    Abdominal film; X-ray - abdomen; Flat plate; KUB x-ray ... There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most ...

  9. Chest X-Ray

    Medline Plus

    Full Text Available ... talk with you about chest radiography also known as chest x-rays. Chest x-rays are the ... treatment for a variety of lung conditions such as pneumonia, emphysema and cancer. A chest x-ray ...

  10. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... have very controlled x-ray beams and dose control methods to minimize stray (scatter) radiation. This ensures that those parts of a patient's body not being imaged receive minimal radiation exposure. top of page What are the limitations of Bone X-ray (Radiography)? ...

  11. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... standards used by radiology professionals. Modern x-ray systems have very controlled x-ray beams and dose control methods to minimize stray (scatter) radiation. This ensures that those parts of a patient's body not being imaged receive minimal radiation exposure. ...

  12. Comparison of bioimpedance analysis and dual-energy x-ray absorptiometry in peritoneal diaysis patients according to edema

    OpenAIRE

    Seok Hui Kang; Kyu Hyang Cho; Jong Won Park; Kyung Woo Yoon; Jun Young Do

    2012-01-01

    The change in difference between bioimpedance analysis (BIA) and dual-energy X-ray absorptiometry (DEXA) according to edema is an important issue for peritoneal dialysis (PD) patients. We reviewed all adults who received PD. Patients had undergone two body composition measurements. 1108 cases were measured simultaneously by BIA and DEXA. Measurements were divided into four quartiles based on edema index. There were significant correlations and intraclass correlations between the two methods f...

  13. Computed tomography of pelvic fractures

    Energy Technology Data Exchange (ETDEWEB)

    Kimoto, Makoto; Hashimoto, Keiji; Hiraki, Yoshio

    1984-12-01

    Plain x-ray and computed tomographic (CT) findings were compared in 7 patients with pelvic fractures (2 males and 5 females) aged between 35 and 50 year. Plain x-rays had a higher sensitivity than CT in detecting fractures of the ischiatic and pubic ramuses, and deviation of bone fragments. CT was superior to plain x-rays near the acetabulum and in detecting deviation of bone fragments. Although there were no differences between the two modalities in detecting fractures of the wing of ilium, CT was more useful than plain x-rays in visualizing deviation of bone fragments. CT clearly visualized not only fractures but also injuries of the soft tissues, such as pelvic viscera and muscles, and the presence of hematoma. CT seems to be a useful method for observing the condition and process of pelvic injuries and for deciding treatment protocols.

  14. Determination of mean glandular dose on patients and phantom in X-ray mammography

    International Nuclear Information System (INIS)

    Avramova-Cholakova, S.; Vassileva, J.

    2008-01-01

    The statistics of breast cancer rate in Bulgaria show a tendency towards increase of the morbidity from this disease. Last years campaigns against breast cancer are organized yearly. This leads to an increased number of screening and diagnostic mammograms that are made in the country. The dose associated with the examination is very low but not slightingly small. The glandular tissue in the breast is considered to be the most sensitive in relation to the radiation exposure. Several publications propose different methods, measurement set up or conversion coefficients for the calculation of the mean glandular dose (MGD) delivered to the breast during the X-ray examination. The question about the standardization of the measurement procedures arises since the differences in the results obtained using different methodologies may be quite big. The aim of this work is to develop a standard procedure for the measurement of MGD based on the recommendations mentioned in the European protocol on dosimetry in mammography, the European protocol for the quality control of the physical and technical aspects of mammography screening and the Code of practice: TRS 457 of the IAEA. Five contemporary film-screen mammography units were included in this study. Attention should be paid to the measurement set up. The reference point is chosen 6 cm from the chest wall edge laterally centered. If an ionization chamber is used for dose measurements the compression plate should be placed in close contact with it. If solid state detectors are used the compression plate should be put away from the detector and the output recalculated like if the plate is near the detector. The conversion coefficients for age dependence are not used in this study as not appropriate for the population included in it. PMMA measurements for the determination of diagnostic reference levels could be used but more correct results would be obtained with patient measurements

  15. Sister chromatid exchanges in X-ray irradiated blood lymphocytes from patients with hereditary diseases with radioresistant DNA synthesis

    International Nuclear Information System (INIS)

    Pleskach, N.M.; Andriadze, M.I.; Mikhel'son, V.M.; Zhestyanikov, V.D.

    1988-01-01

    X-ray irradiation induced sister chromatid exchanges (SCE) in blood lymphocytes from patient with Down's syndrome and adult progeria (in both the cases radioresistant DNA synthesis takes place). In normal lymphocytes (in which ionizing radiation inhibits the replicative synthesis of DNA) the rate of SCE rises with the rise of radiation dose. Thus, the rate of SCE in X-ray irradiated lymphocytes is in reverse dependence with radioresistance of replicative synthesis of DNA. The data obtained are explained in accordance with the replicative hypothesis of the SCE nature (Painter, 1980a): in cells of patients with Down's syndrome, xeroderma pigmentosum from 2 and progeria of adults the time of existence of partly replicated clusters of replicons is decreased due to radioresistant replicative synthesis of DNA, but the presence of partly replicated clusters of replicons in necessary for SCE formation. Therefore the rate of SCF in X-irradiated cells of these patients decreases

  16. X-ray astronomy

    International Nuclear Information System (INIS)

    Giacconi, R.; Gursky, H.

    1974-01-01

    This text contains ten chapters and three appendices. Following an introduction, chapters two through five deal with observational techniques, mechanisms for the production of x rays in a cosmic setting, the x-ray sky and solar x-ray emission. Chapters six through ten include compact x-ray sources, supernova remnants, the interstellar medium, extragalactic x-ray sources and the cosmic x-ray background. Interactions of x rays with matter, units and conversion factors and a catalog of x-ray sources comprise the three appendices. (U.S.)

  17. Estimation of foetus risk from x-ray pelvimetric examinations

    International Nuclear Information System (INIS)

    Iba, Shozo; Sato, Kazuichi

    1983-01-01

    X-ray pelvimetric examinations are carried out for the purpose of diagnosing the cephalo pelvic disproportion at terminal pregnancy and they are still an excellent method, being performed more often than other examinations. However the invitable fetal exposure is considered to be a significant dose and makes an estimation of stochastic fetal risk related to x-ray exposure and to investigate the methods of dose reduction. As the methods judging the exposure dose actually made in the hospitals, a questionnarie regarding the main technical factors of an x-ray examination was given to 26 hospitals, including 5 university hospitals, in Kantou district, and the answeres were analyzed. The estimated risks involving genetics, leukemia and malignant diseases were dependent on the exposure dose which could be calculated on the basis of the technical factors obtained. Total risks on the foetus ranged widely from 1.27 x 10 rad -1 to 1.19 x 10 rad -1 . So for as we have investigated, if all the hospitals used a grid ratio of 5:1, a tube voltage of 120 kV, intensitying screens with rare earth phosphors and green-sensitive orthomatic medical x-ray films for the x-ray pelvimetric examinations, it would be possible to reduce the present exposure dose by one-fourth. The ratio of the x-ray pelvimetry taken on pregnant patients ranged from 2 % to 33 %, having a mean value of 15 %. (author)

  18. Using thermoluminescence dosimetry (TLD) to determine the gonadal dose of patients under-going chest X-ray examinations at NKST hospital, Mkar

    International Nuclear Information System (INIS)

    Agba, E.H.; Akaagerger, N.B.; Kungur, S.T.

    2011-01-01

    The doses absorbed by the gonads of patients undergoing chest X-ray examinations at NKST Christian Hospital, Mkar was determined using the Thermoluminescence Dosimetry Technique of measurement. Also, the direct X-ray dose to the chest of patients undergoing the routine examinations was also determined using the Thermolumnescence Dosimetry technique of measurement. The mean gonadal dose and the X-ray dose to the patients were found to be 0.03±0.02μSv and 0.04±0.03mSv respectively after exposure. These X-ray doses to the patients is seen to be within the acceptable recommended X -ray dose limits of 1mGy recommended by ICRP.

  19. X-ray apparatus

    International Nuclear Information System (INIS)

    Tomita, Chuji.

    1980-01-01

    A principal object of the present invention is to provide an X-ray apparatus which is such that the distance between the surface of the patient's table and the floor on which the apparatus is installed is sufficiently small in the horizontal position of the patient's table of the roentgenographical pedestal and that the rotation of the pedestal from the horizontal position to a tilted position and further to the vertical position of the table can be carried out smoothly. (auth)

  20. Ultrasound and X-ray-based bone densitometry in patients with anorexia nervosa.

    Science.gov (United States)

    Resch, H; Newrkla, S; Grampp, S; Resch, A; Zapf, S; Piringer, S; Hockl, A; Weiss, P

    2000-05-01

    In 20 patients (mean age 23+/-5 years) with anorexia nervosa (AN), bone mass was evaluated by broadband ultrasound attenuation (BUA) of the calcaneus, peripheral quantitative computed tomography (pQCT) of the distal radius, and dual X-ray absorptiometry (DXA) of the lumbar spine and the hip. Compared with 20 age- and sex- matched healthy controls, patients with AN showed marked osteopenia at all measuring sites. Values of BUA (33.0+/-9 dB/MHz vs. 51.0+/-5.7 dB/MHz; P<0.0001) and of BMD of all regions of the hip (e.g., femoral neck: 0.71+/-0.13 g/cm(2) versus 0.89+/-0.07 g/cm(2); P<0.001), lumbar spine (0.82+/-0.15 g/cm(2) versus 1.24+/-0.06 g/cm(2); P<0.003) and total BMD of the peripheral radius (303.2+/-75 g/cm(3) versus 369.4+/-53.2 g/cm(3), P<0.001) were significantly reduced. Calculating a Z-score we found the most prominent differences between AN and controls by BUA of the calcaneus (-3.2+/-1.6), followed by DXA at the lumbar spine (-2.9+/-2.2) and the hip (femoral neck -2.1+/-1.7) and by pQCT at the distal radius (total BMD -1.2+/-2.0). There were highly significant correlations between BUA of the calcaneus and BMD of the femoral neck (r = 0.78, P<0.0001) and lumbar spine (r = 0.75, P<0.0001) as well as between BMD values of the femoral neck and lumbar spine (r = 0.95; P<0.0001). In addition, there were significant correlations (P<0.001) between body mass index (BMI) and the three different measuring sites and between the duration of the disease and BUA (r = 0.5, P<0.05). Our data suggest that BUA of the calcaneus is a valuable tool in the management of osteoporosis. Being a fast, radiation-free investigation method of good acceptance, it may be well suited for an assessment of the skeletal status in patients with AN.

  1. Impact of digital imaging on radiation doses to the patient during X-ray examination of the urinary tract.

    Science.gov (United States)

    Sjöholm, B; Geijer, H; Persliden, J

    2005-10-01

    To compare radiation doses given to patients undergoing IVU (intravenous urography) before and after digitalization of our X-ray department. IVU examinations were monitored with dose area product meters before and after the X-ray department changed to digital techniques. The first step was a change from film-screen to storage phosphor plates, while the second step involved changing to a flat panel detector. Forty-two patients were included for the film-screen situation, 69 when using the storage phosphor plates, and 70 using the flat panel detector. A dose reduction from 41.8 Gycm2 to 31.5 Gycm2 was achieved with the first step when the film-screen system was replaced with storage phosphor plates. A further reduction to 12.1 Gycm2 was achieved using the flat panel detector. The introduction of the flat panel detectors made a considerable dose reduction possible.

  2. Development of a head simulator for exposure dose estimation on patients exposed by odontological X-rays

    International Nuclear Information System (INIS)

    Moura Neto, Francisco N.; Batista, Eutropio V.; Santos, Adriano M.

    2009-01-01

    In the obtaining a odontological radiography, the individual is exposed to te radiation and part of that radiation will be absorbed by his organism. The estimative of absorbed dose can be accomplished through calculations where are considered: the distance from the source to the individual, the energy of the emitted X-ray at the moment of the exposure and the bode region exposed; and as that option does not possess great precision, alternative forms are seek for the quantification such doses. This work proposes the construction of a head simulator to be used in the estimative of absorbed dose in patients, during the accomplishment of the odontological radiographic examinations. As a perspective of work, it is intended to use the phantom to help in the absorbed doses for obtainment of parameters in X-ray odontological devices, contributing of image obtainment with more quality and less radiation dose in the patient

  3. Patient dose simulations for scanning-beam digital x-ray tomosynthesis of the lungs

    International Nuclear Information System (INIS)

    Nelson, Geoff; Fahrig, Rebecca; Yoon, Sungwon; Krishna, Ganesh; Wilfley, Brian

    2013-01-01

    location. When tumor SNR is held constant (i.e., x-ray fluence is scaled appropriately), SBDX gives 2–10 times less dose than fluoroscopy for the same conditions within the typical range of patient locations. The relative position of the patient (as a percent of SDD) has a much more significant impact on dose than either SDD or patient position. The patient position providing the minimum dose for a given tumor SNR and SDD is approximately the same as the position of maximum tomographic angle.Conclusions: SBDX offers a significant dose advantage over currently used C-arm fluoroscopy. The patient location with lowest dose coincides with the location of maximum tomographic angle. In order to provide adequate space for the patient and for the pulmonologists’ equipment, a SDD of 100 cm is recommended

  4. Patient dose simulations for scanning-beam digital x-ray tomosynthesis of the lungs

    Energy Technology Data Exchange (ETDEWEB)

    Nelson, Geoff; Fahrig, Rebecca [Department of Radiology, Stanford University, Stanford, California 94305 (United States); Yoon, Sungwon [Varian Medical Systems, Palo Alto, California 94304 (United States); Krishna, Ganesh [Palo Alto Medical Foundation, Mountain View, California 94040 (United States); Wilfley, Brian [Triple Ring Technologies, Inc., Newark, California 94560 (United States)

    2013-11-15

    location. When tumor SNR is held constant (i.e., x-ray fluence is scaled appropriately), SBDX gives 2–10 times less dose than fluoroscopy for the same conditions within the typical range of patient locations. The relative position of the patient (as a percent of SDD) has a much more significant impact on dose than either SDD or patient position. The patient position providing the minimum dose for a given tumor SNR and SDD is approximately the same as the position of maximum tomographic angle.Conclusions: SBDX offers a significant dose advantage over currently used C-arm fluoroscopy. The patient location with lowest dose coincides with the location of maximum tomographic angle. In order to provide adequate space for the patient and for the pulmonologists’ equipment, a SDD of 100 cm is recommended.

  5. Method of estimating patient skin dose from dose displayed on medical X-ray equipment with flat panel detector

    International Nuclear Information System (INIS)

    Fukuda, Atsushi; Koshida, Kichiro; Togashi, Atsuhiko; Matsubara, Kousuke

    2004-01-01

    The International Electrotechnical Commission (IEC) has stipulated that medical X-ray equipment for interventional procedures must display radiation doses such as air kerma in free air at the interventional reference point and dose area product to establish radiation safety for patients (IEC 60601-2-43). However, it is necessary to estimate entrance skin dose for the patient from air kerma for an accurate risk assessment of radiation skin injury. To estimate entrance skin dose from displayed air kerma in free air at the interventional reference point, it is necessary to consider effective energy, the ratio of the mass-energy absorption coefficient for skin and air, and the backscatter factor. In addition, since automatic exposure control is installed in medical X-ray equipment with flat panel detectors, it is necessary to know the characteristics of control to estimate exposure dose. In order to calculate entrance skin dose under various conditions, we investigated clinical parameters such as tube voltage, tube current, pulse width, additional filter, and focal spot size, as functions of patient body size. We also measured the effective energy of X-ray exposure for the patient as a function of clinical parameter settings. We found that the conversion factor from air kerma in free air to entrance skin dose is about 1.4 for protection. (author)

  6. PCXMC. A PC-based Monte Carlo program for calculating patient doses in medical x-ray examinations

    International Nuclear Information System (INIS)

    Tapiovaara, M.; Lakkisto, M.; Servomaa, A.

    1997-02-01

    The report describes PCXMC, a Monte Carlo program for calculating patients' organ doses and the effective dose in medical x-ray examinations. The organs considered are: the active bone marrow, adrenals, brain, breasts, colon (upper and lower large intestine), gall bladder, heats, kidneys, liver, lungs, muscle, oesophagus, ovaries, pancreas, skeleton, skin, small intestine, spleen, stomach, testes, thymes, thyroid, urinary bladder, and uterus. (42 refs.)

  7. Comparative evaluations of the results of common X-ray examinations and computerized tomography in patients with exogenous allergic alveolitis

    International Nuclear Information System (INIS)

    Khomenko, A.G.; Dmitrieva, L.I.; Khikkel', Kh.G.; Myuller, S.

    1989-01-01

    A correlative study of the results of x-ray examination using routine methods and computerized tomography (CT) was conducted to specify the roentgenomorphological substrate of changes in patients with exogenous allergic alveolitis. The established complex of routine methods is informative enough to interpret the revealed changes. However, at early stages CT helps to specify semiotics and permits obtaining additional information, particularly on quantitative, i.e. densitometric changes. In diffuse and disseminated pulmonary lesions CT can be used as an additional method

  8. X-ray diagnosis of mutilating arthritis in patients with psoriatic arthritis Smirnov A.V.

    Directory of Open Access Journals (Sweden)

    A.V. Smirnov

    2014-01-01

    Full Text Available The typical X-ray symptoms of psoriatic arthritis (PsA in joints of hands and distal sections of feet (asymmetric lesions; isolated lesion of distal interphalangeal joints (DIJ of hands with no changes in other small joints of hands; axial lesion of three joints in a single finger; transverse lesion of joints of the hand at the same level; destruction of distal phalanges; narrowing of the distal epiphysis of hand finger phalanges and metacarpal bones; cup-shaped deformity of the proximal portion of hand finger phalanges and narrowing of distal epiphysis; osseous ankyloses; multiple osteolytic lesions and destruction of bone epiphysis and joint deformities; inflammatory changes in the sacroiliac joints; and typical degenerative changes in the spine are described. It is especially important to know X-ray manifestations of PsA when there are no typical cutaneous manifestations of psoriasis. 

  9. Dental x-ray validation study: comparison of information from patient interviews and dental charts

    International Nuclear Information System (INIS)

    Preston-Martin, S.; Bernstein, L.; Maldonado, A.A.; Henderson, B.E.; White, S.C.

    1985-01-01

    Information was collected from dentists of a subset of participants in a case-control interview study conducted in Los Angeles County, California, in August 1980-August 1981 to evaluate the relationship of dental x-rays to tumors of the parotid gland. Complete dental charts were available from 142 dentists of 84 cases and from 130 dentists of 79 control. Analysis of data from these interview chart comparisons indicates that recall appears to be unbiased since the measures of agreement between interview and dental chart data are similar for cases and controls. The authors further conclude that interview data alone may be used for case-control comparisons of dental x-ray exposure and would, because of unbiased misclassification, tend to underestimate the relative risks. 12 references, 3 tables

  10. Dental X-ray apparatus

    International Nuclear Information System (INIS)

    Weiss, M.E.

    1980-01-01

    Intra-oral dental X-ray apparatus for panoramic radiography is described in detail. It comprises a tubular target carrier supporting at its distal end a target with an inclined forward face. Image definition is improved by positioning in the path of the X-rays a window of X-ray transmitting ceramic material, e.g. 90% oxide of Be, or Al, 7% Si0 2 . The target carrier forms a probe which can be positioned in the patient's mouth. X-rays are directed forwardly and laterally of the target to an X-ray film positioned externally. The probe is provided with a detachable sleeve having V-form arms of X-ray opaque material which serve to depress the tongue out of the radiation path and also shield the roof of the mouth and other regions of the head from the X-ray pattern. A cylindrical lead shield defines the X-ray beam angle. (author)

  11. Trends in x-ray photography and patient exposure dose. Questionnaire survey results compared with those in 1973. [questionnaire survey in 1979

    Energy Technology Data Exchange (ETDEWEB)

    Orito, T; Sanada, S; Maekawa, R; Koshida, K; Hiraki, T [Kanazawa Univ. (Japan). School of Paramedicine

    1980-04-01

    The exposure doses of patients in X-ray photography are influenced by such technological factors as X-ray tube voltage, filter, sensitizing screen, film and grid. Survey by questionnnaire was made previously in 1973 on the above factors. The trends five years after were surveyed similarly, in connection with the exposure doses of patients. Questionnaires were sent to 200 radiation technicians, and 121 (60.5%) answered the survey in March, 1979. The results in the cases of simple X-ray photography and obstetric, infant and breast X-ray photographings are described. X-ray tube voltage is generally on the increase. In the sensitizing screens, exposure doses are fairly decreased due to the use of improved intensifying screen (LT-II). In the grid, the ratio 8 : 1 is used more than 5 : 1. In the usage of additional filters and in the distance of photography, improvements are desired.

  12. Chest X-Ray

    Medline Plus

    Full Text Available ... about chest radiography also known as chest x-rays. Chest x-rays are the most commonly performed x-ray exams and use a very small dose of ... of the inside of the chest. A chest x-ray is used to evaluate the lungs, heart and ...

  13. X-ray cardiovascular examination apparatus

    International Nuclear Information System (INIS)

    1977-01-01

    An X-ray source is mounted in an enclosure for angulating longitudinally about a horizontal axis. An X-ray-permeable, patient-supporting table is mounted on the top of the enclosure for executing lateral and longitudinal movements. An X-ray image-receiving device such as an X-ray image intensifier is mounted above the table on a vertically movable arm which is on a longitudinally movable carriage. Electric control means are provided for angulating the X-ray source and image intensifier synchronously as the image intensifier system is shifted longitudinally or vertically such that the central ray from the X-ray source is kept intensifier

  14. Impact of quality control radiation doses received by patients undergoing abdomen x-ray examination in ten hospitals

    International Nuclear Information System (INIS)

    Aghahadi, B.; Zhang, Z.; Zareh, S.; Sarkar, S.; Tayebi, P. S.

    2006-01-01

    The X-ray machines used for radiodiagnosis should meet certain quality assurance programmes. These are necessary to have good quality radiographs at reasonably low exposure to patients. Materials and Methods: Dose reduction methods in abdomen X-ray examination were carried out in 10 hospitals in Tehran. This paper presents the work, which was implemented on 200 patients and evaluated using the entrance skin dose in the Anterior-Posterior abdomen projection measured directly at the center of the X-ray field. In addition, the machine room, and dark room parameters, as well as work practices and repeat rates were studied. Results: The quality control parameters and the entrance skin dose were evaluated utilizing an anthropologic phantom to define the optimal exposure condition at all hospitals before and after quality control . Results show that after using the quality control parameters and optimization of the exposure conditions, the mean of mAs and entrance skin dose can be decreased by 62% and 65% respectively. Conclusion: The quality of the radiographs generally increased. The reported method is easily implemented in any clinical situation where optimization of abdomen radiography is necessary

  15. Cost-effectiveness of clust X-ray follow-up of patients treated for seminoma of the testis

    Energy Technology Data Exchange (ETDEWEB)

    Ciatto, S; Cionini, L; Pacini, P

    1986-01-01

    The authors report on a consecutive series of 253 cases of seminoma of the testis followed with periodic chest X-ray examinations from a minimum of three to a maximum of 27 years. The detection rate of asymptomatic intrathoracic metastases (ITM) was considered together with the costs of the follow-up procedure. Chest X-ray follow-up is not advisable beyound one year from primary treatment, since most (14 of 18) ITM occur in the first year, the detection rate of ITM beyond this date is too low (0.11% patients/year), and the related costs are too high (over $ 130,000 per ITM detected). Chest X-ray follow-up is questionable even in the first year primary treatment for Stage I cases bacause of the low detection rate (1.38 % patients/year) and the high costs (over $ 14,000 per ITM detected), whwreas it appears to be opportune in Stage IIA and IIB.

  16. X-ray sky

    International Nuclear Information System (INIS)

    Gruen, M.; Koubsky, P.

    1977-01-01

    The history is described of the discoveries of X-ray sources in the sky. The individual X-ray detectors are described in more detail, i.e., gas counters, scintillation detectors, semiconductor detectors, and the principles of X-ray spectrometry and of radiation collimation aimed at increased resolution are discussed. Currently, over 200 celestial X-ray sources are known. Some were identified as nebulae, in some pulsations were found or the source was identified as a binary star. X-ray bursts of novae were also observed. The X-ray radiation is briefly mentioned of spherical star clusters and of extragalactic X-ray sources. (Oy)

  17. X-ray radiotherapy

    International Nuclear Information System (INIS)

    Tronc, D.

    1995-01-01

    Full text: The most common form of radio therapy is X-ray therapy, where a beam of photons or their parent electrons break down hydrogen bonds within the body's cells and remove certain DNA information necessary for cell multiplication. This process can eradicate malignant cells leading to complete recovery, to the remission of some cancers, or at least to a degree of pain relief. The radiotherapy instrument is usually an electron linac, and the electrons are used either directly in 'electrotherapy' for some 10% of patients, or the electrons bombard a conversion target creating a broad beam of high energy photons or 'penetration X-rays'. The simplest machine consists of several accelerating sections at around 3 GHz, accelerating electrons to 6 MeV; a cooled tungsten target is used to produce a 4 Gray/min X-ray field which can be collimated into a rectangular shape at the patient position. This tiny linac is mounted inside a rotating isocentric gantry above the patient who must remain perfectly still. Several convergent beams can also be used to increase the delivered dose. More sophisticated accelerators operate at up to 18 MeV to increase penetration depths and decrease skin exposure. Alternatively, electrotherapy can be used with different energies for lower and variable penetration depths - approximately 0.5 cm per MeV. In this way surface tissue may be treated without affecting deeper and more critical anatomical regions. This type of linac, 1 to 2 metres long, is mounted parallel to the patient with a bending magnet to direct the beam to the radiotherapy system, which includes the target, thick movable collimator jaws, a beam field equalizer, dose rate and optical field simulation and energy controls. There are over 2000 acceleratorbased X-ray treatment units worldwide. Western countries have up to two units per million population, whereas in developing countries such as Bangladesh, the density is only one per 100 million. Several

  18. Application- and patient size-dependent optimization of x-ray spectra for CT

    International Nuclear Information System (INIS)

    Kalender, Willi A.; Deak, Paul; Kellermeier, Markus; Straten, Marcel van; Vollmar, Sabrina V.

    2009-01-01

    Although x-ray computed tomography (CT) has been in clinical use for over 3 decades, spectral optimization has not been a topic of great concern; high voltages around 120 kV have been in use since the beginning of CT. It is the purpose of this study to analyze, in a rigorous manner, the energies at which the patient dose necessary to provide a given contrast-to-noise ratio (CNR) for various diagnostic tasks can be minimized. The authors used cylindrical water phantoms and quasianthropomorphic phantoms of the thorax and the abdomen with inserts of 13 mm diameter mimicking soft tissue, bone, and iodine for simulations and measurements. To provide clearly defined contrasts, these inserts were made of solid water with a 1% difference in density (DD) to represent an energy-independent soft-tissue contrast of 10 Hounsfield units (HU), calcium hydroxyapatite (Ca) representing bone, and iodine (I) representing the typical contrast medium. To evaluate CT of the thorax, an adult thorax phantom (300x200 mm 2 ) plus extension rings up to a size of 460x300 mm 2 to mimic different patient cross sections were used. For CT of the abdomen, we used a phantom of 360x200 mm 2 and an extension ring of 460x300 mm 2 . The CT scanner that the authors used was a SOMATOM Definition (Siemens Healthcare, Forchheim, Germany) at 80, 100, 120, and 140 kV. Further voltage settings of 60, 75, 90, and 105 kV were available in an experimental mode. The authors determined contrast for the density difference, calcium, and iodine, and noise and 3D dose distributions for the available voltages by measurements. Additional voltage values and monoenergetic sources were evaluated by simulations. The dose-weighted contrast-to-noise ratio (CNRD) was used as the parameter for optimization. Simulations and measurements were in good agreement with respect to absolute values and trends regarding the dependence on energy for the parameters investigated. For soft-tissue imaging, the standard settings of 120-140 k

  19. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... technologist, an individual specially trained to perform radiology examinations, positions the patient on the x-ray table ... bone is forming), for comparison purposes. When the examination is complete, you may be asked to wait ...

  20. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... x-ray machine is a compact apparatus that can be taken to the patient in a hospital ... so that any change in a known abnormality can be monitored over time. Follow-up examinations are ...

  1. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... imaged. When necessary, sandbags, pillows or other positioning devices will be used to help you maintain the ... here Images × Image Gallery Radiological technologist preparing to take an arm x-ray on a patient. View ...

  2. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... patient. top of page How does the procedure work? X-rays are a form of radiation like ... taken of the unaffected limb, or of a child's growth plate (where new bone is forming), for ...

  3. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... ray examination. X-rays usually have no side effects in the typical diagnostic range for this exam. ... minimize stray (scatter) radiation. This ensures that those parts of a patient's body not being imaged receive ...

  4. Radiation doses to patients from x-ray examinations - development from 2005 to 2008

    International Nuclear Information System (INIS)

    Leitz, Wolfram; Almen, Anja

    2010-04-01

    Data has been compiled and analyzed and compared with the earlier reports. Radiation doses were tested for possible links with various parameters (eg type of x-ray equipment, image recording systems, different technique factors). In conventional x-ray examinations radiation doses were, for equipment with direct digital image receivers, in average 30% lower than for those with photo plates. Mammography doses were, with one exception, the same for all types of equipment and video receivers. The CT-examinations had a small trend for higher doses for new equipment as compared to earlier. Use of exposure automation did not affect radiation doses. Compared with 2006, the doses of conventional surveys decreased by an average of 21%. One third of this dose reduction can be attributed the introduction of direct digital system whose use grew by about 30%. Most of the dose reduction can be attributed to the actions carried out to lower the dose of the reference level. Doses for the CT scan showed only a weak downwards trend. Mammography Doses decreased by an average of just over 10% a large part dependent on increased number of Sectra equipment. The system of diagnostic reference levels have again shown to have positive influence on the radiation level at the x-ray examinations, this is most pronounced for conventional radiography. There is still a large potential for dose reduction, and a measure to achieve this is to reduce the current reference levels. Very few diagnostic Standard doses are higher than the reference level. A reduction of the reference levels corresponding to the third quartile of dose distribution could lead further dose decrease of 10-20%. The corresponding reduction in dose should be done also for the DT and mammograms when lowering the reference level, there are few standard doses higher than the current reference levels

  5. Body composition in hemodialysis patients measured by dual-energy X-ray absorptiometry

    DEFF Research Database (Denmark)

    Stenver, Doris Irene; Gotfredsen, Arne; Hilsted, J

    1995-01-01

    Dual-energy X-ray absorptiometry (DXA) measures three of the principal components of the body: fat mass, lean soft-tissue mass (comprising muscle, inner organs, and the body water), and the bone mineral content. The purpose of this study was to test the estimation capacity of DXA when it is applied...... and reduction in fat-free mass (lean soft-tissue mass plus bone mineral content) was observed by DXA. The estimation of the fat-free mass was independent of the amount of fluid loss. No significant differences in variance between the data obtained before and after the dialysis were observed. We conclude...

  6. X-ray sensitivity of fibroblasts from patients with hereditary retinoblastoma and their families.

    OpenAIRE

    Pledger, J. V.; Craft, A. W.; Bartlett, K.; Long, D. R.

    1987-01-01

    The in vitro response to X-irradiation of cultured human fibroblasts was studied using a colony forming assay. A comprehensive reference range was established, giving a median D0 value of 98.5 cGy with an interquartile range of 86.5-110.5 cGy. Cells from 3 retinoblastoma family pedigrees were studied and the cell survival after exposure to X-rays was compared between affected (11 samples) and unaffected (26 samples) family members. No significant differences in response to ionising radiation ...

  7. Determination of elements in bone of tuberculous-arthritis patients by radioisotope X-ray fluorescence analysis

    International Nuclear Information System (INIS)

    Akyuez, T.; Bassari, A.; Akyuez, S.

    1998-01-01

    The quantitative analysis of the human femoral bone of 17 tuberculosis-arthritis (Koch-arthritis) patients (9 males and 8 females) in the age range of 45-65, for Ca, P, Zn, Sr, Ba, La and Ce were performed by using radioisotope energy dispersive X-ray fluorescence (EDXRF) and the results were compared with those of 12 healthy control groups (8 males and 4 females) in the range of 37-58. The results indicate that the concentrations of P, Ca and Sr in the control group are higher than those in the patient group, while the concentrations of Zn, Ba, La and Ce are not significantly different. (author)

  8. TU-F-18C-03: X-Ray Scatter Correction in Breast CT: Advances and Patient Testing

    International Nuclear Information System (INIS)

    Ramamurthy, S; Sechopoulos, I

    2014-01-01

    Purpose: To further develop and perform patient testing of an x-ray scatter correction algorithm for dedicated breast computed tomography (BCT). Methods: A previously proposed algorithm for x-ray scatter signal reduction in BCT imaging was modified and tested with a phantom and on patients. A wireless electronic positioner system was designed and added to the BCT system that positions a tungsten plate in and out of the x-ray beam. The interpolation used by the algorithm was replaced with a radial basis function-based algorithm, with automated exclusion of non-valid sampled points due to patient motion or other factors. A 3D adaptive noise reduction filter was also introduced to reduce the impact of scatter quantum noise post-reconstruction. The impact on image quality of the improved algorithm was evaluated using a breast phantom and seven patient breasts, using quantitative metrics such signal difference (SD) and signal difference-to-noise ratios (SDNR) and qualitatively using image profiles. Results: The improvements in the algorithm resulted in a more robust interpolation step, with no introduction of image artifacts, especially at the imaged object boundaries, which was an issue in the previous implementation. Qualitative evaluation of the reconstructed slices and corresponding profiles show excellent homogeneity of both the background and the higher density features throughout the whole imaged object, as well as increased accuracy in the Hounsfield Units (HU) values of the tissues. Profiles also demonstrate substantial increase in both SD and SDNR between glandular and adipose regions compared to both the uncorrected and system-corrected images. Conclusion: The improved scatter correction algorithm can be reliably used during patient BCT acquisitions with no introduction of artifacts, resulting in substantial improvement in image quality. Its impact on actual clinical performance needs to be evaluated in the future. Research Agreement, Koning Corp., Hologic

  9. Differences in male and female spino-pelvic alignment in asymptomatic young adults: a three-dimensional analysis using upright low-dose digital biplanar X-rays.

    Science.gov (United States)

    Janssen, Michiel M A; Drevelle, Xavier; Humbert, Ludovic; Skalli, Wafa; Castelein, René M

    2009-11-01

    A three-dimensional analysis of spino-pelvic alignment in 60 asymptomatic young adult males and females. To analyze the differences in sagittal spino-pelvic alignment in a group of asymptomatic young adult males and females and describe gender specific reference values. Several spinal disorders like idiopathic scoliosis and Scheuermann's disease have a well-known sex-related prevalence ratio. As spino-pelvic alignment plays an important role in spinal biomechanics, it is imperative to analyze possible differences between the male and female spino-pelvic alignment. Furthermore, in spinal fusion surgery, normal sagittal balance should be recreated as closely as possible. An innovative biplanar ultra low-dose radiographic technique was used to obtain three-dimensional reconstructions of the spine (T1-L5), sacrum, and pelvis in a freestanding position of 30 asymptomatic young male and 30 young female adults. Values were calculated for thoracic kyphosis (T4-T12), lumbar lordosis (L1-S1), total and regional lumbopelvic lordosis (PRT12, PRL2, PRL4, and PRL5), sagittal plumb line of T1, T4, and T9 (HAT1, HAT4, and HAT9), T1-L5 sagittal spinal inclination, T9 sagittal offset, and pelvic parameters (pelvic tilt, sacral slope, and pelvic incidence). In addition, vertebral inclination in the sagittal plane of each vertebra was measured. Differences in spino-pelvic alignment between the sexes were analyzed. The female spine was more dorsally inclined (11 degrees vs. 8 degrees ; P = 0.003). High thoracic and thoracolumbar vertebrae were more dorsally inclined in women than in men. Thoracic kyphosis, lumbar lordosis, regional lumbopelvic lordosis, sagittal plumb lines, T9 sagittal offset, and pelvic parameters were not statistically different between the sexes. These results indicate that the female spine is definitely different from the male spine. The spine as whole and individual vertebrae in certain regions of the normal spine is more backwardly inclined in females than in

  10. Dental X-ray apparatus

    International Nuclear Information System (INIS)

    Weiss, M.E.

    1980-01-01

    Intra-oral dental X-ray apparatus for panoramic dental radiography is described in detail. It comprises an electron gun having an elongated tubular target carrier extending into the patient's mouth. The carrier supports an inclined target for direction of an X-ray pattern towards a film positioned externally of the patient's mouth. Image definition is improved by a focusing anode which focuses the electron beam into a sharp spot (0.05 to 0.10 mm diameter) on the target. The potential on the focusing anode is adjustable to vary the size of the spot. An X-ray transmitting ceramic (oxides of Be, Al and Si) window is positioned adjacent to the front face of the target. The electron beam can be magnetically deflected to change the X-ray beam direction. (author)

  11. Assessment of dose to patients undergoing computed radiography and film screen x-ray examinations in some Khartoum Hospitals

    International Nuclear Information System (INIS)

    Mohamed Khair, Haiffa Daffa Allah Mustafa

    2015-12-01

    Medical ionizing radiation sources give by far the largest contribution to the population dose from man made sources and most of the contribution comes from diagnostic x-rays. The optimization principle of radiation protection requires the minimization of radiation dose to patients while acquiring diagnostic quality images in radiology. In radiography, the extent of patient dose reduction is limited by the characteristics of the system used and the quality (or penetrating ability) of the x-ray beam. In this study, the entrance surface air kerma doses (ESA Ks) to patients undergoing 7 selected x-ray examinations were estimated. The study was conducted in eight hospitals in Khartoum State, comprising nine x-ray units and a total of 1200 patients were involved. Four of the hospitals involved in this study use computed radiography (CR) technology while the other four use film screen (FS) technology. The selected examinations were, abdomen (AP), chest (PA), pelvis (AP), skull (AP/PA), skull (LAT), thoracic spine (AP) and thoracic spine (LAT). The entrance surface air kerma was calculated by two methods, utilizing software CAL Dose X-3.5 and a mathematical model. Average ESAK values calculated using the two methods for hospitals using (CR) technology in mGy were 2.99 and 2.98, 0.34 and 0.31, 2.79 and 2.58, 0.76 and 0.71, 0.94 and 0.79, 3.4 and 3,2 and 5.9 and 5.03, for the above mentioned selected investigations respectively. And average ESAK values calculated using two methods for hospital using FS technology in mGy were found 4.98 and 4.19, 0.37 and 0.34, 4.15 and 3.95, 2.2 and 2. 1.3 and 1.1, 3.9 and 3.9, 9.4 and 8.3 for the above mentioned selected investigations respectively. Average ESAK values obtained by two methods for FS were higher values than the obtained by CR by 37 and 29%, 50 and 25%, 8%, 32 and 34%, 65 and 64%, 27 and 28%, 12% and 73% and 39% for the above mentioned selected investigations, respectively. This shows that CR technique allows diagnostically

  12. Diagnostic accuracy of full-body linear X-ray scanning in multiple trauma patients in comparison to computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Joeres, A.P.W.; Heverhagen, J.T.; Bonel, H. [Inselspital - University Hospital Bern (Switzerland). Univ. Inst. of Diagnostic, Interventional and Pediatric Radiology; Exadaktylos, A. [Inselspital - University Hospital Bern (Switzerland). Dept. of Emergency Medicine; Klink, T. [Inselspital - University Hospital Bern (Switzerland). Univ. Inst. of Diagnostic, Interventional and Pediatric Radiology; Wuerzburg Univ. (Germany). Inst. of Diagnostic and Interventional Radiology

    2016-02-15

    The purpose of this study was to evaluate the diagnostic accuracy of full-body linear X-ray scanning (LS) in multiple trauma patients in comparison to 128-multislice computed tomography (MSCT). 106 multiple trauma patients (female: 33; male: 73) were retrospectively included in this study. All patients underwent LS of the whole body, including extremities, and MSCT covering the neck, thorax, abdomen, and pelvis. The diagnostic accuracy of LS for the detection of fractures of the truncal skeleton and pneumothoraces was evaluated in comparison to MSCT by two observers in consensus. Extremity fractures detected by LS were documented. The overall sensitivity of LS was 49.2%, the specificity was 93.3%, the positive predictive value was 91%, and the negative predictive value was 57.5%. The overall sensitivity for vertebral fractures was 16.7%, and the specificity was 100%. The sensitivity was 48.7% and the specificity 98.2% for all other fractures. Pneumothoraces were detected in 12 patients by CT, but not by LS.40 extremity fractures were detected by LS, of which 4 fractures were dislocated, and 2 were fully covered by MSCT. The diagnostic accuracy of LS is limited in the evaluation of acute trauma of the truncal skeleton. LS allows fast whole-body X-ray imaging, and may be valuable for detecting extremity fractures in trauma patients in addition to MSCT.

  13. Digital X-ray radiogrammetry better identifies osteoarthritis patients with a low bone mineral density than quantitative ultrasound

    Energy Technology Data Exchange (ETDEWEB)

    Goerres, Gerhard W. [University Hospital Zurich, Institute of Diagnostic Radiology, Department of Medical Radiology, Zurich (Switzerland); University Hospital Zurich, Osteoporosis Center, Zurich (Switzerland); Frey, Diana; Studer, Annina; Hauser, Dagmar; Zilic, Nathalie [University Hospital Zurich, Osteoporosis Center, Zurich (Switzerland); Hany, Thomas F. [University Hospital Zurich, Institute of Nuclear Medicine, Department of Medical Radiology, Zurich (Switzerland); Seifert, Burkhardt [University of Zurich, Department of Biostatistics, Zurich (Switzerland); Haeuselmann, Hans J. [Center for Rheumatology and Bone Disease, Klinik im Park, Zurich (Switzerland); Michel, Beat A.; Uebelhart, Daniel [University Hospital Zurich, Osteoporosis Center, Zurich (Switzerland); University Hospital Zurich, Department of Rheumatology and Institute of Physical Medicine, Zurich (Switzerland); Hans, Didier [University Hospital Geneva, Division of Nuclear Medicine, Geneva (Switzerland)

    2007-04-15

    This study assessed the ability of quantitative ultrasound (QUS) and digital X-ray radiogrammetry (DXR) to identify osteopenia and osteoporosis in patients with knee osteoarthritis (OA). One hundred and sixty-one patients with painful knee OA (81 men, 80 women; age 62.6{+-}9.2 years, range 40-82 years) were included in this cross-sectional study and underwent dual-energy X-ray absorptiometry (DXA) of both hips and the lumbar spine, QUS of the phalanges and calcanei of both hands and heels, and DXR using radiographs of both hands. Unpaired t-test, Mann-Whitney U test, ROC analysis and Spearman's rank correlation were used for comparisons and correlation of methods. Using DXA as the reference standard, we defined a low bone mineral density (BMD) as a T-score {<=}-1.0 at the lumbar spine or proximal femur. In contrast to phalangeal or calcaneal QUS, DXR was able to discriminate patients with a low BMD at the lumbar spine (p<0.0001) or hips (p<0.0001). ROC analysis showed that DXR had an acceptable predictive power in identifying OA patients a low hip BMD (sensitivity 70%, specificity 71%). Therefore, DXR used as a screening tool could help in identifying patients with knee OA for DXA. (orig.)

  14. Radiation risk to the patient: a case study involving multiple diagnostic X ray exposures given over a period of 25 years

    International Nuclear Information System (INIS)

    Rainbow, A.J.; McMaster Univ., Hamilton, ON; Roginski, P.; McGeen, W.

    1992-01-01

    The cumulative somatic dose index (SDI) for a number of diagnostic X ray examinations was made for a 60 year old male. The history of diagnostic X ray exposure for this patient from 1957 to 1983 showed 29 diagnostic X ray examinations including more than 100 films and 15 minutes of fluoroscopy. The total cumulative SDI to this patient was 214 mGy (about 21 rad). More than half this dose, 142 mGy, was contributed from upper GI and barium enema examinations which used fluoroscopy, with 88 mGy from the fluoroscopy alone. Using the recently revised risk coefficient for fatal cancer following whole-body irradiation of adult workers recommended by the International Commission on Radiological Protection in 1990, the authors estimate a 0.9% cancer morality risk to this patient resulting from the 29 diagnostic X ray examinations. (author)

  15. X ray sensitivity of diploid skin fibroblasts from patients with Fanconi's anemia

    Science.gov (United States)

    Kale, Ranjini

    1989-01-01

    Experiments were performed on Fanconi's anemia and normal human fibroblast cell lines growing in culture in an attempt to correlate cell cycle kinetics with genomic damage and determine their bearing on the mechanism of chromosome aberration induction. FA fibroblasts showed a significantly increased susceptibility to chromosomal breakage by x rays in the G2 phase of the cell cycle. No such response was observed in fibroblasts irradiated in the G0 phase. The observed increases in achromatic lesions and in chromatid deletions in FA cells as compared with normal cells appear to indicate that FA cells are deficient in strand break repair and also possibly in base damage excision repair. Experiments are now in progress to further elucidate the mechanisms involved.

  16. Chest X-Ray

    Medline Plus

    Full Text Available ... some concerns about chest x-rays. However, it’s important to consider the likelihood of benefit to your health. While a chest x-ray use a ... posted: How to Obtain and Share ...

  17. Chest X-Ray

    Medline Plus

    Full Text Available ... X-ray Transcript Welcome to Radiology Info dot org! Hello, I’m Dr. Geoffrey Rubin, a radiologist ... about chest x-rays, visit Radiology Info dot org. Thank you for your time! Spotlight Recently posted: ...

  18. X-ray apparatus

    International Nuclear Information System (INIS)

    Sell, L.J.

    1981-01-01

    A diagnostic x-ray device, readily convertible between conventional radiographic and tomographic operating modes, is described. An improved drive system interconnects and drives the x-ray source and the imaging device through coordinated movements for tomography

  19. X-ray - skeleton

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/003381.htm X-ray - skeleton To use the sharing features on this ... Degenerative bone conditions Osteomyelitis Risks There is low radiation exposure. X-rays machines are set to provide the smallest ...

  20. Studies of the dose distribution for patients undergoing various examinations in x-ray diagnosis and methods optimization

    International Nuclear Information System (INIS)

    Schandorf, Cyril

    2002-01-01

    The analysis of the status of x-ray diagnosis in Ghana revealed that Ghana is in the health care Category III, since there are about 4,2000 people to each physicians-ray departments have no quality management and quality control system in place for monitoring the quality of diagnostic images. Education and training in radiation protection and cost-effective use of x-rays are needed as part of the educational programme for radiologists, radiographers, x-ray technical officers and darkroom attendants. The dose and dose distribution for adult patients undergoing chest PA, lumber spine AP, pelvis/abdomen AP, and Skull AP examinations were determined using thermoluminescence dosemeters and compared with Commission of the European Communities guideline values. Analysis of the data show that 86%, 58% and 50% of the radiographic room delivered doses to patients compared the CEC value for Chest PA, lumber spine AP, pelvis/Abdomen AP and Skull AP respectively. Radiographic departments therefore should review their radiographic procedures to bring their does to optimum levels. Three methods were investigated for use as dose reduction optimization options. With the establishment of administrative procedures for the control of indiscriminate requests and referral criteria for x-ray examinations, patient dose can be averted. It is estimated about 10man.Sv can be averted annually. Authorized exposures can be minimized by standardizing the parameters which have significant influence on patient dose, taking into account screen-film system and film processing. By optimization the techniques factors, entrance surface dose and effective dose can be reduced. For chest PA examination the reduction factors are 4 and 3 respectively. Corresponding values for lumber spine AP, pelvis/abdomen AP and skull AP are 2 and 1.8, 1.4 and 1.4, 2.0 and 1.8 respectively. Three local materials, Ghanaian Anum Serpentine (SGA), Ghanaian Peki-Dzake Serpentine (SGP) and Ghanaian Golokwati Serpentine (SGG

  1. Analysis of Dose and Dose Distribution for Patients Undergoing Selected X-Ray Diagnostic Procedures in Ghana

    Energy Technology Data Exchange (ETDEWEB)

    Schandorf, C.; Tetteh, G.K

    1998-07-01

    The levels of dose and dose distributions for adult patients undergoing five selected common types of X ray examination in Ghana were determined using thermoluminescence dosemeters (TLD) attached to the skin where the beam enters the patient. To assess the performance of each X ray room surveyed, the mean of the entrance surface dose for patients whose statistics were close to a standard patient (70 kg weight and 20 cm AP trunk thickness) were compared to the Commission of the European Communities guideline values for chest PA, lumbar spine AP, pelvis/abdomen AP and skull AP examinations. The third quartiles dose values were 1.3 mGy, 14.5 mGy, 12.0 mGy and 7.9 mGy for chest PA, lumbar spine AP, pelvis/abdomen AP and skull AP respectively. Analysis of the data show that 86%, 58%, 37.5% and 50% of radiographic rooms delivered a mean dose greater than the CEC guideline values for chest PA, lumbar spine AP, pelvis/abdomen and skull AP respectively. This suggests that radiographic departments should undertake a review of their radiographic practice in order to bring their doses to optimum levels. (author)

  2. Analysis of Dose and Dose Distribution for Patients Undergoing Selected X-Ray Diagnostic Procedures in Ghana

    International Nuclear Information System (INIS)

    Schandorf, C.; Tetteh, G.K.

    1998-01-01

    The levels of dose and dose distributions for adult patients undergoing five selected common types of X ray examination in Ghana were determined using thermoluminescence dosemeters (TLD) attached to the skin where the beam enters the patient. To assess the performance of each X ray room surveyed, the mean of the entrance surface dose for patients whose statistics were close to a standard patient (70 kg weight and 20 cm AP trunk thickness) were compared to the Commission of the European Communities guideline values for chest PA, lumbar spine AP, pelvis/abdomen AP and skull AP examinations. The third quartiles dose values were 1.3 mGy, 14.5 mGy, 12.0 mGy and 7.9 mGy for chest PA, lumbar spine AP, pelvis/abdomen AP and skull AP respectively. Analysis of the data show that 86%, 58%, 37.5% and 50% of radiographic rooms delivered a mean dose greater than the CEC guideline values for chest PA, lumbar spine AP, pelvis/abdomen and skull AP respectively. This suggests that radiographic departments should undertake a review of their radiographic practice in order to bring their doses to optimum levels. (author)

  3. Comparison of X-ray, CT and MRI in detection of abnormal sacroiliac joint changes in patients with early stage of ankylosing spondylitis

    International Nuclear Information System (INIS)

    Huang Zhenguo; Zhang Xuezhe; Hong Wen; Wang Guochun; Zhou Huiqiong; Lu Xin; Wang Wu

    2011-01-01

    Objective: To compare X-ray, CT, and MRI in detection of abnormal sacroiliac joint changes in patients with early stage of ankylosing spondylitis (AS). Methods: Fifty-three patients with clinical suspected early stage of AS underwent X-ray and MRI scan. MR scan sequences for the sacroiliac joints consisted of T 1 -weighted, T 2 -weighted, short time inversion recovery (STIR) and three dimensional balance turbo field echo with water selective excitation (3D-BTFE-WATS) in all patients. In 24 of the patients, fat-saturated contrast-enhanced T 1 -weighted was used. Twenty-five of 53 patients underwent CT scan. The Chi-square test was used to analyse the uniformity of bone erosions detected by X-ray, CT, and MRI. Results: Of the 106 sacroiliac joints in 53 patients, 16 sacroiliac joints with bone erosions were detected by X-ray and 63 sacroiliac joints by MRI. Of the 50 sacroiliac joints in 25 patients, 26 sacroiliac joints with bone erosions were found by CT. With regard to the detection of bone erosions, there was no difference between Cf and MRI (χ 2 =0.16, P>0.05) and there was significant difference between CT and X-ray or MRI and X-ray (χ 2 =14.44 and 17.36, P<0.05). 3D-BTFE-WATS was better than other sequences in detection of bone erosions. Acute inflammatory changes were determined by MRI, which included subchondral bone marrow edema in 32 patients, synovitis in 35 patients, fat depositions in 16 patients, enthesitis in 15 patients, capsulitis in 9 patients, and cartilaginous disruption in 31 patients. Conclusions: MRI can detect acute inflammatory changes that can not display by X-ray and CT. Compared with radiography and CT, MRI is more useful in detection of abnormal sacroiliac joint changes in patients with early stage of AS. (authors)

  4. Dynamic MR defecography of the posterior compartment: Comparison with conventional X-ray defecography.

    Science.gov (United States)

    Poncelet, E; Rock, A; Quinton, J-F; Cosson, M; Ramdane, N; Nicolas, L; Feldmann, A; Salleron, J

    2017-04-01

    The goal of this study was to compare conventional X-ray defecography and dynamic magnetic resonance (MR) defecography in the diagnosis of pelvic floor prolapse of the posterior compartment. Fifty women with a mean age of 65.5 years (range: 53-72 years) who underwent X-ray defecography and MR defecography for clinical suspicion of posterior compartment dysfunction, were included in this retrospective study. X-ray defecography and dynamic MR defecography were reviewed separately for the presence of pelvic organ prolapse. The results of the combination of X-ray defecography and MR defecography were used as the standard of reference. Differences in sensitivities between X-ray defecography and MR defecography were compared using the McNemar test. With the gold standard, we evidenced a total of 22 cases of peritoneocele (17 elytroceles, 3 hedroceles and 2 elytroceles+hedroceles), including 15 cases of enterocele, 28 patients with rectocele including 16 that retained contrast, 37 cases of rectal prolapse, and 11 cases of anismus. The sensitivities of X-ray defecography were 90.9% for the diagnosis of peritoneocele, 71.4% for rectocele, 81.1% for rectal prolapse and 63.6% for anismus. The sensitivities of MR defecography for the same diagnoses were 86.4%, 78.6%, 62.2% and 63.6%, respectively. For all these pathologies, no significant differences between X-ray defecography and MR defecography were found. Dynamic MR defecography is equivalent to X-ray defecography for the diagnosis of abnormalities of the posterior compartment of the pelvic floor. Copyright © 2016 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

  5. Application of the autoblood treated by preliminary extracorporeal X-ray irradiation in the therapy of bronchial asthma patients

    International Nuclear Information System (INIS)

    Goguev, N.T.

    1985-01-01

    A therapeutic method including extracorporeal x-ray irradiation of the autoblood of patients with bronchial asthma complicated by cortisone dependence and polyvalent drug intolerance, has been elaborated and clinically tested. The use of this method brings about good short-term results in 90% of cases and good long-term results in 40% of cases (14-38 months). It provides an opportunity to give up corticosteroids in more than 60% of patients and to decrease the hormone dose in the rest of cortisone-dependent patients with bronchial asthma. The above therapeutic method can be used as an independent type of treatment, especially in the presence of polyvalent drug allergy and as an element of multiple modality therapy of bronchial asthma patients. The method was used under in-patient conditions only. No side effects were marked in the course of the clinical trial. To carry out this type of therapy, patients should be thoroughly screened

  6. Chest X-Ray

    Medline Plus

    Full Text Available ... I’d like to talk with you about chest radiography also known as chest x-rays. Chest x-rays are the most ... far outweighs any risk. For more information about chest x-rays, visit Radiology Info dot org. Thank you for your time! ...

  7. Chest X-Ray

    Medline Plus

    Full Text Available ... by Image/Video Gallery Your Radiologist Explains Chest X-ray Transcript Welcome to Radiology Info dot org! Hello, ... you about chest radiography also known as chest x-rays. Chest x-rays are the most commonly performed ...

  8. Duodenal X-ray diagnostics

    International Nuclear Information System (INIS)

    Scheppach, W.

    1982-01-01

    The publication provides an overview of duodenal X-ray diagnostics with the aid of barium meals in 1362 patients. The introducing paragraphs deal with the topographic anatomy of the region and the methodics of X-ray investigation. The chapter entitled ''processes at the duodenum itself'' describes mainly ulcers, diverticula, congenital anomalies, tumors and inflammations. The neighbourhood processes comprise in the first place diseases having their origin at the pancreas and bile ducts. As a conclusion, endoscopic rectograde cholangio-pancreaticography and percutaneous transhepatic cholangiography are pointed out as advanced X-ray investigation methods. In the annex of X-ray images some of the described phenomena are shown in exemplary manner. (orig./MG) [de

  9. Study on the quality assurance of diagnostic X-ray machines and assessment of the absorbed dose to patients

    Science.gov (United States)

    Hassan, G. M.; Rabie, N.; Mustafa, K. A.; Abdel-Khalik, S. S.

    2012-09-01

    Radiation exposure and image quality in X-ray diagnostic radiology provide a clear understanding of the relationship between the radiation dose delivered to a patient and image quality in optimizing medical diagnostic radiology. Because a certain amount of radiation is unavoidably delivered to patients, this should be as low as reasonably achievable. Several X-ray diagnostic machines were used at different medical diagnostic centers in Egypt for studying the beam quality and the dose delivered to the patient. This article studies the factors affecting the beam quality, such as the kilo-volt peak (kVp), exposure time (mSc), tube current (mAs) and the absorbed dose in (μGy) for different examinations. The maximum absorbed dose measured per mAs was 594±239 and 12.5±3.7 μGy for the abdomen and the chest, respectively, while the absorbed dose at the elbow was 18±6 μGy, which was the minimum dose recorded. The compound and expanded uncertainties accompanying these measurements were 4±0.35% and 8±0.7%, respectively. The measurements were done through quality control tests as acceptance procedures.

  10. Determination of doses and cancer risk to patients undergoing digital x-ray examinations at the Tamale Teaching Hospital

    International Nuclear Information System (INIS)

    Aweligiba, S.A.

    2015-07-01

    Entrance surface and effective doses as well as cancer risk to patients for three common radiological examinations were estimated at the radiology department of the Tamale Teaching Hospital. The quality control assessment indicated that the digital x-ray equipment used, performed self-consistently in line with acceptable performance criteria. The study included eighty-two (82) adult patients undergoing three x-ray imaging modalities; Chest, Abdomen and Pelvis Examinations. From the study the mean entrance dose to abdomen and pelvis were found to be 0.6 ± 0.2 mGy whiles that of chest was found to be 0.2 ± 0.1 mGy. These were found to be lower than results of studies carried out elsewhere. The effective dose to patient was computed using PCXMC 2.0 software. The results shows an average effective dose of 0.036 mSv, 0.084 mSv and 0.067 mSv for chest, abdomen and pelvis examinations respectively. The risk of radiation induced cancer as a result to entrance surface dose was found to be 5.68 x 10-5 %, 1.58 x 10-4 % and 1.49 x 10-4 % for Chest, Abdomen and Pelvis examinations respectively. The third quartile values of the entrance surface dose were found to be lower than recommended diagnostic reference levels published by NRPB, UK and the IAEA for the examinations under study. (author)

  11. Routinely obtained chest X-rays after elective video-assisted thoracoscopic surgery can be omitted in most patients; a retrospective, observational study

    DEFF Research Database (Denmark)

    Bjerregaard, Lars S; Jensen, Katrine; Petersen, René Horsleben

    2015-01-01

    divided into three groups according to the degree of pulmonary resection. The chest X-rays (obtained anterior-posterior in one plane with the patient in the supine position) were categorized as abnormal if showing pneumothorax >5 cm, possible intra-thoracic bleeding and/or a displaced chest tube. Medical....... Proportions of abnormal chest X-rays were unequally distributed between groups (p pneumothorax >5 cm and one showed a kinked chest...

  12. Radiation doses to patients in medical diagnostic x-ray examinations in New Zealand: a 1983-84 survey

    International Nuclear Information System (INIS)

    Williamson, B.D.P.; Poletti, J.L.; Cartwright, P.H.; Le Heron, J.C.

    1993-06-01

    A survey of doses to patients undergoing diagnostic x-ray examinations was performed in 1983-84. Developments since 1983-84 were reviewed and estimates made of the frequency of x-ray examinations, and doses to patients, as at 1992. The collective effective dose from general medical diagnostic radiology in 1983-84 was estimated to have been about 443 μSv per capita per annum. The figure excluded computed tomography which was estimated to have contributed about 5.6 μSv per capita per annum and mammography gave 0.3 μSv per annum. The total per capital effective dose from all medical diag over the whole period from 1983-84 to 1992. The highest dose examinations in 1983-84 were the fluoroscopic procedures barium enema and meal. Over the whole period 1983-84 to 1992 the genetically significant dose (GSD) to the population of New Zealand from medical diagnostic radiology was estimated to have been in the range 200-250 μSv per capita per annum. The two opposing tendencies noted for effective dose, viz, the fall in frequency of some examination types and the rise of Computed tomography, acted also upon this dose index. 43 refs., tabs., figs., ills

  13. Impact of Digital Imaging on Radiation Doses to the Patient During X-ray Examination of the Urinary Tract

    International Nuclear Information System (INIS)

    Sjoeholm, B.; Geijer, H.; Persliden, J.

    2005-01-01

    Purpose: To compare radiation doses given to patients undergoing IVU (intravenous urography) before and after digitalization of our X-ray department. Material and Methods: IVU examinations were monitored with dose area product meters before and after the X-ray department changed to digital techniques. The first step was a change from film-screen to storage phosphor plates, while the second step involved changing to a flat panel detector. Forty-two patients were included for the film-screen situation, 69 when using the storage phosphor plates, and 70 using the flat panel detector. Results: A dose reduction from 41.8 Gycm 2 to 31.5 Gycm 2 was achieved with the first step when the film-screen system was replaced with storage phosphor plates. A further reduction to 12.1 Gycm 2 was achieved using the flat panel detector. Conclusion: The introduction of the flat panel detectors made a considerable dose reduction possible Digital radiography, dosimetry, urinary

  14. Impact of Digital Imaging on Radiation Doses to the Patient During X-ray Examination of the Urinary Tract

    Energy Technology Data Exchange (ETDEWEB)

    Sjoeholm, B. [Oerebro Univ. Hospital (Sweden). Depts. of Medical Physics and Radiology; Geijer, H. [Oerebro Univ. (Sweden). Dept. of Physics; Persliden, J. [Linkoeping Univ. (Sweden). Dept. of Radiation Physics

    2005-10-01

    Purpose: To compare radiation doses given to patients undergoing IVU (intravenous urography) before and after digitalization of our X-ray department. Material and Methods: IVU examinations were monitored with dose area product meters before and after the X-ray department changed to digital techniques. The first step was a change from film-screen to storage phosphor plates, while the second step involved changing to a flat panel detector. Forty-two patients were included for the film-screen situation, 69 when using the storage phosphor plates, and 70 using the flat panel detector. Results: A dose reduction from 41.8 Gycm{sup 2} to 31.5 Gycm{sup 2} was achieved with the first step when the film-screen system was replaced with storage phosphor plates. A further reduction to 12.1 Gycm{sup 2} was achieved using the flat panel detector. Conclusion: The introduction of the flat panel detectors made a considerable dose reduction possible Digital radiography, dosimetry, urinary.

  15. Flash X-ray

    International Nuclear Information System (INIS)

    Sato, Eiichi

    2003-01-01

    Generation of quasi-monochromatic X-ray by production of weakly ionized line plasma (flash X-ray), high-speed imaging by the X-ray and high-contrast imaging by the characteristic X-ray absorption are described. The equipment for the X-ray is consisted from the high-voltage power supply and condenser, turbo molecular pump, and plasma X-ray tube. The tube has a long linear anticathode to produce the line plasma and flash X-ray at 20 kA current at maximum. X-ray spectrum is measured by the imaging plate equipped in the computed radiography system after diffracted by a LiF single crystal bender. Cu anticathode generates sharp peaks of K X-ray series. The tissue images are presented for vertebra, rabbit ear and heart, and dog heart by X-ray fluoroscopy with Ce anticathode. Generation of K-orbit characteristic X-ray with extremely low bremsstrahung is to be attempted for medical use. (N.I.)

  16. Comparison of Dual Energy X-ray Absorptiometry and Bioimpedance in Assessing Body Composition and Nutrition in Peritoneal Dialysis Patients

    DEFF Research Database (Denmark)

    Popovic, Velena; Zerahn, Bo; Heaf, James Goya

    2017-01-01

    OBJECTIVE: Peritoneal dialysis (PD) patients are characterized by protein malnutrition and muscle wasting. Reliable, easy, and cheap methods for evaluating nutrition are desirable. Three methods are commonly available: dual-energy X-ray absorptiometry (DXA), bioimpedance (BI), and subjective global...... assessment (SGA).The objective of the study was to compare the previously mentioned methods for assessment of body composition and nutritional status in PD patients. DESIGN: The study is cross-sectional and consisted of 72 PD patients from a single center PD ambulatorium. METHODS: Participants were measured...... in this population. OH might reduce DXA accuracy in PD patients. LTI and ICW may be useful measures to supplement SGA in assessing nutrition....

  17. [Examination of patient dose reduction in cardiovasucular X-ray systems with a metal filter].

    Science.gov (United States)

    Yasuda, Mitsuyoshi; Kato, Kyouichi; Tanabe, Nobuaki; Sakiyama, Koushi; Uchiyama, Yushi; Suzuki, Yoshiaki; Suzuki, Hiroshi; Nakazawa, Yasuo

    2012-01-01

    In interventional X-ray for cardiology of flat panel digital detector (FPD), the phenomenon that exposure dose was suddenly increased when a subject thickness was thickened was recognized. At that time, variable metal built-in filters in FPD were all off. Therefore, we examined whether dose reduction was possible without affecting a clinical image using metal filter (filter) which we have been conventionally using for dose reduction. About 45% dose reduction was achieved when we measured an exposure dose at 30 cm of acrylic thickness in the presence of a filter. In addition, we measured signal to noise ratio/contrast to noise ratio/a resolution limit by the visual evaluation, and there was no influence by filter usage. In the clinical examination, visual evaluation of image quality of coronary angiography (40 cases) using a 5-point evaluation scale by a physician was performed. As a result, filter usage did not influence the image quality (p=NS). Therefore, reduction of sudden increase of exposure dose was achieved without influencing an image quality by adding filter to FPD.

  18. X-ray sensitivity of fibroblasts from patients with hereditary retinoblastoma and their families

    International Nuclear Information System (INIS)

    Pledger, J.V.; Craft, A.W.; Bartlett, K.; Long, D.R.

    1987-01-01

    The in vitro response to X-irradiation of cultured human fibroblasts was studied using a colony forming assay. A comprehensive reference range was established, giving a median Dsub(0) value of 98.5 cGy with an interquartile range of 86.5-110.5 cGy. Cells from 3 retinoblastoma family pedigrees were studied and the cell survival after exposure to X-rays was compared between affected (11 samples) and unaffected (26 samples) family members. No significant differences in response to ionising radiation were found between the controls, the affected and the unaffected members of the 3 families. The affected members had a median Dsub(0) of 97.5 cGy (interquartile range 87.5-107.5 cGy) and the unaffected members had a median Dsub(0) of 102 cGy (interquartile range 93-111 cGy). Thus radiosensitivity is not a useful marker for the detection of the retinoblastoma gene. (author)

  19. X-ray astronomy

    International Nuclear Information System (INIS)

    Culhane, J.L.; Sanford, P.W.

    1981-01-01

    X-ray astronomy has been established as a powerful means of observing matter in its most extreme form. The energy liberated by sources discovered in our Galaxy has confirmed that collapsed stars of great density, and with intense gravitational fields, can be studied by making observations in the X-ray part of the electromagnetic spectrum. The astronomical objects which emit detectable X-rays include our own Sun and extend to quasars at the edge of the Universe. This book describes the history, techniques and results obtained in the first twenty-five years of exploration. Space rockets and satellites are essential for carrying the instruments above the Earth's atmosphere where it becomes possible to view the X-rays from stars and nebulae. The subject is covered in chapters, entitled: the birth of X-ray astronomy; the nature of X-radiation; X-rays from the Sun; solar-flare X-rays; X-rays from beyond the solar system; supernovae and their remnants; X-rays from binary stars; white dwarfs and neutron stars; black holes; X-rays from galaxies and quasars; clusters of galaxies; the observatories of the future. (author)

  20. X-ray diagnostics in lumbago cases

    Energy Technology Data Exchange (ETDEWEB)

    Kutzner, J [Mainz Univ. (Germany, F.R.). Inst. fuer Klinische Strahlenkunde

    1978-08-01

    X-ray diagnostics to clarify the causes of lumbago takes abdominal and pelvic organs into consideration as well as the spine. The techniques employed are: full-size radiographs in two planes, functional and tomographic pictures, angiography and contrast radiographs. - In the spine, one must distinguish between 1) inflammatory-degenerative processes, 2) traumatic, and 3) tumorous processes. - In tumour cases, primary tumours in the lumbar part of the spine are relatively infrequent; in most cases, metastases are found here, in particular in case of cancer of the breast or the prostrate. Lytic processes in the spine, whether inflammatory or tumorous, always present the danger of pathological fracturing. Bone scintiscanning and computerized tomography are important diagnostic aids. In certain indications the value of radiography by far outweighs the danger of the radiation dose applied to the patient.

  1. Assessment of adiposity in psoriatic patients by dual energy X-ray absorptiometry compared to conventional methods*

    Science.gov (United States)

    Diniz, Michelle dos Santos; Bavoso, Nádia Couto; Kakehasi, Adriana Maria; Lauria, Márcio Weissheimer; Soares, Maria Marta Sarquis; Machado-Pinto, Jackson

    2016-01-01

    BACKGROUND Obesity is considered a chronic low-grade inflammatory disease that shares mediators of inflammation with psoriasis, such as TNF-α and IL-6. The relationship between these two conditions involves factors such as predisposition and response to therapy, in addition to an association with cardiovascular disease. OBJECTIVES The aim of the present study was to investigate the prevalence of adiposity as determined by body mass index (BMI), waist circumference (WC), and dual energy X-ray absorptiometry (DXA) evaluation in patients with psoriasis. METHODS BMI, WC and body composition by DXA were measured in 42 psoriatic patients without joint complaints and in 41 control patients using standard procedures. In the comparison between cases and controls, we used Pearson’s Χ2 test or Fisher’s exact test, and the nonparametric Mann-Whitney test. The difference between the diverse classification methods for obesity was evaluated using McNemar’s test. To test the level of agreement between those variables, we used the weighted kappa coefficient. RESULTS There was no difference in the prevalence of obesity among cases and controls. Both BMI and WC had low agreement with measures of body fat evaluated by DXA. With the use of DXA scanning, prevalence of overweight and obesity in patients with psoriasis was 83.3%, which constitutes a strong evidence of the need for intervention on this metabolic parameter. CONCLUSION Dual energy X-ray absorptiometry was more capable of identifying obesity compared with BMI and WC both in psoriatic and control patients. PMID:27192512

  2. Effective dose calculations in conventional diagnostic X-ray examinations for adult and paediatric patients in a large Italian hospital

    International Nuclear Information System (INIS)

    Compagnone, G.; Pagan, L.; Bergamini, C.

    2005-01-01

    The effective dose E is an efficient and powerful parameter to study the radioprotection of the patient. In our hospital, eight radiological departments and more than 100 radiological X-ray tubes are present. The effective doses were calculated for adults and paediatric patients in 10 standard projections. To calculate E, first the entrance skin dose (ESD) was evaluated by a mathematical model that was validated by >400 direct measurements taken with an ionisation chamber on four different phantoms: the overall accuracy of the model was better than 12%. Second, to relate ESD to E, conversion coefficients calculated by Monte Carlo techniques were used. The E-values obtained were of the same order as those presented in the literature. Finally, we analysed how the study of E distributions among the various radiological departments can help to optimise the procedures, by identifying the most critical examinations or sub-optimal clinical protocols. (authors)

  3. Estimated radiation doses to different organs among patients treated for ankylosing spondylitis with a single course of X rays

    International Nuclear Information System (INIS)

    Lewis, C.A.; Smith, P.G.; Stratton, I.M.; Darby, S.C.; Doll, R.

    1988-01-01

    A follow-up study of over 14000 patients treated with a single course of X rays for ankylosing spondylitis demonstrated substantial excess risk of developing cancer. Previously the excess risk of leukaemia has been related to the estimated mean radiation dose to active bone marrow but detailed estimates were not made of the radiation doses to other organs. Data extracted from the original treatment records of a random sample of one in 15 patients have been used to make dose estimates, using Monte Carlo methods, for 30 specific organs or body regions and 12 bone marrow sites. Estimates of mean and median organ doses, standard deviations and ranges have been tabulated. Detailed distributions are presented for six organs (lung, bronchi, stomach, oesophagus, active bone marrow and total body). Comparison with the earlier bone marrow estimates and more recent theoretical estimates shows good agreement. (author)

  4. Performance assessment of patient dosimetry services and X-ray quality assurance instruments used in diagnostic radiology

    International Nuclear Information System (INIS)

    Green, S.; Palethrope, J.E.; Peach, D.; Bradley, D.A.

    1999-01-01

    Experiences of the Regional Radiation Physics and Protection Service (RRPPS) in performance assessment of diagnostic X-ray QA instrumentation and on-patient dosemeters are recounted. Issues relating to the provision of realistic and reproducible reference conditions for calibrated X-irradiations are considered and summary statistics from test measurements of dose and kVp meters are provided. For both dose and kVp meters it is indicated that as many as 25% of instruments used in routine use in the U.K. may require some adjustment before they can truly be said to be performing as the manufacturer intended. Results from intercomparison exercises for patient dosimetry services are also discussed. It is apparent that, for those centres participating in the exercise, dose assessments are generally being obtained to within a bias and a relative standard deviation of less then 10%

  5. Overutilization of x-rays

    International Nuclear Information System (INIS)

    Abrams, H.L.

    1979-01-01

    In this article on the overutilization of x-rays the author defines the term overutilization as excessive irradiation per unit of diagnostic information, therapeutic impact, or health outcome. Three main factors are described which lead to overutilization of x-rays: excessive radiation per film; excessive films per examination; and excessive examinations per patient. Topics discussed which influence the excessive examinations per patient are: the physician's lack of knowledge; undue dependence; lack of screening by radiologists; the physician's need for action and certainty; patient demand; reimbursement policies; institutional requirements; preventive medicine; defensive medicine; and the practice of radiology by nonradiologists

  6. Assessing the dose values received by patients during conventional radiography X-ray examinations and the technical condition of the equipment used for this purpose.

    Science.gov (United States)

    Bekas, Marcin; Pachocki, Krzysztof A; Waśniewska, Elżbieta; Bogucka, Dagmara; Magiera, Andrzej

    2014-01-01

    X-ray examination is associated with patient exposure to ionizing radiation. Dose values depend on the type of medical procedure used, the X-ray unit technical condition and exposure conditions selected. The aim of this study was to determine the dose value received by patients during certain conventional radiography X-ray examinations and to assess the technical condition of medical equipment used for this purpose. The study covered the total number of 118 conventional diagnostic X-ray units located in the Masovian Voivodeship. The methodology used to assess the conventional diagnostic X-ray unit technical condition and the measurement of the radiation dose rate received by patients are based on test procedures developed by the Department of Radiation Protection and Radiobiology of the National Institute of Public Health - National Institute of Hygiene (Warszawa, Poland) accredited for compliance with PN-EN 17025 standard by the Polish Centre for Accreditation. It was found that 84.7% of X-ray units fully meet the criteria set out in the Polish legislation regarding the safe use of ionizing radiation in medicine, while 15.3% of the units do not meet some of them. The broadest dose value range was recorded for adult patients. Particularly, during lateral (LATl) lumbar spine radiography the recorded entrance surface dose (ESD) values ranged from 283.5 to 7827 µGy (mean: 2183.3 µGy). It is absolutely necessary to constantly monitor the technical condition of all X-ray units, because it affects population exposure to ionizing radiation. Furthermore, it is essential to raise radiographers' awareness of the effects that ionizing radiation exposure can have on the human body.

  7. Dental X-ray apparatus

    International Nuclear Information System (INIS)

    Weiss, M.E.

    1980-01-01

    Intra-oral X-ray apparatus which reduces the number of exposures necessary to obtain panoramic dental radiographs is described in detail. It comprises an electron gun, a tubular target carrier projecting from the gun along the beam axis and carrying at its distal end a target surrounded by a shield of X-ray opaque material. This shield extends forward and laterally of the target and has surfaces which define a wedge or cone-shaped radiation pattern delimited vertically by the root tips of the patient's teeth. A film holder is located externally of the patient's mouth. A disposable member can fit on the target carrier to depress the patient's tongue out of the radiation pattern and to further shield the roof of the mouth. The electron beam can be magnetically deflected to change the X-ray beam direction. (author)

  8. The value of chest X-ray in the Scottish Referral Guidelines for suspected head and neck cancer in 2144 patients.

    Science.gov (United States)

    Fingland, P; Carswell, V; Tikka, T; Douglas, C M; Montgomery, J

    2018-04-30

    In Scotland, patients with suspected head and neck cancer are referred on the basis of the Scottish Referral Guidelines for Suspected Cancer, rather than the National Institute for Health and Care Excellence guidelines. A chest X-ray should be requested by the general practitioner at the same time as referral for persistent hoarseness. The evidence for this is level 4. This audit identified adherence to this recommendation and X-ray results. All 'urgent suspicion of cancer' referrals to the ENT department in the National Health Service Greater Glasgow and Clyde for 2015-2016 were audited. Persistent hoarseness for more than 3 weeks instigated referral in 318 patients (15.7 per cent). Chest X-ray was performed in 120 patients (38 per cent), which showed: no abnormality in 116 (96.7 per cent), features of infection in 2 (1.7 per cent) and something else in 2 patients (1.7 per cent). No chest X-ray altered the management of a patient. Performance of chest X-ray does not alter management and its removal from the Scottish Referral Guidelines for Suspected Cancer is recommended.

  9. X-ray holography

    International Nuclear Information System (INIS)

    Faigel, G.; Tegze, M.; Belakhovsky, M.; Marchesini, S.; Bortel, G.

    2003-01-01

    In the last decade holographic methods using hard X-rays were developed. They are able to resolve atomic distances, and can give the 3D arrangement of atoms around a selected element. Therefore, hard X-ray holography has potential applications in chemistry, biology and physics. In this article we give a general description of these methods and discuss the developments in the experimental technique. The capabilities of hard X-ray holography are demonstrated by examples

  10. Digital correction of magnification in pelvic x rays for preoperative planning of hip joint replacements: Theoretical development and clinical results of a new protocol

    International Nuclear Information System (INIS)

    The, B.; Diercks, R.L.; Stewart, R.E.; Ooijen, P.M.A. van; Horn, J.R. van

    2005-01-01

    The introduction of digital radiological facilities leads to the necessity of digital preoperative planning, which is an essential part of joint replacement surgery. To avoid errors in the preparation and execution of hip surgery, reliable correction of the magnification of the projected hip is a prerequisite. So far, no validated method exists to accomplish this. We present validated geometrical models of the x-ray projection of spheres, relevant for the calibration procedure to correct for the radiographic magnification. With help of these models a new calibration protocol was developed. The validity and precision of this procedure was determined in clinical practice. Magnification factors could be predicted with a maximal margin of error of 1.5%. The new calibration protocol is valid and reliable. The clinical tests revealed that correction of magnification has a 95% margin of error of -3% to +3%. Future research might clarify if a strict calibration protocol, as presented in this study, results in more accurate preoperative planning of hip joint replacements

  11. Selective chest imaging for blunt trauma patients: The national emergency X-ray utilization studies (NEXUS-chest algorithm).

    Science.gov (United States)

    Rodriguez, Robert M; Hendey, Gregory W; Mower, William R

    2017-01-01

    Chest imaging plays a prominent role in blunt trauma patient evaluation, but indiscriminate imaging is expensive, may delay care, and unnecessarily exposes patients to potentially harmful ionizing radiation. To improve diagnostic chest imaging utilization, we conducted 3 prospective multicenter studies over 12years to derive and validate decision instruments (DIs) to guide the use of chest x-ray (CXR) and chest computed tomography (CT). The first DI, NEXUS Chest x-ray, consists of seven criteria (Age >60years; rapid deceleration mechanism; chest pain; intoxication; altered mental status; distracting painful injury; and chest wall tenderness) and exhibits a sensitivity of 99.0% (95% confidence interval [CI] 98.2-99.4%) and a specificity of 13.3% (95% CI, 12.6%-14.0%) for detecting clinically significant injuries. We developed two NEXUS Chest CT DIs, which are both highly reliable in detecting clinically major injuries (sensitivity of 99.2%; 95% CI 95.4-100%). Designed primarily to focus on detecting major injuries, the NEXUS Chest CT-Major DI consists of six criteria (abnormal CXR; distracting injury; chest wall tenderness; sternal tenderness; thoracic spine tenderness; and scapular tenderness) and exhibits higher specificity (37.9%; 95% CI 35.8-40.1%). Designed to reliability detect both major and minor injuries (sensitivity 95.4%; 95% CI 93.6-96.9%) with resulting lower specificity (25.5%; 95% CI 23.5-27.5%), the NEXUS CT-All rule consists of seven elements (the six NEXUS CT-Major criteria plus rapid deceleration mechanism). The purpose of this review is to synthesize the three DIs into a novel, cohesive summary algorithm with practical implementation recommendations to guide selective chest imaging in adult blunt trauma patients. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Providing x-rays

    International Nuclear Information System (INIS)

    Mallozzi, P.J.; Epstein, H.M.

    1985-01-01

    This invention provides an apparatus for providing x-rays to an object that may be in an ordinary environment such as air at approximately atmospheric pressure. The apparatus comprises: means (typically a laser beam) for directing energy onto a target to produce x-rays of a selected spectrum and intensity at the target; a fluid-tight enclosure around the target; means for maintaining the pressure in the first enclosure substantially below atmospheric pressure; a fluid-tight second enclosure adjoining the first enclosure, the common wall portion having an opening large enough to permit x-rays to pass through but small enough to allow the pressure reducing means to evacuate gas from the first enclosure at least as fast as it enters through the opening; the second enclosure filled with a gas that is highly transparent to x-rays; the wall of the second enclosure to which the x-rays travel having a portion that is highly transparent to x-rays (usually a beryllium or plastic foil), so that the object to which the x-rays are to be provided may be located outside the second enclosure and adjacent thereto and thus receive the x-rays substantially unimpeded by air or other intervening matter. The apparatus is particularly suited to obtaining EXAFS (extended x-ray fine structure spectroscopy) data on a material

  13. Tomosynthesis can facilitate accurate measurement of joint space width under the condition of the oblique incidence of X-rays in patients with rheumatoid arthritis.

    Science.gov (United States)

    Ono, Yohei; Kashihara, Rina; Yasojima, Nobutoshi; Kasahara, Hideki; Shimizu, Yuka; Tamura, Kenichi; Tsutsumi, Kaori; Sutherland, Kenneth; Koike, Takao; Kamishima, Tamotsu

    2016-06-01

    Accurate evaluation of joint space width (JSW) is important in the assessment of rheumatoid arthritis (RA). In clinical radiography of bilateral hands, the oblique incidence of X-rays is unavoidable, which may cause perceptional or measurement error of JSW. The objective of this study was to examine whether tomosynthesis, a recently developed modality, can facilitate a more accurate evaluation of JSW than radiography under the condition of oblique incidence of X-rays. We investigated quantitative errors derived from the oblique incidence of X-rays by imaging phantoms simulating various finger joint spaces using radiographs and tomosynthesis images. We then compared the qualitative results of the modified total Sharp score of a total of 320 joints from 20 patients with RA between these modalities. A quantitative error was prominent when the location of the phantom was shifted along the JSW direction. Modified total Sharp scores of tomosynthesis images were significantly higher than those of radiography, that is to say JSW was regarded as narrower in tomosynthesis than in radiography when finger joints were located where the oblique incidence of X-rays is expected in the JSW direction. Tomosynthesis can facilitate accurate evaluation of JSW in finger joints of patients with RA, even with oblique incidence of X-rays. Accurate evaluation of JSW is necessary for the management of patients with RA. Through phantom and clinical studies, we demonstrate that tomosynthesis may achieve more accurate evaluation of JSW.

  14. X-ray interferometers

    International Nuclear Information System (INIS)

    Franks, A.

    1980-01-01

    An improved type of amplitude-division x-ray interferometer is described. The wavelength at which the interferometer can operate is variable, allowing the instrument to be used to measure x-ray wavelength, and the angle of inclination is variable for sample investigation. (U.K.)

  15. Extremity x-ray

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/003461.htm Extremity x-ray To use the sharing features on this page, ... in the body Risks There is low-level radiation exposure. X-rays are monitored and regulated to provide the ...

  16. X-rays utilization

    International Nuclear Information System (INIS)

    Rebigan, F.

    1979-03-01

    The modality of X-ray utilization in different activities and economy is given. One presents firstly quantities and units used in radiation dosimetry and other fields. One gives the generation of X-rays, their properties as well as the elements of radiation protection. The utilization characteristics of these radiations in different fields are finally given. (author)

  17. Chest X-Ray

    Medline Plus

    Full Text Available ... by Image/Video Gallery Your Radiologist Explains Chest X-ray Transcript Welcome to Radiology Info dot org! Hello, ... d like to talk with you about chest radiography also known as chest x-rays. Chest x- ...

  18. X-ray image intensifier tube

    International Nuclear Information System (INIS)

    1981-01-01

    An improved real-time x-ray image intensifier tube of the proximity type used for medical x-ray fluoroscopy is described. It is claimed that this intensifier is of sufficient gain and resolution whilst remaining convenient to use and that the design is such that the patient dosage is minimized whilst the x-ray image information content at the scintillator-photocathode screen is maximized. (U.K.)

  19. Learning Pelvic Examination with Professional Patients

    OpenAIRE

    S Shrestha; B Wijma; K Swahnberg; K Siwe

    2010-01-01

    Performing pelvic examination is a vital skill to learn during gynecological and obstetrical training. It's a difficult maneuver to master as there is very little to see and more to feel and interpret. In addition, learning PE in usual clinical set-up has been found to induce lot of stress and anxiety among both the patients and the students. Students fear of hurting the patients and being judged inept, whereas patients feel embarrassed having to expose their most intimate body parts for lear...

  20. X-ray examination of the stomach and duodenum in patients with ulcer disease after vagotomy

    International Nuclear Information System (INIS)

    Pavlovskij, M.P.; Vdovichenko, V.I.; Matlam, L.G.

    1987-01-01

    A roentgenological and endoscopical study is presented of the stomach and duodenum in 66 patients during remission and in 22 patients during exacerbation of ulcer disease from 6 months up to 5 years after organsaving operations using vagotomy. In the majority of patients the stomach was characterized by a large gas bubble, cascade-like torsion, deformation of the antral portion and duodenal bulb. In some patients thickenings of the gastric antral mucosa were noted. An endoscopically confirmed ulcer was revealed roentgenologically only in 50% of patients

  1. Patient dose map indications on interventional X-ray systems and validation with Gafchromic XR-RV3 film

    International Nuclear Information System (INIS)

    Bordier, C.; Klausz, R.; Desponds, L.

    2015-01-01

    To help avoiding secondary effects of interventional procedures like skin damage, a dose map method has been developed to provide an indication of the local dose on a surface representative of individual patient shapes. To minimise user interactions, patient envelope shapes are automatically determined depending on simple patient data information. Local doses are calculated in 1-cm 2 areas depending on the estimated air kerma, table and gantry positions and system settings, taking into account the table and mattress attenuations and estimated backscatter from the patient. These local doses are cumulated for each location of the patient envelope during the clinical procedure. To assess the accuracy of the method, Gafchromic XR-RV3 films have been used in several operating configurations. Good visual agreements on cumulated dose localisation were obtained within the 1-cm 2 precision of the map and the dose values agreed within 24.9 % accuracy. The resulting dose map method has been integrated into GE Healthcare X-Ray angiographic systems and should help in the management of the dose by the users during the procedure. (authors)

  2. Acute shoulder injury with a normal x-ray: a simple algorithm of patient assessment to guide the need for further imaging

    LENUS (Irish Health Repository)

    O’Rourke, S

    2012-09-20

    Purpose: Patients presenting to their General Practitioner or to the Emergency Department following an acute shoulder injury but a normal x-ray may have a significant underlying injury to the Rotator Cuff. Imaging (whether by ultrasound or MRI) is often indicated but available clinical evidence has yet to establish what group of patients benefit most from early imaging.\\r\

  3. Technical study on reduction of patient exposure in x-ray examination

    International Nuclear Information System (INIS)

    Ohtsuka, Akiyoshi

    1983-01-01

    This paper deals with the necessity, problems and technical factors on the reduction of the patient exposure, as well as the source of disagreement between doctors and radiologic technologists with respect to their psychological evaluation of the radiological image quality. (1) The patient exposure has a close relationship to the radiological image quality and is affected by many physical and psychological factors. (2) From the patient's point of view, reduction of the patient exposure without the decrease of the image quality has the same meaning as improving the image quality without the increase of the patient exposure. (3) It is known that, in the observation of the radiological image, the radiologic technologists basically attach more importance to the physical evaluation while doctors attach more importance to the psychological evaluation. (4) If doctors and radiologic technologists have more knowledge concerning the radiological imaging technology, optimization of radiographic technique, reduction of the patient exposure and improvement of the diagnostic accuracy can be expected. (author)

  4. Radiological protection of the patient in the diagnostic X-ray

    International Nuclear Information System (INIS)

    Araujo, A.M.C. de

    1983-01-01

    Measures and procedures are given in relation to the radiological protection of the patient in diagnostic radiology. Technical and physical factors of the patient protection are discussed, as radiation beam properties, size of the irradiation field, shieldings, control of the scattered radiation that reaches the imaging record system, films, ecrans and radiographic film processing. General recommendations about the radiation protection of the patient in diagnostic radiology are given. (M.A.) [pt

  5. A model for predicting skin dose received by patients from an x-ray ...

    African Journals Online (AJOL)

    Patient dosimetry has raised concern on quality assurance in hospitals. Several organisations and research groups have been advocating ways of minimising radiation dose received by patients in hospitals. In this paper we have shown that it is possible to obtain in a simple way a reasonable estimate of skin dose received ...

  6. Triple pelvic ring fixation in patients with severe pregnancy-related low back and pelvic pain.

    NARCIS (Netherlands)

    Zwienen, C.M. van; Bosch, E.W. van den; Snijders, C.J.; Vugt, A.B. van

    2004-01-01

    STUDY DESIGN: Single-group prospective follow-up study. OBJECTIVES: To assess the functional outcome of internal fixation of the pelvic ring in patients with severe pregnancy-related low back and pelvic pain (PLBP) in whom all other treatments failed. BACKGROUND DATA: More than half of all pregnant

  7. Comparison of bioimpedance analysis and dual-energy x-ray absorptiometry in peritoneal diaysis patients according to edema

    Directory of Open Access Journals (Sweden)

    Seok Hui Kang

    2012-06-01

    Full Text Available The change in difference between bioimpedance analysis (BIA and dual-energy X-ray absorptiometry (DEXA according to edema is an important issue for peritoneal dialysis (PD patients. We reviewed all adults who received PD. Patients had undergone two body composition measurements. 1108 cases were measured simultaneously by BIA and DEXA. Measurements were divided into four quartiles based on edema index. There were significant correlations and intraclass correlations between the two methods for lean mass (LM, fat mass (FM and bone mineral content. On a simple linear regression analysis, non-standardized-βs of total LM decreased as the grade of edema index increased (from 1.008 to 0.949. Those of total FM were increased as the grade of edema index increased (from 1.034 to 1.162. Bias for total LM changed to negative and negative bias increased as the grade of edema index increased (from 0.406 kg to –2.276 kg. There was a positive bias for total FM in first quartile and increased as the grade of edema index increased (from 0.594 kg to 2.863 kg. In conclusion, the present study demonstrates that BIA can measure normal hydrated LM in CAPD patients with edema. However, FM is overestimated in PD patients with edema. The difference between the two measurements increases as the grade of edema increases.

  8. Estimation of radiation dose for adult and pediatric patients during X-ray examinations in Khartoum State

    International Nuclear Information System (INIS)

    Altahir, Ataalmanan Yosif Ataalmanan

    2018-01-01

    The aim of this study to evaluate the patient doses in X-ray examinations for skull and in three main hospitals in Khartoum State. The examination parameters took from 125 radiographs for both male and female were the females was 58 and the male 67 patients undergoing skull (AP), were the age of pediatric patients 1-18 years and adults 19-79 years. The result shows that the calculation of ESAK for according to gender for male skull 0.206 mGy, and ESAK according to gender for male skull 0.0719 mGy, for female skull 0.0942 mGy, for male chest 0.082 mGy and female for female chest 0.098 mGy. The calculation of ESAK according to patients age, adults and pediatric, the ESAK estimation for adults 0.122 mGy for skull, 0.1306 mGy for chest, and for pediatric 0.0432 mGy for skull, 0.055 mGy for chest. This data will be useful for the formulation of national reference levels as recommended by the International Atomic Energy Agency (IAEA). (Author)

  9. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available Toggle navigation Test/Treatment Patient Type Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos About Us News Physician Resources Professions Site Index A-Z X-ray (Radiography) - Bone ...

  10. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available Toggle navigation Test/Treatment Patient Type Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos About Us News Physician ... An x-ray (radiograph) is a noninvasive medical test that helps physicians diagnose and treat medical conditions. ...

  11. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... navigation Test/Treatment Patient Type Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos About Us ... the equipment look like? How does the procedure work? How is the procedure ... diagnose and treat medical conditions. Imaging with x-rays involves exposing a part ...

  12. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available Toggle navigation Test/Treatment Patient Type Screening/Wellness Disease/Condition Safety En Español More Info Images/Videos About Us News Physician Resources Professions Site Index A-Z X-ray ( ...

  13. X-ray diagnosis of secondary hyperparathyroid osteodystrophy in patients subjected to prolonged hemodialysis

    International Nuclear Information System (INIS)

    Udachina, L.S.; Ratobyl'skij, G.V.; Izakson, V.B.; Timofeeva, T.V.

    1980-01-01

    A comparative study was made on the possibility of the qualitative evaluation of osteoporosis and one of the methods of its quantitative determination in patients with secondary hyperparathyroidism. 25 patients with chronic renal insufficiency, subjected to prolonged hemodialysis, were examined. It is concluded that the effectiveness of the qualitative methods for the evaluation of changes in the bones was sufficiently high, while the method proposed by Barnett and Nordin for diagnosing osteoporosis proved to be inadequate. These data were confirmed by checking the index in patients with primary hyperparathyroidism

  14. X-ray crystallography

    Science.gov (United States)

    2001-01-01

    X-rays diffracted from a well-ordered protein crystal create sharp patterns of scattered light on film. A computer can use these patterns to generate a model of a protein molecule. To analyze the selected crystal, an X-ray crystallographer shines X-rays through the crystal. Unlike a single dental X-ray, which produces a shadow image of a tooth, these X-rays have to be taken many times from different angles to produce a pattern from the scattered light, a map of the intensity of the X-rays after they diffract through the crystal. The X-rays bounce off the electron clouds that form the outer structure of each atom. A flawed crystal will yield a blurry pattern; a well-ordered protein crystal yields a series of sharp diffraction patterns. From these patterns, researchers build an electron density map. With powerful computers and a lot of calculations, scientists can use the electron density patterns to determine the structure of the protein and make a computer-generated model of the structure. The models let researchers improve their understanding of how the protein functions. They also allow scientists to look for receptor sites and active areas that control a protein's function and role in the progress of diseases. From there, pharmaceutical researchers can design molecules that fit the active site, much like a key and lock, so that the protein is locked without affecting the rest of the body. This is called structure-based drug design.

  15. The efficacy of x-ray pelvimetry

    Energy Technology Data Exchange (ETDEWEB)

    Barton, J.J. (Univ. of Illinois, Chicago); Garbaciak, J.A. Jr.; Ryan, G.M., Jr.

    1982-06-01

    Comparison is made of x-ray pelvimetry use on a public and private service in 1974 with experience in 1979, when the clinic service did no x-ray pelvimetry while the private service continued as before. It is concluded that the use of x-ray pelvimetry is inadequate as a predictor of cesarean section because of cephalopelvic disproportion, does not improve neonatal mortality, and poses potential hazards to the mother and fetus. Its use in the management of breech presentations is not currently established by our data. Guidelines are presented for the management of patients in labor without using x-ray pelvimetry.

  16. An examination of the distribution of patient doses from diagnostic x-ray procedures

    International Nuclear Information System (INIS)

    Morris, N.D.

    1983-02-01

    An examination was made of the distribution of patient doses from diagnostic radiology. The data were derived from an Australia wide survey carried out during the 1970's. There was a large range of doses to which patients were exposed. If establishments can reduce doses to below the most common value, the total dose to the population will be reduced to less than 60% of the present value

  17. Dose measurements in chest diagnostic X rays: Adult and paediatric patients

    International Nuclear Information System (INIS)

    Freitas, M. B.; Yoshimura, E. M.

    2004-01-01

    This survey was carried out in the state of Sao Paulo (Brazil)). The health services located in the state perform approximately 321 radiological examinations per 1000 inhabitants. A representative sample of 200 health services was selected using sampling techniques, and a postal dosimetric kit was sent to each one who agreed to participate. The kit evaluates entrance surface dose (ESD), making use of thermoluminescence dosemeters attached to the skin of patients. The radiographic technique employed and some physical data of patients were also gathered. In this stage of the survey, only chest examinations, projections AP, PA and LAT, were evaluated. A total of 917 ESD values were measured, which correspond to 588 patients and 74 examination rooms. The ESD to patients were analysed according to weight and age. Groups of standard patients (children and adults) were selected, and reference doses were determined. Large variations of ESD were observed, indicating that much can be done in order to reduce the patient doses by changing the technical parameters. Moreover, the results of ESD in paediatric radiology point to the necessity of special attention in the practice of radiological examinations in this age group. (authors)

  18. X-ray lasers

    CERN Document Server

    Elton, Raymond C

    2012-01-01

    The first in its field, this book is both an introduction to x-ray lasers and a how-to guide for specialists. It provides new entrants and others interested in the field with a comprehensive overview and describes useful examples of analysis and experiments as background and guidance for researchers undertaking new laser designs. In one succinct volume, X-Ray Lasers collects the knowledge and experience gained in two decades of x-ray laser development and conveys the exciting challenges and possibilities still to come._Add on for longer version of blurb_M>The reader is first introduced

  19. X-ray detector

    International Nuclear Information System (INIS)

    Whetten, N.R.; Houston, J.M.

    1977-01-01

    An ionization chamber for use in determining the spatial distribution of x-ray photons in tomography systems comprises a plurality of substantially parallel, planar anodes separated by parallel, planar cathodes and enclosed in a gas of high atomic weight at a pressure from approximately 10 atmospheres to approximately 50 atmospheres. The cathode and anode structures comprise metals which are substantially opaque to x-ray radiation and thereby tend to reduce the resolution limiting effects of x-ray fluoresence in the gas. In another embodiment of the invention the anodes comprise parallel conductive bars disposed between two planar cathodes. Guard rings eliminate surface leakage currents between adjacent electrodes. 8 figures

  20. Learning Pelvic Examination with Professional Patients

    Directory of Open Access Journals (Sweden)

    S Shrestha

    2010-03-01

    Full Text Available Performing pelvic examination is a vital skill to learn during gynecological and obstetrical training. It's a difficult maneuver to master as there is very little to see and more to feel and interpret. In addition, learning PE in usual clinical set-up has been found to induce lot of stress and anxiety among both the patients and the students. Students fear of hurting the patients and being judged inept, whereas patients feel embarrassed having to expose their most intimate body parts for learning purpose. This hampers effective learning. Learning PE on sedated women before surgery or on mannequins has been practiced as alternative learning models. But, they have been found to miss out on teaching the communication skills, which are as important as the palpation skills. However, there exists another model of learning PE--the professional patients, who are specially trained to act as patients and also guide the students on how to make a proper PE. They provide stress-free environment for the students to learn PE and at the same time, provide immediate feedback on each of their maneuvers. They form a complete learning model and help students to see patients as partner and not just a person seeking help. Keywords: learning model, pelvic examination, stress, students.

  1. Comparison of Chest X-Ray Findings of Smear Positive and Smear Negative Patients with Pulmonary Tuberculosis

    International Nuclear Information System (INIS)

    Ebrahimzadeh, Azadeh; Mohammadifard, Mahyar; Naseh, Godratallah

    2014-01-01

    Tuberculosis is a chronic pulmonary infectious disease that has affected one-third of the people in the world. It causes nine million new cases and two million deaths per year. Chest radiography associated with Ziehl-Neelsen acid-fast staining procedure significantly helps the diagnosis of pulmonary tuberculosis (PTB). Chest radiography can help the diagnosis of tuberculosis in patients with a negative smear sample result that is mainly diagnosed with delay. In this study, chest X-ray findings of PTB were compared in two groups of smear positive and smear negative patients. In this retrospective descriptive-analytical study, 376 patients who had been confirmed with PTB were referred to Birjand Health Care Center from 2001 to 2006. Out of the 376 patients, 100 patients with a positive smear based on WHO criteria were selected. In addition, among negative smear patients, 100 were selected in whom similar demographic characteristics with positive smear patients were seen. All of them had undergone chest radiographies that were then interpreted by two expert radiologists independently. Moreover, all patients’ sputa were examined by an expert laboratory technician at the reference laboratory of the health center. The obtained data were analyzed by means of frequency distribution table and descriptive statistics using SPSS (version 15) and Chi-square statistical test. Except reticulo-nodular infiltration, the relative frequency of other radiographic findings in positive smear patients were more than negative smear patients; and only differences in calcification variables, mediastinal widening, patchy infiltration and hilar adenopathy were statistically significant (P < 0.05). Based on the results of this study, although radiographic findings are not diagnostic in PTB, they are helpful if the assessment associates with the view of clinical manifestations and sputum smears

  2. Comparison of bioimpedance and dual-energy x-ray absorptiometry for measurement of fat mass in hemodialysis patients.

    Science.gov (United States)

    Molfino, Alessio; Don, Burl R; Kaysen, George A

    2012-01-01

    Fat mass (FM) is measured with dual-energy X-ray absorptiometry (DXA), but is expensive and not portable. Multifrequency bioimpedance spectroscopy (BIS) measures total body water (TBW), intracellular water (ICW) and extracellular water (ECW). FM is calculated by subtracting fat-free mass (FFM) from weight assuming a fractional hydration of FFM of 0.73. Hemodialysis (HD) patients, however, have nonphysiologic expansion of ECW. Our aim was to apply a model to estimate FM in HD patients and controls. We estimated the hydration of FFM in healthy subjects and HD patients with BIS (Impedimed multifrequency) assuming a hydration of 0.73 or using a model allowing ECW and ICW to vary, deriving a value for FM accounting for variances in ECW and ICW. FM was measured by DXA (Hologic Discovery W) in 25 controls and in 11 HD patients. We measured TBW, ECW and ICW with BIS and calculated FM using either weight - TBW/0.73 or with a model accounting for variations in ECW/ICW to estimate FM. ECW/ICW was greater in HD patients than in controls (0.83 ± 0.08 vs. 0.76 ± 0.04; p = 0.001). FM (kg) measured by DXA or estimated from TBW using constant hydration or accounting for variations in ECW/ICW was not significantly different in controls or in HD patients. Values obtained by all methods correlated (p measured by DXA and by BIS in both controls and HD patients combined correlated (r(2) = 0.871). Expansion of ECW in HD patients is statistically significant; however, the effect on hydration of FFM was insufficient to cause significant deviation from values derived using a hydration value of 0.73 within the range of expansion of ECW in the HD patient population studied here. Copyright © 2013 S. Karger AG, Basel.

  3. Estimation of doses to patients from ''complex'' conventional X-ray examinations

    International Nuclear Information System (INIS)

    Calzado, A.; Vano, E.; Moran, P.; Ruiz, S.; Gonzalez, L.; Castellote, C.

    1991-01-01

    A numerical method has been developed to estimate organ doses and effective dose-equivalent for patients undergoing three 'complex' examinations (barium meal, barium enema and intravenous urography). The separation of radiological procedures into a set of standard numerical views is based on the use of Monte Carlo conversion factors and measurements within a Remab phantom. Radiation doses measured in a phantom for such examinations were compared with predictions of the ''numerical'' method. Dosimetric measurements with thermoluminescent dosemeters attached to the patient's skin along with measurements of the dose-area product during the examination have enabled the derivation of organ doses and to estimate effective dose-equivalent. Mean frequency weighted values of dose-area product, energy imparted to the patient, doses to a set of organs and effective dose-equivalent in the area of Madrid are reported. Comparisons of results with those from similar surveys in other countries were made. (author)

  4. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... Resources Professions Site Index A-Z X-ray (Radiography) - Bone Bone x-ray uses a very small ... X-ray (Radiography)? What is Bone X-ray (Radiography)? An x-ray (radiograph) is a noninvasive medical ...

  5. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... Professions Site Index A-Z X-ray (Radiography) - Bone Bone x-ray uses a very small dose ... limitations of Bone X-ray (Radiography)? What is Bone X-ray (Radiography)? An x-ray (radiograph) is ...

  6. X-ray examination apparatus

    NARCIS (Netherlands)

    2000-01-01

    The invention relates to an X-ray apparatus which includes an adjustable X-ray filter. In order to adjust an intensity profile of the X-ray beam, an X-ray absorbing liquid is transported to filter elements of the X-ray filter. Such transport is susceptible to gravitational forces which lead to an

  7. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... News Physician Resources Professions Site Index A-Z X-ray (Radiography) - Bone Bone x-ray uses a very ... of Bone X-ray (Radiography)? What is Bone X-ray (Radiography)? An x-ray (radiograph) is a noninvasive ...

  8. Bone X-Ray (Radiography)

    Science.gov (United States)

    ... News Physician Resources Professions Site Index A-Z X-ray (Radiography) - Bone Bone x-ray uses a very small ... of Bone X-ray (Radiography)? What is Bone X-ray (Radiography)? An x-ray (radiograph) is a noninvasive ...

  9. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... News Physician Resources Professions Site Index A-Z X-ray (Radiography) - Bone Bone x-ray uses a very small ... of Bone X-ray (Radiography)? What is Bone X-ray (Radiography)? An x-ray (radiograph) is a noninvasive ...

  10. Abdomen X-Ray (Radiography)

    Science.gov (United States)

    ... News Physician Resources Professions Site Index A-Z X-ray (Radiography) - Abdomen Abdominal x-ray uses a very small ... of an abdominal x-ray? What is abdominal x-ray? An x-ray (radiograph) is a noninvasive medical ...

  11. DEVELOPMENT OF DIAGNOSTIC REFERENCE LEVELS (DRL OF PATIENTS X-RAY EXPOSURE IN DIAGNOSTIC RADIOLOGY

    Directory of Open Access Journals (Sweden)

    A. V. Vodovatov

    2013-01-01

    Full Text Available We introduce a system of Diagnostic Reference Levels (DRLs for patients medical exposure for national health care practice implementation. DRLs are an effective way of the patient radiation protection through the optimization of the medical exposure. The paper discusses and compares different methods of determining the DRLs based on measured and/or calculated quantities of patient’s dose: dose area product (DAP, entrance surface dose (ESD and an effective dose. Distributions of different dose quantities in different Saint-Petersburg clinics are shown on the example of chest PA examinations. The results are compared with the data from other sources. Regional DRLs for Saint-Petersburg are proposed.

  12. A model for predicting skin dose received by patients from an x-ray ...

    African Journals Online (AJOL)

    We have done this by modifying a model for predicting skin dose derived by Edmonds for a triple-phase generator. Results for 100 patients based on the triple-phase generator output show a reasonable average agreement (»1%) between our present model and the Edmonds's model. Although our earlier estimated ...

  13. Long term mortality after a single treatment course with X-rays in patients treated for ankylosing spondylitis

    International Nuclear Information System (INIS)

    Darby, S.C.; Doll, R.; Gill, S.K.; Smith, P.G.

    1989-01-01

    Mortality up to 1 January 1983 has been studied in 14,106 patients with ankylosing spondylitis given a single course of X-ray treatment during 1935-54. For neoplasms other than leukaemia or colon cancer, mortality was 28% greater than that of members of the general population of England and Wales, and this increase is likely to have been a direct consequence of the treatment. The proportional increase reached a maximum of 71% between 10.0 and 12.4 years after irradiation and then declined. There were only a 7% increase in mortality from these tumours more than 25.0 years after irradiation and only for cancer of the oesophagus was the relative risk significantly raised in this period. Neither the magnitude of the relative risk, nor its temporal pattern following treatment, were greatly influenced by the age of the patient at first treatment. For leukaemia there was a threefold increase in mortality that is also likely to have been due to the radiotherapy. For colon cancer mortality was increased by 30%. For non-neoplastic conditions there was a 51% increase in mortality that was likely to be associated with the disease itself rather than its treatment. (author)

  14. Long term mortality after a single treatment course with X-rays in patients treated for ankylosing spondylitis

    International Nuclear Information System (INIS)

    Darby, S.C.; Doll, R.; Gill, S.K.; Smith, P.G.

    1987-01-01

    Mortality to 1 January 1983 was studied in 14,106 ankylosing spondylitis patients after a single course of X-rays (1935-1954). For neoplasms other than leukaemia or colon cancer, mortality was 28% greater than the general population of England and Wales, proportional increase reaching a maximum 71% between 10.0 and 12.4 years post-irradiation. There was 7% mortality increase more than 25.0 years post-irradiation and only for oesophageal cancer was the relative risk significantly raised. Neither the relative risk, nor its post-irradiation temporal pattern, were greatly influenced by the patient's age. There was a threefold increase in leukaemia mortality, the relative risk highest between 2.5 and 4.9 years post-treatment, but not disappearing being nearly twice that of the general population more than 25 years post-treatment. There was evidence that acute myeloid, acute lymphatic and chronic myeloid leukaemia risks were increased, but no evidence of increase in chronic lymphatic leukaemia. The relative risk appeared greatest for acute myeloid leukaemia. Colon cancer mortality increased by 30%. Non-neoplastic conditions showed a 51% mortality increase, likely to be associated with the disease itself, and not confined to diseases associated with spondylitis. (UK)

  15. Measurements of radiation dose to patients undergoing some common radiographic x-ray examinations in Wad Madani hospitals

    International Nuclear Information System (INIS)

    Mohammedzein, T. S.

    2009-12-01

    The aim of this study was to assess patient doses in most common radiographic x-ray examinations in Wad Madani hospitals of Al Gazera State. The examination parameters of 388 radiographs were used to calculate the Entrance Surface Air Kerma (ESAK) of patients undergoing skull (AP and LAT), chest (PA), pelvis (AP), abdomen (AP) and lumbar spin (AP and LAT) in six major hospitals. Hospital mean ESAKs estimated range from 0.0729-0.69 mGy for chest PA, 0.338-6.64 mGy for skull PA, 0.195-5.8 mGy for skull LAT, 0.595-3.42 mGy for pelvis AP, 0.772-6.31 mGy for lumbar spine AP, 2.1-15.2 mGy for lumbar spine LAT and 0.742-5.79 mGy for abdomen. This data will be useful for the formulation of national reference levels as recommended by International Atomic Energy Agency (IAEA). (Author)

  16. Influences of transplantation on metabolic bone diseases in dialysis patients. Measurement of bone density with multiple X-ray photodensitometry

    International Nuclear Information System (INIS)

    Hida, Miho

    1994-01-01

    Renal osteodystrophy is a grave complication in dialysis patients. In this study, we evaluated the effect of renal transplantation (Txp) on metabolic bone diseases in renal transplant recipients (RTR), by multiple scanning X-ray photodensitometry (MD/MS). In only about 10% of RTR, bone metabolism recovered following improvement of renal function 1-2 years after Txp. Most cases showed decreased ΣGS and μ' scores on the MD/MS 1-2 years after Txp. Then ΣGS and μ' gradually increased over a long period. In seven of ten RTR with long-term graft survival (10 years<), ΣGS and μ' scores were within normal limits and densitometry bone patterns were normal. In four of five cases that received ciclosporin and had undergone Txp more than five years before, densitometry bone patterns were normal. Treatment with high doses of steroids due to acute rejection caused a sharp decline of ΣGS and μ' scores. In FK506-medicated RTR, ΣGS and μ' scores 1-2 years after Txp were decreased. In a 21-year-old female patient who had undergone Txp as the age of 13-year-old, there was little bone growth and ΣGS and μ' scores were significantly decreased. (author)

  17. Evaluation of variations in absorbed dose and image noise according to patient forms in X-ray computed tomography

    International Nuclear Information System (INIS)

    Matsubara, Kosuke; Tsujii, Hideo; Yamamoto, Tomoyuki; Koshida, Kichiro; Suzuki, Masayuki; Hayakawa, Mayumi

    2005-01-01

    Excessive radiation exposure in pediatric computed tomography (CT) scanning has become a serious problem, and it is difficult to select scan parameters for the scanning of small patients such as children. We investigated differences in absorbed dose and standard deviation (SD) in Hounsfield unit (HU) caused by differences in the form of the subject using a body-type phantom with removable body parts. Using four X-ray CT scanners, measurements were made with values from 50 mAs to 300 mAs, with slices of 50 mAs, using scan protocols that were assumed to perform thorough examinations. The results showed that the mAs values and absorbed doses were almost proportional, and the absorbed doses in the phantom without body parts were about 1.1-2.2-fold higher than those of the phantom with body parts at the same points. The SD values obtained indicated that the absorbed doses in the phantom with body parts were 0.3-0.6 times those of the phantom without body parts when the mAs values used were adjusted so that both SD values were the same. The absorbed doses in various patient forms can be estimated from these results, and they will become critical data for the selection of appropriate scan protocols. (author)

  18. Evaluation of variations in absorbed dose and image noise according to patient forms in X-ray computed tomography.

    Science.gov (United States)

    Matsubara, Kosuke; Koshida, Kichiro; Suzuki, Masayuki; Hayakawa, Mayumi; Tsujii, Hideo; Yamamoto, Tomoyuki

    2005-12-20

    Excessive radiation exposure in pediatric computed tomography (CT) scanning has become a serious problem, and it is difficult to select scan parameters for the scanning of small patients such as children. We investigated differences in absorbed dose and standard deviation (SD) in Hounsfield unit (HU) caused by differences in the form of the subject using a body-type phantom with removable body parts. Using four X-ray CT scanners, measurements were made with values from 50 mAs to 300 mAs, with slices of 50 mAs, using scan protocols that were assumed to perform thorough examinations. The results showed that the mAs values and absorbed doses were almost proportional, and the absorbed doses in the phantom without body parts were about 1.1-2.2-fold higher than those of the phantom with body parts at the same points. The SD values obtained indicated that the absorbed doses in the phantom with body parts were 0.3-0.6 times those of the phantom without body parts when the mAs values used were adjusted so that both SD values were the same. The absorbed doses in various patient forms can be estimated from these results, and they will become critical data for the selection of appropriate scan protocols.

  19. Evaluation of variations in absorbed dose and image noise according to patient forms in X-ray computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Matsubara, Kosuke; Tsujii, Hideo; Yamamoto, Tomoyuki [Kanazawa Univ., Hospital, Kanazawa, Ishikawa (Japan); Koshida, Kichiro; Suzuki, Masayuki; Hayakawa, Mayumi [Kanazawa Univ., Graduate School of Medical Sciences, Kanazawa, Ishikawa (Japan)

    2005-12-15

    Excessive radiation exposure in pediatric computed tomography (CT) scanning has become a serious problem, and it is difficult to select scan parameters for the scanning of small patients such as children. We investigated differences in absorbed dose and standard deviation (SD) in Hounsfield unit (HU) caused by differences in the form of the subject using a body-type phantom with removable body parts. Using four X-ray CT scanners, measurements were made with values from 50 mAs to 300 mAs, with slices of 50 mAs, using scan protocols that were assumed to perform thorough examinations. The results showed that the mAs values and absorbed doses were almost proportional, and the absorbed doses in the phantom without body parts were about 1.1-2.2-fold higher than those of the phantom with body parts at the same points. The SD values obtained indicated that the absorbed doses in the phantom with body parts were 0.3-0.6 times those of the phantom without body parts when the mAs values used were adjusted so that both SD values were the same. The absorbed doses in various patient forms can be estimated from these results, and they will become critical data for the selection of appropriate scan protocols. (author)

  20. Chest X-Ray

    Medline Plus

    Full Text Available ... Disorders Video: The Basketball Game: An MRI Story Radiology and You Sponsored by Image/Video Gallery Your Radiologist Explains Chest X-ray Transcript Welcome to Radiology Info dot org! Hello, I’m Dr. Geoffrey ...

  1. Chest X-Ray

    Medline Plus

    Full Text Available ... also be useful to help diagnose and monitor treatment for a variety of lung conditions such as pneumonia, emphysema and cancer. A chest x-ray requires no special preparation. ...

  2. X-ray tubes

    International Nuclear Information System (INIS)

    Young, R.W.

    1979-01-01

    A form of x-ray tube is described which provides satisfactory focussing of the electron beam when the beam extends for several feet from gun to target. Such a tube can be used for computerised tomographic scanning. (UK)

  3. Chest X-Ray

    Medline Plus

    Full Text Available ... breath, persistent cough, fever, chest pain or injury. It may also be useful to help diagnose and ... have some concerns about chest x-rays. However, it’s important to consider the likelihood of benefit to ...

  4. Chest X-Ray

    Medline Plus

    Full Text Available ... An MRI Story Radiology and You Sponsored by Image/Video Gallery Your Radiologist Explains Chest X-ray ... posted: How to Obtain and Share Your Medical Images Movement Disorders Video: The Basketball Game: An MRI ...

  5. Chest X-Ray

    Medline Plus

    Full Text Available ... accurate diagnosis far outweighs any risk. For more information about chest x-rays, visit Radiology Info dot ... Inc. (RSNA). To help ensure current and accurate information, we do not permit copying but encourage linking ...

  6. Chest X-Ray

    Medline Plus

    Full Text Available ... Site Index A-Z Spotlight Recently posted: Pancreatic Cancer The Limitations of Online Dose Calculators Video: The ... of lung conditions such as pneumonia, emphysema and cancer. A chest x-ray requires no special preparation. ...

  7. Chest X-Ray

    Medline Plus

    Full Text Available ... exams and use a very small dose of ionizing radiation to produce pictures of the inside of the ... chest x-ray use a tiny dose of ionizing radiation, the benefit of an accurate diagnosis far outweighs ...

  8. Chest X-Ray

    Medline Plus

    Full Text Available ... However, it’s important to consider the likelihood of benefit to your health. While a chest x-ray use a tiny dose of ionizing radiation, the benefit of an accurate diagnosis far outweighs any risk. ...

  9. Chest X-Ray

    Medline Plus

    Full Text Available ... June is Men's Health Month Recently posted: Pancreatic Cancer The Limitations of Online Dose Calculators Video: The ... of lung conditions such as pneumonia, emphysema and cancer. A chest x-ray requires no special preparation. ...

  10. DMF-T index in patients undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Department of Radiotherapy, Dr. Hasan Sadikin Hospital

    Directory of Open Access Journals (Sweden)

    S. Sabrina

    2007-11-01

    Full Text Available Radiation therapy for head and neck cancer frequently caused severe salivary gland dysfunction. The salivary gland dysfunction possibly decreased the protective function of saliva and caused dental caries. The purpose of this study was to obtain an illustration about DMF-T index in patient undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Department of Radiotherapy, Dr. Hasan Sadikin Hospital in January-February 2007. The study was a simple descriptive. The study was conducted on 7 males and 9 females undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer. The ages of patient are between 37 years and 77 years. The severity of caries was measured by DMF-T index. DMF-T index in 16 patient undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Dr. Hasan Sadikin Hospital is 10.6 as the result of this study. The conclusion of this study showed that the DMF-T index in 16 patient undergoing radiation therapy with LINAC X-ray radiation for head and neck cancer at Dr. Hasan Sadikin Hospital had very high grade based on WHO classification, which the value was over 6.6.

  11. Methodologic principles of regulation of patient irradiation during X-ray investigations

    International Nuclear Information System (INIS)

    Vorob'ev, E.I.; Knizhnikov, V.A.; Stavitskij, R.V.; Barkhudarov, R.M.; Lyass, F.M.; Lebedev, L.A.

    1986-01-01

    Attention is paid to the regulation of radiation doses in biomedical radiography on the basis of cost-benefit concept i.e. using optimization principle. Conceptual bases and main dose limits for roentgenological investigations are suggested. Radiation doses and information value from the application of roentgenological investigations for different patients are unequal and depend on the desease type and nature. Three categories of patients subjected to roentgenological examinations are separated: Asub(d)-persons having oncologic desease or with suspicion for it, Bsub(d)-persons which are examined to define diagnosis and to select thrapeutic method in connection with nononcologic deseases, Csub(d)-persons which are subjected to procedures both with preventive and investigative purpose. For Asub(d) category persons radiation doses to all organs should not exceed 0.5 Sv (to eye lens-0.3 Sv), for Bsub(d) category-1/3 of maximum permissible dose to personel envisaged in radiation protection guides (RPG-76), for Csub(d) category-0.5 Sv/year. Control level of dose equivalents limiting different organs exposure due to routine roentgenological procedures, which were obtained by means of dosimetric investigations using tissue-equivalent phantom of a reference man, are presented

  12. X-ray examination of functional disturbances in patients with parodontopathies

    International Nuclear Information System (INIS)

    Bimmerle, T.

    1981-01-01

    In a clinical investigation covering 42 patients with parodontopathy and a control group of 14 persons, a clinical and instrumental functional analysis was carried out. The clinical functional analysis was carried out using the Krogh-Poulsen method. For the instrumental functional analysis, the author used the evaluation in a Stuart-articulator after a Stuart-Pantography. On the majority of the patients examined, a plaque test according to Quigley-Hein was carried out additionally. When establishing the findings of the clinical status of the disease, the German Parodontal Status was taken into consideration. We proved with the help of correlation calculations that bone decomposition in two neighbouring teeth is not independent of each other. Therefore, the individual teeth could not be compared with one another as regards their malocclusions. When comparing to results obtained by other authors, however, the author observed that malocclusions have an influence on bone decomposition. They must be eliminated within the framework of a parodontosis treatment. (orig./MG) [de

  13. X-ray sources

    International Nuclear Information System (INIS)

    Masswig, I.

    1986-01-01

    The tkb market survey comparatively evaluates the X-ray sources and replacement tubes for stationary equipment currently available on the German market. It lists the equipment parameters of 235 commercially available X-ray sources and their replacement tubes and gives the criteria for purchase decisions. The survey has been completed with December 1985, and offers good information concerning medical and technical aspects as well as those of safety and maintenance. (orig.) [de

  14. Some measurements of doses to patients from dental X-rays

    International Nuclear Information System (INIS)

    Woehni, T.

    1976-01-01

    Some measurements of doses to patients from conventional dental radiography and orthopantomography are presented. Doses to the red bone marrow are calculated. The bone marrow doses from two different exposures, Maxilla incisor and Molar bite-wing, were calculated to be 0.4 and 1.0 mrad respectively. The average dose to red bone marrow from a full-mouth examination (10 exposures) was 0.7 mrad/exposure. An orthopantomographic examination involved 2 mrad to the bone marrow. The greatest doses from an orthopantomographic examination were found around the lateral rotational axis, namely 700 mrad. The dose distributions from the two different cone lengths did not differ as much as expected, mainly due to scattered radiation. (Auth.)

  15. Some measurements of doses to patients from dental X-rays

    Energy Technology Data Exchange (ETDEWEB)

    Woehni, T [Statens Institutt for Straalehygiene, Oslo (Norway)

    1976-11-01

    Some measurements of doses to patients from conventional dental radiography and orthopantomography are presented. Doses to the red bone marrow are calculated. The bone marrow doses from two different exposures, Maxilla incisor and Molar bite-wing, were calculated to be 0.4 and 1.0 mrad respectively. The average dose to red bone marrow from a full-mouth examination (10 exposures) was 0.7 mrad/exposure. An orthopantomographic examination involved 2 mrad to the bone marrow. The greatest doses from an orthopantomographic examination were found around the lateral rotational axis, namely 700 mrad. The dose distributions from the two different cone lengths did not differ as much as expected, mainly due to scattered radiation.

  16. Survey of effective doses to patients undergoing contrast-based X-ray fluoroscopy procedures in Tanzania

    International Nuclear Information System (INIS)

    Ngaile, J.E.; Msaki, P.K.; Kazema, R.R.

    2017-01-01

    The aim of this study was to assess the radiation burden imparted to patients from contrast-based X-ray fluoroscopy procedures in Tanzania. The effective doses (EDs) to patients from five contrast-based fluoroscopy procedures were obtained from four hospitals. The ED was estimated using the knowledge of the patient characteristics, patient-related exposure parameters, measurements of air kerma area product and PCXCM software. The median EDs for the barium swallow (BS), barium meal (BM), barium enema (BE), hysterosalpingography (HSG) and retrograde urethrography (RUG) were 0.50, 1.43, 2.83, 0.65 and 0.59 mSv, respectively. The median ED per hospital for the BS and BM procedures varied by factors of up to 9.9 and 4.2, respectively, while for the BE, HSG and RUG varied by factors of up to 2.3, 2.4 and 4.3, respectively. The overall differences between individual EDs across the four hospitals varied by factors of up to 53, 58.9 and 11.4 for the BS, BM and BE, respectively, while for the HSG and RUG differed by factors of up to 22 and 46.7, respectively. The mean EDs in this study were mostly lower than reported values from Spain, the UK, Ghana and Greece, while slightly higher than those reported from India. The observed wide variations of procedural protocols and patient doses within and across the hospitals; and the observed high patient doses in this study relative to those from the literature call for the need to standardize procedural protocols and optimize contrast-based fluoroscopy procedures. (authors)

  17. Bone X-Ray (Radiography)

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    Full Text Available ... of knee x-rays. A portable x-ray machine is a compact apparatus that can be taken ... of the body being examined, an x-ray machine produces a small burst of radiation that passes ...

  18. Bone X-Ray (Radiography)

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    Full Text Available ... that might interfere with the x-ray images. Women should always inform their physician and x-ray ... Safety page for more information about radiation dose. Women should always inform their physician or x-ray ...

  19. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... ray examination. X-rays usually have no side effects in the typical diagnostic range for this exam. ... x-rays. A Word About Minimizing Radiation Exposure Special care is taken during x-ray examinations to ...

  20. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... are the limitations of Bone X-ray (Radiography)? What is Bone X-ray (Radiography)? An x-ray ( ... leg (shin), ankle or foot. top of page What are some common uses of the procedure? A ...

  1. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... current x-ray images for diagnosis and disease management. top of page How is the procedure performed? ... standards used by radiology professionals. Modern x-ray systems have very controlled x-ray beams and dose ...

  2. Absorbed dose to the patient by computerized whole body X-ray tomography

    International Nuclear Information System (INIS)

    Krauss, O.; Schuhmacher, H.

    1977-01-01

    The absorbed dose to the patient was measured for several medical investigations by computerized whole body scanning. An Alderson-phantom mounted with LiF-TLD was irradiated with a Delta-Scan (Ohio-Nuclear, 120 kV, 30 mA). The integral dose to the brain during a full examination (6 scans, filtration 3 mm Al) was measured to 5x10 -2 J. The maximum absorbed dose at the entrance was found to be 3.2 rd and at the exit 0.6 rd. The dose to the eyes is 0.7 rd and to the thyroid gland 0.03 rd. The integral dose to the trunk (5 scans in the region of liver and kidneys, filtration 6 mm Al) was measured to 5x10 -2 J. The maximum absorbed dose at the entrance was found to be 2.4 rd and at the exit 0.25 rd. The dose to the gonads is less than 2 and 4 mrd if the distance between the last scan and the gonads is more than 15 cm

  3. Investigation of X-ray irradiation reduction for pediatric patients in oral radiography

    International Nuclear Information System (INIS)

    Shikone, Mitsuru

    1988-01-01

    Diagnostic intraoral radiography carries the undue risk of thyroid gland irradiation due to their physical proximity to the radiation pathway. This is particularly true in children where maximum radiation protection is necessary due to their small physical stature and greater sensitivity of their thyroid to radiation. With this in mind, two new types of pediatric thyroid protectors were constructed. Using the 192 type CAPINTEC (Exposure/Exposure-ratemater) and the TLD (Thermo Luminescence Dosimeter), the effectiveness of the new protectors were analyzed statistically and clinically. They were also compared to other thyroid radiation dosage values reported in the past. The following results were obtained : 1) Even when the tube voltage was altered from 65 kVp to 80 kVp, the shielding effectiveness of the new protectors were satisfactory, recording below 1.0 mR (2.58 x 10 -7 C/kg) value. 2) Thyroid protector's clinical results with respect to the six projectioins of the upper and lower anteriors, cuspids, and molar regions were more than satisfactory, where the thyroid region's radiation dosage of below 0.9 mR (2.32 x 10 -6 C/kg) was obtained. 3) The new protectors were compared against other commercially available protectors with respect to adaptation, ease of handling, cone positioning during exposure, patient movement and weight of the protector. Most of the said problems were resolved with satisfactory in comparison to existing products. 4) As for the risk of thyroid gland cancer, when, the new thyroid gland protector is used it was 9 x 10 -6 and the probability was 1/100,000 ; whereas, it was about 1/50 for the existing protectors. (author)

  4. Evaluation of patient exposure with Flat Panel Detector (FPD) in X-ray TV system

    International Nuclear Information System (INIS)

    Yamada, M.; Komiya, N.; Kawaguchi, A.; Suzuki, M.; Suzuki, Shoichi; Asada, Yasuki

    2008-01-01

    will enable major reductions in patient exposure dose. (author)

  5. Image quality evaluation and patient dose assessment of medical fluoroscopic X-ray systems: A national study

    International Nuclear Information System (INIS)

    Economides, S.; Hourdakis, C. J.; Kalivas, N.; Kalathaki, M.; Simantirakis, G.; Tritakis, P.; Manousaridis, G.; Vogiatzi, S.; Kipouros, P.; Boziari, A.; Kamenopoulou, V.

    2008-01-01

    This study presents the results from a survey conducted by the Greek Atomic Energy Commission (GAEC), during the period 1998-2003, in 530 public and private owned fluoroscopic X-ray systems in Greece. Certain operational parameters for conventional and remote control systems were assessed, according to a quality control protocol developed by GAEC on the basis of the current literature. Public (91.5%) and private (81.5%) owned fluoroscopic units exhibit high-contrast resolution values over 1 lp mm -1 . Moreover, 88.5 and 87.1% of the fluoroscopic units installed in the public and private sector, respectively, present Maximum Patient Entrance Kerma Rate values lower than 100 mGy min -1 . Additionally, 68.3% of the units assessed were found to perform within the acceptance limits. Finally, the third quartile of the Entrance Surface Dose Rate distribution was estimated according to the Dose Reference Level definition and found equal to 35 mGy min -1 . (authors)

  6. Pelvic pain in a young patient: Sclerosing stromal tumor

    Directory of Open Access Journals (Sweden)

    Huriye Ayşe Parlakgümüş

    2013-03-01

    Full Text Available Introduction: Sclerosing stromal tumors are rare, benign sex chord stromal tumors. They are usually unilateral and are seen in second or third decades. The complaint at admission may be menstrual irregularity, pelvic pain, palpable pelvic mass, precocious puberty and postmenopausal bleeding. Because the complaint at admission and radiological findings are not specific to SSTs preoperative diagnosis is challenging. Herein we present the sonographical, intraoperative and histopathological findings of a SST diagnosed during laparoscopy in a patient who admitted with chronic pelvic pain and received pelvic inflammatory disease and endometriosis treatment and differential diagnosis of SSTs with the other ovarian tumors. Case report: 24 years old nulliparous patient first admitted to the gynecology department with the complaint of foul smelling vaginal discharge and pelvic pain. The diagnosis was pelvic inflammatory disease and the patient received antibiotics. The pelvic examination was normal except the mass in the right ovary which had similar echogenity to the ovary. Because of the pelvic pain the mass was assumed to be an endometrioma and the patient was prescribed an oral contraceptive treatment for 3 months. Because of the persistent pelvic pain a diagnostic laparoscopy was performed which revealed a 2 cm, pinkish- white, exophytic lesion originating from the right ovary. Pathological examination reported the mass to be a sclerosing stromal tumor. After the treatment the patient no longer complained of vaginal discharge but pelvic pain still persisted. After the operation the patient no longer complained of pelvic pain. Conclusion: Although SSTs are rare, they should be kept in mind when a young patient admits with menstrual irregularity, pelvic pain and hirsutism, particularly if the pain is refractory to treatment.

  7. Automated Patient Identification and Localization Error Detection Using 2-Dimensional to 3-Dimensional Registration of Kilovoltage X-Ray Setup Images

    International Nuclear Information System (INIS)

    Lamb, James M.; Agazaryan, Nzhde; Low, Daniel A.

    2013-01-01

    Purpose: To determine whether kilovoltage x-ray projection radiation therapy setup images could be used to perform patient identification and detect gross errors in patient setup using a computer algorithm. Methods and Materials: Three patient cohorts treated using a commercially available image guided radiation therapy (IGRT) system that uses 2-dimensional to 3-dimensional (2D-3D) image registration were retrospectively analyzed: a group of 100 cranial radiation therapy patients, a group of 100 prostate cancer patients, and a group of 83 patients treated for spinal lesions. The setup images were acquired using fixed in-room kilovoltage imaging systems. In the prostate and cranial patient groups, localizations using image registration were performed between computed tomography (CT) simulation images from radiation therapy planning and setup x-ray images corresponding both to the same patient and to different patients. For the spinal patients, localizations were performed to the correct vertebral body, and to an adjacent vertebral body, using planning CTs and setup x-ray images from the same patient. An image similarity measure used by the IGRT system image registration algorithm was extracted from the IGRT system log files and evaluated as a discriminant for error detection. Results: A threshold value of the similarity measure could be chosen to separate correct and incorrect patient matches and correct and incorrect vertebral body localizations with excellent accuracy for these patient cohorts. A 10-fold cross-validation using linear discriminant analysis yielded misclassification probabilities of 0.000, 0.0045, and 0.014 for the cranial, prostate, and spinal cases, respectively. Conclusions: An automated measure of the image similarity between x-ray setup images and corresponding planning CT images could be used to perform automated patient identification and detection of localization errors in radiation therapy treatments

  8. Automated Patient Identification and Localization Error Detection Using 2-Dimensional to 3-Dimensional Registration of Kilovoltage X-Ray Setup Images

    Energy Technology Data Exchange (ETDEWEB)

    Lamb, James M., E-mail: jlamb@mednet.ucla.edu; Agazaryan, Nzhde; Low, Daniel A.

    2013-10-01

    Purpose: To determine whether kilovoltage x-ray projection radiation therapy setup images could be used to perform patient identification and detect gross errors in patient setup using a computer algorithm. Methods and Materials: Three patient cohorts treated using a commercially available image guided radiation therapy (IGRT) system that uses 2-dimensional to 3-dimensional (2D-3D) image registration were retrospectively analyzed: a group of 100 cranial radiation therapy patients, a group of 100 prostate cancer patients, and a group of 83 patients treated for spinal lesions. The setup images were acquired using fixed in-room kilovoltage imaging systems. In the prostate and cranial patient groups, localizations using image registration were performed between computed tomography (CT) simulation images from radiation therapy planning and setup x-ray images corresponding both to the same patient and to different patients. For the spinal patients, localizations were performed to the correct vertebral body, and to an adjacent vertebral body, using planning CTs and setup x-ray images from the same patient. An image similarity measure used by the IGRT system image registration algorithm was extracted from the IGRT system log files and evaluated as a discriminant for error detection. Results: A threshold value of the similarity measure could be chosen to separate correct and incorrect patient matches and correct and incorrect vertebral body localizations with excellent accuracy for these patient cohorts. A 10-fold cross-validation using linear discriminant analysis yielded misclassification probabilities of 0.000, 0.0045, and 0.014 for the cranial, prostate, and spinal cases, respectively. Conclusions: An automated measure of the image similarity between x-ray setup images and corresponding planning CT images could be used to perform automated patient identification and detection of localization errors in radiation therapy treatments.

  9. Automated patient identification and localization error detection using 2-dimensional to 3-dimensional registration of kilovoltage x-ray setup images.

    Science.gov (United States)

    Lamb, James M; Agazaryan, Nzhde; Low, Daniel A

    2013-10-01

    To determine whether kilovoltage x-ray projection radiation therapy setup images could be used to perform patient identification and detect gross errors in patient setup using a computer algorithm. Three patient cohorts treated using a commercially available image guided radiation therapy (IGRT) system that uses 2-dimensional to 3-dimensional (2D-3D) image registration were retrospectively analyzed: a group of 100 cranial radiation therapy patients, a group of 100 prostate cancer patients, and a group of 83 patients treated for spinal lesions. The setup images were acquired using fixed in-room kilovoltage imaging systems. In the prostate and cranial patient groups, localizations using image registration were performed between computed tomography (CT) simulation images from radiation therapy planning and setup x-ray images corresponding both to the same patient and to different patients. For the spinal patients, localizations were performed to the correct vertebral body, and to an adjacent vertebral body, using planning CTs and setup x-ray images from the same patient. An image similarity measure used by the IGRT system image registration algorithm was extracted from the IGRT system log files and evaluated as a discriminant for error detection. A threshold value of the similarity measure could be chosen to separate correct and incorrect patient matches and correct and incorrect vertebral body localizations with excellent accuracy for these patient cohorts. A 10-fold cross-validation using linear discriminant analysis yielded misclassification probabilities of 0.000, 0.0045, and 0.014 for the cranial, prostate, and spinal cases, respectively. An automated measure of the image similarity between x-ray setup images and corresponding planning CT images could be used to perform automated patient identification and detection of localization errors in radiation therapy treatments. Copyright © 2013 Elsevier Inc. All rights reserved.

  10. Morphology of bone defects in patient with unilateral cleft lip and palate. Cone beam x-ray CT evaluation

    International Nuclear Information System (INIS)

    Kyo, Iyu; Kubota, Masato; Sato, Yuki; Nakano, Haruhisa; Maki, Koutaro

    2006-01-01

    Orthodontic treatment planning of the cleft lip and palate vary according to the morphology of the alveolar bone and palatal bone. The purpose of this study is to evaluate the three-dimensional anatomy of the alveolar and palatal bone in children with complete unilateral cleft lip and palate. Thirty-three nonsyndromic consecutive patients with complete unilateral cleft lip and palate were treated by the cleft palate team at Showa University. Each patient had lip and palate surgeries at Showa University. Cone beam CT radiographs (CB MercuRay, Hitachi) were taken prior to secondary bone grafting, and were classified according to the method of Kita et al. 1997. Cone beam CT radiographs showed multiple types of alveolar and palatal bone morphology, and focused on special types described in the method of Kita et al. It was most frequently found that bone defects in the alveolar crest showed similar patterns in both buccal and palatal aspect, and the buccal bone defect in the nasal floor was larger than the palatal bone defect in the nasal floor. In 80% of the patients, the palatal bone defect showed similar patterns in both anterior and posterior aspects, and the anterior palatal bone defect was smaller than the posterior palatal bone defect. In addition, inadequate bone bridges were frequently found at the cleft site. It is suggested that patients with unilateral cleft lip and palate have various types of alveolar and palatal bone morphology, and are required to take three-dimensional radiographic X-rays prior to any orthodontic treatment. (author)

  11. Dual energy x-ray absorptiometry (DEXA) in the assessment of liver iron in patients with beta thalassaemia major

    International Nuclear Information System (INIS)

    Chatterton, B.E.; Thomas, C.M.; Schultz, C.G.

    2000-01-01

    Full text: Beta thalassaemia major is a condition in which anaemia from abnormal haemoglobin production causes bone marrow expansion and frequently reduced bone mineral density. These patients have a chronic requirement for transfusion which results in tissue iron overload which may cause organ damage. Increased X-ray attenuation in the liver was noted in patients undergoing whole body DEXA for the assessment of bone density and it was assumed that this was related to liver iron stores. The aim of this study was to determine if useful information about liver iron could be obtained from these studies. Method: Using a Lunar DPXL, whole body scanning was performed in 16 patients (eight male) age 19-32 with Beta Thalassaemia. As well as calculating indices of total body composition, regions of interest were placed over the visualised liver. The 'bone mineral content' (BMC),g and bone mineral density (BMD),g/cm 2 were calculated over the liver regions, with the assumption that the calculation related to mineral in the region of interest. The results were compared with the serum ferritin as an indirect measure of body iron stores. Results showed a highly significant correlation (r=0.85) between 'BMD' in the liver region and ferritin. Conclusion: Despite the known difficulties with equating iron stores and ferritin, and possible confounders on liver density, such as fibrosis, the high correlation suggests that DEXA may have a place in the assessment of iron deposition, and be more cost effective than other technologies such as MRI and CT. Prospective studies with invasive measurements of liver iron will be needed to determine this. Copyright (2000) The Australian and New Zealand Society of Nuclear Medicine Inc

  12. Analysis of patients' X-ray exposure in 146 percutaneous radiologic gastrostomies; Analyse der Strahlenexposition fuer Patienten bei 146 perkutanen radiologischen Gastrostomien

    Energy Technology Data Exchange (ETDEWEB)

    Petersen, Tim-Ole; Reinhardt, Martin; Fuchs, Jochen; Gosch, Dieter; Surov, Alexey; Stumpp, Patrick; Kahn, Thomas; Moche, Michael [Univ. Hospital Leipzig (Germany). Dept. of Diagnostic and Interventional Radiology

    2017-09-15

    Analysis of patient's X-ray exposure during percutaneous radiologic gastrostomies (PRG) in a larger population. Data of primary successful PRG-procedures, performed between 2004 and 2015 in 146 patients, were analyzed regarding the exposition to X-ray. Dose-area-product (DAP), dose-length-product (DLP) respectively, and fluoroscopy time (FT) were correlated with the used x-ray systems (Flatpanel Detector (FD) vs. Image Itensifier (BV)) and the necessity for periprocedural placement of a nasogastric tube. Additionally, the effective X-ray dose for PRG placement using fluoroscopy (DL), computed tomography (CT), and cone beam CT (CBCT) was estimated using a conversion factor. The median DFP of PRG-placements under fluoroscopy was 163 cGy{sup *}cm{sup 2} (flat panel detector systems: 155 cGy{sup *}cm{sup 2}; X-ray image intensifier: 175 cGy{sup *}cm{sup 2}). The median DLZ was 2.2min. Intraprocedural placement of a naso- or orogastric probe (n=68) resulted in a significant prolongation of the median DLZ to 2.5min versus 2min in patients with an already existing probe. In addition, dose values were analyzed in smaller samples of patients in which the PRG was placed under CBCT (n=7, median DFP=2635 cGy{sup *}cm{sup 2}), or using CT (n=4, median DLP=657mGy{sup *}cm). Estimates of the median DFP and DLP showed effective doses of 0.3mSv for DL-assisted placements (flat panel detector 0.3mSv, X-ray image converter 0.4mSv), 7.9mSv using a CBCT - flat detector, and 9.9mSv using CT. This corresponds to a factor 26 of DL versus CBCT, or a factor 33 of DL versus CT. In order to minimize X-ray exposure during PRG-procedures for patients and staff, fluoroscopically-guided interventions should employ flat detector systems with short transmittance sequences in low dose mode and with slow image frequency. Series recordings can be dispensed with. The intraprocedural placement of a naso- or orogastric probe significantly extends FT, but has little effect on the overall dose of the

  13. Diagnosis of initial changes in patients suffering from rheumatoid arthritis. A comparison between low-field magnetic resonance imaging, 3-phase bone scintigraphy and conventional X-ray

    International Nuclear Information System (INIS)

    Hoepfner, S.; Dresel, S.; Weiss, M.; Hahn, K.; Treitl, M.; Krolak, C.; Becker-Gaab, C.; Schattenkirchner, M.

    2002-01-01

    Besides conventional X-rays, in the diagnostic work up of initial changes in patients suffering from rheumatoid arthritis (RA), 3-phase bone scintigraphy (3P-Sz) is as well established as magnetic resonance imaging (MRI). The aim of this study was to compare the diagnostic value of the newly developed low field MRI with the proven methods X-rays and 3P-Sz. Methods: 65 patients (47f, 18m; 20-86 yrs) were studied on a one day protocol with 3P-Sz (550 MBq Tc-99m DPD), MRI and X-rays of the hands. Images were visually analysed by two blinded nuclear medicine physicians and radiologists and classified as a) RA-typical, b) inflammatory, non-RA-typical and c) non inflammatory changes. All methods were compared to 3P-Sz as golden standard. Results: In comparison to 3P-Sz, low field MRI presents with almost equal sensitivity and specificity in rheumatoid-typical and inflammatory changes. Conventional X-rays revealed in arthritis-typical changes as well as in inflammatory changes a significantly lower sensitivity and also a lower negative predictive value while specificity equals the one of MRI. Quantitative analysis of 3P-Sz using ROI-technique unveiled significantly higher values in patients with rheumatoid arthritis than in those with no inflammatory changes. Conclusion: MRI represents an equally sensitive method in the initial diagnosis of rheumatoid-typical and inflammatory changes in the region of the hands as compared to the 3P-Sz. Besides the basic diagnosis with conventional X-rays, 3P-Sz is still the recommended method of choice to evaluate the whole body when RA is suspected. Additionally, quantitative analysis of the 3P-Sz using the ROI technique in the region of the hands reveals statistically significant results and should therefore be taken into account in the assessment of inflammatory changes. (orig.) [de

  14. Differences of X-ray exposure between X-ray diagnostics with a conventional X-ray screen-system and with an image-intensifier-television-unit

    International Nuclear Information System (INIS)

    Loehr, H.; Vogel, H.; Reinhart, J.; Jantzen, R.

    1977-01-01

    During X-ray diagnostics of patients in the II. Medizinische Poliklinik the X-ray exposure was determined. It corresponded to the data described in literature. Two groups were compared: 518 patients examined with a conventional X-ray screen-system and 642 patients examined with an image-intensifier-television-system. The results demonstrated that with exception of thoracical X-ray examination the replacing of the old system by the television system brought a remarkable increase of the X-ray exposure. The doses depended of the patients constitution to a high degree. (orig.) [de

  15. X-Ray Absorption with Transmission X-Ray Microscopes

    NARCIS (Netherlands)

    de Groot, F.M.F.

    2016-01-01

    In this section we focus on the use of transmission X-ray microscopy (TXM) to measure the XAS spectra. In the last decade a range of soft X-ray and hard X-ray TXM microscopes have been developed, allowing the measurement of XAS spectra with 10–100 nm resolution. In the hard X-ray range the TXM

  16. Comparative study of radiation dose between digital panoramic X-ray unit and general panoramic X-ray unit

    International Nuclear Information System (INIS)

    Li Qingshan; Duan Tao; Wang Xiaoyun; Zhao Li; Dong Jian; Wei Lei

    2010-01-01

    Objective: To compare the actual dose of patients who receive the same medical practice by either digital panoramic X-ray unit and general panoramic X-ray unit and give evidence for better selection of oral X-ray examination method. Methods: Round sheet lithium fluoride (LiF) thermoluminescent dosimeters (TLD) were used. The experiment was divided into natural background contrast group, general panoramic X-ray children group, general panoramic X-ray adults group, digital panoramic X-ray children group and digital panoramic X-ray adults group. The dosimeter of natural background radiation was placed at the office of the doctor, the dosimeters of general panoramic X-ray children group and general panoramic X-ray adults group were irradiated by different conditions according to the clinical application of panoramic X-ray to children and adults, the dosimeters of digital panoramic X-ray children group and digital panoramic X-ray adults group were irradiated by different conditions according to the clinical application of digital panoramic X-ray to children and adults. The thermoluminescent dosimeter was used to count and calculate the exposure doses in various groups. Results: The dose of children exposed in general panoramic X-ray unit was 1.28 times of that in digital panoramic X-ray unit, there was significant difference (t=6.904, P<0.01). The dose of adults exposed in general panoramic X-ray unit was 1.55 times of that in the digital panoramic X-ray unit, there also was significant difference (t=-11.514. P< 0.01). Conclusion: The digital panoramic X-ray unit can reduce the dose of patients, so the digital panoramic X-ray unit should be used as far as possible. (authors)

  17. TXRF analysis of low Z elements in serum of patients with idiopathic thrombocytopenic purpura using X-ray fluorescence

    International Nuclear Information System (INIS)

    Canellas, Catarine G.L.; Leitao, Roberta G.; Lopes, Ricardo T.; Bellido, Alfredo Victor B.; Anjos, Marcelino J.

    2011-01-01

    Idiopathic thrombocytopenic purpura (ITP) is a blood disorder characterized by an abnormal decrease in the number of platelets in the blood. ITP results from development of an antibody directed against a structural platelet antigen (an autoantibody). Platelets are also called thrombocytes, meaning cells that form clots. The cause of ITP is not known and their diagnosis requires that other disorders be excluded through selective tests. In this work, forty patients suffering from ITP and sixty healthy volunteers (Control Group) were analyzed. All the serum samples had been collected from people who live in the urban area of Rio de Janeiro City/Brazil. Blood was collected into vacutainers without additives. The measurements were performed at the X-ray fluorescence beamline at Brazilian National Synchrotron Light Laboratory (LNLS), in Campinas, Sao Paulo using a monochromatic beam with maximum energy of 20 keV for the excitation and an Ultra-LEGe detector with resolution of 148 eV at 5.9 keV. Standard solutions with Vanadium as internal standard were prepared for calibration system. It was possible to determine the elemental concentrations of the following six elements: Na, P, S, Cl, K and Ca. The Student's t-test was used to analyze significant differences (α = 0.05) between group of patients with ITP and control group. The elements that presented significant differences for the mean of their concentrations between each one of the ITP group and control group in μg.g-1 were: phosphorous (136±12 and 92±12), Sulphur (1077±97 and 847±80), Chlorine (2905±385 and 2266±378), Potassium (137±118 and 82±15) and Calcium (64±7 and 44±6) respectively. These results will help the biomedical field with regard to early diagnosis and improved medical treatment. Thus, our findings indicate that these elements can be related to the important biochemical processes in ITP. (author)

  18. TXRF analysis of low Z elements in serum of patients with idiopathic thrombocytopenic purpura using X-ray fluorescence

    Energy Technology Data Exchange (ETDEWEB)

    Canellas, Catarine G.L.; Leitao, Roberta G.; Lopes, Ricardo T., E-mail: catarine@lin.ufrj.b, E-mail: ricardo@lin.ufrj.b [Universidade Federal do Rio de Janeiro (PEN/COPPE/UFRJ), RJ (Brazil). Coordenacao dos Programas de Pos-Graduacao de Engenharia. Lab. de Instrumentacao Nuclear; Carvalho, Silvia M.F., E-mail: silvia@hemorio.rj.gov.b [State Institute of Hematology Arthur de Siqueira Cavalcanti (HEMORIO), Rio de Janeiro, RJ (Brazil); Bellido, Alfredo Victor B., E-mail: alfredo@ien.gov.b [Federal Fluminense University (UFF), Niteroi, RJ (Brazil). Chemistry Inst.; Anjos, Marcelino J., E-mail: marcelin@lin.ufrj.b [State University of Rio de Janeiro (UERJ), RJ (Brazil). Physics Inst.

    2011-07-01

    Idiopathic thrombocytopenic purpura (ITP) is a blood disorder characterized by an abnormal decrease in the number of platelets in the blood. ITP results from development of an antibody directed against a structural platelet antigen (an autoantibody). Platelets are also called thrombocytes, meaning cells that form clots. The cause of ITP is not known and their diagnosis requires that other disorders be excluded through selective tests. In this work, forty patients suffering from ITP and sixty healthy volunteers (Control Group) were analyzed. All the serum samples had been collected from people who live in the urban area of Rio de Janeiro City/Brazil. Blood was collected into vacutainers without additives. The measurements were performed at the X-ray fluorescence beamline at Brazilian National Synchrotron Light Laboratory (LNLS), in Campinas, Sao Paulo using a monochromatic beam with maximum energy of 20 keV for the excitation and an Ultra-LEGe detector with resolution of 148 eV at 5.9 keV. Standard solutions with Vanadium as internal standard were prepared for calibration system. It was possible to determine the elemental concentrations of the following six elements: Na, P, S, Cl, K and Ca. The Student's t-test was used to analyze significant differences ({alpha} = 0.05) between group of patients with ITP and control group. The elements that presented significant differences for the mean of their concentrations between each one of the ITP group and control group in {mu}g.g-1 were: phosphorous (136{+-}12 and 92{+-}12), Sulphur (1077{+-}97 and 847{+-}80), Chlorine (2905{+-}385 and 2266{+-}378), Potassium (137{+-}118 and 82{+-}15) and Calcium (64{+-}7 and 44{+-}6) respectively. These results will help the biomedical field with regard to early diagnosis and improved medical treatment. Thus, our findings indicate that these elements can be related to the important biochemical processes in ITP. (author)

  19. X-ray tube

    International Nuclear Information System (INIS)

    Webley, R.S.

    1975-01-01

    The object of the invention described is to provide an X-ray tube providing a scanned X-ray output which does not require a scanned electron beam. This is obtained by an X-ray tube including an anode which is rotatable about an axis, and a source of a beam of energy, for example an electron beam, arranged to impinge on a surface of the anode to generate X-radiation substantially at the region of incidence on the anode surface. The anode is rotatable about the axis to move the region of incidence over the surface. The anode is so shaped that the rotation causes the region of incidence to move in a predetermined manner relative to fixed parts of the tube so that the generated X-radiation is scanned in a predetermined manner relative to the tube. (UK)

  20. X-ray astronomy

    International Nuclear Information System (INIS)

    Giacconi, R.; Setti, G.

    1980-01-01

    This book contains the lectures, and the most important seminars held at the NATO meeting on X-Ray astronomy in Erice, July 1979. The meeting was an opportune forum to discuss the results of the first 8-months of operation of the X-ray satellite, HEAO-2 (Einstein Observatory) which was launched at the end of 1978. Besides surveying these results, the meeting covered extragalactic astronomy, including the relevant observations obtained in other portions of the electromagnetic spectrum (ultra-violet, optical, infrared and radio). The discussion on galactic X-ray sources essentially covered classical binaries, globular clusters and bursters and its significance to extragalactic sources and to high energy astrophysics was borne in mind. (orig.)

  1. Flash x-ray

    International Nuclear Information System (INIS)

    Johnson, Q.; Pellinen, D.

    1976-01-01

    The complementary techniques of flash x-ray radiography (FXR) and flash x-ray diffraction (FXD) provide access to a unique domain in nondestructive materials testing. FXR is useful in studies of macroscopic properties during extremely short time intervals, and FXD, the newer technique, is used in studies of microscopic properties. Although these techniques are similar in many respects, there are some substantial differences. FXD generally requires low-voltage, line-radiation sources and extremely accurate timing; FXR is usually less demanding. Phenomena which can be profitably studied by FXR often can also be studied by FXD to permit a complete materials characterization

  2. X-ray astronomy

    International Nuclear Information System (INIS)

    Narayanan, M.S.

    1976-01-01

    The deployment of detectors outside the deleterious effects of the atmosphere by sending them in space vehicles, has been explained. This has thrown open the entire spectrum of the electromagnetic and particle radiation to direct observations, thus enlarging the vistas of the field of astronomy and astrophysics. The discovery of strong emitters of X-rays such as SCO X-1, NorX-2, transient sources such as Cen X-2, Cen X-4, Cen X-1, Supernova remnants Tan X-1, etc., are reported. The background of the X-ray spectrum as measured during two rocket flights over Thumba, India is presented. (K.B.)

  3. X-ray masks

    International Nuclear Information System (INIS)

    Greenwood, J.C.; Satchell, D.W.

    1984-01-01

    In semiconductor manufacture, where X-ray irradiation is used, a thin silicon membrane can be used as an X-ray mask. This membrane has areas on which are patterns to define the regions to be irradiated. These regions are of antireflection material. With the thin, in the order of 3 microns, membranes used, fragility is a problem. Hence a number of ribs of silicon are formed integral with the membrane, and which are relatively thick, 5 to 10 microns. The ribs may be formed by localised deeper boron deposition followed by a selective etch. (author)

  4. X-ray detector

    International Nuclear Information System (INIS)

    Houston, J.M.; Whetten, N.R.

    1981-01-01

    An ionization chamber for use in determining the spatial distribution of x-ray photons in tomography systems comprises a plurality of substantially parallel, planar anodes separated by parallel, planar cathodes and enclosed in a gas of high atomic weight at a pressure from approximately 10 atmospheres to approximately 50 atmospheres. The cathode and anode structures comprise metals which are substantially opaque to x-ray radiation and thereby tend to reduce the resolution limiting effects of xray fluoresence in the gas. In another embodiment of the invention the anodes comprise parallel conductive bars disposed between two planar cathodes. Guard rings eliminate surface leakage currents between adjacent electrodes

  5. Panoramic Dental X-Ray

    Science.gov (United States)

    ... Physician Resources Professions Site Index A-Z Panoramic Dental X-ray Panoramic dental x-ray uses a very small dose of ... x-ray , is a two-dimensional (2-D) dental x-ray examination that captures the entire mouth ...

  6. Subluminous X-ray binaries

    NARCIS (Netherlands)

    Armas Padilla, M.

    2013-01-01

    The discovery of the first X-ray binary, Scorpius X-1, by Giacconi et al. (1962), marked the birth of X-ray astronomy. Following that discovery, many additional X-ray sources where found with the first generation of X-ray rockets and observatories (e.g., UHURU and Einstein). The short-timescale

  7. X-Ray Exam: Pelvis

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español X-Ray Exam: Pelvis KidsHealth / For Parents / X-Ray Exam: ... Ray Exam: Hip Broken Bones Getting an X-ray (Video) X-Ray (Video) View more Partner Message About Us ...

  8. X-Ray Exam: Forearm

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español X-Ray Exam: Forearm KidsHealth / For Parents / X-Ray Exam: ... Muscles, and Joints Broken Bones Getting an X-ray (Video) X-Ray (Video) View more Partner Message About Us ...

  9. X-Ray Exam: Foot

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español X-Ray Exam: Foot KidsHealth / For Parents / X-Ray Exam: ... Muscles, and Joints Broken Bones Getting an X-ray (Video) X-Ray (Video) View more Partner Message About Us ...

  10. X-Ray Exam: Wrist

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español X-Ray Exam: Wrist KidsHealth / For Parents / X-Ray Exam: ... Muscles, and Joints Broken Bones Getting an X-ray (Video) X-Ray (Video) View more Partner Message About Us ...

  11. Thoracic spine x-ray

    Science.gov (United States)

    Vertebral radiography; X-ray - spine; Thoracic x-ray; Spine x-ray; Thoracic spine films; Back films ... There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most ...

  12. X-Ray Exam: Finger

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español X-Ray Exam: Finger KidsHealth / For Parents / X-Ray Exam: ... Muscles, and Joints Broken Bones Getting an X-ray (Video) X-Ray (Video) View more Partner Message About Us ...

  13. Characteristic of x-ray picture of urolithiasis in children and juveniles

    International Nuclear Information System (INIS)

    Kramnij, Yi.O.; Bortnij, M.O.; Voron'zhev, Yi.O.; Ul'yanchenko, Yi.M.

    1999-01-01

    More exactly the characteristics of urolithiasis x-ray picture in children and juveniles was defined. X-ray study of 42 patients. Mainly x-ray positive calculi localized in the pelvis and ureters occur in children patients

  14. Comparison of AIMS2-SF, WOMAC, x-ray and a global physician assessment in order to approach quality of life in patients suffering from osteoarthritis

    Directory of Open Access Journals (Sweden)

    Szecsenyi Joachim

    2006-01-01

    Full Text Available Abstract Background Chronic diseases like osteoarthritis (OA substantially affect different dimensions of quality of life (QoL. The aim of the study was to reveal possible factors which mainly influence general practitioners (GPs assessment of patients' QoL. Methods 220 primary care patients with OA of the knee or the hip treated by their general practitioner for at least one year were included. All GPs were asked to assess patients' QoL based on the patients' history, actual examination and existing x-rays by means of a visual analog scale (VAS scale, resulting in values ranging from 0 to 10. Patients were asked to complete the McMaster Universities Osteoarthritis Index (WOMAC and the Arthritis Impact Measurement Scale2 Short Form (AIMS2-SF questionnaire. Results Significant correlations were revealed between "GP assessment" and the AIMS2-SF scales "physical" (rho = 0.495 and "symptom" (rho = 0.598 as well as to the "pain" scale of the WOMAC (rho = 0.557. A multivariate ordinal regression analysis revealed only the AIMS2-SF "symptom" scale (coefficient beta = 0.2588; p = 0.0267 and the x-ray grading according to Kellgren and Lawrence as significant influence variables (beta = 0.6395; p = 0.0004. Conclusion The results of the present study suggest that physicians' assessment of patients' QoL is mainly dominated by physical factors, namely pain and severity of x-ray findings. Our results suggest that socioeconomic and psychosocial factors, which are known to have substantial impact on QoL, are underestimated or missed. Moreover, the overestimation of x-ray findings, which are known to be less correlated to QoL, may cause over-treatment while important and promising targets to increase patients' QoL are missed.

  15. CRL X-ray tube

    International Nuclear Information System (INIS)

    Kolchevsky, N.N.; Petrov, P.V.

    2015-01-01

    A novel types of X-ray tubes with refractive lenses are proposed. CRL-R X-ray tube consists of Compound Refractive Lens- CRL and Reflection X-ray tube. CRL acts as X-ray window. CRL-T X-ray consists of CRL and Transmission X-ray tube. CRL acts as target for electron beam. CRL refractive lens acts as filter, collimator, waveguide and focusing lens. Properties and construction of the CRL X-ray tube are discussed. (authors)

  16. X rays and condensed matter

    International Nuclear Information System (INIS)

    Daillant, J.

    1997-01-01

    After a historical review of the discovery and study of X rays, the various interaction processes between X rays and matter are described: Thomson scattering, Compton scattering, X-photon absorption through photoelectric effect, and magnetic scattering. X ray sources such as the European Synchrotron Radiation Facility (ESRF) are described. The various X-ray applications are presented: imagery such as X tomography, X microscopy, phase contrast; X-ray photoelectron spectroscopy and X-ray absorption spectroscopy; X-ray scattering and diffraction techniques

  17. Evaluation of an infrared camera and X-ray system using implanted fiducials in patients with lung tumors for gated radiation therapy

    International Nuclear Information System (INIS)

    Willoughby, Twyla R.; Forbes, Alan R.; Buchholz, Daniel; Langen, Katja M.; Wagner, Thomas H.; Zeidan, Omar A.; Kupelian, Patrick A.; Meeks, Sanford L.

    2006-01-01

    Purpose: To report on the initial clinical use of a commercially available system to deliver gated treatment using implanted fiducials, in-room kV X-rays, and an infrared camera tracking system. Methods and Materials: ExacTrac Adaptive Gating from BrainLab is a localization system using infrared cameras and X-rays. Gating signals are the patient's breathing pattern obtained from infrared reflectors on the patient. kV X-rays of an implanted fiducial are synchronized to the breathing pattern. After localization and shift of the patient to isocenter, the breathing pattern is used to gate Radiation. Feasibility tests included localization accuracy, radiation output constancy, and dose distributions with gating. Clinical experience is reported on treatment of patients with small lung lesions. Results: Localization accuracy of a moving target with gating was 1.7 mm. Dose constancy measurements showed insignificant change in output with gating. Improvements of dose distributions on moving targets improved with gating. Eleven patients with lung lesions were implanted with 20 mm x 0.7 mm gold coil (Visicoil). The implanted fiducial was used to localize and treat the patients with gating. Treatment planning and repeat computed tomographic scans showed that the change in center of gross target volume (GTV) to implanted marker averaged 2.47 mm due in part to asymmetric tumor shrinkage. Conclusion: ExacTrac Adaptive Gating has been used to treat lung lesions. Initial system evaluation verified its accuracy and usability. Implanted fiducials are visible in X-rays and did not migrate

  18. Contrast-Enhanced Proton Radiography for Patient Set-up by Using X-Ray CT Prior Knowledge

    Energy Technology Data Exchange (ETDEWEB)

    Spadea, Maria Francesca, E-mail: mfspadea@unicz.it [Department of Experimental and Clinical Medicine, Magna Graecia University, Catanzaro (Italy); Fassi, Aurora [Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milano (Italy); Zaffino, Paolo [Department of Experimental and Clinical Medicine, Magna Graecia University, Catanzaro (Italy); Riboldi, Marco; Baroni, Guido [Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milano (Italy); Bioengineering Unit—CNAO Foundation, Pavia (Italy); Depauw, Nicolas [Department of Radiation Oncology, Harvard Medical School and Massachusetts General Hospital, Boston, Massachusetts (United States); Centre for Medical Radiation Physics, University of Wollongong, Wollongong (Australia); Seco, Joao [Department of Radiation Oncology, Harvard Medical School and Massachusetts General Hospital, Boston, Massachusetts (United States)

    2014-11-01

    Purpose: To obtain a contrasted image of the tumor region during the setup for proton therapy in lung patients, by using proton radiography and x-ray computed tomography (CT) prior knowledge. Methods and Materials: Six lung cancer patients' CT scans were preprocessed by masking out the gross tumor volume (GTV), and digitally reconstructed radiographs along the planned beam's eye view (BEV) were generated, for a total of 27 projections. Proton radiographies (PR) were also computed for the same BEV through Monte Carlo simulations. The digitally reconstructed radiograph was subtracted from the corresponding proton image, resulting in a contrast-enhanced proton radiography (CEPR). Michelson contrast analysis was performed both on PR and CEPR. The tumor region was then automatically segmented on CEPR and compared to the ground truth (GT) provided by physicians in terms of Dice coefficient, accuracy, precision, sensitivity, and specificity. Results: Contrast on CEPR was, on average, 4 times better than on PR. For 10 lateral projections (±45° off of 90° or 270°), although it was not possible to distinguish the tumor region in the PR, CEPR offers excellent GTV visibility. The median ± quartile values of Dice, precision, and accuracy indexes were 0.86 ± 0.03, 0.86 ± 0.06, and 0.88 ± 0.02, respectively, thus confirming the reliability of the method in highlighting tumor boundaries. Sensitivity and specificity analysis demonstrated that there is no systematic over- or underestimation of the tumor region. Identification of the tumor boundaries using CEPR resulted in a more accurate and precise definition of GTV compared to that obtained from pretreatment CT. Conclusions: In most proton centers, the current clinical protocol is to align the patient using kV imaging with bony anatomy as a reference. We demonstrated that CEPR can significantly improve tumor visualization, allowing better patient set-up and permitting image guided proton therapy (IGPT)

  19. X-ray beam generator

    International Nuclear Information System (INIS)

    Koller, T.J.; Randmer, J.A.

    1977-01-01

    A method of minimizing the preferential angular absorption of the divergent beam from an X-ray generator is described. The generator consists of an X-ray shielded housing with an X-ray transmissive window symmetrically placed in radial alignment with a focal spot area on a sloped target surface of an X-ray tube in the housing. The X-ray tube may be of the stationary anode type or of the rotating anode type. (U.K.)

  20. X-ray hazards - diagnostic and therapeutic

    International Nuclear Information System (INIS)

    Putney, R.G.; Garvie, N.W.

    1985-01-01

    The subject is covered in sections, entitled: introduction; nature of X-rays; X-rays - effect on biological materials; X-ray measurement; radiation dosages to exposed groups; organizational structure of radiological protection; duties of the Radiological Safety Officer; general measures for radiological protection; protection of staff; protection of patients; safety measures in radiotherapy work - sealed sources laboratory -general safety rules; radiotherapy - duties of the Radiological Safety Officer (Radiotherapy); the custodian of sealed sources -duties and relevant radiological protection information; external beam therapy - radionuclide source unit - emergency procedure in the event of technical failure; safety aspects of brachytherapy in the patient's vicinity; diagnostic radiology; conclusion. (U.K.)

  1. X-ray sources

    International Nuclear Information System (INIS)

    Bonse, U.

    1979-11-01

    The author describes several possibilities for the production of X-radiation. Especially he discusses the use of bremsstrahlung at electron impact on solid targets and the synchrotron radiation. He presents some equations for the calculation of X-ray intensities. Especially the X-radiation from the DORIS storage ring is discussed. (HSI)

  2. Medical x-ray

    International Nuclear Information System (INIS)

    Abd Aziz Mhd Ramli; Gui Ah Auu; Husaini Salleh; Idris Besar; Mohd Ashhar Khalid; Muhammad Jamal Md Isa; Shaharuddin Mohd; Siti Najila Mohd Janib; Mohamed Ali Abdul Khader; Mahalatchimi Dave; Mohd Fazly Abdul Rahim; Ng Chee Moon; Ram Piari; Teoh Hoon Heng; Lee Peter

    2004-01-01

    This book describes the fundamental subject about medical radiography. It is a multidisciplinary field that requires cross professional input from scientists, engineers and medical doctors. However, it is presented in simple language to suit different levels of readers from x-ray operators and radiographers to physists, general practitioners and radiology specialists.The book is written in accordance to the requirements of the standard syllabus approved by the Ministry of Health Malaysia for the training of medical x-ray operator and general practitioners. In general, the content is not only designed to provide relevant and essential subject for related professionals in medical radiological services such as x-ray operator, radiographer and radiologists, but also to address those in associated radiological services including nurses, medical technologists and physicists.The book is organized and arranged sequentially into 3 parts for easy reference: Radiation safety; X-ray equipment and associated facilities; Radiography practices. With proper grasping of all these parts, the radiological services could be provided with confident and the highest professional standard. Thus, medical imaging with highest quality that can provide useful diagnostic information at minimum doses and at cost effective could be assured

  3. Chest X-Ray

    Medline Plus

    Full Text Available ... change into a gown. You may have some concerns about chest x-rays. However, it’s important to ... You Sponsored by About Us | Contact Us | FAQ | Privacy | Terms of Use | Links | Site Map Copyright © 2018 ...

  4. Radiation dose and radiation risk to foetuses and newborns during X-ray examinations

    Energy Technology Data Exchange (ETDEWEB)

    Kettunen, A. [Oulu Univ. (Finland)

    2004-05-01

    The purpose of this study is to determine the way in which the demands set by degree 423/2000 by the Ministry of Social Affairs and Health are fulfilled with respect to the most radiosensitive groups, the foetus and the child, by estimating the radiation dose and radiation risk to the foetus from x-ray examinations of an expectant mother's pelvic region, finding out the practice involved in preventing doses to embryos and foetuses and assessing dose practices in cases where an embryo or foetus is or shall be exposed, and by estimating radiation dose and risk due to the radiation received by a new-born being treated in a paediatric intensive care unit. No statistics are available in Finland to indicate how many x-ray examinations of the pelvic region and lower abdomen are made to pregnant patients or to show the dose and risk to the foetus due these examinations. In order to find out the practices in radiological departments concerning the pelvic x-ray examination of fertile woman and the number of foetuses exposed, a questionnaire was sent to all radiation safety officers responsible for the safe use of radiation (n = 290). A total of 173 questionnaires were returned. This study recorded the technique and Dose-Area Product of 118 chest examinations of newborns in paediatric intensive care units. Entrance surface doses and effective doses were calculated separately to each newborn. Based on the patient records, the number of all x-ray examinations during the study was calculated and the effective doses were estimated retrospectively to each child. The radiation risk was estimated both for the foetuses and for the newborns. According to this study, it is rare in Finland to expose a pregnant woman to radiation. On the other hand, with the exception of pelvimetry examinations, there are no compiled statistics concerning the number of pelvic x-ray examinations of a pregnant woman. There was no common practice on how to exclude the possibility of pregnancy. The dose

  5. Radiation dose and radiation risk to foetuses and newborns during X-ray examinations

    International Nuclear Information System (INIS)

    Kettunen, A.

    2004-05-01

    The purpose of this study is to determine the way in which the demands set by degree 423/2000 by the Ministry of Social Affairs and Health are fulfilled with respect to the most radiosensitive groups, the foetus and the child, by estimating the radiation dose and radiation risk to the foetus from x-ray examinations of an expectant mother's pelvic region, finding out the practice involved in preventing doses to embryos and foetuses and assessing dose practices in cases where an embryo or foetus is or shall be exposed, and by estimating radiation dose and risk due to the radiation received by a new-born being treated in a paediatric intensive care unit. No statistics are available in Finland to indicate how many x-ray examinations of the pelvic region and lower abdomen are made to pregnant patients or to show the dose and risk to the foetus due these examinations. In order to find out the practices in radiological departments concerning the pelvic x-ray examination of fertile woman and the number of foetuses exposed, a questionnaire was sent to all radiation safety officers responsible for the safe use of radiation (n = 290). A total of 173 questionnaires were returned. This study recorded the technique and Dose-Area Product of 118 chest examinations of newborns in paediatric intensive care units. Entrance surface doses and effective doses were calculated separately to each newborn. Based on the patient records, the number of all x-ray examinations during the study was calculated and the effective doses were estimated retrospectively to each child. The radiation risk was estimated both for the foetuses and for the newborns. According to this study, it is rare in Finland to expose a pregnant woman to radiation. On the other hand, with the exception of pelvimetry examinations, there are no compiled statistics concerning the number of pelvic x-ray examinations of a pregnant woman. There was no common practice on how to exclude the possibility of pregnancy. The dose to a

  6. Statistical investigation on frequency, duration, number of X-ray investigations and radiation exposure to the patients of a district hospital on the outskirts of Munich

    Energy Technology Data Exchange (ETDEWEB)

    Nordmann, W

    1973-04-10

    Within the framework of a dissertation, X-ray examined patients were statistically surveyed during one month at the district hospital. The radiation exposure of the patients increased strongly particularly with men of the age of 21 to 30 and of 61 to 70. The causes are the multiply performed investigations after accidents as well as angiography at greater ages. The exposure is in the case of women particularly high between the ages of 66 and 70. In determining the gonadal exposure, the average values for the X-ray investigation at the time were referred to. The numbers give an approximate idea of to what extent single investigations with varying investigation or picture frequency can contribute to gonadal exposure.

  7. Setup accuracy of stereoscopic X-ray positioning with automated correction for rotational errors in patients treated with conformal arc radiotherapy for prostate cancer

    International Nuclear Information System (INIS)

    Soete, Guy; Verellen, Dirk; Tournel, Koen; Storme, Guy

    2006-01-01

    We evaluated setup accuracy of NovalisBody stereoscopic X-ray positioning with automated correction for rotational errors with the Robotics Tilt Module in patients treated with conformal arc radiotherapy for prostate cancer. The correction of rotational errors was shown to reduce random and systematic errors in all directions. (NovalisBody TM and Robotics Tilt Module TM are products of BrainLAB A.G., Heimstetten, Germany)

  8. The Efficacy of Magnetic Resonance Imaging and X-Ray in the Evaluation of Response to Radiosynovectomy in Patients with Hemophilic Arthropathy

    Directory of Open Access Journals (Sweden)

    Tamer Özülker

    2011-08-01

    Full Text Available Objective: We aimed to assess the role of Magnetic Resonance Imaging (MRI and X-Ray in the evaluation of response to radiosynovectomy (RS in patients with hemophilic arthropathy. Material and Methods: Eleven patients who suffered from hemophilic arthropathy with a mean age of 11.7 (range between 7-15 were included in this study. 148-185 MBq Yttrium 90 silicate (Y-90 was administered intraarticularly to ten knee joints and one patient was treated with intraarticular 74 MBq Rhenium 186 (Re-186 injection into his ankle. Before radiosynovectomy, plain anteroposterior and lateral X-rays of the target joints were obtained by standard technique. The follow-up MRI and X-ray studies of the patients were done 6 months after RS. Pettersson hemophilic arthropathy scales were utilized to stage the condition of the joints on plain X-ray and classification of the investigated joints on MRI were done according to Denver score. The clinical assessment of the efficacy of the RS was made with the comparison of the average bleedings before and after the intervention. Results: During the 6-month follow-up period after RS, an improvement in number of hemarthrosis 75% or greater compared with the prior six months occurred in six joints (54.5%. The Pettersson scores worsened in 1/11 (9%, remained unchanged in 9/11 (81.8%, and improved in 1/11 (9% joints. At the 6-month follow-up, the MRI score worsened in one (9% and was unchanged in 10/11 joints (90.9%. Conclusion: MRI is a more sensitive tool than plain radiography for evaluating and follow-up of joint disease in persons with hemophilia, but both methods don’t show correlation with the therapeutic response. (MIRT 2011;20:38-44

  9. Patient doses from x-ray examinations in Sweden - a compilation of the results from the reports from the Swedish health care 1999

    International Nuclear Information System (INIS)

    Leitz, W.; Joensson, Helene

    2001-01-01

    In early 1999 the Swedish Radiation Protection Institute (SSI) requested data on patient doses and frequency of x-ray examinations from the 30 licensees with the largest activities. This was comprising five conventional x-ray examinations, mammography and six computed tomography examinations. Patient doses and other relevant data from roughly 400 x-ray stands with an average of 20 patients each were reported. The average of the patient doses was calculated for each x-ray stand and examination type. The average values for the twelve types of examinations varied with a factor up to 15. It must be emphasized that a judgement of x-ray examinations based on one single parameter, the patient dose, is not fair. Low doses may imply poor diagnostic accuracy, high doses may be justified when the patient sample is representing many unusual clinical problems which are leading to more excessive examinations, which might be the case in e. g. university hospitals. Another problem is that the various examination types are not defined unambiguously, meaning that the clinical problem to be solved and hence the extent of the examination may differ between various clinics. Some parameters that are directly influencing the spread in patient dose have been identified, e. g. different sensitivities of the image receptors, different numbers of projections, differences in patient anatomy and different fluoroscopy times. It became obvious that the large dose variations cannot be accounted for by merely medical reasons. This is supported by the response from clinics after being informed that their doses were high. Straight forward countermeasures for dose reduction could be taken as e. g. changing the (insensitive) image receptor, increasing the filtration or modifying the examination methodology. Based on these results SSI will continue with the work of introducing diagnostic reference levels. In addition to numerical values and instructions on how and how often assessments have to be

  10. A comparison of serial MRI with X-ray CT in a patient with Reye-like syndrome

    International Nuclear Information System (INIS)

    Fujii, Yasushi; Kuriyama, Masanori; Yoshimoto, Masahiro; Konishi, Yukuo; Fujisawa, Shinichi; Sudo, Masakatsu; Hayakawa, Katsumi

    1988-01-01

    Serial MRI and X-ray CT scans were performed on a one-year 7-month old girl with Reye-like syndrome. X-ray CT scan revealed marked hemispheric brain edema in the acute stage and moderate ventricular dilatation with diffuse low density area and cortical atrophy in the chronic stage. MRI performed in the chronic stage showed marked progressive changes. Linear high intensity areas were demonstrated on T 2 weighted MRI performed 21 days after the onset. These high intensity areas increased gradually and 60 days after the onset these high intensity areas spread to the grey matter. These high intensity changes seemed to be correspond to cortical necrosis, and those in the white matter to gliosis or degeneration of myelin. (author)

  11. Assessment of entrance skin doses for patients undergoing diagnostic X-ray examinations in some major hospitals of Uttarakhand, India

    International Nuclear Information System (INIS)

    Uniyal, S.C.; Prasad, V.; Chaturvedi, V.; Raghuvanshi, S.; Sharma, S.D.

    2016-01-01

    Entrance skin dose (ESD) was calculated based on the X-ray beam output, the exposure parameters used for the actual examination and the standard value of backscatter factor. Descriptive statistics were generated from the data by using Microsoft Excel 2010. The third quartile values of ESDs obtained in this study for different X-ray projections of chest anterior-posterior (AP), chest posterior-anterior (PA), cervical spine, thoracic spine, lumber spine AP, lumber spine lateral, abdomen, KUB, pelvis, skull and knee joint were 0.79, 0.28, 1.20, 2.80, 4.26, 9.82, 2.68, 3.21, 2.69, 2.21 and 0.55 mGy respectively. The ratio of maximum to minimum ESD values ranges from 5.2 for thoracic spine to 19.76 for chest AP X-ray examinations. In general, the obtained ESD values were found to be either lower than or in agreement with the reported national/international values

  12. Mobile X-ray radiographic systems

    International Nuclear Information System (INIS)

    Buchmann, F.

    1990-01-01

    Mobile X-ray radiography equipment consists of the X-ray source with the generator and the switching and control devices, mounted on a mobile unit for transport to the patient to be examined. These mobile systems, just as the stationary equipment, have been profiting from the technological progress made in the area of X-ray generation, and the considerable improvements thus achieved have altered not only the value of these systems, but also their applicability which frequently comes near that of stationary equipment. (orig./GDG) [de

  13. X-ray diagnosis of complications of duodenum ulcer diseases

    International Nuclear Information System (INIS)

    Momot, N.V.

    1989-01-01

    To standardize the methods of X-ray examination, improvement and systematization of X-ray semiotics of stenosing and penetrating duodenum ulcers 157 patients are examined. X-ray examination includes traditional composition, polyprojectional examination using double contrasting with differential application of pharmaceuticals. It is shown that application of complex methods X-ray examination and adequate interpretation of examination results facilitate early diagnosis of duodenum ulcer disease complications. 8 refs.; 3 figs

  14. Diagnostic x-ray equipment and its use

    International Nuclear Information System (INIS)

    1993-01-01

    The guide contains the requirements for the use, structure and operation of diagnostic x-ray equipment necessary to ensure the radiation safety of workers and patients. The guide is intended for the party responsible for operating the x-ray units, the staff operating, installing and maintaining x-ray examination equipment, and companies manufacturing and selling such equipment. Special requirements for mammographic and dental x-ray equipments are given in separate ST guides. (5 refs., 1 figs., 2 tabs.)

  15. Radiation dose to the patient in several diagnostic X-ray examinations performed with conventional radiographic equipment in 3 major centers in Israel, a comparative study

    International Nuclear Information System (INIS)

    Ben-Shlomo, A.; Schlesinger, T.; Kushilevsky, A.

    1996-01-01

    In this survey we determined the effective dose to the patient in specific x-ray diagnostic procedures performed in the radiology Department and emergency rooms in 3 major hospitals (A, B, and C) in Israel. In each hospital we measured the dose area product (DAP) in a number of several major diagnostic procedures. In each hospital we carried out measurements in two X-ray departments (A1, A2. B1, B2, C1, C2). The DAP measurements were carried out using a Diamentor Dose Area Product meter (DAP). The entrance dose was obtained using calibration measurements relating the exposure at a reference distance to the imaging parameters (kVp, mAs, filtration and distance) that were recorded in the examinations. The results will be presented and compared to the reference international guidance values (authors)

  16. Potentiation by caffeine of x-ray damage to cultured human skin fibroblasts from normal subjects and ataxia-telangiectasia patients

    International Nuclear Information System (INIS)

    Furcinitti, P.S.

    1983-01-01

    Caffeine was found to potentiate x-ray-induced killing of human diploid fibroblasts from a normal subject and an ataxia-telangiectasia (AT) patient when it was present at 2 mM concentration for 30 to 66 h postirradiation. The dose-modifying factor for caffeine-treated normal cells had an average value of 1.26 +- 0.13 which did not vary significantly with treatment time or x-ray dose. The dose-modifying factor for caffeine-treated AT cells was 1.12 +- 0.12 at 30 h, rose to 1.66 +- 0.17 at 41 h, and decreased to 1.31 +- 0.13 at 66 h. Thus no clear difference was observed between these two cell strains' susceptibility to postirradiation caffeine treatment

  17. Follow-up study of patients treated by x-ray epilation for Tinea capitis. Resurvey of post-treatment illness and mortality experience

    International Nuclear Information System (INIS)

    Shore, R.E.; Albert, R.E.; Pasternack, B.S.

    1976-01-01

    This is the second follow-up study of 2,215 persons who during childhood between 1940 and 1959 had been given x-ray therapy for tinea capitis and of 1,395 persons well matched for age, sex, and race who were treated for the same disease during the same period without the use of x-ray therapy. The major finding of the study was an excess incidence in the irradiated cases of tumors of the head and neck including the skin, brain, thyroid, and parotid. However, between the groups there was no difference in death due to malignant neoplasms or any other cause. Among white patients, a 40 percent excess of treated psychiatric disorders was observed in the irradiated group, but there was no difference among blacks

  18. Radiation dose to the patient in several diagnostic X-ray examinations performed with conventional radiographic equipment in 3 major centers in Israel, a comparative study

    Energy Technology Data Exchange (ETDEWEB)

    Ben-Shlomo, A; Schlesinger, T [Israel Atomic Energy Commission, Yavne (Israel). Soreq Nuclear Research Center; Kushilevsky, A [Ben-Gurion Univ. of the Negev, Beersheba (Israel) Dept. of Biomedical Engineering

    1996-12-01

    In this survey we determined the effective dose to the patient in specific x-ray diagnostic procedures performed in the radiology Department and emergency rooms in 3 major hospitals (A, B, and C) in Israel. In each hospital we measured the dose area product (DAP) in a number of several major diagnostic procedures. In each hospital we carried out measurements in two X-ray departments (A1, A2. B1, B2, C1, C2). The DAP measurements were carried out using a Diamentor Dose Area Product meter (DAP). The entrance dose was obtained using calibration measurements relating the exposure at a reference distance to the imaging parameters (kVp, mAs, filtration and distance) that were recorded in the examinations. The results will be presented and compared to the reference international guidance values (authors).

  19. X-ray examination equipment for heart diagnostics

    International Nuclear Information System (INIS)

    Kok, P.W.

    1979-01-01

    For heart catheterization the X-ray tube and the image intensifier can be shifted parallel to the scanning plane. Without moving the patient it is also possible to displace the system X-ray tube/image intensifier arbitrarily in space, while keeping up the direction of the X-ray beam. (RW) [de

  20. X-ray diagnostics in non-specialized conditions

    International Nuclear Information System (INIS)

    Vasil’yev, A Y; Lyubimenko, V A; Potrakhov, Y N; Potrakhov, N N; Bessonov, V B; Klonov, V V; Larionov, I A; Gryaznov, A Y; Zhamova, K K

    2017-01-01

    The results of research in the development of X-ray diagnostic equipment in non-specialized conditions are described. The design of the first domestic digital X-ray diagnostic complex for neonatology in portable design is presented. Examples of X-ray images obtained “at home” from a patient are given. (paper)

  1. X ray Production. Chapter 5

    Energy Technology Data Exchange (ETDEWEB)

    Nowotny, R. [Medical University of Vienna, Vienna (Austria)

    2014-09-15

    The differential absorption of X rays in tissues and organs, owing to their atomic composition, is the basis for the various imaging methods used in diagnostic radiology. The principles in the production of X rays have remained the same since their discovery. However, much refinement has gone into the design of X ray tubes to achieve the performance required for today’s radiological examinations. In this chapter, an outline of the principles of X ray production and a characterization of the radiation output of X ray tubes will be given. The basic processes producing X rays are dealt with in Section 1.4.

  2. X-ray filter for x-ray powder diffraction

    Science.gov (United States)

    Sinsheimer, John Jay; Conley, Raymond P.; Bouet, Nathalie C. D.; Dooryhee, Eric; Ghose, Sanjit

    2018-01-23

    Technologies are described for apparatus, methods and systems effective for filtering. The filters may comprise a first plate. The first plate may include an x-ray absorbing material and walls defining first slits. The first slits may include arc shaped openings through the first plate. The walls of the first plate may be configured to absorb at least some of first x-rays when the first x-rays are incident on the x-ray absorbing material, and to output second x-rays. The filters may comprise a second plate spaced from the first plate. The second plate may include the x-ray absorbing material and walls defining second slits. The second slits may include arc shaped openings through the second plate. The walls of the second plate may be configured to absorb at least some of second x-rays and to output third x-rays.

  3. X-ray refractometer

    International Nuclear Information System (INIS)

    Tur'yanskij, A.G.; Pirshin, I.V.

    2001-01-01

    Paper introduces a new circuit of X-ray refractometer to study angular and spectral features of refracted radiation within hard X-ray range. Refractometer incorporates two goniometers, two crystal-analyzers and three radiation detectors. The maximum distance between radiation source focal point and a receiving slit of the second goniometer is equal to 1.4 m. For the first time one obtained refraction patterns of fine-film specimens including C/Si stressed structure. Paper describes a new technique of refractometry via specimen oscillation at fixed position of a detecting device. Paper presents the measurement results of oscillation refraction patterns for specimens of melted quartz and ZnSe single crystal [ru

  4. X-ray generator

    Energy Technology Data Exchange (ETDEWEB)

    Zucarias, A; Shepherd, J W

    1982-09-08

    An X-ray tube has a tubular envelope with a cathode for directing an electron beam onto a focal spot area of a spaced anode target to generate X-rays. The target is mounted for axial rotation on one end of a rotor disposed in an end portion of the envelope and encircled by a stator of an alternating current induction motor. An annular shield of high permeability magnetic material extends transversely between the electron beam and the stator of the induction motor for shunting stray or fringe electromagnetic fields established by the stator away from the electron beam to avoid consequent lateral deflections of the electron and corresponding lateral movements of the focal spot area.

  5. X-ray microtomography

    International Nuclear Information System (INIS)

    Dunsmuir, J.H.; Ferguson, S.R.; D'Amico, K.L.; Stokes, J.P.

    1991-01-01

    In this paper the authors describe the application of a new high-resolution X-ray tomographic microscope to the study of porous media. The microscope was designed to exploit the properties of a synchrotron X-ray source to perform three dimensional tomography on millimeter sized objects with micron resolution and has been used in materials science studies with both synchrotron and conventional and synchrotron sources will be compared. In this work the authors have applied the microscope to measure the three dimensional structure of fused bead packs and berea sandstones with micron resolution and have performed preliminary studies of flow in these media with the microscope operated in a digital subtraction radiography mode. Computer graphics techniques have been applied to the data to visually display the structure of the pore body system. Tomographic imaging after flow experiments should detect the structure of the oil-water interface in the pore network and this work is ongoing

  6. X-ray diffraction

    International Nuclear Information System (INIS)

    Einstein, J.R.; Wei, C.H.

    1982-01-01

    We have been interested in structural elucidation by x-ray diffraction of compounds of biological interest. Understanding exactly how atoms are arranged in three-dimensional arrays as molecules can help explain the relationship between structure and functions. The species investigated may vary in size and shape; our recent studies included such diverse substances as antischistosomal drugs, a complex of cadmium with nucleic acid base, nitrate salts of adenine, and proteins

  7. X-ray Ordinance

    International Nuclear Information System (INIS)

    Kramer, R.; Zerlett, G.

    1983-01-01

    This commentary, presented as volume 2 of the Deutsches Strahlenschutzrecht (German legislation on radiation protection) deals with the legal provisions of the ordinance on the protection against harmful effects of X-radiation (X-ray Ordinance - RoeV), of March 1, 1973 (announced in BGBl.I, page 173), as amended by the ordinance on the protection against harmful effects of ionizing radiation, of October 13, 1976 (announced in BGBl. I, page 2905). Thus volume 2 completes the task started with volume 1, namely to present a comprehensive view and account of the body of laws governing radiation protection, a task which was thought useful as developments in the FRG led to regulations being split up into the X-ray Ordinance, and the Radiation Protection Ordinance. In order to present a well-balanced commentary on the X-ray Ordinance, it was necessary to discuss the provisions both from the legal and the medical point of view. This edition takes into account the Fourth Public Notice of the BMA (Fed. Min. of Labour and Social Affairs) concerning the implementation of the X-ray Ordinance of January 4, 1982, as well as court decisions and literature published in this field, until September 1982. In addition, the judgment of the Federal Constitutional Court, dated October 19, 1982, concerning the voidness of the law on government liability, and two decisions by the Federal High Court, dated November 23, 1982, concerning the right to have insight into medical reports - of great significance in practice - have been considered. This commentary therefore is up to date with current developments. (orig.) [de

  8. Producing x-rays

    International Nuclear Information System (INIS)

    Mallozzi, P.J.; Epstein, H.M.; Jung, R.G.; Applebaum, D.C.; Fairand, B.P.; Gallagher, W.J.

    1977-01-01

    A method of producing x-rays by directing radiant energy from a laser onto a target is described. Conversion efficiency of at least about 3 percent is obtained by providing the radiant energy in a low-power precursor pulse of approximately uniform effective intensity focused onto the surface of the target for about 1 to 30 nanoseconds so as to generate an expanding unconfined coronal plasma having less than normal solid density throughout and comprising a low-density (underdense) region wherein the plasma frequency is less than the laser radiation frequency and a higher-density (overdense) region wherein the plasma frequency is greater than the laser radiation frequency and, about 1 to 30 nanoseconds after the precursor pulse strikes the target, a higher-power main pulse focused onto the plasma for about 10 -3 to 30 nanoseconds and having such power density and total energy that the radiant energy is absorbed in the underdense region and conducted into the overdense region to heat it and thus to produce x-rays therefrom with the plasma remaining substantially below normal solid density and thus facilitating the substantial emission of x-rays in the form of spectral lines arising from nonequilibrium ionization states

  9. Patients with Pelvic Floor Muscle Spasm Have a Superior Response to Pelvic Floor Physical Therapy at Specialized Centers.

    Science.gov (United States)

    Polackwich, Alan Scott; Li, Jianbo; Shoskes, Daniel A

    2015-10-01

    Chronic prostatitis/chronic pelvic pain syndrome is a common condition that often requires multimodal therapy. Patients with chronic pelvic pain syndrome have a high incidence of pelvic floor spasm, which can be treated with pelvic floor physical therapy. However, this is a specialized skill. We compared outcomes of pelvic floor physical therapy as part of multimodal therapy in patients with chronic pelvic pain syndrome between those treated at our institution and elsewhere. We identified patients from our chronic pelvic pain syndrome registry with pelvic floor spasm who were seen between 2010 and 2014 for more than 1 visit. Patient phenotype was assessed with the UPOINT system and symptom severity was determined by the National Institutes of Health CPSI. A 6-point decrease in CPSI was used to define patient improvement. A total of 82 patients fit the study criteria. Mean age was 41.6 years (range 19 to 75) and median symptom duration was 24 months (range 3 to 240). Mean CPSI was 26.8 (range 10 to 41), the median number of positive UPOINT domains was 3 (range 1 to 6) and 27 patients (32.9%) were treated locally. At followup 9 patients had refused pelvic floor physical therapy, and 24 and 48 had undergone pelvic floor physical therapy elsewhere and at CCF, respectively. The mean change in CPSI was 1.11 ± 4.1 in patients who refused, -3.46 ± 6.7 in those treated elsewhere and -11.3 ± 7.0 in those treated at CCF (p physical therapy at CCF (OR 4.23, p = 0.002) and symptom duration (OR 0.52, p = 0.03) predicted improvement. Pelvic floor physical therapy can be effective for chronic pelvic pain syndrome in patients with pelvic floor spasm. However, the outcome depends on specialty training and experience of therapists. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  10. X-ray diagnosis of rib chondrosarcoma

    International Nuclear Information System (INIS)

    Smakova, M.S.

    1982-01-01

    A study was made on X-ray images of 24 patients, suffering from rib chondrosarcoma with relapses. X-ray symptoms of rib chondrosarcoma, depending on process localization were improved. Chondrosarcoma of rib cartilage is characterized by soft-tissue component with calcareous inclusions or without them. Chondrosarcoma of rib bone is characterized by destruction and soft-tissue component. Chondrosarcoma relapses were localized in soft tissues

  11. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... the body. X-rays are the oldest and most frequently used form of medical imaging. A bone ... bones. top of page How should I prepare? Most bone x-rays require no special preparation. You ...

  12. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... evaluation. National and international radiology protection organizations continually review and update the technique standards used by radiology professionals. Modern x-ray systems have very controlled x-ray beams and dose ...

  13. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... current x-ray images for diagnosis and disease management. top of page How is the procedure performed? ... position possible that still ensures x-ray image quality. top of page Who interprets the results and ...

  14. X-ray detector array

    International Nuclear Information System (INIS)

    Houston, J.M.

    1980-01-01

    The object of the invention (an ionization chamber X-ray detector array for use with high speed computerised tomographic imaging apparatus) is to reduce the time required to produce a tomographic image. The detector array described determines the distribution of X-ray intensities in one or more flat, coplanar X-ray beams. It comprises three flat anode sheets parallel to the X-ray beam, a plurality of rod-like cathodes between the anodes, a detector gas between the electrodes and a means for applying a potential between the electrodes. Each of the X-ray sources is collimated to give a narrow, planar section of X-ray photons. Sets of X-ray sources in the array are pulsed simultaneously to obtain X-ray transmission data for tomographic image reconstruction. (U.K.)

  15. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... tissue shows up in shades of gray and air appears black. Until recently, x-ray images were ... position possible that still ensures x-ray image quality. top of page Who interprets the results and ...

  16. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... changes seen in metabolic conditions. assist in the detection and diagnosis of bone cancer . locate foreign objects ... standards used by radiology professionals. Modern x-ray systems have very controlled x-ray beams and dose ...

  17. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... standards used by radiology professionals. Modern x-ray systems have very controlled x-ray beams and dose control methods to minimize stray (scatter) radiation. This ensures that ...

  18. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... up in shades of gray and air appears black. Until recently, x-ray images were maintained on ... Safety page for more information about radiation dose. Women should always inform their physician or x-ray ...

  19. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... current x-ray images for diagnosis and disease management. top of page How is the procedure performed? ... have very controlled x-ray beams and dose control methods to minimize stray (scatter) radiation. This ensures ...

  20. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... conditions. Imaging with x-rays involves exposing a part of the body to a small dose of ... body. Once it is carefully aimed at the part of the body being examined, an x-ray ...

  1. X-Ray Exam: Hip

    Science.gov (United States)

    ... for Educators Search English Español X-Ray Exam: Hip KidsHealth / For Parents / X-Ray Exam: Hip What's in this article? What It Is Why ... You Have Questions Print What It Is A hip X-ray is a safe and painless test ...

  2. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... X-rays are a form of radiation like light or radio waves. X-rays pass through most objects, including the body. Once it is carefully aimed at the part of the body being examined, an x-ray machine produces a small ...

  3. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... x-rays. top of page What does the equipment look like? The equipment typically used for bone x-rays consists of ... and joint abnormalities, such as arthritis. X-ray equipment is relatively inexpensive and widely available in emergency ...

  4. X-Ray Exam: Ankle

    Science.gov (United States)

    ... for Educators Search English Español X-Ray Exam: Ankle KidsHealth / For Parents / X-Ray Exam: Ankle What's in this article? What It Is Why ... You Have Questions Print What It Is An ankle X-ray is a safe and painless test ...

  5. Evaluation of the use of computed tomography versus conventional orthogonal X-ray simulation in the treatment of rectal cancer

    International Nuclear Information System (INIS)

    Darben, P.; Lim-Joon, D.; Chao, M.; Gibbs, P.; Tjandra, J.; Jones, I.T.

    2005-01-01

    The aim of this study is to compare and contrast the treatment fields designed using CT versus conventional orthogonal X-ray simulation in the treatment of patients with rectal cancer given preoperative chemotherapy and radiotherapy. Nine patients participated in this study. The coverage of treatment fields, the volume of treatment fields, and the position of the anorectal junction in relation to the inferior border of the obturator foramen as the delineator of the pelvic floor were evaluated in each patient using CT and conventional orthogonal X-ray simulation. The results demonstrated undercoverage of the anterior border of the lateral fields of up to 2.5 cm in seven of nine patients when conventional orthogonal X-ray simulation was compared to CT simulation. In addition, the inferior border of the obturator foramen proved to be a poor delineator of the pelvic floor with the anorectal junction situated up to 2 cm superiorly in seven of nine patients. In conclusion, CT simulation is superior to conventional orthogonal X-ray simulation when designing treatment fields for patients with rectal cancer Copyright (2005) Blackwell Publishing Asia Pty Ltd

  6. Comparison of radiation dose, workflow, patient comfort and financial break-even of standard digital radiography and a novel biplanar low-dose X-ray system for upright full-length lower limb and whole spine radiography

    International Nuclear Information System (INIS)

    Dietrich, Tobias J.; Pfirrmann, Christian W.A.; Pankalla, Katja; Buck, Florian M.; Schwab, Alexander

    2013-01-01

    To compare the radiation dose, workflow, patient comfort, and financial break-even of a standard digital radiography and a biplanar low-dose X-ray system. A standard digital radiography system (Ysio, Siemens Healthcare, Erlangen, Germany) was compared with a biplanar X-ray unit (EOS, EOS imaging, Paris, France) consisting of two X-ray tubes and slot-scanning detectors, arranged at an angle of 90 allowing simultaneous vertical biplanar linear scanning in the upright patient position. We compared data of standing full-length lower limb radiographs and whole spine radiographs of both X-ray systems. Dose-area product was significantly lower for radiographs of the biplanar X-ray system than for the standard digital radiography system (e.g. whole spine radiographs; standard digital radiography system: 392.2 ± 231.7 cGy*cm 2 versus biplanar X-ray system: 158.4 ± 103.8 cGy*cm 2 ). The mean examination time was significantly shorter for biplanar radiographs compared with standard digital radiographs (e.g. whole spine radiographs: 449 s vs 248 s). Patients' comfort regarding noise was significantly higher for the standard digital radiography system. The financial break-even point was 2,602 radiographs/year for the standard digital radiography system compared with 4,077 radiographs/year for the biplanar X-ray unit. The biplanar X-ray unit reduces radiation exposure and increases subjective noise exposure to patients. The biplanar X-ray unit demands a higher number of examinations per year for the financial break-even point, despite the lower labour cost per examination due to the shorter examination time. (orig.)

  7. SMM x ray polychromator

    Science.gov (United States)

    Saba, J. L. R.

    1993-01-01

    The objective of the X-ray Polychromator (XRP) experiment was to study the physical properties of solar flare plasma and its relation to the parent active region to understand better the flare mechanism and related solar activity. Observations were made to determine the temperature, density, and dynamic structure of the pre-flare and flare plasma as a function of wavelength, space and time, the extent to which the flare plasma departs from thermal equilibrium, and the variation of this departure with time. The experiment also determines the temperature and density structure of active regions and flare-induced changes in the regions.

  8. Obstetric X-rays

    International Nuclear Information System (INIS)

    Mwachi, M.K.

    2006-01-01

    Radiography of the pelvis should never be taken to diagnose early pregnancy, because of potential hazards of radiation damage to the growing foetus. the only indication occurs in the last week of pregnancy (37 weeks). Obstetric X-ray will help you answer like confirmation of malposition,multiple pregnancies; fetal abnormalities e.g. hydrocephalus, foetal disposition. The choice of radiographic projection will help give foetal presentation, disposition as well as foetal maturity. The search pattern helps you determine maternal and spine deformity, foetal spine and head , foetal presentation and any other anomalies

  9. X-ray film

    International Nuclear Information System (INIS)

    Arndt, U.W.; Gilmore, D.J.; Wonacott, A.J.

    1977-01-01

    The performance of film as an X-ray detector is discussed and its behaviour is compared with that of a perfect Poissonian detector. The efficiency of microdensitometry as a method of extracting the information recorded on the film is discussed. More emphasis is placed in the precision of microdensitometric measurements than on the more obvious characteristic of film speed. The effects of chemical fog and background on the precision of the measurements is considered and it is concluded that the final limit to precision is set by the chemical fog. (B.D.)

  10. X-ray diffraction

    International Nuclear Information System (INIS)

    Vries, J.L. de.

    1976-01-01

    The seventh edition of Philips' Review of literature on X-ray diffraction begins with a list of conference proceedings on the subject, organised by the Philips' organisation at regular intervals in various European countries. This is followed by a list of bulletins. The bibliography is divided according to the equipment (cameras, diffractometers, monochromators) and its applications. The applications are subdivided into sections for high/low temperature and pressure, effects due to the equipment, small angle scattering and a part for stress, texture and phase analyses of metals and quantitative analysis of minerals

  11. Pelvic Chondroblastoma

    International Nuclear Information System (INIS)

    Romero Rojas, Alfredo Ernesto; Restrepo Escobar, Ligia Ines; Melo Uribe, Mario Alexander

    2009-01-01

    This article describes the case of a 24-year old woman with a pelvic chondroblastoma localized at the top of the right iliac crest, with six months of evolution and progressive growth. X-rays revealed an osteolytic lesion with heterogeneous density, extending toward soft tissue; the histopathologic study provided evidence of chondroblastoma. Chondroblastomas are benign bone tumors producers of cartilage which appears in the long bone epiphysis of young people. Nearly 75% of such tumors affect the long bones, principally the femur, the tibia, and the humerus; exceptions include those in the flat craniofacial bones and the pelvis bones. Chondroblastomas have distinct radiological and histopathologic characteristics, and despite their benign biological behavior, can cause elevated morbidity among patients due to their localization and being treated exclusively with surgery.

  12. X-ray-assisted positioning of patients treated by conformal arc radiotherapy for prostate cancer: Comparison of setup accuracy using implanted markers versus bony structures

    International Nuclear Information System (INIS)

    Soete, Guy; Cock, Mieke de; Verellen, Dirk; Michielsen, Dirk; Keuppens, Frans; Storme, Guy

    2007-01-01

    Purpose: The aim of this study was to compare setup accuracy of NovalisBody stereoscopic X-ray positioning using implanted markers in the prostate vs. bony structures in patients treated with dynamic conformal arc radiotherapy for prostate cancer. Methods and Materials: Random and systematic setup errors (RE and SE) of the isocenter with regard to the center of gravity of three fiducial markers were measured by means of orthogonal verification films in 120 treatment sessions in 12 patients. Positioning was performed using NovalisBody semiautomated marker fusion. The results were compared with a control group of 261 measurements in 15 patients who were positioned with NovalisBody automated bone fusion. In addition, interfraction and intrafraction prostate motion was registered in the patients with implanted markers. Results: Marker-based X-ray positioning resulted in a reduction of RE as well as SE in the anteroposterior, craniocaudal, and left-right directions compared with those in the control group. The interfraction prostate displacements with regard to the bony pelvis that could be avoided by marker positioning ranged between 1.6 and 2.8 mm for RE and between 1.3 and 4.3 mm for SE. Intrafraction random and systematic prostate movements ranged between 1.4 and 2.4 mm and between 0.8 and 1.3 mm, respectively. Conclusion: The problem of interfraction prostate motion can be solved by using implanted markers. In addition, the NovalisBody X-ray system performs more accurately with markers compared with bone fusion. Intrafraction organ motion has become the limiting factor for margin reduction around the clinical target volume

  13. DNA damages induced in human lymphocytes by UV or X-rays and repair capacities of healthy donors and skin cancer patients

    International Nuclear Information System (INIS)

    Cebulska-Wasilewska, A.; Dyga, W.; Budzanowska, E.

    1999-01-01

    The aim of this study was to compare variation in the individual susceptibility of various donors to the induction of the DNA damage by genotoxic agents and their cellular capabilities to repair induced damage. DNA damages induced by UV or X-rays in lymphocytes and cellular repair capability of healthy donors and persons bearing various categories of skin cancer cells were investigated. Fresh blood was collected by venipuncture from 35 individuals (including nine prior to skin cancer treatment). All cancer patients were nonsmoking males, however 42.3 % of them were former smokers. All healthy donors were also males, an average age was 38.6 y and among them 68% were recent or former smokers. Immediately after collecting samples, lymphocytes were isolated and stored at -70 o C for further studies in vitro. Previously cryopreserved lymphocytes were defrosted and viability of the cells was investigated. The single cell gel electrophoresis assay (SCGE), known as a Comet assay, was performed in defrozen lymphocytes to evaluate individual DNA damage levels presented in lymphocytes at the time of sample's collection. To compare individual susceptibility to the induction of DNA damage by UV and ionizing radiation, lymphocytes were exposed to dose of 6 J/m 2 of UV or 2 Gy of X-rays and DNA damages were detected again with an application of the Comet assay. Additionally, to study variation in the individuals cellular capability to repair damages induced, prior to the DNA damage analysis an incubation of cells exposed was also done in presence or absence of phytohemagglutinin (cell divisions processes starting agent). Results showed in untreated lymphocytes of skin cancer patients significantly higher than in the reference group levels of the DNA damages. Significantly different responses to UV and significantly lower capabilities to repair UV induced damage in skin cancer patients were observed. On the average, no differences between reference group and skin cancer patients

  14. Soft x-ray lasers

    International Nuclear Information System (INIS)

    Matthews, D.L.; Rosen, M.D.

    1988-01-01

    One of the elusive dreams of laser physicists has been the development of an x-ray laser. After 25 years of waiting, the x-ray laser has at last entered the scientific scene, although those now in operation are still laboratory prototypes. They produce soft x rays down to about five nanometers. X-ray lasers retain the usual characteristics of their optical counterparts: a very tight beam, spatial and temporal coherence, and extreme brightness. Present x-ray lasers are nearly 100 times brighter that the next most powerful x-ray source in the world: the electron synchrotron. Although Lawrence Livermore National Laboratory (LLNL) is widely known for its hard-x-ray laser program which has potential applications in the Strategic Defense Initiative, the soft x-ray lasers have no direct military applications. These lasers, and the scientific tools that result from their development, may one day have a place in the design and diagnosis of both laser fusion and hard x-ray lasers. The soft x-ray lasers now in operation at the LLNL have shown great promise but are still in the primitive state. Once x-ray lasers become reliable, efficient, and economical, they will have several important applications. Chief among them might be the creation of holograms of microscopic biological structures too small to be investigated with visible light. 5 figs

  15. X-ray spectrometry

    International Nuclear Information System (INIS)

    Markowicz, A.A.; Van Grieken, R.E.

    1986-01-01

    In the period under review, i.e, through 1984 and 1985, some 600 articles on XRS (X-ray spectrometry) were published; most of these have been scanned and the most fundamental ones are discussed. All references will refer to English-language articles, unless states otherwise. Also general books have appeared on quantitative EPXMA (electron-probe X-ray microanalysis) and analytical electron microscopy (AEM) as well as an extensive review on the application of XRS to trace analysis of environmental samples. In the period under review no radically new developments have been seen in XRS. However, significant improvements have been made. Gain in intensities has been achieved by more efficient excitation, higher reflectivity of dispersing media, and better geometry. Better understanding of the physical process of photon- and electron-specimen interactions led to complex but more accurate equations for correction of various interelement effects. Extensive use of micro- and minicomputers now enables fully automatic operation, including qualitative analysis. However, sample preparation and presentation still put a limit to further progress. Although some authors find XRS in the phase of stabilization or even stagnation, further gradual developments are expected, particularly toward more dedicated equipment, advanced automation, and image analysis systems. Ways are outlined in which XRS has been improved in the 2 last years by excitation, detection, instrumental, methodological, and theoretical advances. 340 references

  16. TU-FG-209-09: Mathematical Estimation and Experimental Measurement of Patient Free-In-Air Skin Entrance Exposure During a Panoramic Dental X-Ray Procedure

    Energy Technology Data Exchange (ETDEWEB)

    Errico, A; Behrman, R; Li, B [Boston University Medical Center, Boston, MA (United States)

    2016-06-15

    Purpose: To develop a simple mathematical model for estimating the patient free-in-air skin entrance exposure (SEE) during a panoramic dental x-ray that does not require the use of a head phantom. This eliminates issues associated with phantom centering and the mounting of a detector on the phantom for routine QC testing. Methods: We used a Sirona Orthophos XG panoramic radiographic unit and a Radcal Accu-Gold system for this study. A solid state detector was attached over the slit of the Orthophos’ sensor with the help of a custom-built jig. A single measurement of the free-in-air exposure at this position was taken over a full panoramic scan. A mathematical model for estimating the SEE was developed based upon this measurement, the system geometry, x-ray field beam width, and x-ray sweep angle. To validate the model, patient geometry was simulated by a 16 cm diameter PMMA CTDI phantom centered at the machine’s isocenter. Measurements taken on the phantom’s surface were made using a solid state detector with lead backing, an ion chamber, and the ion chamber with the phantom wrapped in lead to mitigate backscatter. Measurements were taken near the start position of the tube and at 90 degrees from the start position. Results: Using the solid state detector, the average SEE was 23.5+/−0.02 mR and 55.5+/−0.08 mR at 64 kVp and 73 kVp, respectively. With the lead-wrapping, the measurements from the ion chamber matched those of the solid state detector to within 0.1%. Preliminary results gave the difference between the mathematical model and the phantom measurements to be approximately 5% at both kVps. Conclusion: Reasonable estimates of patient SEE for panoramic dental radiography can be made using a simple mathematical model without the need for a head phantom.

  17. Evaluation of patient dose in imaging using a cone-beam CT dosimetry by X-ray films for radiotherapeutic dose

    International Nuclear Information System (INIS)

    Yoshida, Yuri; Morita, Yasuhiko; Honda, Eiichi; Tomotake, Yoritoki; Ichikawa, Tetsuo

    2008-01-01

    A limited cone-beam X-ray CT (3DX multi-image micro CT; 3DX-FPD) is widely used in dentistry because it provides a lower cost, smaller size, and higher spatial resolution than a CT for medicine. Our recent research suggested that the patient dose of 3DX-FPD was less than 7/10 of that of CT, and it was several to 10 times more than that of dental or panoramic radiography. The purpose of this study was to evaluate the spatial dose distribution from 3DX-FPD and to estimate the influence of dose by positioning of the region of interest. Dosimetry of the organs and the tissues was performed using an anthropomorphic Alderson Rando phantom and X-ray films for measurement of radiotherapeutic dose. Measurements of dose distribution were performed using a cylinder-type tank of water made of acrylic resin imitating the head and X-ray films. The results are summarized as follows: The dose was higher as the ratio of the air region included in the region of interest increased. The dose distribution was not homogeneous and the dose was highest in the skin region. The dose was higher for several seconds after the beginning of exposure. It was concluded that patient positioning, as well as exposure conditions including the size of the exposure field and tube current, could greatly influence the patient dose in 3DX-FPD. In addition, it is necessary to consider the influence of image quality for the treatment of dental implants. (author)

  18. TU-FG-209-09: Mathematical Estimation and Experimental Measurement of Patient Free-In-Air Skin Entrance Exposure During a Panoramic Dental X-Ray Procedure

    International Nuclear Information System (INIS)

    Errico, A; Behrman, R; Li, B

    2016-01-01

    Purpose: To develop a simple mathematical model for estimating the patient free-in-air skin entrance exposure (SEE) during a panoramic dental x-ray that does not require the use of a head phantom. This eliminates issues associated with phantom centering and the mounting of a detector on the phantom for routine QC testing. Methods: We used a Sirona Orthophos XG panoramic radiographic unit and a Radcal Accu-Gold system for this study. A solid state detector was attached over the slit of the Orthophos’ sensor with the help of a custom-built jig. A single measurement of the free-in-air exposure at this position was taken over a full panoramic scan. A mathematical model for estimating the SEE was developed based upon this measurement, the system geometry, x-ray field beam width, and x-ray sweep angle. To validate the model, patient geometry was simulated by a 16 cm diameter PMMA CTDI phantom centered at the machine’s isocenter. Measurements taken on the phantom’s surface were made using a solid state detector with lead backing, an ion chamber, and the ion chamber with the phantom wrapped in lead to mitigate backscatter. Measurements were taken near the start position of the tube and at 90 degrees from the start position. Results: Using the solid state detector, the average SEE was 23.5+/−0.02 mR and 55.5+/−0.08 mR at 64 kVp and 73 kVp, respectively. With the lead-wrapping, the measurements from the ion chamber matched those of the solid state detector to within 0.1%. Preliminary results gave the difference between the mathematical model and the phantom measurements to be approximately 5% at both kVps. Conclusion: Reasonable estimates of patient SEE for panoramic dental radiography can be made using a simple mathematical model without the need for a head phantom.

  19. Statistical shape model-based reconstruction of a scaled, patient-specific surface model of the pelvis from a single standard AP x-ray radiograph

    Energy Technology Data Exchange (ETDEWEB)

    Zheng Guoyan [Institute for Surgical Technology and Biomechanics, University of Bern, Stauffacherstrasse 78, CH-3014 Bern (Switzerland)

    2010-04-15

    Purpose: The aim of this article is to investigate the feasibility of using a statistical shape model (SSM)-based reconstruction technique to derive a scaled, patient-specific surface model of the pelvis from a single standard anteroposterior (AP) x-ray radiograph and the feasibility of estimating the scale of the reconstructed surface model by performing a surface-based 3D/3D matching. Methods: Data sets of 14 pelvises (one plastic bone, 12 cadavers, and one patient) were used to validate the single-image based reconstruction technique. This reconstruction technique is based on a hybrid 2D/3D deformable registration process combining a landmark-to-ray registration with a SSM-based 2D/3D reconstruction. The landmark-to-ray registration was used to find an initial scale and an initial rigid transformation between the x-ray image and the SSM. The estimated scale and rigid transformation were used to initialize the SSM-based 2D/3D reconstruction. The optimal reconstruction was then achieved in three stages by iteratively matching the projections of the apparent contours extracted from a 3D model derived from the SSM to the image contours extracted from the x-ray radiograph: Iterative affine registration, statistical instantiation, and iterative regularized shape deformation. The image contours are first detected by using a semiautomatic segmentation tool based on the Livewire algorithm and then approximated by a set of sparse dominant points that are adaptively sampled from the detected contours. The unknown scales of the reconstructed models were estimated by performing a surface-based 3D/3D matching between the reconstructed models and the associated ground truth models that were derived from a CT-based reconstruction method. Such a matching also allowed for computing the errors between the reconstructed models and the associated ground truth models. Results: The technique could reconstruct the surface models of all 14 pelvises directly from the landmark

  20. Management of diagnostic x-ray radiation in developing countries

    International Nuclear Information System (INIS)

    Date, T.

    2000-01-01

    The purpose of this study is to provide a simple, inexpensive, and effective method to prevent the scattering of x-ray radiation by using a lead apron in the x-ray rooms of developing countries. In developed countries, the scattering of x-ray radiation among patients and radiographers in diagnostic x-ray rooms has been minimized by various methods. However, in some developing countries, scattered x-ray radiation has not yet been adequately contained. The policy of As Law As Reasonably Achievable (ALARA) requires that patients who are waiting for their examinations must be protected from scattered x-ray radiation. However, from the author's experience, protection from scattered x-ray radiation in x-ray rooms is often insufficient in developing countries. In addition, major public hospitals in big cities are overwhelmed with patients because radiology resources in developing countries are concentrated in the big cities. Moreover, the situation is made worse by short working hours in public hospitals. Hours from 10 a.m. to 3 p.m. are typical. Because of the circumstances, radiographers, who are in a rush to finish all of the examinations within their normal working hours, sometimes allow patients to enter the x-ray rooms while they are waiting for their examinations. Chest and abdominal x-rays are the most common kinds of diagnostic x-ray examination in developing countries. Thus, in this study, anthropomorphic chest and abdominal phantoms were x-rayed for measuring the scattered x-ray radiation with and without protection using a 0.25mmPb lead apron at specific points from the anthropomorphic phantoms in the x-ray room. The lead apron was hung on a mobile apron-hanger and placed next to the anthropomorphic phantom. The scattered radiation dosimetry for chest x-rays proves that this simple method reduces scattered x-ray radiation to 15% at one-meter point and to almost 0% at the two-meter point from the anthropomorphic phantom in the x-ray room. Lead aprons are

  1. Insufficiency Fractures After Pelvic Radiotherapy in Patients With Prostate Cancer

    International Nuclear Information System (INIS)

    Igdem, Sefik; Alco, Guel; Ercan, Tuelay; Barlan, Metin; Ganiyusufoglu, Kuersat; Unalan, Buelent; Turkan, Sedat; Okkan, Sait

    2010-01-01

    Purpose: To assess the incidence, predisposing factors, and clinical characteristics of insufficiency fractures (IF) in patients with prostate cancer, who received pelvic radiotherapy as part of their definitive treatment. Methods and Materials: The charts of 134 prostate cancer patients, who were treated with pelvic radiotherapy between 1998 and 2007 were retrospectively reviewed. IF was diagnosed by bone scan and/or CT and/or MRI. The cumulative incidence of symptomatic IF was estimated by actuarial methods. Results: Eight patients were identified with symptomatic IF after a median follow-up period of 68 months (range, 12-116 months). The 5-year cumulative incidence of symptomatic IF was 6.8%. All patients presented with lower back pain. Insufficiency fracture developed at a median time of 20 months after the end of radiotherapy and was managed conservatively without any need for hospitalization. Three patients were thought to have metastatic disease because of increased uptake in their bone scans. However, subsequent CT and MR imaging revealed characteristic changes of IF, avoiding any further intervention. No predisposing factors for development of IF could be identified. Conclusions: Pelvic IF is a rare complication of pelvic radiotherapy in prostate cancer. Knowledge of pelvic IF is essential to rule out metastatic disease and prevent unnecessary treatment, especially in a patient cohort with high-risk features for distant spread.

  2. X-ray table

    International Nuclear Information System (INIS)

    Craig, J.R.; Otto, G.W.

    1980-01-01

    An X-ray radiographic or fluoroscopic table is described which includes a film holder with a frame attached to a cable running over end pulleys for positioning the holder longitudinally as desired under the table top. The holder has a front opening to receive a cassette-supporting tray which can be slid out on tracks to change the cassette. A reed switch on the frame is opened by a permanent magnet on the tray only when the tray is half-way out. When the switch is closed, an electromagnet locks the pulley and the holder in place. The holder is thus automatically locked in place not only during exposure (tray in) but when the tray is out for changing the cassette. To re-position the holder, the operator pulls the tray half-out and, using the tray itself, pushes the holder along the table, the holder being counterbalanced by a weight. (author)

  3. X-ray equipment

    International Nuclear Information System (INIS)

    Redmayne, I.G.B.

    1988-01-01

    The patent concerns a warning and protection system for mobile x-ray equipment used for 'on site' radiography, so that workers in the vicinity of such a working unit can be alerted to its presence. The invention is a local repeater warning system which gives a preliminary warning that energisation of the tubehead is imminent, as well as a switch near the tubehead to abort or inhibit energisation. The latter switch allows personnel caught in the vicinity of the tubehead to prevent energisation. The preliminary warning may be flashing lamps or by a klaxon. The control unit for the equipment may include a monitoring circuit to detect failure of the warning light or klaxon. (U.K.)

  4. X-ray equipment

    Energy Technology Data Exchange (ETDEWEB)

    Redmayne, I.G.B.

    1988-01-06

    The patent concerns a warning and protection system for mobile x-ray equipment used for 'on site' radiography, so that workers in the vicinity of such a working unit can be alerted to its presence. The invention is a local repeater warning system which gives a preliminary warning that energisation of the tubehead is imminent, as well as a switch near the tubehead to abort or inhibit energisation. The latter switch allows personnel caught in the vicinity of the tubehead to prevent energisation. The preliminary warning may be flashing lamps or by a klaxon. The control unit for the equipment may include a monitoring circuit to detect failure of the warning light or klaxon. (U.K.).

  5. X-ray tomographic apparatus

    International Nuclear Information System (INIS)

    Walters, R.G.

    1982-01-01

    An x-ray tomographic system consists of a radiation source such as gamma or x radiation which produces a fan-shaped beam. The fan is wide enough to encompass the patient circle. The system further includes means for rotating the radiation source about the patient for less than a full rotation, and detectors for detecting the radiation at positions that surround the patient by 180 0 plus the angle of the fan beam plus the angle between adjacent fan detectors. Attenuation data from the detectors is sorted into detector fans of attenuation data, then processed. The convolved data is back-projected into an image memory and displayed on a video monitor

  6. X-raying with low dose irradiation

    International Nuclear Information System (INIS)

    Malevich, E.E.; Kisel, E.M.; Shpita, I.D.; Lazovsky, A.S.

    2001-01-01

    With the purpose of the improvement of diagnostics quality and reduction of beam load on a patient in modern x-ray devices pulse x-raying is applied. It is based on the using of radiation pulses with various frequencies of intervals between them instead of continuous radiation. At pulse x-raying with the net control the principle of filling of an interval is used, when the information about the image, received with the last pulse, get into memory and is displayed before occurrence of other pulse. It creates impression of the continuous image even at low frequency of pulses. Due to the unique concept of the simultaneous (double) control, all of 3 parameters, which define the quality of the image (pressure(voltage), force of a current and length of a pulse), are adjusted automatically at each pulse, thus optimum adaptation to varied thickness of object during dynamic researches occurs. At x-raying pulse the presence of a free interval from x-ray radiation between two pulses results in the decrease of a radiation dose. Pulsing occurs some times per one second with equal intervals between pulses. Thus, the degree of decrease irradiation dose depends on duration of a pause between pulses. On the screen the image of last pulse before occurrence of the following is kept and repeats. The principle of x-raying pulse was realized in system Grid Controlled Fluoroscopy by the firm 'Philips Medi zin Systeme'. In the x-ray tube of this system inclusion and de energizing of radiation occurs directly on a source. Electron cloud is broken off by the special grid, which is located between the cathode and the anode and operates as a barrier. Thus the tube continues to be energized. In usual devices for pulses formation is used generator pulsation system, which at increase and attenuation of a x-ray pulse results in occurrence of the increasing and fading radiation which are not participating in the formation of the image, but creating beam load on the patient and the personnel. Thus

  7. Significance of findings of both emergency chest X-ray and thoracic computed tomography routinely performed at the emergency unit in 102 polytrauma patients. A prospective study

    International Nuclear Information System (INIS)

    Grieser, T.; Buehne, K.H.; Haeuser, H.; Bohndorf, K.

    2001-01-01

    Purpose: To evaluate prospectively whether and to what extent both thoracic computed tomography (Tx-CT) and supine X-ray of the chest (Rx-Tx) are able to show additional findings that are therapeutically relevant. Patients and Methods: According to a fixed study protocol, we performed Rx-Tx and Tx-CT in 102 consecutive, haemodynamically stable polytrauma patients (mean age, 41.2 yrs; age range, 12-93 yrs). Findings of therapeutical relevance drawn from both Tx-CT and Rx-Tx, and urgent interventions indicated by an attending trauma team were documented on a standardized evaluation sheet immediately. Any change in the patient's management that is different from routine life-saving procedures, and any therapeutical intervention done in the emergency room or elsewhere (operating theatre, angiographic facility) were considered therapeutically relevant. Results: Of 102 patients, 43 (42.2%) had a total of 51 therapeutically relevant findings. Rx-Tx alone yielded 23 relevant findings (45.1%) in 23 patients (22.5%). Of them, Tx-CT has shown additional important findings in 7 patients (30.4%). When Tx-CT alone is considered, it revealed 22 new findings of therapeutical relevance (43.2%) in 20 patients (46.5%). Altogether, Tx-CT was able to show 30 relevant findings in 27 patients, i.e., there was a therapeutical benefit for 26.5% of all polytrauma patients included. Most frequently, there was a need for chest-tube insertion (n=29). Conclusions: Polytrauma patients if haemodynamically stable may profit from computed tomography of the chest when therapeutically relevant thoracic injuries are looked for or early therapeutical interventions are to be checked. However, chest X-ray should stay as a 'front-line' screening method because of its superbly quick feasibility and availability. (orig.) [de

  8. X-Ray Lasers 2016

    CERN Document Server

    Bulanov, Sergei; Daido, Hiroyuki; Kato, Yoshiaki

    2018-01-01

    These proceedings comprise a selection of invited and contributed papers presented at the 15th International Conference on X-Ray Lasers (ICXRL 2016), held at the Nara Kasugano International Forum, Japan, from May 22 to 27, 2016. This conference was part of an ongoing series dedicated to recent developments in the science and technology of x-ray lasers and other coherent x-ray sources with additional focus on supporting technologies, instrumentation and applications.   The book showcases recent advances in the generation of intense, coherent x-rays, the development of practical devices and their applications across a wide variety of fields. It also discusses emerging topics such as plasma-based x-ray lasers, 4th generation accelerator-based sources and higher harmonic generations, as well as other x-ray generation schemes.

  9. X-ray instrumentation in astronomy

    International Nuclear Information System (INIS)

    Cuhlane, J.L.

    1985-01-01

    This book presents the proceedings of a conference devoted to x-ray instrumentation in astronomy. Special sections are: AXAF X-Ray Optical Systems; Specialized X-Ray Systems; X-Ray Optical Systems I; X-Ray Optical Systems II; Gas Filled X-Ray Detectors II; The NASA Advanced X-Ray Astrophysics Facility; X-Ray and EUV Spectrometers; Microchannel Plates; and Solid State Detectors

  10. Topological X-Rays Revisited

    Science.gov (United States)

    Lynch, Mark

    2012-01-01

    We continue our study of topological X-rays begun in Lynch ["Topological X-rays and MRI's," iJMEST 33(3) (2002), pp. 389-392]. We modify our definition of a topological magnetic resonance imaging and give an affirmative answer to the question posed there: Can we identify a closed set in a box by defining X-rays to probe the interior and without…

  11. Does Attorney Advertising Influence Patient Perceptions of Pelvic Mesh?

    Science.gov (United States)

    Tippett, Elizabeth; King, Jesse; Lucent, Vincent; Ephraim, Sonya; Murphy, Miles; Taff, Eileen

    2018-01-01

    To measure the relative influence of attorney advertising on patient perceptions of pelvic mesh compared with a history of surgery and a first urology visit. A 52-item survey was administered to 170 female patients in 2 urology offices between 2014 and 2016. Multiple survey items were combined to form scales for benefit and risk perceptions of pelvic mesh, perceptions of the advertising, attitudes toward pelvic mesh, and knowledge of pelvic mesh and underlying medical conditions. Data were analyzed using hierarchical linear regression models. Exposure to attorney advertising was quite high; 88% reported seeing a mesh-related attorney advertisement in the last 6 months. Over half of patients reported seeing attorney advertisements more than once per week. A history of prior mesh implant surgery was the strongest predictor of benefit and risk perceptions of pelvic mesh. Exposure to attorney advertising was associated with higher risk perceptions but did not significantly affect perceptions of benefits. Past urologist visits increased perceptions of benefits but had no effect on risk perceptions. Attorney advertising appears to have some influence on risk perceptions, but personal experience and discussions with a urogynecologist or urologist also influence patient perceptions. Implications, limitations, and future research are discussed. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. X-ray Absorption Spectroscopy

    Energy Technology Data Exchange (ETDEWEB)

    Yano, Junko; Yachandra, Vittal K.

    2009-07-09

    This review gives a brief description of the theory and application of X-ray absorption spectroscopy, both X-ray absorption near edge structure (XANES) and extended X-ray absorption fine structure (EXAFS), especially, pertaining to photosynthesis. The advantages and limitations of the methods are discussed. Recent advances in extended EXAFS and polarized EXAFS using oriented membranes and single crystals are explained. Developments in theory in understanding the XANES spectra are described. The application of X-ray absorption spectroscopy to the study of the Mn4Ca cluster in Photosystem II is presented.

  13. Iliac hyperdense line: a new X-ray sign of gluteal muscle contracture

    International Nuclear Information System (INIS)

    Cai Jinhua; Gan Lanfeng; Zheng Helin; He Ling; Yu Guorong

    2003-01-01

    Objective: To elucidate the relationship between gluteal muscle contracture (GMC) and the iliac hyperdense line on pelvic plain film, and to explore how the iliac hyperdense line is formed. Methods: The pelvic plain films of 103 cases with GMC confirmed by operation and those of 200 individuals as control were analyzed. Pelvic CT scanning was performed in 8 cases GMC and 13 cases of normal controls. Results: The iliac hyperdense line at the side of sacroiliac joint was found on the pelvic plain film in 85 of 103 cases with GMC and 5 of 200 in control group. In 103 cases of GMC, the iliac hyperdense line was detected in 81 of 88 patients beyond 5 years, and 83 of 94 was mostly the gluteus maximus contracture. In control group, pelvic CT showed that the outer cortex of posterior ilium at the level of sacroiliac joint appeared as an oblique plane, oriented from posteromedial side to anterolateral side, while in GMC group, the oblique plane became steeper and almost oriented posteroanteriorly. In addition, the posterior part of the ilium which gave the attachment of contracted gluteus maximus muscle deformed and widened. Conclusion: The iliac hyperdense line on the pelvic plain film is resulted from the long and persistent pulling effect of contracted gluteus maximus muscle, which causes the change the oblique plane of posterior ilium into a posteroanterior course parallel to the X-ray beam

  14. X-ray emission spectroscopy. X-ray fluorescence

    International Nuclear Information System (INIS)

    Despujols, J.

    1992-01-01

    Principles of X-ray emission spectrometry are first recalled, then wave-length dispersive and energy dispersive X-ray fluorescence spectrometer are described. They are essentially designed for qualitative and quantitative analysis of elements (Z>10). Sample preparation, calibration, corrections, interferences, accuracy are reviewed. Examples of use in different industries are given. (71 refs.)

  15. X-ray face mask and chest shield device

    International Nuclear Information System (INIS)

    Moti, S.

    1981-01-01

    A protective face mask is designed to shield an x-ray technician or machine operator primarily from random secondary or scatter x-rays deflected towards his face, head and neck by the table, walls, equipment and other reflecting elements in an x-ray room or chamber. The face mask and chest shield device can be mounted on a patient's shoulders in reverse attitude to protect the back of a patient's head and neck from the x-ray beam. The face mask is relatively or substantially transparent and contains lead in combination with a plastic ionomer or comonomer, which to a degree absorbs or resists penetration of the random deflected secondary or scatter x-rays or the x-ray beam through the mask. The face mask is removably attachable to the chest shield for easy application of the device to and support upon the shoulders of the technician or the patient. (author)

  16. Assessment of the effect of pelvic floor exercises on pelvic floor muscle strength using ultrasonography in patients with urinary incontinence: a prospective randomized controlled trial

    OpenAIRE

    Tosun, Ozge Celiker; Solmaz, Ulas; Ekin, Atalay; Tosun, Gokhan; Gezer, Cenk; Ergenoglu, Ahmet Mete; Yeniel, Ahmet Ozgur; Mat, Emre; Malkoc, Mehtap; Askar, Niyazi

    2016-01-01

    [Purpose] The aim of this study was to evaluate whether the effect of pelvic floor exercises on pelvic floor muscle strength could be detected via ultrasonography in patients with urinary incontinence. [Subjects and Methods] Of 282 incontinent patients, 116 participated in the study and were randomly divided into a pelvic floor muscle training (n=65) group or control group (n=51). The pelvic floor muscle training group was given pelvic floor exercise training for 12 weeks. Both groups were ev...

  17. Skin dose and response for the head and neck in patients irradiated with x-ray for tinea capitis: implications for environmental radioactivity

    International Nuclear Information System (INIS)

    Harley, N.H.; Kolber, A.B.; Shore, R.E.; Albert, R.E.; Altman, S.M.; Pasternack, B.S.

    1983-01-01

    The dose delivered to the skin of the head and neck in patients treated with x-ray irradiation for childhood tinea capitis was reconstructed. This was possible by utilizing a phantom made from the skull of a seven year old child and irradiating it with the same technique and x-ray machine used in tinea capitis therapy two to four decades ago. Seventy-eight basal cell carcinomas (BCC) have appeared so far in 40 of 1727 irradiated white children and none in 500 irradiated black children. The dose distribution over the face and scalp is used to estimate the risk of BCC per person per rad. These results must be considered preliminary due to the relatively young age of the irradiated group (<50 years) at the present time. From the decreased risk per rad for the portion of the scalp that is hair covered, it appears that environmental ultraviolet radiation may play a key role in the expression of BCC. A cumulative hazard plot is utilized to tentatively extend the data to lifetime risk of 0.003 per rad with an upper limit of 0.006 per rad. Environmental radiation dose to the skin possibly account for 20% of observed BCC if this tentative risk estimate is valid

  18. Which pediatric blunt trauma patients do not require pelvic imaging?

    Science.gov (United States)

    Haasz, Maya; Simone, Laura A; Wales, Paul W; Stimec, Jennifer; Stephens, Derek; Beno, Suzanne; Schuh, Suzanne

    2015-11-01

    This study aimed to develop a tool in identifying traumatized children at low risk of pelvic fracture and to determine the sensitivity of this low-risk model for pelvic fractures. We hypothesized that the proportion of children without predictors with pelvic fracture is less than 1%. This is a retrospective trauma registry analysis of previously healthy children 1 year to 17 years old presenting to the pediatric emergency department with blunt trauma. Postulated predictors of pelvic fracture on radiograph or computed tomography included pain/abnormal examination result of the pelvis/hip, femur deformity, hematuria, abdominal pain/tenderness, Glasgow Coma Scale (GCS) score of 13 or lower, and hemodynamic instability. We used multivariable logistic regression to identify independent predictors of fracture. Of 1,121 eligible patients (mean [SD] age, 8.5 [4.6] years), 87 (7.8%) had pelvic fracture. Independent predictors included pain/abnormal examination result of the pelvis/hip (odds ratio [OR], 16.7; 95% confidence interval [CI], 9.6-29.1), hematuria (OR, 6.6; 95% CI, 3.0-14.6), femoral deformity (OR, 5.9; 95% CI, 3.1-11.3), GCS score of 13 or lower (OR, 2.4; 95% CI, 1.3-4.3), and hemodynamic instability (OR, 3.4; 95% CI, 1.7-6.9). One of 590 children (0.2%; 95% CI, 0-0.5%) without predictors had pelvic fractures versus 86 (16.2%) of 531 in those with one or more predictors (OR, 119; 95% CI, 16.6-833). One of 87 children with pelvic fractures had no predictors (1.1%; 95% CI, 0-3%). When assuming a 100% radiography rate, this tool saves 53% pelvic radiographs. Children with multiple blunt trauma without pain/abnormal examination result of the pelvis/hip, femur deformity, hematuria, abdominal pain/tenderness, GCS score of 13 or lower, or hemodynamic instability constitute a low-risk population for pelvic fracture, with less than 0.5% risk rate. This population does not require routine pelvic imaging. Therapeutic study, level IV.

  19. Postoperative X-ray morphology: Thorax

    International Nuclear Information System (INIS)

    Vogel, H.

    1987-01-01

    The publication focuses on the X-ray morphology of lungs. While one chapter is dedicated to the diagnoses obtained during the postoperative case of patients operated for the lungs a second chapter deals with the X-ray diagnosis of patients during the first days after lung surgery. Chapter 3 discusses the postoperative medical care of patients in medical intensive case units after operations other than lung surgery. The parallels between the critical care of patients after heart surgery and the critical care after operations other than heart surgery explain their simultaneous discussion in one chapter. Some diagnoses refer to patients subjected to long-term oxygen breathing and patients after abdomen and bone joint surgery. These are parallels between the volume 'Postoperative X-ray morphology: Blood vessels' and the chapter 'Heart' dealing with the coronary vessels; postoperative changes due to cogenital vitiae belong to pediatric radiology. The oesophagus dealt with in 'mediastinum und mediastinal organs' is also discussed in the volume on 'Postoperative X-ray morphology: Abdomen.' In order to avoid repetitions both chapters represent but a selection of facts. The publication focuses on the medical care of adult heat patients after cardiac valve surgery and coronary bypass surgery on the basis of native diagnostics. Methods of a more radical nature (for example those preceding re-operations) are only mentioned briefly. (orig./MG) [de

  20. Factors Associated with Participation in Pulmonary Tuberculosis Screening Using Chest X-Ray among Diabetes Mellitus Type II Patients in Denpasar, Bali, Indonesia.

    Science.gov (United States)

    Putra, I Gusti Ngurah Edi; Astuti, Putu Ayu Swandewi; Suarjana, I Ketut; Mulyawan, Ketut Hari; Duana, I Made Kerta; Kurniasari, Ni Made Dian; Putra, I Wayan Gede Artawan Eka

    2018-01-01

    Diabetes mellitus (DM) increases the risk of developing pulmonary tuberculosis (TB) disease. Therefore, pulmonary TB screening among DM patients is essential. This study aimed to identify factors associated with participation of DM type II patients in pulmonary TB screening using chest X-ray. This was a cross-sectional analytic study and was part of TB-DM screening study in Denpasar, Bali, Indonesia. The sample consisted of 365 DM type II patients selected by quota sampling among DM type II patients joining the screening program from January until March 2016 in 11 public health centres in Denpasar. Data were collected via structured interviews. The contributing factors were determined by modified Poisson regression test for cross-sectional data. From the findings, less than half (45.48%) of DM type II patients participated in chest X-ray examination for TB. Factors associated with participation in pulmonary TB screening were having a higher educational level [APR = 1.34, 95% CI (1.07-1.67)], having family member who developed pulmonary TB disease [APR = 1.47, 95% CI (1.12-1.93)], the travel time to referral hospital for screening being ≤ 15 minutes [APR = 1.6, 95% CI (1.26-2.03)], having health insurance [APR = 2.69, 95% CI (1.10-6.56)], and receiving good support from health provider [APR = 1.35, 95% CI (1.06-1.70)]. Therefore, training for health provider on providing counselling, involvement of family members in screening process, and improving the health insurance coverage and referral system are worth considering.

  1. Factors Associated with Participation in Pulmonary Tuberculosis Screening Using Chest X-Ray among Diabetes Mellitus Type II Patients in Denpasar, Bali, Indonesia

    Directory of Open Access Journals (Sweden)

    I Gusti Ngurah Edi Putra

    2018-01-01

    Full Text Available Diabetes mellitus (DM increases the risk of developing pulmonary tuberculosis (TB disease. Therefore, pulmonary TB screening among DM patients is essential. This study aimed to identify factors associated with participation of DM type II patients in pulmonary TB screening using chest X-ray. This was a cross-sectional analytic study and was part of TB-DM screening study in Denpasar, Bali, Indonesia. The sample consisted of 365 DM type II patients selected by quota sampling among DM type II patients joining the screening program from January until March 2016 in 11 public health centres in Denpasar. Data were collected via structured interviews. The contributing factors were determined by modified Poisson regression test for cross-sectional data. From the findings, less than half (45.48% of DM type II patients participated in chest X-ray examination for TB. Factors associated with participation in pulmonary TB screening were having a higher educational level [APR = 1.34, 95% CI (1.07–1.67], having family member who developed pulmonary TB disease [APR = 1.47, 95% CI (1.12–1.93], the travel time to referral hospital for screening being ≤ 15 minutes [APR = 1.6, 95% CI (1.26–2.03], having health insurance [APR = 2.69, 95% CI (1.10–6.56], and receiving good support from health provider [APR = 1.35, 95% CI (1.06–1.70]. Therefore, training for health provider on providing counselling, involvement of family members in screening process, and improving the health insurance coverage and referral system are worth considering.

  2. Chest X-ray and chest CT findings in patients diagnosed with pulmonary tuberculosis following solid organ transplantation: a systematic review.

    Science.gov (United States)

    Giacomelli, Irai Luis; Schuhmacher Neto, Roberto; Marchiori, Edson; Pereira, Marisa; Hochhegger, Bruno

    2018-04-01

    The objective of this systematic review was to select articles including chest X-ray or chest CT findings in patients who developed pulmonary tuberculosis following solid organ transplantation (lung, kidney, or liver). The following search terms were used: "tuberculosis"; "transplants"; "transplantation"; "mycobacterium"; and "lung". The databases used in this review were PubMed and the Brazilian Biblioteca Virtual em Saúde (Virtual Health Library). We selected articles in English, Portuguese, or Spanish, regardless of the year of publication, that met the selection criteria in their title, abstract, or body of text. Articles with no data on chest CT or chest X-ray findings were excluded, as were those not related to solid organ transplantation or pulmonary tuberculosis. We selected 29 articles involving a collective total of 219 patients. The largest samples were in studies conducted in Brazil and South Korea (78 and 35 patients, respectively). The imaging findings were subdivided into five common patterns. The imaging findings varied depending on the transplanted organ in these patients. In liver and lung transplant recipients, the most common pattern was the classic one for pulmonary tuberculosis (cavitation and "tree-in-bud" nodules), which is similar to the findings for pulmonary tuberculosis in the general population. The proportion of cases showing a miliary pattern and lymph node enlargement, which is most similar to the pattern seen in patients coinfected with tuberculosis and HIV, was highest among the kidney transplant recipients. Further studies evaluating clinical data, such as immunosuppression regimens, are needed in order to improve understanding of the distribution of these imaging patterns in this population.

  3. X-ray analysis in lung leptospira disease

    International Nuclear Information System (INIS)

    Deng Shiyong; Peng Shi; He Guoman

    2006-01-01

    Objective: To analysis the X-ray signs and subtype of the lung leptospira disease, and improve the undersdand, reduce the error diagnosis of this diseases. Methods: 40 cases of lung leptospira disease were evaluated about the check X-ray sings and clinical data, the check X-ray sings were dynamic observated and typed, and 40 cases had a diagnostic treatment. Results: There were various X-ray changes of lung leptospira disease. in 40 cases, 12 cases (30%) pulmonary marking, 21 cases (52%) little lesions, and 7 cases(18%) lager lesions, respectively. The patients who were correctly diagnosed made a recovery after effective treatment, the patients who were error diagnosed died because of multiple system organ damage. Conclusion: The check X-ray signs in lung leptospira disease have some characteristics. It may play an important role in improving this disease' diagnosis combining the dynamic observation of check X-ray sings with clinical data. (authors)

  4. X-ray photoelectron spectroscopy

    International Nuclear Information System (INIS)

    Attekum, P.M.T.M. van.

    1979-01-01

    The methods and results of X-ray photoelectron spectroscopy in the study of plasmons, alloys and gold compounds are discussed. After a comprehensive introduction, seven papers by the author, previously published elsewhere, are reprinted and these cover a wide range of the uses of X-ray photoelectron spectroscopy. (W.D.L.)

  5. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... over time. top of page What are the benefits vs. risks? Benefits Bone x-rays are the fastest and easiest ... bear denotes child-specific content. Related Articles and Media Radiation Dose in X-Ray and CT Exams ...

  6. Traditional x-ray imaging

    International Nuclear Information System (INIS)

    Hay, G.A.

    1982-01-01

    Methods of imaging x-rays, with particular reference to medicine, are reviewed. The history and nature of x-rays, their production and spectra, contrast, shapes and fine structure, image transducers, including fluorescent screens, radiography, fluoroscopy, and image intensifiers, image detection, perception and enhancement and clinical applications are considered. (U.K.)

  7. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... have special pediatric considerations. The teddy bear denotes child-specific content. Related Articles and Media Radiation Dose in X-Ray and CT Exams Arthritis X-ray, Interventional Radiology and Nuclear Medicine Radiation Safety How to Read Your Radiology Report ...

  8. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... are a form of radiation like light or radio waves. X-rays pass through most objects, including the body. Once it is carefully aimed at the part of the body being examined, an x-ray machine produces a small burst of radiation that passes through the body, recording ...

  9. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... body. Once it is carefully aimed at the part of the body being examined, an x-ray machine produces a small burst of radiation that passes through the body, recording an image on photographic film or a special detector. Different parts of the body absorb the x-rays in ...

  10. Bone X-Ray (Radiography)

    Medline Plus

    Full Text Available ... clothing that might interfere with the x-ray images. Women should always inform their physician and x-ray ... lowest radiation dose possible while producing the best images for ... organizations continually review and update the technique standards used ...

  11. X-ray diagnostic installation for X-ray tomographic images

    International Nuclear Information System (INIS)

    Haendle, J.; Sklebitz, H.

    1984-01-01

    An exemplary embodiment includes at least one x-ray tube for the generation of an x-ray beam, a patient support, an image detector, and a control generator-connected with the x-ray tube and the image detector-for the purpose of moving the x-ray beam, and in opposition thereto, the image field of the image detector. There is connected to the control generator a layer height computer which calculates the enlargement from the geometric data for the tomogram. The image detector has a circuit-connected with the layer height computer-for the purpose of fading-in a marking for the dimensions in the layer plane

  12. X-ray imaging system

    International Nuclear Information System (INIS)

    Houston, J.M.

    1980-01-01

    A novel, high-speed apparatus for use in X-ray computerised tomography is described in detail. It consists of a semi-circular array of X-ray sources, collimators and an ion chamber array for detection of the X-rays. The X-ray sources may be pulsed in salvos such that the corresponding detectors in the array are only illuminated by one source. The use of computer controlled salvos speeds up the image processing by at least a factor of two. The ion chamber array is designed to have a constant detection efficiency for varying angles of X-ray incidence. A detailed description of the detector construction and suggested gaseous fillings are given. It is claimed that the present tomographic system allows fast and accurate imaging of internal body organs and is insensitive to the blurring effects which motion of these organs tends to produce. (UK)

  13. Technetium-99m-HMPAO SPECT in the evaluation of patients with a remote history of traumatic brain injury: a comparison with x-ray computed tomography.

    Science.gov (United States)

    Gray, B G; Ichise, M; Chung, D G; Kirsh, J C; Franks, W

    1992-01-01

    The functional imaging modality has potential for demonstrating parenchymal abnormalities not detectable by traditional morphological imaging. Fifty-three patients with a remote history of traumatic brain injury (TBI) were studied with SPECT using 99mTc-hexamethylpropyleneamineoxime (HMPAO) and x-ray computed tomography (CT). Overall, 42 patients (80%) showed regional cerebral blood flow (rCBF) deficits by HMPAO SPECT, whereas 29 patients (55%) showed morphological abnormalities by CT. Out of 20 patients with minor head injury, 12 patients (60%) showed rCBF deficits and 5 patients (25%) showed CT abnormalities. Of 33 patients with major head injury, 30 patients (90%) showed rCBF deficits and 24 patients (72%) showed CT abnormalities. Thus, HMPAO SPECT was more sensitive than CT in detecting abnormalities in patients with a history of TBI, particularly in the minor head injury group. In the major head injury group, three patients showed localized cortical atrophy by CT and normal rCBF by HMPAO SPECT. In the evaluation of TBI patients, HMPAO SPECT is a useful technique to demonstrate regional brain dysfunction in the presence of morphological integrity as assessed by CT.

  14. Chest X-ray of the neonate

    International Nuclear Information System (INIS)

    Puig, S.; Hoermann, M.; Rand, T.; Schaefer-Prokop, C.; Ponhold, W.; Kuhle, S.; Rebhandl, W.

    2000-01-01

    In diagnostic imaging of thoracic pathologies in mature and especially immature neonates, chest X-ray has a leading position. Profound knowledge of the normal chest X-ray and the potential physiological perinatal changes is the basic requirement for interpretation of the X-ray of a neonate. Childhood pathologie: Many congenital and acquired diseases that the radiologist is faced with in neonatology are unknown in the imaging of adults. Many of these changes are life-threatening or may have an impact on the patient's future quality of life. Therefore, early diagnosis in close cooperation with the paediatrician is essential. We give here an overview of the most important pathologic changes that the radiologist may be confronted with in daily routine. (orig.) [de

  15. Evaluation of Fe and Zn/Cu ratio in serum of patients with sickle cell anemia by total reflection X-ray fluorescence using synchrotron radiation

    International Nuclear Information System (INIS)

    Canellas, Catarine G.L.; Leitao, Roberta G.; Lopes, Ricardo T.; Bellido, Alfredo Victor B.; Anjos, Marcelino J.

    2011-01-01

    Sickle cell anemia (SCA) is a blood disorder that affects hemoglobin, the protein found in red blood cells that help carry oxygen throughout the body. In this work we have analyzed serum samples from patients with SCA by using total reflection X-ray fluorescence using synchrotron radiation (SRTXRF). The SRTXRF measurements were performed at the X-ray fluorescence beamline at Brazilian National Synchrotron Light Laboratory (LNLS), in Campinas, Sao Paulo using a polychromatic beam. We have studied forty-three patients aged 18-50 years old, suffering from SCA and Sixty healthy volunteers aged 18-60 years old. It was possible to determine the concentrations of the following elements: P, S, Cl, K, Ca, Fe, Cu, Zn, Br and Rb. Student's t-test was applied in order to check whether the two populations (CG x SCA) had the same mean values. It was observed that elemental concentration of P, Cl, K, Fe, Cu, Zn and Br differed significantly (α = 0.05) between groups of healthy subjects and SCA. The concentrations of K, Fe and Cu in the serum samples of patients with SCA were larger 15%, 120 % and 20 %, respectively, when compared with the CG. On the other hand, the concentrations of P (-20 %), Cl (-6 %), Zn (-25 %) and Br (-22 %) were smaller than the values determined for the control group. The serum level Cu/Zn ratio was significantly higher (60%) in the serum samples of patients with SCA group than the CG. So, the Cu/Zn ratio can be used as an adjuvant index in enhancement for diagnosis of SCA. There are evidences of an association among Fe, Cu, Zn and Cu/Zn in the SCA pathogenesis process. (author)

  16. Evaluation of Fe and Zn/Cu ratio in serum of patients with sickle cell anemia by total reflection X-ray fluorescence using synchrotron radiation

    Energy Technology Data Exchange (ETDEWEB)

    Canellas, Catarine G.L.; Leitao, Roberta G.; Lopes, Ricardo T., E-mail: catarine@lin.ufrj.b, E-mail: ricardo@lin.ufrj.b [Universidade Federal do Rio de Janeiro (PEN/COPPE/UFRJ), RJ (Brazil). Coordenacao dos Programas de Pos-Graduacao de Engenharia. Programa de Engenharia Nuclear. Lab. de Instrumentaco Nuclear; Carvalho, Silvia M.F., E-mail: silvia@hemorio.rj.gov.b [State Institute of Hematology Arthur de Siqueira Cavalcanti (HEMORIO), Rio de Janeiro, RJ (Brazil); Bellido, Alfredo Victor B., E-mail: alfredo@ien.gov.b [Federal Fluminense University (UFF), Niteroi, RJ (Brazil). Chemistry Inst.; Anjos, Marcelino J., E-mail: marcelin@lin.ufrj.b [State University of Rio de Janeiro (UERJ), RJ (Brazil). Physics Inst.

    2011-07-01

    Sickle cell anemia (SCA) is a blood disorder that affects hemoglobin, the protein found in red blood cells that help carry oxygen throughout the body. In this work we have analyzed serum samples from patients with SCA by using total reflection X-ray fluorescence using synchrotron radiation (SRTXRF). The SRTXRF measurements were performed at the X-ray fluorescence beamline at Brazilian National Synchrotron Light Laboratory (LNLS), in Campinas, Sao Paulo using a polychromatic beam. We have studied forty-three patients aged 18-50 years old, suffering from SCA and Sixty healthy volunteers aged 18-60 years old. It was possible to determine the concentrations of the following elements: P, S, Cl, K, Ca, Fe, Cu, Zn, Br and Rb. Student's t-test was applied in order to check whether the two populations (CG x SCA) had the same mean values. It was observed that elemental concentration of P, Cl, K, Fe, Cu, Zn and Br differed significantly ({alpha} = 0.05) between groups of healthy subjects and SCA. The concentrations of K, Fe and Cu in the serum samples of patients with SCA were larger 15%, 120 % and 20 %, respectively, when compared with the CG. On the other hand, the concentrations of P (-20 %), Cl (-6 %), Zn (-25 %) and Br (-22 %) were smaller than the values determined for the control group. The serum level Cu/Zn ratio was significantly higher (60%) in the serum samples of patients with SCA group than the CG. So, the Cu/Zn ratio can be used as an adjuvant index in enhancement for diagnosis of SCA. There are evidences of an association among Fe, Cu, Zn and Cu/Zn in the SCA pathogenesis process. (author)

  17. Evaluation of Fe and Zn/Cu ratio in serum of patients with sickle cell anemia by total reflection X-ray fluorescence using synchrotron radiation

    Energy Technology Data Exchange (ETDEWEB)

    Canellas, Catarine G.L.; Leitao, Roberta G; Lopes, Ricardo T., E-mail: catarine@lin.ufrj.b, E-mail: ricardo@lin.ufrj.b [Universidade Federal do Rio de Janeiro (PEN/COPPE/UFRJ), RJ (Brazil). Coordenacao dos Programas de Pos-Graduacao de Engenharia. Programa de Engenharia Nuclear. Lab. de Instrumentaco Nuclear; Carvalho, Silvia M.F., E-mail: silvia@hemorio.rj.gov.b [State Institute of Hematology Arthur de Siqueira Cavalcanti (HEMORIO), Rio de Janeiro, RJ (Brazil); Bellido, Alfredo Victor B., E-mail: alfredo@ien.gov.b [Federal Fluminense University (UFF), Niteroi, RJ (Brazil). Chemistry Inst.; Anjos, Marcelino J., E-mail: marcelin@lin.ufrj.b [State University of Rio de Janeiro (UERJ), RJ (Brazil). Physics Inst.

    2011-07-01

    Sickle cell anemia (SCA) is a blood disorder that affects hemoglobin, the protein found in red blood cells that help carry oxygen throughout the body. In this work we have analyzed serum samples from patients with SCA by using total reflection X-ray fluorescence using synchrotron radiation (SRTXRF). The SRTXRF measurements were performed at the X-ray fluorescence beamline at Brazilian National Synchrotron Light Laboratory (LNLS), in Campinas, Sao Paulo using a polychromatic beam. We have studied forty-three patients aged 18-50 years old, suffering from SCA and Sixty healthy volunteers aged 18-60 years old. It was possible to determine the concentrations of the following elements: P, S, Cl, K, Ca, Fe, Cu, Zn, Br and Rb. Student's t-test was applied in order to check whether the two populations (CG x SCA) had the same mean values. It was observed that elemental concentration of P, Cl, K, Fe, Cu, Zn and Br differed significantly ({alpha} = 0.05) between groups of healthy subjects and SCA. The concentrations of K, Fe and Cu in the serum samples of patients with SCA were larger 15%, 120 % and 20 %, respectively, when compared with the CG. On the other hand, the concentrations of P (-20 %), Cl (-6 %), Zn (-25 %) and Br (-22 %) were smaller than the values determined for the control group. The serum level Cu/Zn ratio was significantly higher (60%) in the serum samples of patients with SCA group than the CG. So, the Cu/Zn ratio can be used as an adjuvant index in enhancement for diagnosis of SCA. There are evidences of an association among Fe, Cu, Zn and Cu/Zn in the SCA pathogenesis process. (author)

  18. Verification of the Patient Positioning in the Bellyboard Pelvic Radiotherapy

    International Nuclear Information System (INIS)

    Kasabasic, M.; Faj, D.; Smilovic Radojcic, D.; Svabic, M.; Ivkovic, A.; Jurkovic, S.

    2008-01-01

    The size and shape of the treatment fields applied in radiotherapy account for uncertainties in the daily set-up of the patients during the treatment. We investigated the accuracy of daily patient positioning in the bellyboard pelvic radiotherapy in order to find out the magnitude of the patients movement during the treatment. Translational as well as rotational movements of the patients are explored. Film portal imaging is used in order to find patient positioning error during the treatment of the pelvic region. Patients are treated in the prone position using the bellyboard positioning device. Thirty six patients are included in the study; 15 patients were followed during the whole treatment and 21 during the first 5 consecutive treatment days. The image acquisition was completed in 85 percent and systematic and random positioning errors in 453 images are analyzed. (author)

  19. Dose levels in conventional X-rays

    International Nuclear Information System (INIS)

    Guerra M, J. A.; Gonzalez G, J. A.; Pinedo S, A.; Salas L, M. A.; Vega C, H. R.; Rivera M, T.; Azorin N, J.

    2009-10-01

    There were a series of measures in the General Hospital of Fresnillo in the X-ray Department in the areas of X-1 and X-2-ray rooms and in the neonatal intensive care unit 2, was determined the dose surface entry in eyes, thyroid and gonads for patients undergoing to X-ray study of chest Tele by thermoluminescent dosimetry. Five dosemeters were used in each one of the scans; so find the following dose ranges 20 + - 23 mGy to 350 + - 41 mGy. With the results obtained we can conclude that the procedures used and the equipment calibration is adequate. (Author)

  20. Programmers for diagnostic x-ray apparatus

    International Nuclear Information System (INIS)

    1981-01-01

    Novel apparatus is described for providing a pre-programmed selection of various parameters in X-ray radiography. The equipment consists of push-buttons which prompt the radiographer to make decisions such as thickness of patient, part of the anatomy to be X-rayed etc. From these data the apparatus selects the appropriate parameters such as H.T. voltage, current, product of current and irradiation time etc. The values of these parameters are displayed to the radiographer and facilities are provided to override the programmed parameters at the radiographer's discretion. (U.K.)

  1. Vertebral fractures assessed with dual-energy X-ray absorptiometry in patients with Addison's disease on glucocorticoid and mineralocorticoid replacement therapy.

    Science.gov (United States)

    Camozzi, Valentina; Betterle, Corrado; Frigo, Anna Chiara; Zaccariotto, Veronica; Zaninotto, Martina; De Caneva, Erica; Lucato, Paola; Gomiero, Walter; Garelli, Silvia; Sabbadin, Chiara; Salvà, Monica; Costa, Miriam Dalla; Boscaro, Marco; Luisetto, Giovanni

    2018-02-01

    to assess bone damage and metabolic abnormalities in patients with Addison's disease given replacement doses of glucocorticoids and mineralocorticoids. A total of 87 patients and 81 age-matched and sex-matched healthy controls were studied. The following parameters were measured: urinary cortisol, serum calcium, phosphorus, creatinine, 24-h urinary calcium excretion, bone alkaline phosphatase, parathyroid hormone, serum CrossLaps, 25 hydroxyvitamin D, and 1,25 dihydroxyvitamin D. Clear vertebral images were obtained with dual-energy X-ray absorptiometry in 61 Addison's disease patients and 47 controls and assessed using Genant's classification. Nineteen Addison's disease patients (31.1%) had at least one morphometric vertebral fracture, as opposed to six controls (12.8%, odds ratio 3.09, 95% confidence interval 1.12-8.52). There were no significant differences in bone mineral density parameters at any site between patients and controls. In Addison's disease patients, there was a positive correlation between urinary cortisol and urinary calcium excretion. Patients with fractures had a longer history of disease than those without fractures. Patients taking fludrocortisone had a higher bone mineral density than untreated patients at all sites except the lumbar spine. Addison's disease patients have more fragile bones irrespective of any decrease in bone mineral density. Supra-physiological doses of glucocorticoids and longer-standing disease (with a consequently higher glucocorticoid intake) might be the main causes behind patients' increased bone fragility. Associated mineralocorticoid treatment seems to have a protective effect on bone mineral density.

  2. X-ray diagnostics for TFTR

    International Nuclear Information System (INIS)

    von Goeler, S.; Hill, K.W.; Bitter, M.

    1982-12-01

    A short description of the x-ray diagnostic preparation for the TFTR tokamak is given. The x-ray equipment consists of the limiter x-ray monitoring system, the soft x-ray pulse-height-analysis-system, the soft x-ray imaging system and the x-ray crystal spectrometer. Particular attention is given to the radiation protection of the x-ray systems from the neutron environment

  3. X-ray filter for chest X-rays

    International Nuclear Information System (INIS)

    Ferlic, D.J.

    1984-01-01

    A description is given of an X-ray filter comprised of a sheet of radiation absorbing material with an opening corresponding to the spine and central portion of the heart. The upper portion of the filter exhibits a relatively narrow opening which becomes gradually wider toward the lower portion of the filter. This filter will permit an acceptable density level of x-ray exposure for the lungs while allowing a higher level of x-ray exposure for the mediastinum areas of the body. (author)

  4. X-ray filter for chest x-rays

    International Nuclear Information System (INIS)

    Ferlic, D.J.

    1984-01-01

    Filter for use in medical x-ray apparatus to permit higher intensity x-ray exposure in the heart and mediastinum area while maintaining a normal level of x-ray exposure in other areas of the body, particlarly in the lung area. The filter comprises a sheet of radiation absorbing material having an opening therein, said opening corresponding to the spine and central portion of the heart. Accordingly, the upper portion of the filter exhibits a relatively narrow opening which becomes gradually wider toward the lower portion of the filter

  5. The influence of body composition assessed by dual-energy x-ray absorptiometry on functional capacity of patients with chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Gualberto Ruas

    Full Text Available INTRODUCTION: The individual with chronic obstructive pulmonary disease (COPD can experience a significant reduction of body composition, peripheral muscle dysfunction, resulting in a negative influence on functional capacity. OBJECTIVES: To analyze the influence of body composition assessed by dual-energy x-ray absorptiometry on functional capacity of patients with chronic obstructive pulmonary disease (COPD. MATERIALS AND METHODS: Eleven male patients with COPD (COPDG, seven presenting moderate obstruction and four severe, and 11 sedentary male subjects (CG were evaluated by dual-energy x-ray absorptiometry to assess their body composition. All subjects also performed the 6-minute walk test (6MWT and Step Test (6MST to assess their functional capacity. RESULTS: No significant differences were found between groups for anthropometric data such as age, weight, height and body mass index (BMI. However, the COPDG presented Forced Vital Capacity (FVC, Forced Expiratory Volume in one second (FEV1, FEV1/FVC ratio, Maximal Voluntary Ventilation (MVV, Walked Distance (WD and Number of Steps (NS significantly lower than the CG (p < 0.05, Student's t-test. The Body Bone Mass (BBM, BBM%, Lean Mass (LM, LM%, and Right Lower Limb (RLL and Left Lower Limb (LLL were significantly lower in the COPDG when compared with the CG, presenting statistically significant positive correlations with 6MWT's WD and 6MST's NS (p < 0.05, Pearson's test. CONCLUSION: We conclude that body composition is an important prognostic factor for patients with COPD, which reinforces the importance of assessing body composition by dual-energy absorptiometry since it has demonstrated with satisfactory accuracy in clinical practice. Moreover, it is a useful parameter for evaluation and reassessment in pulmonary rehabilitation programs.

  6. Organising a clinical service for patients with pelvic floor disorders.

    Science.gov (United States)

    Chatoor, Dave; Soligo, Marco; Emmanuel, Anton

    2009-01-01

    The evolution of the multidisciplinary approach to the management of chronic conditions is a reflection of how medicine has evolved from a singular to a plural effort recognising the complex causations and consequences of such disorders. This thinking should not be confined to tertiary centres alone and should be adapted where local expertise is available. Such an approach is especially important in pelvic floor disorders, where the correlation between structure and function is not always straightforward. There is a need to avoid over-investigation by accurate clinical assessment allied to tailored investigation, leading to a step-wise approach to treatment (which may include behavioural, physiotherapy, medical or surgical management). The algorithms here on faecal incontinence, obstetric trauma, pelvic floor prolapse and chronic pelvic pain attempt to provide such a logical approach to patients.

  7. The Medical Exposure to Ionizing Radiation and Protection of the Patient in Medical Imaging Procedures for Diagnostic and Therapeutic Purposes (Excluding Radiotherapy) using X-Rays in Israel - Risk - Cost and Benefit

    International Nuclear Information System (INIS)

    Ben-Shlomo, A.

    1998-10-01

    Diagnostic and therapeutic radiology is playing a major role in modern medicine. The utilization of devices emitting ionizing radiation for medical diagnostic and therapeutic purposes is classified into three categories: a. Radiotherapy procedures for the treatment of malignant and benign tumors. b. Nuclear medicine procedures using radiopharmaceuticals that are introduced into the patient's body for diagnostic and therapeutic purposes. c. Diagnostic and therapeutic x-ray imaging procedures. This group includes conventional radiography, conventional fluoroscopy, cardiac catheterization, angiography, CT, mammography, dental, and fluoroscopy operation procedures. A survey was carried out on a sample of three major Israeli hospitals in order to: 1. Determine the status of radiation protection of patients in Israel with regard to the use of x-rays in medical imaging and interventional radiology. 2. Assess the extent of exposure of the population to medical x-rays, and assess the collective risk in Israel in this relation (based on Icr-60). 3. Carry out a cost-benefit optimization procedure related to the means that should be used to reduce the exposure of Israeli patients under x-ray procedures. 4. Establish a of practical recommendations to reduce the x-ray radiation exposure of patients and to increase the image quality. 5. Establish a number of basic rules to be utilized by health policy makers in Israel

  8. The Medical Exposure to Ionizing Radiation and Protection of the Patient in Medical Imaging Procedures for Diagnostic and Therapeutic Purposes (Excluding Radiotherapy) using X-Rays in Israel - Risk - Cost and Benefit

    Energy Technology Data Exchange (ETDEWEB)

    Ben-Shlomo, A

    1998-10-01

    Diagnostic and therapeutic radiology is playing a major role in modern medicine. The utilization of devices emitting ionizing radiation for medical diagnostic and therapeutic purposes is classified into three categories: a. Radiotherapy procedures for the treatment of malignant and benign tumors. b. Nuclear medicine procedures using radiopharmaceuticals that are introduced into the patient's body for diagnostic and therapeutic purposes. c. Diagnostic and therapeutic x-ray imaging procedures. This group includes conventional radiography, conventional fluoroscopy, cardiac catheterization, angiography, CT, mammography, dental, and fluoroscopy operation procedures. A survey was carried out on a sample of three major Israeli hospitals in order to: 1. Determine the status of radiation protection of patients in Israel with regard to the use of x-rays in medical imaging and interventional radiology. 2. Assess the extent of exposure of the population to medical x-rays, and assess the collective risk in Israel in this relation (based on Icr-60). 3. Carry out a cost-benefit optimization procedure related to the means that should be used to reduce the exposure of Israeli patients under x-ray procedures. 4. Establish a of practical recommendations to reduce the x-ray radiation exposure of patients and to increase the image quality. 5. Establish a number of basic rules to be utilized by health policy makers in Israel.

  9. 3D reconstruction of a patient-specific surface model of the proximal femur from calibrated x-ray radiographs: A validation study

    International Nuclear Information System (INIS)

    Zheng Guoyan; Schumann, Steffen

    2009-01-01

    Twenty-three femurs (one plastic bone and twenty-two cadaver bones) with both nonpathologic and pathologic cases were considered to validate a statistical shape model based technique for three-dimensional (3D) reconstruction of a patient-specific surface model from calibrated x-ray radiographs. The 3D reconstruction technique is based on an iterative nonrigid registration of the features extracted from a statistically instantiated 3D surface model to those interactively identified from the radiographs. The surface models reconstructed from the radiographs were compared to the associated ground truths derived either from a 3D CT-scan reconstruction method or from a 3D laser-scan reconstruction method and an average error distance of 0.95 mm were found. Compared to the existing works, our approach has the advantage of seamlessly handling both nonpathologic and pathologic cases even when the statistical shape model that we used was constructed from surface models of nonpathologic bones.

  10. A phantom-based evaluation of three commercially available patient organ shields for computed tomography X-ray examinations in diagnostic radiology

    International Nuclear Information System (INIS)

    Huggett, J.; Mukonoweshuro, W.; Loader, R.

    2013-01-01

    Three commercially available in-plane patient organ shields (barium eye, bismuth eye and bismuth breast) for computed tomography (CT) examinations were evaluated to determine their effectiveness for dose reduction. Absorbed doses were measured using metal oxide semiconductor field effect transistor dosemeters fastened to a Kyoto CT Torso phantom. Resultant images were visually compared with those minus shielding by an experienced radiologist. Approximate dose reductions of 21, 38 and 50 % were achieved by the barium eye, bismuth eye and bismuth breast shields, respectively, at a cost of increased image noise and streak artefacts. Shielded images produced varied levels of image artefact, particularly those resulting from the eye shields. Measured dose reductions were not consistent with the potential dose savings stated by the manufacturers of the shields. When evaluating the breast shield, similar dose reduction was achieved without shield-induced artefact by simply reducing the X-ray tube current. (authors)

  11. The results of a series of 963 patients with transitional cell carcinoma of the urinary bladder primarily treated by radical megavoltage X-ray therapy

    International Nuclear Information System (INIS)

    Duncan, W.; Quilty, P.M.

    1986-01-01

    The results are reported of a large series of patients with transitional cell cancer of the bladder, treated in Edinburgh between 1971 and 1982. Analysis of pre-treatment characteristics for patients with transitional cell bladder cancer showed that tumour category was significantly associated with grade and tumour size. Complete local tumour regression at follow-up cystoscopy was achieved in 45.9% of patients who completed radical megavoltage X-ray therapy. Patients with grade 2 or 3 cancer, a solid cancer or a tumour of less than 8 cm in size had significantly improved complete regression rates. Lasting local tumour control after initial complete regression was better in patients with grade 3 cancer. Complete regression was associated with improved survival for all but patients with T1 cancer. The poorest survival rates were seen in patients over 79 years of age, those with T4 cancer, an ulcerated cancer, a grade 3 cancer or a tumour of more than 7 cm in size. Metastases were more often seen in patients with grade 3 or T3/T4 cancer. Severe late radiation-related complications were seen in 14.8% of patients. (Auth.)

  12. Conventional digital subtraction x-ray angiography versus magnetic resonance angiography in the evaluation of carotid disease: patient satisfaction and preferences

    Energy Technology Data Exchange (ETDEWEB)

    U-King-Im, J.M. E-mail: jhg21@cam.ac.uk; Trivedi, R.; Cross, J.; Higgins, N.; Graves, M.; Kirkpatrick, P.; Antoun, N.; Gillard, J.H

    2004-04-01

    AIM: To compare conventional digital subtraction x-ray angiography (DSA) and contrast-enhanced magnetic resonance angiography (MRA) of the carotid arteries in terms of patient satisfaction and preferences. METHODS: One hundred and sixty-seven patients with symptomatic carotid artery disease, who underwent both DSA and MRA, were prospectively recruited in this study. Patients' perceptions of each method were assessed by the use of a questionnaire after each procedure. Main outcome measures were anxiety, pain, satisfaction rate and patient preferences. RESULTS: DSA generated more anxiety and pain during the procedure, but the severity of these ill-effects was mild. Satisfaction rates for each method were similar. More patients were, however, willing to have a repeat MRA compared with DSA (67 versus 41%). The majority of patients (62%) preferred MRA over DSA (31%). The shorter MRA imaging time was found to be a significant factor in patients' acceptance of the technique. The main reasons cited by patients for their dislike of a particular procedure was noise and claustrophobia for MRA and invasiveness, pain and post-procedural bed rest for DSA. CONCLUSIONS: MRA is the method that is preferred by the majority of patients, although the actual disutility of DSA may be small. Assuming equal diagnostic accuracy, our data supports replacement of DSA by MRA for routine carotid imaging.

  13. Conventional digital subtraction x-ray angiography versus magnetic resonance angiography in the evaluation of carotid disease: patient satisfaction and preferences

    International Nuclear Information System (INIS)

    U-King-Im, J.M.; Trivedi, R.; Cross, J.; Higgins, N.; Graves, M.; Kirkpatrick, P.; Antoun, N.; Gillard, J.H.

    2004-01-01

    AIM: To compare conventional digital subtraction x-ray angiography (DSA) and contrast-enhanced magnetic resonance angiography (MRA) of the carotid arteries in terms of patient satisfaction and preferences. METHODS: One hundred and sixty-seven patients with symptomatic carotid artery disease, who underwent both DSA and MRA, were prospectively recruited in this study. Patients' perceptions of each method were assessed by the use of a questionnaire after each procedure. Main outcome measures were anxiety, pain, satisfaction rate and patient preferences. RESULTS: DSA generated more anxiety and pain during the procedure, but the severity of these ill-effects was mild. Satisfaction rates for each method were similar. More patients were, however, willing to have a repeat MRA compared with DSA (67 versus 41%). The majority of patients (62%) preferred MRA over DSA (31%). The shorter MRA imaging time was found to be a significant factor in patients' acceptance of the technique. The main reasons cited by patients for their dislike of a particular procedure was noise and claustrophobia for MRA and invasiveness, pain and post-procedural bed rest for DSA. CONCLUSIONS: MRA is the method that is preferred by the majority of patients, although the actual disutility of DSA may be small. Assuming equal diagnostic accuracy, our data supports replacement of DSA by MRA for routine carotid imaging

  14. Semiconductor X-ray detectors

    CERN Document Server

    Lowe, Barrie Glyn

    2014-01-01

    Identifying and measuring the elemental x-rays released when materials are examined with particles (electrons, protons, alpha particles, etc.) or photons (x-rays and gamma rays) is still considered to be the primary analytical technique for routine and non-destructive materials analysis. The Lithium Drifted Silicon (Si(Li)) X-Ray Detector, with its good resolution and peak to background, pioneered this type of analysis on electron microscopes, x-ray fluorescence instruments, and radioactive source- and accelerator-based excitation systems. Although rapid progress in Silicon Drift Detectors (SDDs), Charge Coupled Devices (CCDs), and Compound Semiconductor Detectors, including renewed interest in alternative materials such as CdZnTe and diamond, has made the Si(Li) X-Ray Detector nearly obsolete, the device serves as a useful benchmark and still is used in special instances where its large, sensitive depth is essential. Semiconductor X-Ray Detectors focuses on the history and development of Si(Li) X-Ray Detect...

  15. New intraoral x-ray fluorographic imaging for dentistry

    International Nuclear Information System (INIS)

    Higashi, T.; Osada, T.; Aoyama, W.; Iguchi, M.; Suzuki, S.; Kanno, M.; Moriya, K.; Yoshimura, M.; Tusuda, M.

    1983-01-01

    A new dental x-ray fluorographic unit has been developed. This unit is composed of small intraoral x-ray tube, a compact x-ray image intensifier, and a high-resolution TV system. The purposes for developing this equipment were to (1) directly observe the tooth during endodontic procedures and (2) reduce x-ray exposure to the patient and the dentist. The radiation exposure can be reduced to about 1/600 the exposure used with conventional dental film. In clinical trials, a satisfactory fluorographic dental image for endodontic treatment was obtained with this new device

  16. TU-FG-BRB-04: A New Optimization Method for Pre-Treatment Patient-Specific Stopping-Power by Combining Proton Radiography and X-Ray CT

    International Nuclear Information System (INIS)

    Collins-Fekete, C; Schulte, R; Beaulieu, L; Seco, J

    2016-01-01

    Purpose: The relative stopping power (RSP) uncertainty is the largest contributor to the range uncertainty in proton therapy. The purpose of this work is to develop a robust and systematic method that yields accurate patient specific RSPs by combining pre-treatment X-ray CT and daily proton radiography. Methods: The method is formulated as a penalized least squares optimization (PLSO) problem min(|Ax-B|). The matrix A represents the cumulative path-length crossed in each material computed by calculating proton trajectories through the X-ray CT. The material RSPs are denoted by x and B is the pRad, expressed as water equivalent thickness. The equation is solved using a convex-conic optimizer. Geant4 simulations were made to assess the feasibility of the method. RSP extracted from the Geant4 materials were used as a reference and the clinical HU-RSP curve as a comparison. The PLSO was first tested on a Gammex RMI-467 phantom. Then, anthropomorphic phantoms of the head, pelvis and lung were studied and resulting RSPs were evaluated. A pencil beam was generated in each phantom to evaluate the proton range accuracy achievable by using the optimized RSPs. Finally, experimental data of a pediatric head phantom (CIRS) were acquired using a recently completed experimental pCT scanner. Results: Numerical simulations showed precise RSP (<0.75%) for Gammex materials except low-density lung (LN-300) (1.2%). Accurate RSP have been obtained for the head (µ=−0.10%, 1.5σ=1.12%), lung (µ=−0.33, 1.5σ=1.02%) and pelvis anthropomorphic phantoms (µ=0.12, 1.5σ=0,99%). The range precision has been improved with an average R80 difference to the reference (µ±1.5σ) of −0.20±0.35%, −0.47±0.92% and −0.06±0.17% in the head, lung and pelvis phantoms respectively, compared to the 3.5% clinical margin. Experimental HU-RSP curve have been produced on the CIRS pediatric head. Conclusion: The proposed PLSO with prior knowledge X-ray CT shows promising potential (R80 σ<1.0% over

  17. Reduction of radiation risks in patients undergoing some X-ray examinations by using optimal projections: A Monte Carlo program-based mathematical calculation

    Directory of Open Access Journals (Sweden)

    A Chaparian

    2014-01-01

    Full Text Available The objectives of this paper were calculation and comparison of the effective doses, the risks of exposure-induced cancer, and dose reduction in the gonads for male and female patients in different projections of some X-ray examinations. Radiographies of lumbar spine [in the eight projections of anteroposterior (AP, posteroanterior (PA, right lateral (RLAT, left lateral (LLAT, right anterior-posterior oblique (RAO, left anterior-posterior oblique (LAO, right posterior-anterior oblique (RPO, and left posterior-anterior oblique (LPO], abdomen (in the two projections of AP and PA, and pelvis (in the two projections of AP and PA were investigated. A solid-state dosimeter was used for the measuring of the entrance skin exposure. A Monte Carlo program was used for calculation of effective doses, the risks of radiation-induced cancer, and doses to the gonads related to the different projections. Results of this study showed that PA projection of abdomen, lumbar spine, and pelvis radiographies caused 50%-57% lower effective doses than AP projection and 50%-60% reduction in radiation risks. Also use of LAO projection of lumbar spine X-ray examination caused 53% lower effective dose than RPO projection and 56% and 63% reduction in radiation risk for male and female, respectively, and RAO projection caused 28% lower effective dose than LPO projection and 52% and 39% reduction in radiation risk for males and females, respectively. About dose reduction in the gonads, using of the PA position rather than AP in the radiographies of the abdomen, lumbar spine, and pelvis can result in reduction of the ovaries doses in women, 38%, 31%, and 25%, respectively and reduction of the testicles doses in males, 76%, 86%, and 94%, respectively. Also for oblique projections of lumbar spine X-ray examination, with employment of LAO rather than RPO and also RAO rather than LPO, demonstrated 22% and 13% reductions to the ovaries doses and 66% and 54% reductions in the

  18. X-ray film calibration

    International Nuclear Information System (INIS)

    Stone, G.F.; Dittmore, C.H.; Henke, B.L.

    1986-01-01

    This paper discusses the use of silver halide x-ray films for imaging and spectroscopy which is limited by the range of intensities that can be recorded and densitometered. Using the manufacturers processing techniques can result in 10 2-3 range in intensity recorded over 0-5 density range. By modifying the chemistry and processing times, ranges of 10 5-6 can be recorded in the same density range. The authors report on x-ray film calibration work and dynamic range improvements. Changes to the processing chemistry and the resulting changes in dynamic range and x-ray sensitivity are discussed

  19. Women and x-rays

    Energy Technology Data Exchange (ETDEWEB)

    Dunkley, P A; Stewart, J H

    1976-01-01

    When a woman comes to an X-Ray Department it is usually necessary to know the present stage of her menstrual cycle. X-Rays may have an adverse effect on the embryo, especially in early pregnancy. However, exposure to X-Rays at any stage may be associated with a slightly increased incidence of malignant disease in childhood. The International Commission on Radiological Protection recommends that in women of child-bearing age (in some cases as young as 11 years), non-urgent diagnostic radiography be confined to the preovulatory phase of the menstrual cycle: that is, 14 days following the first day of the last menstrual period.

  20. Upsurge of X-ray astronomy 230-

    International Nuclear Information System (INIS)

    Hudec, D.R.

    1978-01-01

    Instruments are described used for X-ray astronomy, namely X-ray detectors and X-ray telescopes. Unlike telescopes, the detectors do not comprise X-ray optics. A survey is given of the results obtained in solar and stellar X-ray astronomy and hypotheses are submitted on the origin of X radiation in the interstellar space. (J.B.)

  1. [Continuous improvement of portable domestic pelvic floor neuromuscular electrical stimulation on the pelvic floor function of patients with urinary incontinence].

    Science.gov (United States)

    Sun, Zhijing; Zhu, Lan; Lang, Jinghe; Wang, Wei; Shi, Honghui; Pang, Hongxia; Shi, Xinwen

    2015-12-01

    To evaluate continuous improvement of portable domestic pelvic floor neuromuscular electrical stimulation on the pelvic floor function of patients with stress urinary incontinence after short-term pelvic floor electrophysiological treatment in hospital. Totally 60 women with stress urinary incontinence were recruited for this randomized controlled trial. The control group including a total of 30 patients, only received 4 weeks pelvic floor electrophysiological treatment in the hospital. Family consolidation treatment group (experimental group) including 30 patients, after 4-week treatment in hospital, received 12-week of pelvic floor neuromuscular electrical stimulation using portable electrical stimulator at home under the guidance of doctors. In post-treatment 6 months and 9 months, 1-hour pad test was measured for urine leakage, pelvic floor electrical physiological parameters were assessed, and subjective improvement of symptoms of urinary incontinence were evaluated. All these data were analysed to compare the effect of the two groups. In 9 months after treatment, average change of urine leakage, the control group and experiment group were (75±24)% versus (99±3)%, the difference was statistically significant (Pcontinuous improvement of pelvic floor function.

  2. Rehabilitation of the short pelvic floor. II: Treatment of the patient with the short pelvic floor.

    Science.gov (United States)

    FitzGerald, M P; Kotarinos, R

    2003-10-01

    Several urogynecologic syndromes are associated with the clinical finding of a short, painful, tender and weak pelvic floor and a variety of connective tissue abnormalities. Techniques for rehabilitation include the avoidance of perpetuating factors, rehabilitation of extrapelvic musculoskeletal abnormalities, the use of manual techniques and needling to promote resolution of connective tissue problems, closure of any diastasis recti, and transvaginal/transrectal manual release of muscular trigger points and contractures. Therapy can be facilitated by pudendal or epidural nerve block. Patients contribute to their success through home maintenance programs.

  3. Diagnostic X-ray sources-present and future

    Science.gov (United States)

    Behling, Rolf; Grüner, Florian

    2018-01-01

    This paper compares very different physical principles of X-ray production to spur ideation. Since more than 120 years, bremsstrahlung from X-ray tubes has been the workhorse of medical diagnostics. Generated by X-ray segments comprised of X-ray tubes and high-voltage generators in the various medical systems, X-ray photons in the spectral range between about 16 keV and 150 keV deliver information about anatomy and function of human patients and in pre-clinical animal studies. Despite of strides to employ the wave nature of X-rays as phase sensitive means, commercial diagnostic X-ray systems available until the time of writing still rely exclusively on measuring the attenuation and scattering of X-rays by matter. Significant activities in research aim at building highly brilliant short pulse X-ray sources, based on e.g. synchrotron radiation, free electron lasers and/or laser wake-field acceleration of electrons followed by wiggling with magnetic structures or Thomson scattering in bunches of light. While both approaches, non-brilliant and brilliant sources, have different scope of application, we speculate that a combination may expand the efficacy in medical application. At this point, however, severe technical and commercial difficulties hinder closing this gap. This article may inspire further development and spark innovation in this important field.

  4. Age- and time-dependent changes in the rates of radiation-induced cancers in patients with ankylosing spondylitis following a single course of X-ray treatment

    International Nuclear Information System (INIS)

    Smith, P.G.; Doll, R.

    1978-01-01

    The causes of death have been analysed in 14111 patients with ankylosing spondylitis following a single course of X-ray treatment. Patients who were re-treated with X-rays were followed until the end of the year following their second course of treatment and deaths subsequent to this time were ignored. An attempt was made to follow the remaining patients to 1 January 1970, or their date of death or emigration, whichever was the earlier. A total of 7455 (52.8%) patients were re-treated before 1 January 1970, 1759 (12.5%) patients had died and 269 (1.9%) had emigrated. A total of 208 (1.5%) patients were lost to follow-up and the remaining 4420 (31.3%), who had all received one course of treatment, were alive. The number of deaths from all causes was 66% greater than the expected number computed from national age and sex specific mortality rates. There were 31 deaths from leukaemia (6.5 expected), 259 from cancers of ''heavily irradiated'' sites (167.5 expected) and 79 from cancers of ''lightly irradiated'' sites, which was not significantly higher than the 65.6 expected. The ratio of observed to expected deaths and the excess death rate from leukaemia was greatest in the period three to five years after first treatment and subsequently declined. The ratio of observed to expected deaths from cancers of heavily irradiated sites was high in the two years following treatment, fell to a minimum six to eight years after treatment and then rose. Data for individual heavily irradiated sites showed little variation in the ratio of observed to expected numbers of deaths, apart from those due to tumours of the spinal cord. The ratio of observed to expected deaths for both leukaemia and cancers of the heavily irradiated sites showed no apparent change according to the age of the patients at their first treatment but the excess death rate showed a highly significant increase with increasing age at first treatment

  5. Bone X-Ray (Radiography)

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    Full Text Available ... more information about pregnancy and x-rays. A Word About Minimizing Radiation Exposure Special care is taken ... and/or your insurance provider to get a better understanding of the possible charges you will incur. ...

  6. Bone X-Ray (Radiography)

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    Full Text Available ... is repeated. Two or three images (from different angles) will typically be taken. An x-ray may ... RadiologyInfo.org is not a medical facility. Please contact your physician with specific medical questions or for ...

  7. Bone X-Ray (Radiography)

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    Full Text Available ... no special preparation. Tell your doctor and the technologist if there is any possibility you are pregnant. ... should always inform their physician and x-ray technologist if there is any possibility that they are ...

  8. X-ray guided biopsy

    International Nuclear Information System (INIS)

    Casanova, R.; Lezana, A.H.; Pedrosa, C.S.

    1980-01-01

    Fine needle aspiration biopsy (FNAB) is now a routine procedure in many X-ray Departments. This paper presents the authors' experience with this technique in chest, abdominal and skeletal lesions. (Auth.)

  9. Bone X-Ray (Radiography)

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    Full Text Available ... Radiography) - Bone Bone x-ray uses a very small dose of ionizing radiation to produce pictures of ... exposing a part of the body to a small dose of ionizing radiation to produce pictures of ...

  10. Bone X-Ray (Radiography)

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    Full Text Available ... replacement and fracture reductions. look for injury, infection, arthritis , abnormal bone growths and bony changes seen in ... injuries, including fractures, and joint abnormalities, such as arthritis. X-ray equipment is relatively inexpensive and widely ...

  11. Bone X-Ray (Radiography)

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    Full Text Available ... current x-ray images for diagnosis and disease management. top of page How is the procedure performed? ... procedure varies. See the Safety page for more information about radiation dose. Women should always inform their ...

  12. X-Ray Assembler Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — Federal regulations require that an assembler who installs one or more certified components of a diagnostic x-ray system submit a report of assembly. This database...

  13. Bone X-Ray (Radiography)

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    Full Text Available ... current x-ray images for diagnosis and disease management. top of page How is the procedure performed? ... in a known abnormality can be monitored over time. Follow-up examinations are sometimes the best way ...

  14. Bone X-Ray (Radiography)

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    Full Text Available ... the radiation while soft tissue, such as muscle, fat and organs, allow more of the x-rays ... taken of the unaffected limb, or of a child's growth plate (where new bone is forming), for ...

  15. Bone X-Ray (Radiography)

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    Full Text Available ... the radiation while soft tissue, such as muscle, fat and organs, allow more of the x-rays ... information you were looking for? Yes No Please type your comment or suggestion into the following text ...

  16. Bone X-Ray (Radiography)

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    Full Text Available ... pregnant. Many imaging tests are not performed during pregnancy so as not to expose the fetus to ... See the Safety page for more information about pregnancy and x-rays. top of page What does ...

  17. Bone X-Ray (Radiography)

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    Full Text Available ... a large photographic negative). Today, most images are digital files that are stored electronically. These stored images ... and places the x-ray film holder or digital recording plate under the table in the area ...

  18. Bone X-Ray (Radiography)

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    Full Text Available ... in metabolic conditions. assist in the detection and diagnosis of bone cancer . locate foreign objects in soft ... frequently compared to current x-ray images for diagnosis and disease management. top of page How is ...

  19. Bone X-Ray (Radiography)

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    Full Text Available ... of any bone in the body, including the hand, wrist, arm, elbow, shoulder, spine, pelvis, hip, thigh, knee, leg ( ... Image Gallery Radiological technologist preparing to take an arm x-ray on a ... Images related ...

  20. Bone X-Ray (Radiography)

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    Full Text Available ... care is taken during x-ray examinations to use the lowest radiation dose possible while producing the best images for evaluation. National and international radiology protection organizations continually review ...

  1. Bone X-Ray (Radiography)

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    Full Text Available ... very controlled x-ray beams and dose control methods to minimize stray (scatter) radiation. This ensures that ... radiation oncology provider in your community, you can search the ACR-accredited facilities database . This website does ...

  2. Bone X-Ray (Radiography)

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    Full Text Available ... small burst of radiation that passes through the body, recording an image on photographic film or a special detector. Different parts of the body absorb the x-rays in varying degrees. Dense ...

  3. Bone X-Ray (Radiography)

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    Full Text Available ... of page What will I experience during and after the procedure? A bone x-ray examination itself ... available in emergency rooms, physician offices, ambulatory care centers, nursing homes and other locations, making it convenient ...

  4. Bone X-Ray (Radiography)

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    Full Text Available ... will analyze the images and send a signed report to your primary care or referring physician , who ... Medicine Radiation Safety How to Read Your Radiology Report Images related to X-ray (Radiography) - Bone Sponsored ...

  5. Bone X-Ray (Radiography)

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    Full Text Available ... bear denotes child-specific content. Related Articles and Media Radiation Dose in X-Ray and CT Exams ... the web pages found at these links. About Us | Contact Us | FAQ | Privacy | Terms of Use | Links | ...

  6. Bone X-Ray (Radiography)

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    Full Text Available ... to produce pictures of any bone in the body. It is commonly used to diagnose fractured bones ... x-rays involves exposing a part of the body to a small dose of ionizing radiation to ...

  7. Bone X-Ray (Radiography)

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    Full Text Available ... to X-ray (Radiography) - Bone Sponsored by Please note RadiologyInfo.org is not a medical facility. Please ... is further reviewed by committees from the American College of Radiology (ACR) and the Radiological Society of ...

  8. Bone X-Ray (Radiography)

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    Full Text Available ... the baby. See the Safety page for more information about pregnancy and x-rays. top of page ... procedure varies. See the Safety page for more information about radiation dose. Women should always inform their ...

  9. Bone X-Ray (Radiography)

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    Full Text Available ... and fracture reductions. look for injury, infection, arthritis , abnormal bone growths and bony changes seen in metabolic ... to current x-ray images for diagnosis and disease management. top of page How is the procedure ...

  10. Bone X-Ray (Radiography)

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    Full Text Available ... foot. top of page What are some common uses of the procedure? A bone x-ray is ... community, you can search the ACR-accredited facilities database . This website does not provide cost information. The ...

  11. Flash x-ray cinematography

    International Nuclear Information System (INIS)

    Stein, W.E.

    1976-01-01

    Experiments intended to provide an overview of the potential capabilities and limitations of flash x-ray cinematography as a diagnostic technique for a Fast Reactor Safety Test Facility are described. The results provide estimates of the x-ray pulse intensity required to obtain adequate radiographs of an array of fuel pins in a typical reactor configuration. An estimate of the upper limit on the pulse duration imposed by the reactor background radiation was also determined. X-ray cinematography has been demonstrated at a repetition rate limited only by the recording equipment on hand at the time of these measurements. These preliminary results indicate that flash x-ray cinematography of the motion of fuel in a Fast Reactor Test Facility is technically feasible

  12. X-ray screening materials

    International Nuclear Information System (INIS)

    Wardley, R.B.

    1981-01-01

    This invention relates to x-ray screening materials and especially to materials in sheet form for use in the production of, for example, protective clothing such as aprons and lower back shields, curtains, mobile screens and suspended shields. The invention is based on the observation that x-ray screening materials in sheet form having greater flexiblity than the hitherto known x-ray screening materials of the same x-ray absorber content can be produced if, instead of using a single sheet of filled sheet material of increased thickness, one uses a plurality of sheets of lesser thickness together forming a laminar material of the desired thickness and one bonds the individual sheets together at their edges and, optionally, at other spaced apart points away from the edges thereby allowing one sheet to move relative to another. (U.K.)

  13. X-ray luminescent glasses

    International Nuclear Information System (INIS)

    Takahashi, T.; Yamada, O.

    1981-01-01

    X-ray luminescent glasses comprising a divalent cation such as an alkaline earth metal or other divalent cations such as pb, cd, or zn, and certain rare earth metaphosphates are suitable as vitreous, x-ray phosphors or x-ray luminescent glass fibers in an x-ray intensifying screen. The glasses have the composition n(Mo X p2o5)((1-y)tb2o3 X yce2o3 X 3p2o5) wherein N is greater than zero but less than or equal to 16, M is an alkaline earth metal or other divalent cation such as pb, cd, or zn, and Y is greater than or equal to zero but less than one

  14. Bone X-Ray (Radiography)

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    Full Text Available ... x-ray uses a very small dose of ionizing radiation to produce pictures of any bone in the ... of the body to a small dose of ionizing radiation to produce pictures of the inside of the ...

  15. Bone X-Ray (Radiography)

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    Full Text Available ... current x-ray images for diagnosis and disease management. top of page How is the procedure performed? ... examination may also be necessary so that any change in a known abnormality can be monitored over ...

  16. Miniature x-ray source

    Science.gov (United States)

    Trebes, James E.; Bell, Perry M.; Robinson, Ronald B.

    2000-01-01

    A miniature x-ray source utilizing a hot filament cathode. The source has a millimeter scale size and is capable of producing broad spectrum x-ray emission over a wide range of x-ray energies. The miniature source consists of a compact vacuum tube assembly containing the hot filament cathode, an anode, a high voltage feedthru for delivering high voltage to the cathode, a getter for maintaining high vacuum, a connector for initial vacuum pump down and crimp-off, and a high voltage connection for attaching a compact high voltage cable to the high voltage feedthru. At least a portion of the vacuum tube wall is fabricated from highly x-ray transparent materials, such as sapphire, diamond, or boron nitride.

  17. Bone X-Ray (Radiography)

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    Full Text Available ... position possible that still ensures x-ray image quality. top of page Who interprets the results and ... accredited facilities database . This website does not provide cost information. The costs for specific medical imaging tests, ...

  18. Bone X-Ray (Radiography)

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    Full Text Available ... top of page What are the benefits vs. risks? Benefits Bone x-rays are the fastest and ... in the typical diagnostic range for this exam. Risks There is always a slight chance of cancer ...

  19. Bone X-Ray (Radiography)

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    Full Text Available ... fracture. guide orthopedic surgery, such as spine repair/fusion, joint replacement and fracture reductions. look for injury, ... CT Exams Arthritis X-ray, Interventional Radiology and Nuclear Medicine Radiation Safety How to Read Your Radiology ...

  20. Bone X-Ray (Radiography)

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    Full Text Available ... the oldest and most frequently used form of medical imaging. A bone x-ray makes images of any ... a radiologist or other physician. To locate a medical imaging or radiation oncology provider in your community, you ...