Equipment for fully automatic radiographic pipe inspection

International Nuclear Information System (INIS)

Basler, G.; Sperl, H.; Weinschenk, K.

1977-01-01

The patent describes a device for fully automatic radiographic testing of large pipes with longitudinal welds. Furthermore the invention enables automatic marking of films in radiographic inspection with regard to a ticketing of the test piece and of that part of it where testing took place. (RW) [de

Radiographic testing at Lawrence Livermore National Laboratory

International Nuclear Information System (INIS)

Bossi, R.H.

1982-01-01

Radiographic testing is a nondestructive inspection technique which uses penetrating radiation. The Nondestructive Evaluation (NDE) Section at Lawrence Livermore National Laboratory has a broad spectrum of equipment and techniques for radiographic testing. These resources include low-energy vacuum systems, low- and mid-energy cabinet and cell radiographic systems, high-energy linear accelerators, portable x-ray machines and radioisotopes for radiographic inspections. For diagnostic testing the NDE Section also has real-time and flash radiographic equipment

Medical equipment in government health facilities: Missed opportunities

OpenAIRE

Pardeshi Geeta

2005-01-01

BACKGROUND: The availability and optimal utilization of medical equipment is important for improving the quality of health services. Significant investments are made for the purchase, maintenance and repair of medical equipment. Inadequate management of these equipment will result in financial losses and deprive the public of the intended benefits. This analysis is based on the conceptual framework drawn from the WHO recommended- lifecycle of medical equipment. AIMS: (1) To identify the probl...

Internet-accessible radiographic database of Vietnam War casualties for medical student education.

Science.gov (United States)

Critchley, Eric P; Smirniotopoulos, James G

2003-04-01

The purpose of this study was to determine the feasibility of archiving radiographic images from Vietnam era conflict casualties into a personal computer-based electronic database of text and images and displaying the data using an Internet-accessible database for preservation and educational purposes. Thirty-two patient cases were selected at random from a pool of 1,000 autopsy reports in which radiographs were available. A total of 74 radiographs from these cases were digitized using a commercial image scanner and then uploaded into an Internet accessible database. The quality of the digitized images was assessed by administering an image-based test to a group of 12 medical students. No statistically significant (p > 0.05) differences were found between test scores when using the original radiographs versus using the digitized radiographs on the Internet-accessible database. An Internet-accessible database is capable of effectively archiving Vietnam era casualty radiographs for educational purposes.

National data analysis of general radiography projection method in medical imaging

Energy Technology Data Exchange (ETDEWEB)

Kim, Jung Su; Seo, Deok Nam; Choi, In Seok [Dept. of Bio-Convergence Engineering, Korea University Graduate School, Seoul (Korea, Republic of); and others

2014-09-15

According to database of medical institutions of health insurance review and assessment service in 2013, 1,118 hospitals and clinics have department of radiology in Korea. And there are CT, fluoroscopic and general radiographic equipment in those hospitals. Above all, general radiographic equipment is the most commonly used in the radiology department. And most of the general radiographic equipment are changing the digital radiography system from the film-screen types of the radiography system nowadays. However, most of the digital radiography department are used the film-screen types of the radiography system. Therefore, in this study, we confirmed present conditions of technical items for general radiography used in hospital and research on general radiographic techniques in domestic medical institutions. We analyzed 26 radiography projection method including chest, skull, spine and pelvis which are generally used in the radiography department.

Procuring, maintaining and using equipment: the key issues in controlling exposure to patients

International Nuclear Information System (INIS)

Hendra, I.R.F.

1989-01-01

Not only are acceptance criteria directly related to the design of medical x-ray equipment and quality assurance exercised during its manufacture, but also its performance, safety and reliability must feature in requirements for procuring new equipment. In the UK this issue is dealt with under the Department of Health and Social Security Manufacturer Registration Scheme for Medical Equipment in its application to radiological equipment. In the UK quality of maintenance services has been considered by one of our Working Parties commissioned by the South-East Thames Regional Health Authority who are the ''Centre of Responsibility'' for diagnostic imaging equipment in the National Health Service. The report prepared from the first phase of activity of this working group describes features of a procurement specification for maintenance services and prescribes complementary duties of contractors and customers. Radiograph reject analysis has indicated human error outweighs unsatisfactory equipment performance as the reason for rejecting poor radiographs. The use in X-ray departments of the kind of manufacturing quality system used by most reputable equipment manufacturers has the potential for a dramatic reduction in exposure. (author)

Evaluation of different X ray equipment and incubators for pediatric radiographic images implementation

International Nuclear Information System (INIS)

Carbi, E.D.O.; Souza, R.T.F.; Pina, D.R.

2009-01-01

The children frequent/y are exposed to the ionizing radiation and other emotional and physical risks in the attempts repeated to get radiographic images of quality. This study it has as objective to evaluate X ray beam about quality and intensity at three different equipment with single-phase generator of voltage and the absorption factors to 5 different incubators and 3 different cradles in the neonatal UTI of the Clinics Hospital on the Medicine College in Botucatu. The methodology consisted of carrying through measured of half Layer Value and Radiation output for the different X ray equipment with voltage with in between 45 and 100 kVp, applied at the X ray tube. The measures of the absorption factors had been carried through varying the thicknesses of attenuating material (phantom) for the different voltage value with in between 50 and 100kVp. The results had shown the same energy effective for the different X ray equipment and the same absorption factors for the different incubators and evaluated cradles, taking into account, the same thickness of attenuating material and same voltage. (author)

Successful reporting by non-medical practitioners such as radiographers, will always be task-specific and limited in scope

International Nuclear Information System (INIS)

Donovan, T.; Manning, D.J.

2006-01-01

Reporting by radiographers is currently an extended role. The College of Radiographers however considers that in the future reporting will be a requirement for all radiographers. If performance is looked at, then in certain specific tasks trained radiographers can match the accuracy of radiologists, such as A and E skeletal reporting and mammography. But radiologists themselves are prone to interpretation errors. Communication of radiological findings is important if findings are to be translated into useful diagnostic outcomes for the patient. Radiographers are able to provide a descriptive report but lack the training and flexibility to provide a medical report and make judgments about the relevance of radiological findings. Experts when viewing radiographic images are visually efficient, demonstrate flexible reasoning and have many disease schemata to resolve incongruities in clinical data. We do not yet have a definitive answer to what makes a good reporting radiographer, but without a medical training it is unlikely that radiographers can become experts beyond their current role in certain well-circumscribed tasks

Medical equipment in government health facilities: missed opportunities.

Science.gov (United States)

Pardeshi, Geeta S

2005-01-01

The availability and optimal utilization of medical equipment is important for improving the quality of health services. Significant investments are made for the purchase, maintenance and repair of medical equipment. Inadequate management of these equipment will result in financial losses and deprive the public of the intended benefits. This analysis is based on the conceptual framework drawn from the WHO recommended- lifecycle of medical equipment. (1) To identify the problems in different stages of the life cycle. (2) To assess its financial implications and effect on service delivery. Analysis of secondary data from the latest Comptroller and Auditor General (CAG) Reports for the states in India. The study variables were category of equipment, financial implications and problems in the stages of life cycle. Calculation of proportions. A total of forty instances mentioning problems in the first phase of the life cycle of medical equipment were noted in 12 state reports. The equipment from the radiology department (15), equipment in the wards (5), laboratory (3) and operation theatres (4) were the ones most frequently implicated. In a majority of cases the financial implications amounted to twenty-five lakhs. The financial implications were in the form of extra expenditure, unfruitful expenditure or locking of funds. In 25 cases the equipment could not be put to use because of non-availability of trained staff and inadequate infrastructural support. Careful procurement, incoming inspection, successful installation and synchronization of qualified trained staff and infrastructural support will ensure timely onset of use of the equipment.

Lack of security of networked medical equipment in radiology.

Science.gov (United States)

Moses, Vinu; Korah, Ipeson

2015-02-01

OBJECTIVE. There are few articles in the literature describing the security and safety aspects of networked medical equipment in radiology departments. Most radiologists are unaware of the security issues. We review the security of the networked medical equipment of a typical radiology department. MATERIALS AND METHODS. All networked medical equipment in a radiology department was scanned for vulnerabilities with a port scanner and a network vulnerability scanner, and the vulnerabilities were classified using the Common Vulnerability Scoring System. A network sniffer was used to capture and analyze traffic on the radiology network for exposure of confidential patient data. We reviewed the use of antivirus software and firewalls on the networked medical equipment. USB ports and CD and DVD drives in the networked medical equipment were tested to see whether they allowed unauthorized access. Implementation of the virtual private network (VPN) that vendors use to access the radiology network was reviewed. RESULTS. Most of the networked medical equipment in our radiology department used vulnerable software with open ports and services. Of the 144 items scanned, 64 (44%) had at least one critical vulnerability, and 119 (83%) had at least one high-risk vulnerability. Most equipment did not encrypt traffic and allowed capture of confidential patient data. Of the 144 items scanned, two (1%) used antivirus software and three (2%) had a firewall enabled. The USB ports were not secure on 49 of the 58 (84%) items with USB ports, and the CD or DVD drive was not secure on 17 of the 31 (55%) items with a CD or DVD drive. One of three vendors had an insecure implementation of VPN access. CONCLUSION. Radiologists and the medical industry need to urgently review and rectify the security issues in existing networked medical equipment. We hope that the results of our study and this article also raise awareness among radiologists about the security issues of networked medical equipment.

Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world?

Science.gov (United States)

Perry, Lora; Malkin, Robert

2011-07-01

It is often said that most of the medical equipment in the developing world is broken with estimates ranging up to 96% out of service. But there is little documented evidence to support these statements. We wanted to quantify the amount of medical equipment that was out of service in resource poor health settings and identify possible causes. Inventory reports were analyzed from 1986 to 2010, from hospitals in sixteen countries across four continents. The UN Human Development Index was used to determine which countries should be considered developing nations. Non-medical hospital equipment was excluded. This study examined 112,040 pieces of equipment. An average of 38.3% (42,925, range across countries: 0.83-47%) in developing countries was out of service. The three main causes were lack of training, health technology management, and infrastructure. We hope that the findings will help biomedical engineers with their efforts toward effective designs for the developing world and NGO's with efforts to design effective healthcare interventions.

Does the Use of a Checklist Help Medical Students in the Detection of Abnormalities on a Chest Radiograph?

Science.gov (United States)

Kok, Ellen M; Abed, Abdelrazek; Robben, Simon G F

2017-12-01

The interpretation of chest radiographs is a complex task that is prone to diagnostic error, especially for medical students. The aim of this study is to investigate the extent to which medical students benefit from the use of a checklist regarding the detection of abnormalities on a chest radiograph. We developed a checklist based on literature and interviews with experienced thorax radiologists. Forty medical students in the clinical phase assessed 18 chest radiographs during a computer test, either with (n = 20) or without (n = 20) the checklist. We measured performance and asked participants for feedback using a survey. Participants that used a checklist detected more abnormalities on images with multiple abnormalities (M = 50.1%) than participants that could not use a checklist (M = 41.9%), p = 0.04. The post-experimental survey shows that on average, participants considered the checklist helpful (M = 3.25 on a five-point scale), but also time consuming (M = 3.30 on a five-point scale). In conclusion, a checklist can help medical students to detect abnormalities in chest radiographs. Moreover, students tend to appreciate the use of a checklist as a helpful tool during the interpretation of a chest radiograph. Therefore, a checklist is a potentially important tool to improve radiology education in the medical curriculum.

21 CFR 1020.31 - Radiographic equipment.

Science.gov (United States)

2010-04-01

...) RADIOLOGICAL HEALTH PERFORMANCE STANDARDS FOR IONIZING RADIATION EMITTING PRODUCTS § 1020.31 Radiographic... and time, a preset number of pulses, or a preset radiation exposure to the image receptor. (i) Except... exposure of greater than one-half second. Except during panoramic dental radiography, termination of...

Management information system of medical equipment using mobile devices

Science.gov (United States)

Núñez, C.; Castro, D.

2011-09-01

The large numbers of technologies currently incorporated into mobile devices transform them into excellent tools for capture and to manage the information, because of the increasing computing power and storage that allow to add many miscellaneous applications. In order to obtain benefits of these technologies, in the biomedical engineering field, it was developed a mobile information system for medical equipment management. The central platform for the system it's a mobile phone, which by a connection with a web server, it's capable to send and receive information relative to any medical equipment. Decoding a type of barcodes, known as QR-Codes, the management process is simplified and improved. These barcodes identified the medical equipments in a database, when these codes are photographed and decoded with the mobile device, you can access to relevant information about the medical equipment in question. This Project in it's actual state is a basic support tool for the maintenance of medical equipment. It is also a modern alternative, competitive and economic in the actual market.

Radiographic Findings in Patients with Medication-Related Osteonecrosis of the Jaw

Directory of Open Access Journals (Sweden)

Camila Lopes Cardoso

2017-01-01

Full Text Available A retrospective study was conducted of the records and panoramic radiographs of 35 patients treated with bisphosphonates (BP and diagnosed with MRONJ. Panoramic radiography was used for evaluation, by two examiners, the following findings were subject of search: osteolysis (OT, cortical bone erosion (EC, bone sclerosis focal (FS and diffuse (DS, bone sequestration (BS, thickening of lamina dura (TD, prominence of the inferior alveolar nerve canal (IAN, persisting alveolar sockets (SK, and the presence of a pathological fracture (PF. Medical information and staging were also recorded in order to correlate with radiographic findings. Bone sclerosis was the most frequent alteration, followed by OT and TD. The mandible was more affected than the maxilla. There was no significant difference between genders or significant correlation between the number of injuries with age and duration of BP usage. Considering the association between the radiographic findings and MRONJ staging, EC was predominant in stage 3 and DS in stage 2. IAN and PF demonstrated greater association with stage 3. In conclusion, the higher the clinical staging, the greater the severity of the bone alteration. Panoramic radiographic examination is a useful screening tool in patients submitted to antiresorptive therapy.

[Fundamental aspects for accrediting medical equipment calibration laboratories in Colombia].

Science.gov (United States)

Llamosa-Rincón, Luis E; López-Isaza, Giovanni A; Villarreal-Castro, Milton F

2010-02-01

Analysing the fundamental methodological aspects which should be considered when drawing up calibration procedure for electro-medical equipment, thereby permitting international standard-based accreditation of electro-medical metrology laboratories in Colombia. NTC-ISO-IEC 17025:2005 and GTC-51-based procedures for calibrating electro-medical equipment were implemented and then used as patterns. The mathematical model for determining the estimated uncertainty value when calibrating electro-medical equipment for accreditation by the Electrical Variable Metrology Laboratory's Electro-medical Equipment Calibration Area accredited in compliance with Superintendence of Industry and Commerce Resolution 25771 May 26th 2009 consists of two equations depending on the case; they are: E = (Ai + sigmaAi) - (Ar + sigmaAr + deltaAr1) and E = (Ai + sigmaAi) - (Ar + sigmaA + deltaAr1). The mathematical modelling implemented for measuring uncertainty in the Universidad Tecnológica de Pereira's Electrical Variable Metrology Laboratory (Electro-medical Equipment Calibration Area) will become a good guide for calibration initiated in other laboratories in Colombia and Latin-America.

Fast radiographic systems

International Nuclear Information System (INIS)

Domanus, J.C.

1984-08-01

Industrial radiography can be performed with shorter exposure times, when instead of X-ray film with lead intensifying screens the radiographic paper with fluorescent screen is used. With paper radiography one can obtain lower material, equipment, and labor costs, shorter exposure and processing times, and easier radiation protection. The speed of the radiographic inspection can also be increased by the use of fluorometallic intensifying screens together with a special brand of X-ray film. Before accepting either of the two fast radiographic systems one must be sure that they can produce radiographs of adequate image quality. Therefore an investigation was performed on that subject using ISO wire IQI's and ASTM penetrameters. The radiographic image quality was tested for aluminium and steel up to 30 mm thick using various brands of radiographic paper and X-ray film with fluorometallic screens and comparing them with fast X-ray films with lead screens. Both systems give satisfactory results. (author)

Quantitative techniques for medical equipment maintenance management

NARCIS (Netherlands)

Ben Houria, Zeineb; Masmoudi, Malek; Al Hanbali, Ahmad; Khatrouch, Ikram; Masmoudi, Faouzi

2016-01-01

The maintenance department in a hospital is responsible for ensuring the safety of medical equipment and their availability while keeping the operation costs minimal. The selection of the best maintenance strategy is a key decision to reduce the equipment downtime, increase the availability, and

An H-module linear actuator for medical equipment applications

DEFF Research Database (Denmark)

Liu, Xiao; Wu, Keyuan; ye, yunyue

2012-01-01

An H-module linear actuator (HMLA) is proposed in this paper for medical equipment applications. Compared to the existing linear actuators used in medical equipment, the proposed H-module linear actuator has much lower normal force, which makes use of an additional air-suspension system unnecessary...

Are chest radiographs justified in pre-employment examinations. Presentation of legal position and medical evidence based on 1760 cases

International Nuclear Information System (INIS)

Ladd, S.C.; Krause, U.; Ladd, M.E.

2006-01-01

The legal and medical basis for chest radiographs as part of pre-employment examinations (PEE) at a University Hospital is evaluated. The radiographs are primarily performed to exclude infectious lung disease. A total of 1760 consecutive chest radiographs performed as a routine part of PEEs were reviewed retrospectively. Pathologic findings were categorized as ''nonrelevant'' or ''relevant.'' No positive finding with respect to tuberculosis or any other infectious disease was found; 94.8% of the chest radiographs were completely normal. Only five findings were regarded as ''relevant'' for the individual. No employment-relevant diagnosis occurred. The performance of chest radiography as part of a PEE is most often not justified. The practice is expensive, can violate national and European law, and lacks medical justification. (orig.) [de

The research of medical equipment on-line detection system based on Android smartphone

Science.gov (United States)

Jiang, Junjie; Dong, Xinyu; Zhang, Hongjie; Liu, Mengjun

2017-06-01

With the unceasing enhancement of medical level, the expanding scale of medical institutions, medical equipment as an important tool for disease diagnosis, treatment and prevention, used in all levels of medical institutions. The quality and accuracy of the Medical equipment play a key role in the doctor's diagnosis and treatment effect, medical metrology as the important technical foundation is to ensure that the equipment, technology, material components are accurate and the application is safe and reliable. Medical equipment have the feature of variety, large quantity, long using cycle, expensive and multi-site, which bring great difficulty in maintenance, equipment management and verification. Therefore, how to get the medical measurement integrate deeply into the advanced internet technology, information technology and the new measuring method, for real-time monitoring of medical equipment, tracking, positioning, and query is particularly important.

Producing quality radiographic images

International Nuclear Information System (INIS)

Cullinan, A.M.

1987-01-01

This book gives an overview of physics, equipment, imaging, and quality assurance in the radiology department. The chapters are laid out with generous use of subheads to allow for quick reference, Points are illustrated with clear, uncluttered line diagrams and well-produced images. The accompanying explanations are miniature lessons by themselves. Inserted at various points throughout the text are important notes that highlight key concepts. The chapter ''Image Evaluation and Application of Radiographic Principles'' present a systematic approach to evaluating radiographs and contains several sample radiographs to illustrate the points made

Analysis of Medical Equipment Management in Relation to the Mandatory Medical Equipment Safety Manager (MESM in Japan

Directory of Open Access Journals (Sweden)

Kai Ishida

2014-01-01

Full Text Available Half a decade has passed since the fifth revision of the medical law and mandatory appointment of a medical equipment safety manager (MESM in hospitals in Japan. During this period, circumstances have changed regarding maintenance of medical equipment (ME. We conducted a survey to examine these changes and the current situation in ME management. Maintenance of ME and related work were found to have increased in many hospitals, but the number of clinical engineering technologists (CETs has only slightly increased. The appointed MESM was a CET or physician in most hospitals. In hospitals where physicians were appointed as the MESM, 81% had operation managers. Many respondents commented that it was difficult for one person to cover all the tasks required by the MESM, due to a lack of knowledge, too much work, or other reasons. This suggests the importance of an operation manager for ME to work under the MESM.

Ethical home medical equipment business practices.

Science.gov (United States)

Parver, C

1991-11-01

National uniform standards as a condition for receipt of a Medicare provider number would help rid the home medical equipment industry of those unethical and unscrupulous suppliers who have tarnished the industry's reputation.

The influence of experiential learning on medical equipment adoption in general practices.

Science.gov (United States)

Bourke, Jane; Roper, Stephen

2014-10-01

The benefits of the availability and use of medical equipment for medical outcomes are understood by physicians and policymakers alike. However, there is limited understanding of the decision-making processes involved in adopting and using new technologies in health care organisations. Our study focuses on the adoption of medical equipment in Irish general practices which are marked by considerable autonomy in terms of commercial practice and the range of medical services they provide. We examine the adoption of six items of medical equipment taking into account commercial, informational and experiential stimuli. Our analysis is based on primary survey data collected from a sample of 601 general practices in Ireland on practice characteristics and medical equipment use. We use a multivariate Probit to identify commonalities in the determinants of the adoption. Many factors, such as GP and practice characteristics, influence medical equipment adoption. In addition, we find significant and consistent evidence of the influence of learning-by-using effects on the adoption of medical equipment in a general practice setting. Knowledge generated by experiential or applied learning can have commercial, organisational and health care provision benefits in small health care organisations. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Does reporting of plain chest radiographs affect the immediate management of patients admitted to a medical assessment unit?

International Nuclear Information System (INIS)

Grosvenor, L.J.; Verma, R.; O'Brien, R.; Entwisle, J.J.; Finlay, D.

2003-01-01

AIM: The purpose of our study was to investigate whether reporting of plain chest radiographs affects immediate management of patients admitted to a medical assessment unit. MATERIALS AND METHODS: During a 3 month period we prospectively evaluated 200 patients who had a plain chest radiograph on admission. After the post on-call ward round, an independent medical specialist registrar reviewed the notes, retrieving relevant clinical details. The plain chest films were reported independently by a trainee radiologist and consultant, reaching a consensus report. RESULTS: There was 93% agreement between trainee and consultant radiologists (95% CI=89-96%). Seventy percent had documented reports by the on-call medical team. There was disagreement between radiology and medical reports in 49% of reported films (95% CI=40-57%). The radiologist's report led to a direct change in the immediate management of 22 patients (11%). CONCLUSION: Only 70% of films had documented reports in the clinical notes despite this being a legal requirement. Radiology reporting does cause a direct change in patient management. Chest radiographs of patients admitted to a medical admissions unit should be reported by a radiologist with the minimum of delay

Medical Equipment Management through the Use of Radio Frequency Identification (RFID)

National Research Council Canada - National Science Library

Sanchez, Joaquin

2004-01-01

...) in the management of medical equipment at Naval Medical Center San Diego (NMCSD). In doing so, the project seeks to derive potential benefits through the use of RFID technology by comparing a group of medical equipment items that are tracked within NMCSD...

Preventive maintenance prioritization index of medical equipment using quality function deployment.

Science.gov (United States)

Saleh, Neven; Sharawi, Amr A; Elwahed, Manal Abd; Petti, Alberto; Puppato, Daniele; Balestra, Gabriella

2015-05-01

Preventive maintenance is a core function of clinical engineering, and it is essential to guarantee the correct functioning of the equipment. The management and control of maintenance activities are equally important to perform maintenance. As the variety of medical equipment increases, accordingly the size of maintenance activities increases, the need for better management and control become essential. This paper aims to develop a new model for preventive maintenance priority of medical equipment using quality function deployment as a new concept in maintenance of medical equipment. We developed a three-domain framework model consisting of requirement, function, and concept. The requirement domain is the house of quality matrix. The second domain is the design matrix. Finally, the concept domain generates a prioritization index for preventive maintenance considering the weights of critical criteria. According to the final scores of those criteria, the prioritization action of medical equipment is carried out. Our model proposes five levels of priority for preventive maintenance. The model was tested on 200 pieces of medical equipment belonging to 17 different departments of two hospitals in Piedmont province, Italy. The dataset includes 70 different types of equipment. The results show a high correlation between risk-based criteria and the prioritization list.

Comprehensive framework for preventive maintenance priority of medical equipment.

Science.gov (United States)

Saleh, Neven; Balestra, Gabriella

2015-08-01

Throughout the medical equipment life cycle, preventive maintenance is considered one of the most important stages that should be managed properly. However, the need for better management and control by giving a reasonable prioritization for preventive maintenance becomes essential. The purpose of this study is to develop a comprehensive framework for preventive maintenance priority of medical equipment using Quality Function Deployment (QFD) and Fuzzy Logic (FL). The quality function deployment is proposed in order to identify the most important criteria that could impact preventive maintenance priority decision; meanwhile the role of the fuzzy logic is to generate a priority index of the list of equipment considering those criteria. The model validation was carried out on 140 pieces of medical equipment belonging to two hospitals. In application, we propose to classify the priority index into five classes. The results indicate that the strong correlation existence between risk-based criteria and preventive maintenance priority decision.

Radiographic signs and diagnosis of dental disease

International Nuclear Information System (INIS)

Bellows, J.

1993-01-01

Dental radiographs are critical for the complete assessment and treatment of dental diseases. Dental radiography is commonly used to evaluate congenital dental defects, periodontal disease, orthodontic manipulations, oral tumors, endodontic treatments, oral trauma, and any situation where an abnormality is suspected. Although standard radiographic equipment and film can be used to produce dental radiographs, dental X-ray equipment and film provide superior quality images and greater convenience of animal patient positioning. An understanding of normal dental radiographic anatomy is important when interpreting dental radiographs. Stage III periodontitis is the earliest stage of periodontal disease at which radiographic abnormalities become apparent. Bone loss associated with periodontal disease can be classified as either horizontal or vertical. Periapical radiolucencies can represent granulomas, cysts, or abscesses, whereas periapical radiodensities may represent sclerotic bone or condensing osteitis. Lytic lesions of the bone of the jaw often represent oral neoplasms. Neoplasms also can displace or disrupt teeth in the dental arch. Resorptive lesions can be external or internal and appear as radiolucent areas involving the external surface of the root or the pulp cavity, respectively. Feline dental resorptive lesions, also known as odontoclastic resorptions, are a specific form of dental resorptive lesions unique to cats

78 FR 59623 - Emergency Medical Equipment

Science.gov (United States)

2013-09-27

... accordance with the FAA master minimum equipment list does not adversely affect aviation safety. This action... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration 14 CFR Parts 121 and 135 [Docket No... inoperative Emergency Medical Kit (EMK) or automated external defibrillator (AED). A copy of Master Minimum...

Health technology assessment to improve the medical equipment life cycle management.

Science.gov (United States)

Margotti, Ana E; Ferreira, Filipa B; Santos, Francisco A; Garcia, Renato

2013-01-01

Health technology assessment (HTA) is a tool to support decision making that is intended to assist healthcare managers in their strategic decisions. The use of HTA as a tool for clinical engineering is especially relevant in the domain of the medical equipment once it could improve the performance of the medical equipment. It would be done by their systematically evaluation in several aspects, in their life cycle. In Brazil, the Institute of Biomedical Engineering (IEB-UFSC) through the clinical engineering area has been working on the development of methodologies and improvements on HTA for medical equipment. Therefore, this paper presents the effort to create specific methodologies that will improve the dissemination of HTA, focusing on incorporation and utilization phase of the medical equipment life cycle. This will give a better support to the decision makers in the management of the health care system.

Fitness of equipment used for medical exposures to ionising radiation

International Nuclear Information System (INIS)

1998-01-01

The advice in this guidance note is aimed at employers in control of equipment used for medical exposures to ionising radiation and ancillary equipment. This includes NHS trusts, health authorities or boards, private hospitals, clinics, surgeries, medical X-ray facilities in industry, dentists and chiropractors. The guidance should also be useful to radiation protection advisers appointed by such employers. The guidance provides advice on the requirements of regulation 33 of the Ionising Radiations Regulations 1985 (IRR85). In particular, it covers: (a) the selection, installation, maintenance, calibration and replacement of equipment to ensure that it is capable of restricting, so far as reasonably practicable, the medical exposure of any person to the extent that this is compatible with the intended diagnostic or therapeutic purpose; (b) recommended procedures for the definitive calibration of radiotherapy treatment; and (c) the need to investigate incidents involving a malfunction or defect in any 'radiation equipment' which result in medical exposures much greater than intended and to notify the Health and Safety Executive (HSE). 'Medical exposure' is defined in IRR85 as exposure of a person to ionising radiation for the purpose of his or her medical or dental examination or treatment which is conducted under the direction of a suitably qualified person and includes any such examination or treatment conducted for the purposes of research. For convenience, people undergoing medical exposure will be referred to as 'patients' in this guidance. Nothing in this publication is intended to indicate whether or not patients should be informed of any incident resulting from malfunction or defect in equipment used for medical exposure and the possible consequences of that exposure. As stated above, this guidance concerns medical exposures much greater than intended and although exposures much lower than intended can also have serious consequences, the incident would not

Quality control of diagnostic x-ray equipment and film processing

International Nuclear Information System (INIS)

1993-01-01

According to the section 40 of the Radiation Act (592/92), the licensee is required in Finland to make the arrangements to control the function of the radiation equipment and related facilities used for medical procedures. The guide explains how quality control can be organized for diagnostic x-ray equipment. It also gives recommendations for constancy tests for conventional x-ray radiographic and fluoroscopic equipment and for film processing. The recommendations are based on the publications and statements of the International Committee for Radiation Protection (ICRP) and standardization organizations. The intention is that the operators of x-ray equipment or the maintenance personnel are able to perform the quality control tests presented in the guide

Advanced Neutron Radiographic Equipment within the US Army

Science.gov (United States)

2014-01-29

The first of the two new neutron generators developed for ARDEC was built and delivered by Phoenix Nuclear Labs ( PNL ) located in Madison, WI...PRELIMINARY NEUTRON RADIOGRAPHS AND RESULTS During the hardware and software testing of the PNL neutron generator several test shots were

Radiological equipment analyzed by specific developed phantoms and software

International Nuclear Information System (INIS)

Soto, M.; Campayo, J. M.; Mayo, P.; Verdu, G.; Rodenas, F.

2010-10-01

The use of radiographic phantoms specifically designed to evaluate the operation of the radiographic equipment lets the study of the image quality obtained by this equipment in an objective way. In digital radiographic equipment, the analysis of the image quality can be computerized because the acquisition of the image is possible in different technologies that are, computerized radiography or phosphor plate and direct radiography or detector. In case of film-screen equipment s this analysis could be applied digitalising the image in a professional scanner. In this work we have shown an application to assess automatically the constancy quality image in the image chain of the radiographic equipment s. This application is integrated by designed radiographic phantoms which are adapted to conventional, dental equipment s and specific developed software for the automatic evaluation of the phantom image quality. The software is based on digital image processing techniques that let the automatic detection of the different phantom tests by edge detector, morphological operators, threshold histogram techniques... etc. The utility developed is enough sensitive to the radiographic equipment of operating conditions of voltage (kV) and charge (m As). It is a friendly user programme connected with a data base of the hospital or clinic where it has been used. After the phantom image processing the user can obtain an inform with a resume of the imaging system state with accepting and constancy results. (Author)

Radiological equipment analyzed by specific developed phantoms and software

Energy Technology Data Exchange (ETDEWEB)

Soto, M.; Campayo, J. M. [Logistica y Acondicionamientos Industriales SAU, Sorolla Center, Local 10, Av. de las Cortes Valencianas No. 58, 46015 Valencia (Spain); Mayo, P. [TITANIA Servicios Tecnologicos SL, Sorolla Center, Local 10, Av. de las Cortes Valencianas No. 58, 46015 Valencia (Spain); Verdu, G.; Rodenas, F., E-mail: m.soto@lainsa.co [ISIRYIM Universidad Politecnica de Valencia, Camino de Vera s/n, Valencia (Spain)

2010-10-15

The use of radiographic phantoms specifically designed to evaluate the operation of the radiographic equipment lets the study of the image quality obtained by this equipment in an objective way. In digital radiographic equipment, the analysis of the image quality can be computerized because the acquisition of the image is possible in different technologies that are, computerized radiography or phosphor plate and direct radiography or detector. In case of film-screen equipment s this analysis could be applied digitalising the image in a professional scanner. In this work we have shown an application to assess automatically the constancy quality image in the image chain of the radiographic equipment s. This application is integrated by designed radiographic phantoms which are adapted to conventional, dental equipment s and specific developed software for the automatic evaluation of the phantom image quality. The software is based on digital image processing techniques that let the automatic detection of the different phantom tests by edge detector, morphological operators, threshold histogram techniques... etc. The utility developed is enough sensitive to the radiographic equipment of operating conditions of voltage (kV) and charge (m As). It is a friendly user programme connected with a data base of the hospital or clinic where it has been used. After the phantom image processing the user can obtain an inform with a resume of the imaging system state with accepting and constancy results. (Author)

Problems of radiation protection at medical use of radiation equipment

International Nuclear Information System (INIS)

Larwin, K.

1979-01-01

For medical use of radiation equipment man is not only operator, but also object (patient). The question, if or how much it is necessary to expose the patient, is a medical problem and therefore not to be discussed here. For the user of medical equipments we have often special conditions. For many diagnostic applications the physician has to stay in the application room in contact with the patient. As a typical example for the problems of radiation protection there is discussed the situation on a well known fluoroscopic unit for lung and stomach examinations. (author)

Chesneys' radiographic imaging. 5. ed.

International Nuclear Information System (INIS)

Ball, J.; Price, T.

1989-01-01

This new edition of Chesney and Chesney: Radiographic Imaging has been completely written by two new authors. The book reflects the change in emphasis in radiology from photographic processes towards electronic imaging methods. There is new material on image intensifiers and television imaging, digital imaging and digital subtractions. Analyses of the various characteristics of, and defects in, images on radiographs, xeroradiographs and the television screen are included. The methods, equipment and materials used to record the cathode ray tube image are described and there is new material on the principles of alternative diagnostic imaging techniques such as ultrasound, computed tomography and radionuclide imaging which provide cathode ray tube images. The book is primarily for student radiographers studying for the Diploma of the College of Radiographers, but radiographers studying for postdiplomate qualifications such as the Higher Diploma (HDCR) will also find the book helpful. (author)

Working with the medical equipment: the status of the medical physicist in Romania today

International Nuclear Information System (INIS)

Leanca, Valeria

2008-01-01

Full text: The presentation will emphasize on the following points: a) General Information; b) Medical Physics activities in the following fields; c) Role of the medical physicist; d) The National Government Organization and the implementation of the status of the medical physicist working in the hospitals in Romania; e) Organizational Structure; f) Purpose; g) Aims; h) Legislation of Medical Physics; i) Medical equipment in Romania (author)

RESEARCH OF RUSSIAN HIGH TECHNOLOGY MEDICAL EQUIPMENT MARKET: THE SOCIO-ECONOMIC ASPECTS

Directory of Open Access Journals (Sweden)

Станислав Сергеевич Отставнов

2013-04-01

Full Text Available The article presents the data obtained from comprehensive study of russian hi-tech medical equipment market. The size and the structure of Russian medical equipment market in 2005-2011 were investigated and market size forecast for 2012-2015 was given. Priority segments of Russian high-tech medical equipment market were identified (products with a high degree of visualization, anesthetic and ventilation equipment, patient monitors  based on the analysis of literature sources and morbidity structure. Key players in key segments of the market were identified and their financial performance such as number of employees, revenue, net profit, researches and development expenses were compared (according to actual annual reports.Research allowed to draw the following conclusion: today in the key segments of Russian high-tech medical equipment market the leadership of foreign companies  (Hitachi, Philips, Siemens, Toshiba, General Electric, Dräger is indisputable, objective preconditions for the fundamental change of the situation are absent. Import substitution requires the consolidation of domestic producers, adequate funding and human resource.The results can be used in practice by medical industry companies and State authorities on purpose to upgrade the medical industry.DOI: http://dx.doi.org/10.12731/2218-7405-2013-1-31

Use of Audiovisual Media and Equipment by Medical Educationists ...

African Journals Online (AJOL)

The most frequently used audiovisual medium and equipment is transparency on Overhead projector (O. H. P.) while the medium and equipment that is barely used for teaching is computer graphics on multi-media projector. This study also suggests ways of improving teaching-learning processes in medical education, ...

The forgotten foot - an assessment of foot and ankle radiograph pathology in final year medical students.

LENUS (Irish Health Repository)

Groarke, P J

2014-04-27

It has been shown that doctors in Emergency Departments (EDs) have inconsistent knowledge of musculoskeletal anatomy. This is most likely due to a deficiency in focused musculoskeletal modules at undergraduate level in medical school. The aims of this study were to evaluate the knowledge of final year medical students on foot anatomy and common foot and ankle pathology as seen on radiographs.

Performance testing of medical US equipment using US phantom (ATS-539)

International Nuclear Information System (INIS)

Kim, Do Hyung; Kwon, Deok Moon

2014-01-01

This study is to provide accurate information as medical imaging equipment to check for the presence of body disease US equipment. We investigated the status of medical US equipment performance in Daegu and criteria US phantom (ATS-539) for US equipment performance measurements. The results in this study, 1. US phantom measurement results: The test passed rate were 88.6% and the failed rate were 11.4%. 2. The difference between the group of mean and the pass/failed groups were statistically significant. Focal zone and 4 mm functional resolution in the two items that are not present the passing standard. 3. The difference was statistically significant number of years and used equipment and pass the failed equipment (4.13 vs 7.25 years). We investigated the performance status of US equipment used in the clinical area in Daegu. The basis for the two items are not present this proposed passing standard. Equipment performance was associated with the number of years of using US equipment. It is necessary to maintain the best performance of the equipment phantom measurements for performance testing of US equipment

Performance testing of medical US equipment using US phantom (ATS-539)

Energy Technology Data Exchange (ETDEWEB)

Kim, Do Hyung [Daegu Branch, Korea Association of Health Promotion, Daegu (Korea, Republic of); Kwon, Deok Moon [Dept. of Radiology, Daegu Health College, Daegu (Korea, Republic of)

2014-12-15

This study is to provide accurate information as medical imaging equipment to check for the presence of body disease US equipment. We investigated the status of medical US equipment performance in Daegu and criteria US phantom (ATS-539) for US equipment performance measurements. The results in this study, 1. US phantom measurement results: The test passed rate were 88.6% and the failed rate were 11.4%. 2. The difference between the group of mean and the pass/failed groups were statistically significant. Focal zone and 4 mm functional resolution in the two items that are not present the passing standard. 3. The difference was statistically significant number of years and used equipment and pass the failed equipment (4.13 vs 7.25 years). We investigated the performance status of US equipment used in the clinical area in Daegu. The basis for the two items are not present this proposed passing standard. Equipment performance was associated with the number of years of using US equipment. It is necessary to maintain the best performance of the equipment phantom measurements for performance testing of US equipment.

Medical equipment management through the use of radio frequency identification (RFID)

OpenAIRE

Sanchez, Joaquin A.; Nixon, Richard A.; Chávez, Sergio

2004-01-01

MBA Professional Report Approved for public release, distribution is unlimited The purpose of this MBA project is to identify the potential value of Radio Frequency Identification (RFID) use in the management of medical equipment at Naval Medical Center San Diego (NMCSD). In doing so, our project seeks to derive potential benefits through the use of RFID technology by comparing a group of medical equipment items that are tracked within NMCSD. The project includes a discussion of additio...

Evaluation of chromosomal aberrations in radiologists and medical radiographers chronically exposed to ionising radiation

International Nuclear Information System (INIS)

Kasuba, V.; Rozgaj, R.; Jazbec, A.

2005-01-01

Chromosomal aberrations are fairly reliable indicators of damage induced by ionising radiation. This study included 180 radiologists and medical radiographers (technicians) and 90 controls who were not occupationally exposed to ionising radiation. All exposed subjects were routinely monitored with film badge, and none was exposed to a radiation dose exceeding the limit for occupational exposure recommended by the International Commission on Radiological Protection (ICRP). Two hundred metaphases for each person were scored. The frequencies of acentric fragments, dicentrics, ring chromosomes and chromosomal exchanges were determined and compared to those obtained in the control group. Chromosome aberrations were analysed using Poisson regression for profession, age, sex, smoking and years of exposure. Age, smoking, diagnostic exposure to X-rays and occupation were found to correlate with the occurrence of acentric fragments. The influence of exposure duration on the frequency of acentric fragments was greater in medical radiographers than in radiologists. Smoking and sex were found to correlate with the occurrence of dicentric chromosomes, which were more common in men than in women. As chromosome aberrations exceeded the expected level with respect to the absorbed dose, our findings confirm the importance of chromosome analysis as a part of regular medical check-up of subjects occupationally exposed to ionising radiation.(author)

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

Specific developed phantoms and software to assess radiological equipment image quality

International Nuclear Information System (INIS)

Verdu, G.; Rodenas, F.

2011-01-01

The use of radiographic phantoms specifically designed to evaluate the operation of the radiographic equipment lets the study of the image quality obtained by this equipment in an objective way. In digital radiographic equipment, the analysis of the image quality can be automatized because the acquisition of the image is possible in different technologies that are, computerized radiography or phosphor plate and direct radiography or detector. In this work we have shown an application to assess automatically the constancy quality image in the image chain of the radiographic equipment. This application is integrated by designed radiographic phantoms which are adapted to conventional, dental equipment and specific developed software for the automatic evaluation of the phantom image quality. The software is based on digital image processing techniques that let the automatic detection of the different phantom tests by edge detector, morphological operators, threshold histogram techniques, etc. The utility developed is enough sensitive to the radiographic equipment of operating conditions of voltage (kV) and charge (mAs). It is a friendly user programme connected with a data base of the hospital or clinic where it has been used. After the phantom image processing the user can obtain an inform with a resume of the imaging system state with accepting and constancy results. (author)

Specific developed phantoms and software to assess radiological equipment image quality

Energy Technology Data Exchange (ETDEWEB)

Verdu, G., E-mail: gverdu@iqn.upv.es [Universidad Politecnica de Valencia (Spain). Dept. de Ingenieria Quimica y Nuclear; Mayo, P., E-mail: p.mayo@titaniast.com [TITANIA Servicios Teconologicos, Valencia (Spain); Rodenas, F., E-mail: frodenas@mat.upv.es [Universidad Politecnica de Valencia (Spain). Dept. de Matematica Aplicada; Campayo, J.M., E-mail: j.campayo@lainsa.com [Logistica y Acondicionamientos Industriales S.A.U (LAINSA), Valencia (Spain)

2011-07-01

The use of radiographic phantoms specifically designed to evaluate the operation of the radiographic equipment lets the study of the image quality obtained by this equipment in an objective way. In digital radiographic equipment, the analysis of the image quality can be automatized because the acquisition of the image is possible in different technologies that are, computerized radiography or phosphor plate and direct radiography or detector. In this work we have shown an application to assess automatically the constancy quality image in the image chain of the radiographic equipment. This application is integrated by designed radiographic phantoms which are adapted to conventional, dental equipment and specific developed software for the automatic evaluation of the phantom image quality. The software is based on digital image processing techniques that let the automatic detection of the different phantom tests by edge detector, morphological operators, threshold histogram techniques, etc. The utility developed is enough sensitive to the radiographic equipment of operating conditions of voltage (kV) and charge (mAs). It is a friendly user programme connected with a data base of the hospital or clinic where it has been used. After the phantom image processing the user can obtain an inform with a resume of the imaging system state with accepting and constancy results. (author)

[Development of a medical equipment support information system based on PDF portable document].

Science.gov (United States)

Cheng, Jiangbo; Wang, Weidong

2010-07-01

According to the organizational structure and management system of the hospital medical engineering support, integrate medical engineering support workflow to ensure the medical engineering data effectively, accurately and comprehensively collected and kept in electronic archives. Analyse workflow of the medical, equipment support work and record all work processes by the portable electronic document. Using XML middleware technology and SQL Server database, complete process management, data calculation, submission, storage and other functions. The practical application shows that the medical equipment support information system optimizes the existing work process, standardized and digital, automatic and efficient orderly and controllable. The medical equipment support information system based on portable electronic document can effectively optimize and improve hospital medical engineering support work, improve performance, reduce costs, and provide full and accurate digital data

[Hospital clinical engineer orientation and function in the maintenance system of hospital medical equipment].

Science.gov (United States)

Li, Bin; Zheng, Yunxin; He, Dehua; Jiang, Ruiyao; Chen, Ying; Jing, Wei

2012-03-01

The quantity of medical equipment in hospital rise quickly recent year. It provides the comprehensive support to the clinical service. The maintenance of medical equipment becomes more important than before. It is necessary to study on the orientation and function of clinical engineer in medical equipment maintenance system. Refer to three grade health care system, the community doctors which is called General practitioner, play an important role as the gatekeeper of health care system to triage and cost control. The paper suggests that hospital clinical engineer should play similar role as the gatekeeper of medical equipment maintenance system which composed by hospital clinical engineer, manufacture engineer and third party engineer. The hospital clinical engineer should be responsible of guard a pass of medical equipment maintenance quality and cost control. As the gatekeeper, hospital clinical engineer should take the responsibility of "General engineer" and pay more attention to safety and health of medical equipment. The responsibility description and future transition? development of clinical engineer as "General Engineer" is discussed. More attention should be recommended to the team building of hospital clinical engineer as "General Engineer".

Legalities of the radiograph

International Nuclear Information System (INIS)

Bundy, A.L.

1988-01-01

The radiograph itself plays a major role in medical malpractice cases. Also, many questions arise concerning the rights to and storage of x-ray films. These issues are addressed in this chapter. To keep the terminology simple, the word radiograph represents all imaging documentation on hard copy film (x-rays, nuclear medicine, computer-assisted studies, ultrasound, and magnetic resonance imaging)

Primary Salvage Survey of the Interference of Radiowaves Emitted by Smartphones on Medical Equipment.

Science.gov (United States)

Takao, Hiroyuki; Yeh, Yu Chih; Arita, Hiroyuki; Obatake, Takumi; Sakano, Teppei; Kurihara, Minoru; Matsuki, Akira; Ishibashi, Toshihiro; Murayama, Yuichi

2016-10-01

Use of mobile phones has become a standard reality of everyday living for many people worldwide, including medical professionals, as data sharing has drastically helped to improve quality of care. This increase in the use of mobile phones within hospitals and medical facilities has raised concern regarding the influence of radio waves on medical equipment. Although comprehensive studies have examined the effects of electromagnetic interference from 2G wireless communication and personal digital cellular systems on medical equipment, similar studies on more recent wireless technologies such as Long Term Evolution, wideband code division multiple access, and high-speed uplink access have yet to be published. Numerous tests targeting current wireless technologies were conducted between December 2012 and March 2013 in an anechoic chamber, shielded from external radio signals, with a dipole antenna to assess the effects of smartphone interference on several types of medical equipment. The interference produced by electromagnetic waves across five frequency bands from four telecommunication standards was assessed on 49 components from 22 pieces of medical equipment. Of the 22 pieces of medical equipment tested, 13 experienced interference at maximum transmission power. In contrast, at minimum transmission power, the maximum interference distance varied from 2 to 5 cm for different wireless devices. Four machines were affected at the minimum transmission power, and the maximum interference distance at the maximum transmission power was 38 cm. Results show that the interference from smartphones on medical equipment is very controllable.

Conversion into numerical form of radiographic images

International Nuclear Information System (INIS)

Cappabianca, C.; Della Rocca, A.B.; Ferriani, S.

1986-01-01

Radiographic means are widely used for non destructive testing. However, human and technological factors strongly influence reliability of the results and further use of these technique. Image Processing can help to overtake those difficulties if radiographic films are previously digitized. This paper shows methods and equipments used in this field. The system EDI (Enea Digital. Imagery) operating in Casaccia Energy Research Centre is described

Current role of the radiographers in imaging diagnostics, nuclear medicine and radiotherapy in modern departments

International Nuclear Information System (INIS)

Karidova, S.; Velkova, K.; Panamska, K.; Petkova, K.

2006-01-01

Full text: In the communication we set out to focus the attention of the medical staff and the public on the place and the constantly growing role (relative burden) of the radiographers in imaging diagnostics, nuclear medicine and radiotherapy in the field of modern medicine. The advanced radiographers level and rapid development of the contemporary equipment and apparatuses used in imaging diagnostics, nuclear medicine and radiotherapy, as well as the methods of their utilization, presuppose very good and constantly improving theoretical and practical training of the imaging technician. The radiographer fulfills responsible tasks under the guidance of the physician or independently and bears specific responsibilities. Having mastered the fundamentals of radiation protection, the imaging technician protects both himself and the patient from the impact of ionizing radiation. To be able to fulfill his/her constantly increasing duties and obligations, the imaging radiographer has acquired wide knowledge of general education subjects, subjects of general medicine and special subjects. The radiographer has a good knowledge of Latin and a modern foreign language, and he is also computer literate so as to be able to cope with the widely spread visualizing methods. The radiographer acquires additional post-graduate training to work in narrowly specialized fields as well as to improve his/her qualifications

Justification of radiographic examinations: What are the key issues?

Science.gov (United States)

Vom, Jason; Williams, Imelda

2017-09-01

Justification of radiographic examinations is the practice of evaluating requested radiological examinations to assess for clinical merit and appropriateness based on clinical notes and patient information. This implies that justification in radiography requires the evaluation of requested examinations, the justification of exposures being applied and determining whether patients fit the recommended criteria for the procedure. Medico-legal requirements by the professional registration body, the Medical Radiation Practice Board of Australia (MRPBA), identify justification as an advocated and obligatory practice for radiographers. Yet, justification remains an inconsistent practice implemented amongst Australian radiographers. This review aims to identify associated barriers inhibiting the consistent practice of justification and the hesitance by radiographers in practicing justification responsibilities. It also recommends a change in workplace culture which encourages radiographers to accept a more autonomous role that cultivates critical thinking, reflection and research-informed decision making as justification will ultimately benefit patients. © 2017 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology.

Integrated software system for improving medical equipment management.

Science.gov (United States)

Bliznakov, Z; Pappous, G; Bliznakova, K; Pallikarakis, N

2003-01-01

The evolution of biomedical technology has led to an extraordinary use of medical devices in health care delivery. During the last decade, clinical engineering departments (CEDs) turned toward computerization and application of specific software systems for medical equipment management in order to improve their services and monitor outcomes. Recently, much emphasis has been given to patient safety. Through its Medical Device Directives, the European Union has required all member nations to use a vigilance system to prevent the reoccurrence of adverse events that could lead to injuries or death of patients or personnel as a result of equipment malfunction or improper use. The World Health Organization also has made this issue a high priority and has prepared a number of actions and recommendations. In the present workplace, a new integrated, Windows-oriented system is proposed, addressing all tasks of CEDs but also offering a global approach to their management needs, including vigilance. The system architecture is based on a star model, consisting of a central core module and peripheral units. Its development has been based on the integration of 3 software modules, each one addressing specific predefined tasks. The main features of this system include equipment acquisition and replacement management, inventory archiving and monitoring, follow up on scheduled maintenance, corrective maintenance, user training, data analysis, and reports. It also incorporates vigilance monitoring and information exchange for adverse events, together with a specific application for quality-control procedures. The system offers clinical engineers the ability to monitor and evaluate the quality and cost-effectiveness of the service provided by means of quality and cost indicators. Particular emphasis has been placed on the use of harmonized standards with regard to medical device nomenclature and classification. The system's practical applications have been demonstrated through a pilot

42 CFR 410.38 - Durable medical equipment: Scope and conditions.

Science.gov (United States)

2010-10-01

... or purchase of durable medical equipment, including iron lungs, oxygen tents, hospital beds, and wheelchairs, if the equipment is used in the patient's home or in an institution that is used as a home. (b... vehicle whose steering is operated by an electronic device or a joystick to control direction and turning...

21 CFR 892.1970 - Radiographic ECG/respirator synchronizer.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Radiographic ECG/respirator synchronizer. 892.1970... (CONTINUED) MEDICAL DEVICES RADIOLOGY DEVICES Diagnostic Devices § 892.1970 Radiographic ECG/respirator synchronizer. (a) Identification. A radiographic ECG/respirator synchronizer is a device intended to be used to...

Defects in medical X-ray equipment

International Nuclear Information System (INIS)

Eder, H.; Wahl, H.; Troeger, W.

1979-01-01

A careful estimate of the effects on the genetically significant radiation load shows that it is in the same order of magnitude as the increase in the skin dose area product. This is to say that of the genetically significant radiation dose of about 500 mJ/kg (50 mrem) per year and person due to medical X-ray diagnostics, about 75 mJ/kg (7.5 mrem) are due to serious defects in X-ray equipment. (orig.) [de

Reporting by radiographers: a policy and practice guide

International Nuclear Information System (INIS)

Paterson, Audrey M.; Price, Richard C.; Thomas, Adrian; Nuttall, Lorraine

2004-01-01

Reporting by radiographers and other non-medical staff has developed considerably in the past decade, and especially so since the College of Radiographers published its vision paper on reporting by radiographers, in 1997. It was felt necessary, therefore, to develop guidance to assist radiographers and others undertaking radiographic reporting. The guidance provided includes guidance on planning and implementing a reporting service using reporting radiographers; the education, continuing education and support required by reporting radiographers; quality and standards related to reporting; and the nature of a report. Broader issues that will need to be addressed as reporting by radiographers becomes the norm are also raised

Decision Support Procedure for Medical Equipment Maintenance Management

NARCIS (Netherlands)

Masmoudi, Malek; Houria, Zeineb Ben; Al Hanbali, Ahmad; Masmoudi, Faouzi

2016-01-01

Hospitals outsource several activities of the service support in order to focus on the core healthcare production as maintenance service. Recently, faced to the sophistication and the costs of medical equipment that continue to escalate, governments have implemented new reforms to control costs and

Construction of a homogeneous phantom for radiographic image standardization

International Nuclear Information System (INIS)

Pina, Diana Rodrigues de

1996-01-01

The principle of radiodiagnosis consists in the fact the X-ray beam is attenuated at different degrees by distinct tissues. For this reason, the anatomical structures have distinct radiological opacities, that produce the radiographic image. The progresses in radiology are related to the development if new radiographic image formation systems that enable an amplification in the quality, with low dose and/or risk to the patient. The objective of this work is the sensitometric valuation of a screen-film combination, that is still the most used, for the standardization, of radiographic images. Thinking about this, were constructed homogeneous phantoms of the chest, skull and pelvis, for the calibration of X-ray beams, with the purpose of obtaining radiographic images of good quality, basing in the routine of a radiodiagnosis service and in the scientific knowledge. Questions were approached about the choice of the suitable equipment, that allow the obtention of k Vp and m As combinations, to produce radiographic images of good quality, and the reproduction of these combinations to any conventional equipment of diagnostic X-rays. Also presented are the comparison of the doses imparted by these combinations and those used in routine of the Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto's radiodiagnosis service. (author)

Standardization of thorax, skull and pelvis radiographic images

International Nuclear Information System (INIS)

Pina, D.R.; Ghilardi Netto, T.; Trad, C.S.; Brochi, M.A. Corte; Duarte, S.B.; Pina, S.R.

2001-01-01

The radiographic techniques for production of chest, skull and pelvis exam were determined for the standard patient. These techniques produced the quality image with smaller dose, for a standard patient, at any conventional X-ray equipment. The radiographic contrast produced for these techniques was measured utilizing the realistic-analytic phantom and classified as an ideal radiographic contrast. This work has the aim to keep the standard of the quality image, for any thickness of patients usually found in clinic routine of the radiodiagnosis service, satisfying the relation risk-benefit for the patient and cost- benefit for the institution. (author)

Supporting management of medical equipment for inpatient service in public hospitals: a case study.

Science.gov (United States)

Figueroa, Rosa L; Vallejos, Guido E

2013-01-01

This work presents a study of medical equipment availability in the short and long term. The work is divided in two parts. The first part is an analysis of the medical equipment inventory for the institution of study. We consider the replacement, maintenance, and reinforcement of the available medical equipment by considering local guidelines and surveying clinical personnel appreciation. The resulting recommendation is to upgrade the current equipment inventory if necessary. The second part considered a demand analysis in the short and medium term. We predicted the future demand with a 5-year horizon using Holt-Winters models. Inventory analysis showed that 27% of the medical equipment in stock was not functional. Due to this poor performance result we suggested that the hospital gradually addresses this situation by replacing 29 non-functional equipment items, reinforcing stock with 40 new items, and adding 11 items not available in the inventory but suggested by the national guidelines. The results suggest that general medicine inpatient demand has a tendency to increase within the time e.g. for general medicine inpatient service the highest increment is obtained by respiratory (12%, RMSE=8%) and genitourinary diseases (20%, RMSE=9%). This increment did not involve any further upgrading of the proposed inventory.

Quality assurance applied to mammographic equipments using phantoms and software for its evaluation

Energy Technology Data Exchange (ETDEWEB)

Mayo, Patricia, E-mail: p.mayo@titaniast.co [Titania Servicios Tecnologicos S.L., Grupo Dominguis, Apartado 46015, Valencia (Spain); Rodenas, Francisco [Departamento de Matematica Aplicada, Universidad Politecnica de Valencia, Apartado 46022, Valencia (Spain); Manuel Campayo, Juan [Hospital Clinico Universitario de Valencia, Avda. Blasco Ibanez, Apartado 46017, Valencia (Spain); Verdu, Gumersido [Departamento de Ingenieria Quimica y Nuclear, Universidad Politecnica de Valencia, Apartado 46022, Valencia (Spain)

2010-07-21

The image quality assessment in radiographic equipments is a very important item for a complete quality control of the radiographic image chain. The periodic evaluation of the radiographic image quality must guarantee the constancy of this quality to carry out a suitable diagnosis. Mammographic phantom images are usually used to study the quality of images obtained by determined mammographic equipment. The digital image treatment techniques allow to carry out an automatic analysis of the phantom image. In this work we apply some techniques of digital image processing to analyze in an automatic way the image quality of mammographic phantoms, namely CIRS SP01 and RACON for different varying conditions of the mammographic equipment. The CIRS SP01 phantom is usually used in analogic mammographic equipments and the RACON phantom has been specifically developed by authors to be applied to acceptance and constancy tests of the image quality in digital radiographic equipments following recommendations of international associations. The purpose of this work consists in analyzing the image quality for both phantoms by means of an automatic software utility. This analysis allows us to study the functioning of the image chain of the mammographic system in an objective way, so an abnormal functioning of the radiographic equipment might be detected.

Quality assurance applied to mammographic equipments using phantoms and software for its evaluation

International Nuclear Information System (INIS)

Mayo, Patricia; Rodenas, Francisco; Manuel Campayo, Juan; Verdu, Gumersido

2010-01-01

The image quality assessment in radiographic equipments is a very important item for a complete quality control of the radiographic image chain. The periodic evaluation of the radiographic image quality must guarantee the constancy of this quality to carry out a suitable diagnosis. Mammographic phantom images are usually used to study the quality of images obtained by determined mammographic equipment. The digital image treatment techniques allow to carry out an automatic analysis of the phantom image. In this work we apply some techniques of digital image processing to analyze in an automatic way the image quality of mammographic phantoms, namely CIRS SP01 and RACON for different varying conditions of the mammographic equipment. The CIRS SP01 phantom is usually used in analogic mammographic equipments and the RACON phantom has been specifically developed by authors to be applied to acceptance and constancy tests of the image quality in digital radiographic equipments following recommendations of international associations. The purpose of this work consists in analyzing the image quality for both phantoms by means of an automatic software utility. This analysis allows us to study the functioning of the image chain of the mammographic system in an objective way, so an abnormal functioning of the radiographic equipment might be detected.

The tendency of medical electrical equipment - IEC 60601-2-54: Particular requirements for the basic safety and essential performance of x-ray equipment for radiography and radioscopy

International Nuclear Information System (INIS)

Roh, Young Hoon; Kim, Jung Min

2015-01-01

Medical electrical equipment - Part 1: General requirement for basic safety and essential performance of MFDS was revised as 3th edition and Medical electrical equipment Part 2-54: Particular requirements for the basic safety and essential performance of X-ray equipment will be expected to be announced as notification. Therefore this technical report was written to introduce provision of the particular requirements, replacement, addition, amendment. The purpose of this particular requirements is to secure requirements for basic safety and essential performance of X-ray equipment for radiography and radioscopy. X-ray high voltage generator, mechanical protective device, protection against radiation is included in this particular requirements. Medical electrical equipment - Part 1, Part 1-2, Part 1-3 is applied to this particular requirements. If the requirements is announced as notification, It is expected to widen understanding for basic safety and essential performance of X-ray equipment for radiography and radioscopy and play a part to internationalize of medical equipment

In-flight medical emergencies during airline operations: a survey of physicians on the incidence, nature, and available medical equipment

Directory of Open Access Journals (Sweden)

Hinkelbein J

2017-02-01

Full Text Available Jochen Hinkelbein,1,2 Christopher Neuhaus,2,3 Lennert Böhm,1 Steffen Kalina,1 Stefan Braunecker1,2 1Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, 2Working group “Emergency Medicine and Air Rescue”, German Society for Aviation and Space Medicine (DGLRM, Munich, 3Department of Anesthesiology, Heidelberg University Hospital, Heidelberg, Germany Background: Data on the incidence of in-flight medical emergencies on-board civil aircraft are uncommon and rarely published. Such data could provide information regarding required medical equipment on-board aircraft and requisite training for cabin crew. The aim of the present study was to gather data on the incidences, nature, and medical equipment for in-flight medical emergencies by way of a survey of physician members of a German aerospace medical society.Materials and methods: Using unipark.de (QuestBack GmbH, Cologne, Germany, an online survey was developed and used to gather specific information. Members of the German Society for Aviation and Space Medicine (Deutsche Gesellschaft für Luft- und Raumfahrtmedizin e.V.; DGLRM were invited to participate in the survey during a 4-week period (21 March 2015 to 20 April 2015. Chi-square test was used for statistical analysis (p<0.05 was considered significant.Results: Altogether, 121 members of the society responded to the survey (n=335 sent out. Of the 121 respondents, n=54 (44.6% of the participants (89.9% male and 10.1% female; mean age, 54.1 years; n=121 were involved in at least one in-flight medical emergency. Demographic parameters in this survey were in concordance with the society members’ demographics. The mean duration of flights was 5.7 hours and the respondents performed 7.1 airline flights per year (median. Cardiovascular (40.0% and neurological disorders (17.8% were the most frequent diagnoses. The medical equipment (78.7% provided was sufficient. An emergency diversion was

Industrial radiography on radiographic paper

International Nuclear Information System (INIS)

Domanus, J.C.

1977-11-01

An investigation was performed to compare the quality of radiographic paper with that of X-ray film, after a review had been made of the rather scarce literature on the subject. The equipment used throughout the investigation is described, and characteristic curves for Agfa-Gevaert and Kodak papers exposed with different intensifying screens in the low and intermediate voltage range are reproduced. The relative speed, contrast and exposure latitude were computed from these curves. The quality of the radiographic image was checked on U/Al blocks and plates, Al and Fe blocks, and fiber-reinforced composites. Exposure charts for Al and Fe were made for various paper and screen combinations. Both the sharpness of the radiographic image as well as the influence of processing on speed and contrast were checked. Examples are given of the practical application of the paper for radiography of castings, weldings, solderings, assemblies, etc. (author)

Performance of on-site Medical waste disinfection equipment in hospitals of Tabriz, Iran

Directory of Open Access Journals (Sweden)

Hassan Taghipour

2016-10-01

Full Text Available Background: The number of studies available on the performance of on-site medical waste treatment facilities is rare, to date. The aim of this study was to evaluate the performance of onsite medical waste treatment equipment in hospitals of Tabriz, Iran. Methods: A various range of the on-site medical waste disinfection equipment (autoclave, chemical disinfection, hydroclave, and dry thermal treatment was considered to select 10 out of 22 hospitals in Tabriz to be included in the survey. The apparatus were monitored mechanically, chemically, and biologically for a six months period in all of the selected hospitals. Results: The results of the chemical monitoring (Bowie-Dick tests indicated that 38.9% of the inspected autoclaves had operational problems in pre-vacuum, air leaks, inadequate steam penetration into the waste, and/or vacuum pump. The biological indicators revealed that about 55.55% of the samples were positive. The most of applied devices were not suitable for treating anatomical, pharmaceutical, cytotoxic, and chemical waste. Conclusion: Although on-site medical waste treating facilities have been installed in all the hospitals, the most of infectious-hazardous medical waste generated in the hospitals were deposited into a municipal solid waste landfill, without enough disinfection. The responsible authorities should stringently inspect and evaluate the operation of on-site medical waste treating equipment. An advanced off-site central facility with multi-treatment and disinfection equipment and enough capacity is recommended as an alternative.

The study on the perceptions of radiological technologist in medical imaging equipment used by the oriental doctor

International Nuclear Information System (INIS)

Choi, Jae Ho; Kang, Gi Bong; Kim, Sang Hyun

2017-01-01

In order to examine how Radiological Technologists perceive the oriental doctor's use of Medical Imaging Equipment, surveys were conducted for the members of the Korean Radiological Technologists Association. The total number of respondents were 515 and 481, with 34 insincere responses removed caused of nonvalidated answer. The results of the analysis are as follows. Although there were no statistical significance in the difference in perception by location of residence, work place, and educational background, respondents with higher education showed a tendency to agree on the use of comprehensive medical imaging equipment, but tended to oppose the use of special medical imaging equipment. Differences in perception by gender showed a greater negative perception toward the oriental doctor's use of medical imaging equipment by women than men. In particular, women showed more negative tendency for oriental doctor's use of special medical imaging equipment such as MRI, CT, and ultrasound equipment compared to men, and this was statistically significant. The difference in perception by age showed that the oriental doctor's use of medical imaging equipment was negative in the 20∼30s, neutral in the 40∼50s, and positive in the 60s, which were statistically significant. The difference in perception by work experience showed that the longer the work experience was, the more positive it was toward oriental doctor's use of medical imaging equipment. Specifically, the most favorable tendency was found with work experience of more than 30 years, which was statistically significant. The results of this study revealed the Radiological Technologists' perceptions on the oriental doctor's use of Medical Imaging Equipment and this can contribute to the direction of public health promotion in the future

Improvement of a portable high-energy radiographic inspection system: Final report

International Nuclear Information System (INIS)

Owen, R.D.

1987-02-01

This report describes the development of miniaturized linear accelerator (MINAC) technology, including descriptions of all major developments sponsored by EPRI subsequent to previously sponsored work. In addition, this report describes MINAC-related developments in both real-time x-ray imaging and radiographic image data processing systems which were sponsored by EPRI concurrently. The objectives of this program have been to achieve modifications identified as desirable improvements to the basic ''MINAC 3'' equipment; to expand the range and effectiveness of MINAC applications through design improvements, achievement of wider energy/output capabilities, and the development of suitable imaging and digital processing technologies; and to provide technical information on high-energy radiographic equipment useful to scientists, educators, institutions, NDE technicians and others who may benefit from detailed information on the special equipment. Program, equipment and technical descriptions are followed by conclusions and recommendations for future work

Matching hand radiographs

NARCIS (Netherlands)

Kauffman, J.A.; Slump, Cornelis H.; Bernelot Moens, H.J.

2005-01-01

Biometric verification and identification methods of medical images can be used to find possible inconsistencies in patient records. Such methods may also be useful for forensic research. In this work we present a method for identifying patients by their hand radiographs. We use active appearance

The study on the perceptions of radiological technologist in medical imaging equipment used by the oriental doctor

Energy Technology Data Exchange (ETDEWEB)

Choi, Jae Ho [Dept. of Radiological Technology, Ansan University, Ansan (Korea, Republic of); Kang, Gi Bong [Dept. of Radiology, Yonsei University College of Medicine, Seoul (Korea, Republic of); Kim, Sang Hyun [Dept. of Radiology, Shinhan University, Seongnam (Korea, Republic of); and others

2017-03-15

In order to examine how Radiological Technologists perceive the oriental doctor's use of Medical Imaging Equipment, surveys were conducted for the members of the Korean Radiological Technologists Association. The total number of respondents were 515 and 481, with 34 insincere responses removed caused of nonvalidated answer. The results of the analysis are as follows. Although there were no statistical significance in the difference in perception by location of residence, work place, and educational background, respondents with higher education showed a tendency to agree on the use of comprehensive medical imaging equipment, but tended to oppose the use of special medical imaging equipment. Differences in perception by gender showed a greater negative perception toward the oriental doctor's use of medical imaging equipment by women than men. In particular, women showed more negative tendency for oriental doctor's use of special medical imaging equipment such as MRI, CT, and ultrasound equipment compared to men, and this was statistically significant. The difference in perception by age showed that the oriental doctor's use of medical imaging equipment was negative in the 20∼30s, neutral in the 40∼50s, and positive in the 60s, which were statistically significant. The difference in perception by work experience showed that the longer the work experience was, the more positive it was toward oriental doctor's use of medical imaging equipment. Specifically, the most favorable tendency was found with work experience of more than 30 years, which was statistically significant. The results of this study revealed the Radiological Technologists' perceptions on the oriental doctor's use of Medical Imaging Equipment and this can contribute to the direction of public health promotion in the future.

Regulation E 67-13. Opinion of acceptance for the clinical use of medical equipment using radiation

International Nuclear Information System (INIS)

2015-01-01

The objective of this regulation is to establish the regulatory requirements for the granting of the 'Act of Acceptance for the clinical use of radiation Medical Equipment employing' complementing the provisions of the 'Regulations for the Evaluation and State Control of Medical Equipment' and aims help to improve the legal basis of the Regulatory technical Medical Equipment Program. The provisions of this regulation is aimed at any institution of the National Health System, hereinafter applicant required an Opinion of Acceptance for the clinical use of a medical team that uses radiation to authorization of use in humans.

[Current Situation and Prospects of Emergency Medical Equipment in Our Country].

Science.gov (United States)

Qi, Lijing; Cheng, Feng

2016-03-01

This article analyzes the new demand of emergency medical equipment in the current development trend based on the analysis of the development and current situation of emergency medicine in our country. At the same time it introduces the current industrial characteristics of our country. Finally it analyzes the development trend of this kind of equipment in the new emergency medicine field.

Special equipment for etching nitrocellulose film

International Nuclear Information System (INIS)

Domanus, J.C.

1983-08-01

Nitrocellulose film and converter screens used for neutron radiography are described. Difficulties in visualization of radiographs on those films are mentioned. Because there is no equipment for etching nitrocellulose film available on the market Risoe has designed and produced such equipment at an estimated cost of Dkr. 15,000. Design criteria for this equipment are given and its performance described

Upgradation of nuclear medical equipment in the developing countries and its impact in Bangladesh

CERN Document Server

Jahangir, S M; Haque, M A S; Hoq, M; Mawla, Y; Morium, T; Uddin, M R; Xie, Y

2002-01-01

Bangladesh has thirteen Nuclear Medical Centres and one Institute of Nuclear Medicine in the country which are being run and maintained by the physicians scientists and engineers of Bangladesh Atomic Energy Commission. The peaceful application of atomic energy was initiated through all these Centres with the use of clinical isotopes for thyroid and kidney studies. The equipment used for these purposes were the thyroid uptake system, rectilinear scanner and the multiprobe renogram system. The first gamma camera was installed in the country in 1980 at the Institute of Nuclear Medicine, Dhaka. That was the turning point for the country in the field of nuclear medicine. Presently all the nuclear medical establishments are equipped least with a gamma camera, thyroid uptake system and a renogram system. In the last two decades there has been a tremendous development in the design of nuclear medical equipment. Most of the old equipments were slow and manually operated. In the beginning of nineties of the past centur...

Pattern of scattered exposure from portable radiographs

International Nuclear Information System (INIS)

North, D.

1985-01-01

Concern periodically arises among the nursing and medical staffs of the institution's intensive care unit regarding their occupational exposure to radiation from the many radiographs taken in the unit. The patients are located in open areas or within individual cubicles whose walls are relatively thin and not shielded. To form a data base for educating the nursing/medical staffs and the technologists, the intensity and distribution of scattered exposure from actual radiographs of patients were measured. Comparison was also made with a simple phantom experiment in which the variables could be more precisely controlled

Development of Skylab medical equipment and flight preparations

Science.gov (United States)

Johnston, R. S.; Stonesifer, J. C.; Hawkins, W. R.

1975-01-01

The major medical systems in the Skylab orbital workshop are described. They comprise the food system, the waste management system, operational bioinstrumentation, personal hygiene, gas sampling, an inflight medical support system, and a cardiovascular counterpressure garment. Life sciences experiments carried out aboard Skylab are also reviewed; these include an ergometer and metabolic analyzer, a lower-body negative pressure device, an electrode harness and body temperature probe, a blood pressure cuff, a leg volume measuring band, sleep studies, a body-mass measuring device, a rotating litter chair, a blood sample processor, and small-mass measuring apparatus. All performance requirements were met with the equipment, and no failures were encountered.

CEC quality criteria for diagnostic radiographic images and patient exposure trial

International Nuclear Information System (INIS)

Nahrstedt, U.; Wall, B.; Maccia, C.; Moores, B.M.; Padovani, R.

1990-01-01

The intention of this report has been to present the results of a multinational trial set up by a study group of the radiation protection programme of the CEC. In view of proceeding towards the harmonization and the optimization of the radiological techniques commonly used in different European countries, the relevance of quality criteria for radiographic images together with dose requirements were checked on about 900 examined patients. Due to the type of X-ray projections considered, more than 1 200 questionnaires concerning the real X-ray films were therefore collected and evaluated through a scoring system. Such an approach was relevant and contributed to providing practical considerations on how to reduce and optimize patient received dose while keeping the essential medical information imaged on the film. Indeed the results obtained allowed identification of technical modalities corresponding to that objective. Furthermore, analysis of results revealed two main areas which should be further taken into consideration: - personnel training in radiation protection (radiologists and radiographers), establishment of quality assurance programmes in diagnostic radiology (good usage of radiological equipment and reduction of wasted films)

Occupational stress among radiographers: the impact of sonagraphy ...

African Journals Online (AJOL)

Sonography responsibility on radiographers did not have any significant effect on psychosocial stress. A balance in the extended role could aid efficiency in service delivery while improving the social strength of the individual. Keywords: Occupational stress; radiographers; sonographers. Internet Journal of Medical Update ...

Evidence-based approach to the maintenance of laboratory and medical equipment in resource-poor settings.

Science.gov (United States)

Malkin, Robert; Keane, Allison

2010-07-01

Much of the laboratory and medical equipment in resource-poor settings is out-of-service. The most commonly cited reasons are (1) a lack of spare parts and (2) a lack of highly trained technicians. However, there is little data to support these hypotheses, or to generate evidence-based solutions to the problem. We studied 2,849 equipment-repair requests (of which 2,529 were out-of-service medical equipment) from 60 resource-poor hospitals located in 11 nations in Africa, Europe, Asia, and Central America. Each piece of equipment was analyzed by an engineer or an engineering student and a repair was attempted using only locally available materials. If the piece was placed back into service, we assumed that the engineer's problem analysis was correct. A total of 1,821 pieces of medical equipment were placed back into service, or 72%, without requiring the use of imported spare parts. Of those pieces repaired, 1,704 were sufficiently documented to determine what knowledge was required to place the equipment back into service. We found that six domains of knowledge were required to accomplish 99% of the repairs: electrical (18%), mechanical (18%), power supply (14%), plumbing (19%), motors (5%), and installation or user training (25%). A further analysis of the domains shows that 66% of the out-of-service equipment was placed back into service using only 107 skills covering basic knowledge in each domain; far less knowledge than that required of a biomedical engineer or biomedical engineering technician. We conclude that a great majority of laboratory and medical equipment can be put back into service without importing spare parts and using only basic knowledge. Capacity building in resource-poor settings should first focus on a limited set of knowledge; a body of knowledge that we call the biomedical technician's assistant (BTA). This data set suggests that a supported BTA could place 66% of the out-of-service laboratory and medical equipment in their hospital back

Preliminary analysis of doses to evaluate the image quality in radiographic examinations in veterinary radiology

International Nuclear Information System (INIS)

Pinto, Ana Carolina B.C.F.; Dias, Mayara T.P.; Santos, Andrea C.; Melo, Camila S.; Furquim, Tania A.C.

2009-01-01

This work has as objective to promote the analysis of the radiological doses and quality of the image of the technical letter used for the accomplishment of thorax and coxal radiographic examination of animals of canine and feline species. The study was accomplished in the service of Diagnosis for Image in Veterinarian Hospital of Veterinary Medicine and Zootecnia College of University of Sao Paulo, in two conventional equipment. Initially, physical features of the animals and the technique used were collected for each one of the 188 radiographic examinations of thorax and 52 examinations of coxal. The animals were placed in different groups, according to their body weight. For each group, the averages for each feature were calculated: thickness of the radiographed region, tension, electric current, time of exhibition, current product electric-time, size of the used film, presence or absence of bucky and feature of focus (narrow or thick). On the basis of the averages of group M (of lesser weights that 5kg for cats and between 10,1kg and 20kg for dogs), was executed a physical analysis of the current technical letter, using the equipment: ionization chamber (to determinate the value of kerma in air), simulator objects (representative of the thickness of the animal) and three dispositive standards of test that evaluate space resolution, resolution in low contrast and contrast-detail. The obtained images were analyzed and compared for a physicist and a radiologist medical veterinary. The results had shown that the examinations supply dose considered high for techniques used mainly for coxal. The equipment A, although to supply higher doses, presents the better images for the majority of the projections. However, the study indicates that there are not exactly reference levels, but these examinations must pass for improvement of quality of image (author)

Image quality analysis of digital mammographic equipments

Energy Technology Data Exchange (ETDEWEB)

Mayo, P.; Pascual, A.; Verdu, G. [Valencia Univ. Politecnica, Chemical and Nuclear Engineering Dept. (Spain); Rodenas, F. [Valencia Univ. Politecnica, Applied Mathematical Dept. (Spain); Campayo, J.M. [Valencia Univ. Hospital Clinico, Servicio de Radiofisica y Proteccion Radiologica (Spain); Villaescusa, J.I. [Hospital Clinico La Fe, Servicio de Proteccion Radiologica, Valencia (Spain)

2006-07-01

The image quality assessment of a radiographic phantom image is one of the fundamental points in a complete quality control programme. The good functioning result of all the process must be an image with an appropriate quality to carry out a suitable diagnostic. Nowadays, the digital radiographic equipments are replacing the traditional film-screen equipments and it is necessary to update the parameters to guarantee the quality of the process. Contrast-detail phantoms are applied to digital radiography to study the threshold contrast detail sensitivity at operation conditions of the equipment. The phantom that is studied in this work is C.D.M.A.M. 3.4, which facilitates the evaluation of image contrast and detail resolution. One of the most extended indexes to measure the image quality in an objective way is the Image Quality Figure (I.Q.F.). This parameter is useful to calculate the image quality taking into account the contrast and detail resolution of the image analysed. The contrast-detail curve is useful as a measure of the image quality too, because it is a graphical representation in which the hole thickness and diameter are plotted for each contrast-detail combination detected in the radiographic image of the phantom. It is useful for the comparison of the functioning of different radiographic image systems, for phantom images under the same exposition conditions. The aim of this work is to study the image quality of different images contrast-detail phantom C.D.M.A.M. 3.4, carrying out the automatic detection of the contrast-detail combination and to establish a parameter which characterize in an objective way the mammographic image quality. This is useful to compare images obtained at different digital mammographic equipments to study the functioning of the equipments. (authors)

Image quality analysis of digital mammographic equipments

International Nuclear Information System (INIS)

Mayo, P.; Pascual, A.; Verdu, G.; Rodenas, F.; Campayo, J.M.; Villaescusa, J.I.

2006-01-01

The image quality assessment of a radiographic phantom image is one of the fundamental points in a complete quality control programme. The good functioning result of all the process must be an image with an appropriate quality to carry out a suitable diagnostic. Nowadays, the digital radiographic equipments are replacing the traditional film-screen equipments and it is necessary to update the parameters to guarantee the quality of the process. Contrast-detail phantoms are applied to digital radiography to study the threshold contrast detail sensitivity at operation conditions of the equipment. The phantom that is studied in this work is C.D.M.A.M. 3.4, which facilitates the evaluation of image contrast and detail resolution. One of the most extended indexes to measure the image quality in an objective way is the Image Quality Figure (I.Q.F.). This parameter is useful to calculate the image quality taking into account the contrast and detail resolution of the image analysed. The contrast-detail curve is useful as a measure of the image quality too, because it is a graphical representation in which the hole thickness and diameter are plotted for each contrast-detail combination detected in the radiographic image of the phantom. It is useful for the comparison of the functioning of different radiographic image systems, for phantom images under the same exposition conditions. The aim of this work is to study the image quality of different images contrast-detail phantom C.D.M.A.M. 3.4, carrying out the automatic detection of the contrast-detail combination and to establish a parameter which characterize in an objective way the mammographic image quality. This is useful to compare images obtained at different digital mammographic equipments to study the functioning of the equipments. (authors)

Upgradation of nuclear medical equipment in the developing countries and its impact in Bangladesh

International Nuclear Information System (INIS)

Jahangir, Saleh Mahmud; Xie, Y.; Uddin, Md. Rokon; Haque, Mohammod Abu Sayid; Hoq, Mahbubul; Mawla, Yasmeen; Alom, Md. Zahangir; Morium, Tasnim

2002-11-01

Bangladesh has thirteen Nuclear Medical Centres and one Institute of Nuclear Medicine in the country which are being run and maintained by the physicians scientists and engineers of Bangladesh Atomic Energy Commission. The peaceful application of atomic energy was initiated through all these Centres with the use of clinical isotopes for thyroid and kidney studies. The equipment used for these purposes were the thyroid uptake system, rectilinear scanner and the multiprobe renogram system. The first gamma camera was installed in the country in 1980 at the Institute of Nuclear Medicine, Dhaka. That was the turning point for the country in the field of nuclear medicine. Presently all the nuclear medical establishments are equipped least with a gamma camera, thyroid uptake system and a renogram system. In the last two decades there has been a tremendous development in the design of nuclear medical equipment. Most of the old equipments were slow and manually operated. In the beginning of nineties of the past century there was an uprising in the computer technology and most of the manually operated machines were brought under computerization. It was basically done with a custom built processor to perform only the specific job and spare the users from doing some extra manual work. But the performances of the recent models of the same computerized equipment are by far the best as compared with the past ones. This report describes the role of the IAEA in the upgradation of medical equipment, PC interfacing, upgrading of old gamma cameras and the technological and socio-economic impact in Bangladesh

38 CFR 17.351 - Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center.

Science.gov (United States)

2010-07-01

... replacement and upgrading of equipment at Veterans Memorial Medical Center. 17.351 Section 17.351 Pensions... Philippines § 17.351 Grants for the replacement and upgrading of equipment at Veterans Memorial Medical Center. Grants to assist the Republic of the Philippines in the replacement and upgrading of equipment and in...

Evaluation of E.M.F. exposure from medical electrical equipment

Energy Technology Data Exchange (ETDEWEB)

Aniolczyk, H.; Mamrot, P.; Politanski, P. [Nofer Institute of Occupational Medicine, Lodz (Poland)

2006-07-01

he medical electric and electronic equipment, including electro surgical devices, short- and microwave diathermy units, and magnetic resonance imaging (MRI) systems, belong to the most hazardous sources of electromagnetic emissions. The electromagnetic emissions can interfere with emissions from other medical equipment located in the same facility (e.g. operation rooms) thus having impact on their work, but more importantly, they can be dangerous to patients, medical personnel operating them and other persons. In the present project, an assessment of E.M.F. intensity was performed for more than 2 000 electro surgical devices (330 khz, 440 khz and 1.76 MHz frequency ranges), 1 200 diathermy units and 45 MRI 0.2 - 1.5 T systems. E.M.F. exposure of medical staff was assessed based on respective national hygienic standards. The actual exposure levels were found to exceed the admissible values in Poland. The recorded E.M.F. intensities were compared with relevant Who and U E recommendations (e.g. I.C.N.I.R.P. guidelines, 1998, Directive 2004/40/E.C.). The findings revealed that for 18% of the devices examined, the E.M.F. was higher than the E.M.F. intensity values recommended by U E. (authors)

Evaluation of E.M.F. exposure from medical electrical equipment

International Nuclear Information System (INIS)

Aniolczyk, H.; Mamrot, P.; Politanski, P.

2006-01-01

he medical electric and electronic equipment, including electro surgical devices, short- and microwave diathermy units, and magnetic resonance imaging (MRI) systems, belong to the most hazardous sources of electromagnetic emissions. The electromagnetic emissions can interfere with emissions from other medical equipment located in the same facility (e.g. operation rooms) thus having impact on their work, but more importantly, they can be dangerous to patients, medical personnel operating them and other persons. In the present project, an assessment of E.M.F. intensity was performed for more than 2 000 electro surgical devices (330 khz, 440 khz and 1.76 MHz frequency ranges), 1 200 diathermy units and 45 MRI 0.2 - 1.5 T systems. E.M.F. exposure of medical staff was assessed based on respective national hygienic standards. The actual exposure levels were found to exceed the admissible values in Poland. The recorded E.M.F. intensities were compared with relevant Who and U E recommendations (e.g. I.C.N.I.R.P. guidelines, 1998, Directive 2004/40/E.C.). The findings revealed that for 18% of the devices examined, the E.M.F. was higher than the E.M.F. intensity values recommended by U E. (authors)

ER-1A-DEL-92 regulation. Procedure for evaluation and registration of medical equipment

International Nuclear Information System (INIS)

2015-01-01

The objectives of this regulation is to provide additional guidance on the method of evaluation and registration of a medical team, so it is used by manufacturers, health institutions, testing centers and other institutions related to the topic. The provisions of this regulation apply to domestically produced medical equipment in relation to the necessary assessment for registration purposes of a medical team. However, the evaluation process may require evaluations and tests not explicitly included in this regulation, so that at each stage of the process the Center for State Control of Medical Equipment (Center) set the requirements for each computer or device class in particular.

Phantom development for radiographic image optimization of chest, skull and pelvis examination for nonstandard patient

International Nuclear Information System (INIS)

Pina, D.R.; Duarte, S.B.; Ghilardi Netto, T.; Morceli, J.

2009-01-01

The construction of the adapted patient equivalent phantom (APEP) to simulate the X-ray scattering and absorption by chest, skull and pelvis of nonstandard patient in conventional radiographic equipment is presented. This APEP system is associated to the pre-existing realistic-analytic phantom (RAP) [Pina, D.R., Duarte, S.B., Ghilardi Netto, T., Trad, C. S., Brochi, M.A.C., Oliveira, S.C. de, 2004. Optimization of standard patient radiographic images for chest, skull and pelvis exams in conventional X-ray equipment. Phys. Med. Biol. 49, N215-N226] forming the coupled phantom (RAP-APEP), which is used to establish an optimization process of radiographic images of chest, skull and pelvis for nonstandard patients. A chart of the optimized radiographic technique is established covering a wide range of nonstandard patient thickness, and offering a dose reduction in comparison with those techniques currently used. Different validation processes were applied to confirm the improving of the radiographic image quality when techniques of the established chart are used

An approach to human-centered design of nuclear medical equipment: the system of caption of the thyroid

International Nuclear Information System (INIS)

Santos, Isaac J.A. Luquetti; Silva, Carlos Borges da; Santana, Marcos; Carvalho, Paulo Victor R.; Oliveira, Mauro Vitor de; Mol, Antonio Carlos Mol; Grecco, Claudio Henrique; Augusto, Silas Cordeiro

2005-01-01

Technology plays an important role in modern medical centers, making health care increasingly complex, relying on complex technical equipment. This technical complexity is particularly noticeable in the nuclear medicine and can increase the risks for human error. Human error has many causes such as performance shaping factors, organizational factors and user interface design. Poorly design human system interfaces of nuclear medical equipment can increase the risks for human error. If all nuclear medical equipment had been designed with good user interfaces, incidents and accidents could be reduced as well as he time required to learn how to use the equipment. Although some manufacturers of nuclear medical equipment have already integrate human factors principles in their products, there is still a need to steer the development of nuclear medical technology toward more human-centered approach. The aim of this paper is to propose a methodology that contributes to the design, development and evaluation of nuclear medical equipment and human system interface, towards a human-centered approach. This methodology includes the ergonomic approach, based on the operator activity analysis, together with human factors standards and guidelines, questionnaires and user based testing. We describe a case study in which this methodology is being applied in evaluation of the thyroid uptake system, getting essential information and data, that ill be used in development of a new system. (author)

Analysis of environmental impact assessment for large-scale X-ray medical equipments

International Nuclear Information System (INIS)

Fu Jin; Pei Chengkai

2011-01-01

Based on an Environmental Impact Assessment (EIA) project, this paper elaborates the basic analysis essentials of EIA for the sales project of large-scale X-ray medical equipment, and provides the analysis procedure of environmental impact and dose estimation method under normal and accident conditions. The key points of EIA for the sales project of large-scale X-ray medical equipment include the determination of pollution factor and management limit value according to the project's actual situation, the utilization of various methods of assessment and prediction such as analogy, actual measurement and calculation to analyze, monitor, calculate and predict the pollution during normal and accident condition. (authors)

EM-18-2008 regulation. Essential requirements for the registration of medical equipment

International Nuclear Information System (INIS)

2015-01-01

This rule lays down additional rules for the evaluation and the State Control of Medical Equipment provisions. Medical equipment must be designed and constructed so that they are used under the conditions and for the intended purpose and shall, where applicable, by virtue of the technical knowledge, experience, education or training of users, do not compromise the clinical condition or safety of patients, or the safety and health of users or, where applicable, other persons, assuming that any risks that may be associated with their use constitute acceptable risks versus the benefits for the patient and is compatible with a high level of protection of health and safety.

Observations of radiographer communication: An exploratory study using Transactional Analysis

International Nuclear Information System (INIS)

Booth, Lisa A.; Manning, David J.

2006-01-01

Purpose: Communication in medical imaging is a neglected area of research, despite the necessity for good communication if optimum diagnostic images are to be achieved. Methods: The present study has investigated the styles of communication used in medical imaging, using an approach known as Transactional Analysis. This approach has been demonstrated previously as having reliability and validity, using observations and supporting interviews with medical imaging staff, along with inter-rater observations of radiographer-patient interactions. Results: The results indicate that Transactional Analysis can be used effectively for identifying and naming interaction events in diagnostic radiography, with diagnostic radiographers using five styles of communication. Conclusion: Radiographers tend to use Parental styles of communicating; these styles are commonly associated with a practitioner-centred approach to dealing with patients which often result in non-adherence

Position statement on use of hand-held portable dental X-ray equipment

International Nuclear Information System (INIS)

2014-06-01

The position statement focuses on justification in the medical field, in particular on the use of hand-held portable dental x-ray equipment. It supplements another HERCA position paper, providing a general overview of the use of all hand-held portable X-ray equipment. Key Messages: - HERCA finds that the use of hand-held portable X-ray devices should be discouraged except in special circumstances. - As a general rule, these devices should only be used in scenarios where an intraoral radiograph is deemed necessary for a patient and the use of a fixed or semi-mobile x-ray unit is impractical, e.g.: - nursing homes, residential care facilities or homes for persons with disabilities; - forensic odontology, - military operations abroad without dental facilities

An observational study based on the interaction between the paediatric patient and radiographer

International Nuclear Information System (INIS)

Harding, J.; Davis, M.

2015-01-01

Background: The practice of paediatric radiography requires a completely different skill set to that of adult radiography. Often, obtaining a paediatric patient's cooperation is the most difficult aspect of the role. Ensuring that a child cooperates for the examination can make positioning easier, thereby potentially providing a more diagnostic image. Aim: The aim of this study was to observe the interaction between the paediatric patient and the radiographer and to uncover techniques used by the radiographer to help alleviate any fear or stress that the child might have had. Method: A direct observational method was conducted, after both the radiographer and the child's guardians provided full written consent. The actions of the radiographer and resultant reactions from the child were recorded on an observational checklist designed for paediatric examinations. Results: Seventy-nine patients aged between three months to fifteen years and thirteen radiographers with no specific paediatric training other than experience were observed. Examinations observed included lower limb, upper limb, pelvis, abdomen and chest projections. The data gathered were the result of radiographer actions when interacting with both happy and sad children. Conclusions: Successful methods of alleviating a child's fear and anxiety whilst in the X-ray room included the use of child friendly equipment such as colourful lead protection and posters on the wall, a simple explanation of what the equipment is before moving it, offering rewards such as stickers and praise and showing the child their image after the examination. When time was short and the workload was high, it was observed that radiographers were less likely to spend time calming the child down and instead were more focused on completing the examination as quickly as possible. - Highlights: • Seventy-nine patients and thirteen radiographers were observed in this study. • The use of child-friendly equipment and

15 CFR Notes Applicable to State... - Notes applicable to State of Understanding related to Medical Equipment:

Science.gov (United States)

2010-01-01

... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Notes applicable to State of Understanding related to Medical Equipment: applicable Notes applicable to State of Understanding related to Medical Equipment: Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued) BUREAU OF INDUSTRY AND SECURITY,...

3D web based learning of medical equipment employed in intensive care units.

Science.gov (United States)

Cetin, Aydın

2012-02-01

In this paper, both synchronous and asynchronous web based learning of 3D medical equipment models used in hospital intensive care unit have been described over the moodle course management system. 3D medical equipment models were designed with 3ds Max 2008, then converted to ASE format and added interactivity displayed with Viewpoint-Enliven. 3D models embedded in a web page in html format with dynamic interactivity-rotating, panning and zooming by dragging a mouse over images-and descriptive information is embedded to 3D model by using xml format. A pilot test course having 15 h was applied to technicians who is responsible for intensive care unit at Medical Devices Repairing and Maintenance Center (TABOM) of Turkish High Specialized Hospital.

Private sector involvement in times of armed conflict: What are the constraints for trading medical equipment?

Science.gov (United States)

Schmidt, Georg

Today, healthcare facilities are highly dependent on the private sector to keep their medical equipment functioning. Moreover, private sector involvement becomes particularly important for the supply of spare parts and consumables. However, in times of armed conflict, the capacity of the corporate world appears to be seriously hindered. Subsequently, this study researches the influence of armed conflict on the private medical equipment sector. This study follows a qualitative approach by conducting 19 interviews with representatives of the corporate world in an active conflict zone. A semistructured interview guide, consisting of 10 questions, was used to examine the constraints of this sector. The results reveal that the lack of skilled personnel, complicated importation procedures, and a decrease in financial capacity are the major constraints faced by private companies dealing in medical equipment in conflict zones. Even when no official sanctions and embargoes for medical items exist, constraints for trading medical equipment are clearly recognizable. Countries at war would benefit from a centralized structure that deals with the importation procedures for medical items, to assist local companies in their purchasing procedures. A high degree of adaption is needed to continue operating, despite the emerging constraints of armed conflict. Future studies might research the constraints for manufacturers outside the conflict to export medical items to the country of war.

RESULTS OF THE SURVEY CONDUCTED AMONG OPHTHALMOLOGISTS ON THE ISSUE OF EQUIPMENT OF MEDICAL INSTITUTIONS WITH OPHTHALMOLOGY DEVICES

Directory of Open Access Journals (Sweden)

S. V. Seraphimov

2017-01-01

Full Text Available Introduction. The problem of limited accessibility and quality of ophthalmic medical care remains one of the leading ones in the national healthcare. This article presents results of the survey conducted among ophthalmologists about the effect of large-scale equipment of all medical institutions in the Leningrad Region with modern ophthalmologic devices over the recent years.Objective is to determine the contribution of the health care modernization program to equipping the medical institutions of the Leningrad Region with modern ophthalmologic medical devices, and to identify the main areas for improving the ophthalmologic care for residents of the Leningrad region with cataracts.Materials and methods. According to a specially developed questionnaire, 105 ophthalmologists from the Leningrad Region were interviewed. The survey was conducted among physicians working both in out-patient medical facilities and in medical facilities with in-patient modalities.Results. The results of the study confirmed positive changes that occurred in recent years as a result of equipping medical institutions with modern medical devices. Almost two-thirds (59.9% of respondents noted that equipping with modern medical devices had a significant impact on the quality of the medical and diagnostic measures carried out in healthcare facilities of the region.Conclusions. The equipment had a significant impact on the diagnosis and treatment of all kinds of diseases of the eye and its appendages, especially such eye disease which is so common among the population of the Leningrad Region as cataracts (75.0 per 100 ophthalmologists surveyed. At the same time, in spite of these efforts, the standard for equipping ophthalmologic departments in individual medical institutions has not been fully provided. Only every fifth (20.9% ophthalmologist noted during the survey that the list of available ophthalmic devices was sufficient, and that they all worked properly.

Medical image compression and its application to TDIS-FILE equipment

International Nuclear Information System (INIS)

Tsubura, Shin-ichi; Nishihara, Eitaro; Iwai, Shunsuke

1990-01-01

In order to compress medical images for filing and communication, we have developed a compression algorithm which compresses images with remarkable quality using a high-pass filtering method. Hardware for this compression algorithm was also developed and applied to TDIS (total digital imaging system)-FILE equipment. In the future, hardware based on this algorithm will be developed for various types of diagnostic equipment and PACS. This technique has the following characteristics: (1) significant reduction of artifacts; (2) acceptable quality for clinical evaluation at 15:1 to 20:1 compression ratio; and (3) high-speed processing and compact hardware. (author)

Quality control of conventional radiographic facilities in Kinshasa

International Nuclear Information System (INIS)

Woto, M.L.; Lukanda, M.V.; Mulumba, L.C.P.; Palangu

2009-01-01

The continuous development of medical applications of ionizing radiation, due to the benefit derived by diagnostic or therapeutic patients, their diversity, ease of implementation, explains the importance of medical exposure. The latter is currently the leading cause of human exposure to artificial origin. The purpose of this study is to contribute to the optimization of radiographic facilities in the city of Kinshasa. This study has revealed that city of Kinshasa has an average of 122 medical training with conventional radiology facilities distributed in six districts of health. Of the 122 facilities, only 30 (or 24.59%) are controlled from the point of view of quality assurance. Some generators and X-ray tubes are respectively controlled adjustment and de centered, and other devices are cannibalized. So, nationally and particularly in Kinshasa, quality control equipment and diagnostic facilities is at a generally delayed compared with international recommendations of X W. Major efforts must be made at government level to raise awareness and establish a quality assurance program in diagnostic radiology. An awareness of the entire medical profession and the competent administrative authorities of medical devices could be beneficial to the quality of care delivered to patients, limiting radiation exposure and improving image quality and only the financial balance of the health sector. The delivery of quality care passes through the justification of acts, the development and dissemination of good practice references and the establishment of quality control radiological installations.

Consultant breast radiographers: Where are we now?

International Nuclear Information System (INIS)

Rees, Zebby

2014-01-01

Introduction: The aim of this study is to: • Evaluate the current role of the consultant breast radiographer. • Compare current practice with the four key components for consultant practice. • Gauge the support of radiologist colleagues. • Determine the other professional commitments involved with the role. This study could be the precursor for a macro study of all consultant radiographer practice in other specialities. Methodology: Methodology used was a comparative ethnographic study. Questionnaires to the 24 consultant breast radiographers currently in post, and consultant breast radiologists, who work with them, were conducted. Data collection was a qualitative thematic approach. Conclusion: Consultant breast radiographers provide high quality care to patients through excellent clinical practice, leadership and good communication. However, this study shows hospital Trusts emphasis for non medical consultants is for clinical practice first. Some radiologists are still a barrier to progression for consultant breast radiographers, and radiologists have a big influence in recruitment decisions. Consultant breast radiographer posts are well established, their numbers are increasing through recognition of the role and of their abilities and performance. Consultant breast radiographers state that becoming a consultant is the major achievement of their career, proving the Society of Radiographers' vision of the four-tier career structure has been well received by the radiography profession

Increase in the efficiency of radiographic inspection of welded joints for quality

International Nuclear Information System (INIS)

Feoktistov, V.A.; Polevik, V.A.; Korneev, V.A.

1982-01-01

The possibility of increasing the efficiency of radiographical inspection of metallic structures and pipelines welded joints for quality when mounting NPP equipment at the expense of a shorter exposure time is studied. The radiographic control has been conducted with X-ray RUP type instruments and ''Gammarid-25'' defectoscope. The exposure time is shown to be reduced when using active developers for processing radiograms. The sensitivity of radiographical images to X-ray and gamma-radiation increases when using D-82, D-72 active developers and ''roentgen-2'' standard developer for photochemical treatment

ER-E4 regulation. Transitional arrangement to implement the rules for evaluating and state control of medical equipment

International Nuclear Information System (INIS)

2015-01-01

Establish a regulatory document where the validity and status of the documents contained in the Regulatory Legal Base Technical Program of medical equipment is exposed, given the scope thereof to comply with the provisions of the Regulation. This regulation is aimed at all subjects (manufacturers or producers, suppliers or distributors, importers, users, medical equipment, as well as health institutions SNS) involved in activities related to the evaluation and control of the State Medical equipment and make use of complementary technical legal documents.

Procurement of medical equipment in Sweden

Directory of Open Access Journals (Sweden)

Heikki Terio

2010-02-01

Full Text Available In many hospitals in Sweden the importance of technology management is already accepted and accepted since the hospital managements have recognised that technology is an integral part of all major policy and planning decisions. Today’s medical devices are technically complex and sometimes a system of interacting devices is required to achieve the desired clinical function. If the hospitals want to use the latest, modern technology, then they need to make substantial investments in both equipment and competence. Complex technology, large investments and need of highly qualii ed personnel to handle the medical devices are factors that indicate a need of well-dei ned procurement process as an essential part of the total health technology management system that should be used in a hospital. In such a procurement process, carefully prepared planning of technology investments can reduce the running costs and costs for maintenance substantially. In addition, a well-dei ned procurement process contributes to increase the patient safety. In Karolinska University Hospital goods and services are purchased for more than 20% of the hospital’s €1.2 billion turnover. It is therefore very important that the procurement is carried out ef ectively.

Quantitative radiographic analysis of fiber reinforced polymer composites.

Science.gov (United States)

Baidya, K P; Ramakrishna, S; Rahman, M; Ritchie, A

2001-01-01

X-ray radiographic examination of the bone fracture healing process is a widely used method in the treatment and management of patients. Medical devices made of metallic alloys reportedly produce considerable artifacts that make the interpretation of radiographs difficult. Fiber reinforced polymer composite materials have been proposed to replace metallic alloys in certain medical devices because of their radiolucency, light weight, and tailorable mechanical properties. The primary objective of this paper is to provide a comparable radiographic analysis of different fiber reinforced polymer composites that are considered suitable for biomedical applications. Composite materials investigated consist of glass, aramid (Kevlar-29), and carbon reinforcement fibers, and epoxy and polyether-ether-ketone (PEEK) matrices. The total mass attenuation coefficient of each material was measured using clinical X-rays (50 kev). The carbon fiber reinforced composites were found to be more radiolucent than the glass and kevlar fiber reinforced composites.

Effectiveness of Medical-Care Equipment Management: Case Study in a Public Hospital in Belo Horizonte / Minas Gerais

OpenAIRE

Estevão Maria Campolina de Oliveira; Eloísa Helena Rodrigues Guimaraes; Ester Eliane Jeunon

2017-01-01

This study aimed to identify and analyze the factors that contribute to the effectiveness of the management of medical-care equipment at the Hospital of Federal University of Minas Gerais (HC-UFMG) in Belo Horizonte, Minas Gerais. To achieve this goal, a case study was performed along with a field research at HC-UFMG, through interviews using a semi-structured questionnaire to professionals who handle and operate medical-care equipment; professionals who provide maintenance on equipment, and ...

Reducing dose in paediatric CT: a preliminary study of radiographers' knowledge

International Nuclear Information System (INIS)

Heagney, J.; Lewis, S.; Chaffey, C.; Howlett, G.; Moran, A.; McLean, D.

2003-01-01

The objective of this study is to evaluate the responses of Australian radiographers in comparison with current literature on paediatric protocols and scanning recommendations in order to determine how and if paediatric Computed Tomography (CT) exposure reductions are taking place within Medical Imaging Departments. Subjects and Methods: The method involved a dual format; consisting of surveying 30 CT radiographers, and additionally, interviewing 5 senior CT radiographers. Of the 30 surveys completed, one was completed by a PDY radiographer, 7 by CT Senior radiographers and 22 by CT radiographers. The survey contained a range of questions about appropriate paediatric CT scanning parameters and protocols. Five CT Seniors were interviewed to ascertain the current level and opinion of training in paediatric protocols, in-house educational programs and the implementation of radiation dose saving parameters. Radiographers demonstrated reasonable ability to identify suitable paediatric protocols and believed the in-house CT protocols resident to their medical imaging department to be adequate, despite many utilising exposures higher than those from recommended literature. The interviews revealed that no further training in CT paediatric dose reduction was currently available, however survey responses indicated that further training would be beneficial. This study demonstrates that radiographers are aware of the need to reduce exposure parameters for paediatric CT and tend to follow protocols in place within their workplace, regardless of suitability and patient needs. Copyright (2003) Australian Institute of Radiography

Reducing dose in paediatric CT: a preliminary study of radiographers' Knowledge

International Nuclear Information System (INIS)

Heagney, Jillian; Lewis, Sarah; Chaffey, Clare; Howlett, Genevieve; Moran, Alexander; McLean, Donald

2003-01-01

The objective of this study is to evaluate the responses of Australian radiographers in comparison with current literature on paediatric protocols and scanning recommendations in order to determine how and if paediatric Computed Tomography (CT) exposure reductions are taking place within Medical Imaging Departments. Subjects and Methods: The method involved a dual format; consisting of surveying 30 CT radiographers, and additionally, interviewing 5 senior CT radiographers. Of the 30 surveys completed, one was completed by a PDY radiographer, 7 by CT Senior radiographers and 22 by CT radiographers. The survey contained a range of questions about appropriate paediatric CT scanning parameters and protocols. Five CT Seniors were interviewed to ascertain the current level and opinion of training in paediatric protocols, in-house educational programs and the implementation of radiation dose saving parameters. Radiographers demonstrated reasonable ability to identify suitable paediatric protocols and believed the in-house CT protocols resident to their medical imaging department to be adequate, despite many utilising exposures higher than those from recommended literature. The interviews revealed that no further training in CT paediatric dose reduction was currently available, however survey responses indicated that further training would be beneficial. This study demonstrates that radiographers are aware of the need to reduce exposure parameters for paediatric CT and tend to follow protocols in place within their workplace, regardless of suitability and patient needs Copyright (2003) Australian Institute of Radiography

A Fuzzy method for the usability evaluation of nuclear medical equipment

Energy Technology Data Exchange (ETDEWEB)

Grecco, Cláudio H.S.; Santos, Isaac J.A.L.; Farias, Marcos S.; Farias, Larissa P.; Filho, Alfredo M.V., E-mail: grecco@ien.gov.br, E-mail: luquetti@ien.gov.br, E-mail: msantana@ien.gov.br, E-mail: larissapfarias@ymail.com, E-mail: marques@ien.gov.br [Instituto de Engenharia Nuclear (DENN/IEN/CNEN/RJ), Rio de Janeiro, RJ (Brazil). Departamento de Engenharia Nuclear

2017-11-01

To avoid errors when handling nuclear medical equipment, it is important to develop products with a high degree of usability. This can be achieved by performing usability evaluations in the product development process to detect and mitigate potential usability problems. Usability evaluation focuses on how well users can learn and use a product to achieve their goals. Thus, the usability evaluation has become recognized as a valuable complement to the established approaches to design good user interfaces, to reduce incidents and accidents as well the time required to learn how to use the equipment. To gather information about usability, practitioners use a variety of methods that gather feedback from users about an existing interface or plans related to a new interface. A wide range of usability evaluation methods have been proposed, but few methods focus on developing an objective and practical evaluation method for usability. Moreover, the usability evaluations are based on human judgments and most methods cannot fully solve the subjectivity of these evaluations. In order to remedy this deficiency, the purpose of this work is to adopt a Fuzzy Set Theory (FST) approach to establish a method for the usability evaluation of nuclear medical equipment based on usability heuristics for user interface design and international standards for ergonomics of human-system interaction. To exemplify the method we performed a usability evaluating of the Digital Spectrometer ESP 13004 by testing it with representative users. The results showed that the method is a proactive tool to provide a basis for checking usability of medical device interfaces. (author)

A Fuzzy method for the usability evaluation of nuclear medical equipment

International Nuclear Information System (INIS)

Grecco, Cláudio H.S.; Santos, Isaac J.A.L.; Farias, Marcos S.; Farias, Larissa P.; Filho, Alfredo M.V.

2017-01-01

To avoid errors when handling nuclear medical equipment, it is important to develop products with a high degree of usability. This can be achieved by performing usability evaluations in the product development process to detect and mitigate potential usability problems. Usability evaluation focuses on how well users can learn and use a product to achieve their goals. Thus, the usability evaluation has become recognized as a valuable complement to the established approaches to design good user interfaces, to reduce incidents and accidents as well the time required to learn how to use the equipment. To gather information about usability, practitioners use a variety of methods that gather feedback from users about an existing interface or plans related to a new interface. A wide range of usability evaluation methods have been proposed, but few methods focus on developing an objective and practical evaluation method for usability. Moreover, the usability evaluations are based on human judgments and most methods cannot fully solve the subjectivity of these evaluations. In order to remedy this deficiency, the purpose of this work is to adopt a Fuzzy Set Theory (FST) approach to establish a method for the usability evaluation of nuclear medical equipment based on usability heuristics for user interface design and international standards for ergonomics of human-system interaction. To exemplify the method we performed a usability evaluating of the Digital Spectrometer ESP 13004 by testing it with representative users. The results showed that the method is a proactive tool to provide a basis for checking usability of medical device interfaces. (author)

Radiographic examination protocol and patient dose in lateral cephalometric radiography in Korea

International Nuclear Information System (INIS)

Choi, Jin Woo

2010-01-01

To survey the radiographic examination protocol for lateral cephalometric radiographic examinations and to measure their patient doses in Korea and to compare the dose according to the size of hospital, the type of image receptor system, and the installation duration. The radiographic examination protocols (kVp, mA, and exposure time) for lateral cephalometric radiography were surveyed with 61 cephalometric radiographic equipments and their patient dose-area product (DAP) measured with a DAP meter (DIAMENTOR M4-KDK, PTW, Freiburg, Germany) for 51 cephalometric radiographic equipments. The radiographic examination protocols and patient doses were compared according to the size of hospital (university dental hospital, dental hospital, and dental clinic), the type of image receptor system (film-based, DR and CR type) and the installation duration, respectively. SPSS 12.0.1 for Windows (SPSS Inc., Chicago, USA) was used for independent t-test and ANOVA test. The average protocols were 77.0 kVp, 12.7 mA, 6.2 second for cephalometric radiography. The average patient dose (DAP) was 128.0 mGy cm2 and 3rd quartile dose (DAP) 161.1 mGy cm2 for cephalometric radiography for adult male. There was no statistically significant difference at average patient DAP according to the size of hospital, the type of image receptor system, and the installation duration, respectively. The average patient dose was 128.0 mGy cm2 and the third quartile patient dose 161.1 mGy cm2 for lateral cephalometric radiography for adult male in Korea.

21 CFR 862.2050 - General purpose laboratory equipment labeled or promoted for a specific medical use.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false General purpose laboratory equipment labeled or... TOXICOLOGY DEVICES Clinical Laboratory Instruments § 862.2050 General purpose laboratory equipment labeled or promoted for a specific medical use. (a) Identification. General purpose laboratory equipment labeled or...

Regulation EM-ER-6. Requirements for the realization of clinical essays to the medical equipments

International Nuclear Information System (INIS)

2015-01-01

This regulation applies to the medical equipment that become incorporated to the stage of clinical trial required for its evaluation and record, for which they are subdued to clinical investigation for the sake of verifying, in conditions specified of use, its functioning, identifying besides any undesirable defect. It extends to manufacturers of medical equipments, Public Health's units where the clinical investigations with those equipments take place and to the rest of the entities of the MINSAP . Its objective is to protect the participating subjects in the clinical investigations; Assuring the conduction of the clinical investigation and specifying the requirements for the conduction of the clinical investigations and the documentation required for it.

Evaluation of a standardised radiographic technique of the equine hoof

International Nuclear Information System (INIS)

Kummer, M.; Lischer, C.; Ohlerth, S.; Vargas, J.; Auer, J.

2004-01-01

Radiography of the equine hoof is often used to obtain a diagnosis. Quantitative interpretation, especially for research purposes requires high quality and accuracy of radiographs. The purpose of this study was to describe and evaluate a radiographic technique for the lateromedial (LM) and the dorsopalmar (DP) view of the equine hoof. Ten radiographs for each view from one cadaver limb and from both front feet in a standing horse were taken in order to assess repeatability of the radiographic technique. The method requires easy to use adjustable and portable equipment and strictly defined external radio opaque markers on the hoof capsule. The digitalised radiographs were processed and analysed with the software package Metron PXTM, measuring 13 parameters in the LM view and 10 parameters in the DP view, respectively. Results show that with few exceptions measurements of these parameters revealed a coefficient of variation that was smaller than 0.05. It was concluded that this easy to use standardised radiographic technique ensures excellent accuracy and repeatability for both the LM and DP view. Hence, this method provides an adequate tool for quantitative assessment of the equine hoof, inter- and intraindividually

Effectiveness of Medical-Care Equipment Management: Case Study in a Public Hospital in Belo Horizonte / Minas Gerais

Directory of Open Access Journals (Sweden)

Estevão Maria Campolina de Oliveira

2017-03-01

Full Text Available This study aimed to identify and analyze the factors that contribute to the effectiveness of the management of medical-care equipment at the Hospital of Federal University of Minas Gerais (HC-UFMG in Belo Horizonte, Minas Gerais. To achieve this goal, a case study was performed along with a field research at HC-UFMG, through interviews using a semi-structured questionnaire to professionals who handle and operate medical-care equipment; professionals who provide maintenance on equipment, and professionals who manage the operation and maintenance of equipment. As a strategy for discussion of the results, the Collective Subject Discourse (CSD was used supported by the analysis of the Central Idea (CI of each question or question groups. According to the CSD results, it was possible to identify factors that contribute to the effectiveness of the management of medical-care equipment, such as: professional qualification; practical knowledge; work professionalization; supervision focused on evaluation, development, results and continuous improvement; professional updating and technical support; individual accountability; adequate infrastructure; and implementation of equipment management planning. These factors indicate, to the institutions, opportunities of culture change and organizational growth.

Interference by new-generation mobile phones on critical care medical equipment

NARCIS (Netherlands)

van Lieshout, Erik Jan; van der Veer, Sabine N.; Hensbroek, Reinout; Korevaar, Johanna C.; Vroom, Margreeth B.; Schultz, Marcus J.

2007-01-01

INTRODUCTION: The aim of the study was to assess and classify incidents of electromagnetic interference (EMI) by second-generation and third-generation mobile phones on critical care medical equipment. METHODS: EMI was assessed with two General Packet Radio Service (GPRS) signals (900 MHz, 2 W, two

Automatic tracking of the constancy of the imaging chain radiographic equipment using integrated tool for dummy and evaluation software; Seguimiento automatico de la constancia de la cadena de imagen de Equipos Radiograficos mediante herramienta integrada por maniqui y software de evaluacion

Energy Technology Data Exchange (ETDEWEB)

Mayo, P.; Rodenas, F.; Marin, B.; Alcaraz, D.; Verdu, G.

2011-07-01

This paper presents an innovative tool nationwide for the automatic analysis of the constancy of the imaging chain digital radiographic equipment, both computed radiography (CR) and direct digital (DR).

Renewal of radiological equipment.

Science.gov (United States)

2014-10-01

In this century, medical imaging is at the heart of medical practice. Besides providing fast and accurate diagnosis, advances in radiology equipment offer new and previously non-existing options for treatment guidance with quite low morbidity, resulting in the improvement of health outcomes and quality of life for the patients. Although rapid technological development created new medical imaging modalities and methods, the same progress speed resulted in accelerated technical and functional obsolescence of the same medical imaging equipment, consequently creating a need for renewal. Older equipment has a high risk of failures and breakdowns, which might cause delays in diagnosis and treatment of the patient, and safety problems both for the patient and the medical staff. The European Society of Radiology is promoting the use of up-to-date equipment, especially in the context of the EuroSafe Imaging Campaign, as the use of up-to-date equipment will improve quality and safety in medical imaging. Every healthcare institution or authority should have a plan for medical imaging equipment upgrade or renewal. This plan should look forward a minimum of 5 years, with annual updates. Teaching points • Radiological equipment has a definite life cycle span, resulting in unavoidable breakdown and decrease or loss of image quality which renders equipment useless after a certain time period.• Equipment older than 10 years is no longer state-of-the art equipment and replacement is essential. Operating costs of older equipment will be high when compared with new equipment, and sometimes maintenance will be impossible if no spare parts are available.• Older equipment has a high risk of failure and breakdown, causing delays in diagnosis and treatment of the patient and safety problems both for the patient and the medical staff.• Every healthcare institution or authority should have a plan for medical imaging equipment upgrade or replacement. This plan should look forward a

[Investigation of non-ionizing radiation hazards from physiotherapy equipment in 16 medical institutions].

Science.gov (United States)

He, Jia-xi; Zhou, Wei; Qiu, Hai-li; Yang, Guang-tao

2013-12-01

To investigate the non-ionizing radiation hazards from physiotherapy equipment in medical institutions and to explore feasible control measures for occupational diseases. On-site measurement and assessment of ultra-high-frequency radiation, high-frequency electromagnetic field, microwave radiation, and laser radiation were carried out in 16 medical institutions using the methods in the Measurement of Physical Agents in Workplace (GBZ/T189-2007). All the investigated medical institutions failed to take effective protective measures against non-ionizing radiation. Of the 17 ultra-short wave therapy apparatus, 70.6%, 47.1%, and 17.64% had a safe intensity of ultra-high-frequency radiation on the head, chest, and abdomen, respectively. Of the 4 external high-frequency thermotherapy apparatus, 100%, 75%, and 75%had a safe intensity of high-frequency electromagnetic field on the head, chest, and abdomen, respectively. In addition, the intensities of microwave radiation and laser radiation produced by the 18 microwave therapy apparatus and 12 laser therapeutic apparatus met national health standards. There are non-ionizing radiation hazards from physiotherapy equipment in medical institutions, and effective prevention and control measures are necessary.

SiNC: Saliency-injected neural codes for representation and efficient retrieval of medical radiographs.

Directory of Open Access Journals (Sweden)

Jamil Ahmad

Full Text Available Medical image collections contain a wealth of information which can assist radiologists and medical experts in diagnosis and disease detection for making well-informed decisions. However, this objective can only be realized if efficient access is provided to semantically relevant cases from the ever-growing medical image repositories. In this paper, we present an efficient method for representing medical images by incorporating visual saliency and deep features obtained from a fine-tuned convolutional neural network (CNN pre-trained on natural images. Saliency detector is employed to automatically identify regions of interest like tumors, fractures, and calcified spots in images prior to feature extraction. Neuronal activation features termed as neural codes from different CNN layers are comprehensively studied to identify most appropriate features for representing radiographs. This study revealed that neural codes from the last fully connected layer of the fine-tuned CNN are found to be the most suitable for representing medical images. The neural codes extracted from the entire image and salient part of the image are fused to obtain the saliency-injected neural codes (SiNC descriptor which is used for indexing and retrieval. Finally, locality sensitive hashing techniques are applied on the SiNC descriptor to acquire short binary codes for allowing efficient retrieval in large scale image collections. Comprehensive experimental evaluations on the radiology images dataset reveal that the proposed framework achieves high retrieval accuracy and efficiency for scalable image retrieval applications and compares favorably with existing approaches.

A radiographic method for measurement of leg length inequality.

Science.gov (United States)

Friberg, O; Koivisto, E; Wegelius, C

1985-01-01

An accurate and simple radiographic method for the measurement of weight-bearing leg length inequality with a minimum of radiated body area is described. The measurement can be made in a conventional chest X-ray unit without other extra equipment than a gonad shield described here.

Radiographic apparatus

International Nuclear Information System (INIS)

Lapidus, S.N.

1979-01-01

Raytheon Company, U.S.A. have patented an on-line electronic system of normalising the responses from the photomultiplier tubes used in conjunction with a scintillator in an X-ray radiographic camera. A problem with present cameras is that the individual photomultipliers have different intensity responses which also change in time with respect to each other. The individual responses of each photomultiplier tube are measured with a uniform sheet of radioactive material in front of the camera. The associated electronic equipment then calculates scaling factors which give all photomultiplier tubes an identical response and then places these factors in an addressable store. The store is then addressed in an on-line mode to produce a visual display of the transmitted X-rays. (U.K.)

Performance of a thermal neutron radiographic system using imaging plates

International Nuclear Information System (INIS)

Silvani, Maria Ines; Almeida, Gevaldo L. de; Furieri, Rosanne; Lopes, Ricardo T.

2009-01-01

A performance evaluation of a neutron radiographic system equipped with a thermal neutron sensitive imaging plate has been undertaken. It includes the assessment of spatial resolution, linearity, dynamic range and the response to exposure time, as well as a comparison of these parameters with the equivalent ones for neutron radiography employing conventional films and a gadolinium foil as converter. The evaluation and comparison between the radiographic systems have been performed at the Instituto de Engenharia Nuclear - CNEN, using the Argonauta Reactor as source of thermal neutrons and a commercially available imaging plate reader. (author)

Comparing the disinfecting efficacies of Micro 10, Deconex, Alprocid and Microzid af on the microorganisms on radiographic equipments

Directory of Open Access Journals (Sweden)

Zahed Mohammadi

2008-08-01

Full Text Available Background and aims. The exposure and processing of dental radiographs are not routinely associated with the spatter of blood or saliva; however, infection control is still an issue resulting from contaminated equipment, supplies, film packets or cassettes. This study aimed at comparing the efficacy of four commercially available disinfectants on microorganisms present on the equipment of radiology department. Materials and methods. Samples from twelve sites of the radiology department were collected using a sterile swab smeared with normal saline, which was then dipped in a test tube. Experimental surfaces were then disinfected by the spray-wipe-spray method using one of Micro 10, Deconex, Alprocid or Microzid AF disinfectants, followed by resampling. The samples were subsequently cultured on blood agar and EMB plates and the colonies were counted. Isolates were identified by biochemical tests. For statistical analysis, Wilcoxon signed ranks test, Kruskal-Wallis, Chi-square and Fisher exact tests were used. Results. Staphylococcus aureus and coagulase-negative staphylococci had the highest and Lactobacillus spp. had the lowest prevalence before disinfection. There were significant differences between the cfu/mL of bacteria before and after disinfection with any of the four disinfectant solutions. There was a significant difference between efficacy of Deconex and Alprocid (P = 0.014, Deconex and Microzid AF (P = 0.001, and Deconex and Micro 10 (P = 0.001. Conclusion. According to the results, Deconex has the highest disinfectant efficacy compared to other solutions.

Reducing chronic obstructive pulmonary disease readmissions: the role of the durable medical equipment provider.

Science.gov (United States)

Messenger, Robert W

2012-01-01

Exacerbation and frequent rehospitalization in chronic obstructive pulmonary disease exacts a heavy toll on the US health care system. To address these issues, new initiatives have been proposed that are largely based on financial penalties to promote patient education and postdischarge care. However, as laudable as these goals are, improving outcomes in the chronic obstructive pulmonary disease population is more confounding than it may first appear. Chronic hypoxia, cognitive dysfunction, poor nutrition, and economic disadvantage are just a few of the challenges that require creative solutions and ongoing support. Case managers need to utilize all the potential products and services that can assist in improving outcomes for these patients. Durable medical equipment providers are often viewed as purveyors of medical equipment that offer little in the form of clinical support. However, in many cases these providers represent an overlooked resource that provides individualized, highly structured patient education and ongoing support programs. The challenge is in identifying those durable medical equipment providers that offer patients contemporary technology, and have both the resources and the commitment to provide patient support that is amenable to the goals of the hospital. This article reviews many of the confounding issues that contribute to the frequent rehospitalization of chronic obstructive pulmonary disease patients. Recommendations to improve patient education and oxygen therapy outcomes are provided along with suggestions to aid in the vetting of durable medical equipment providers. Acute care hospitals, long-term acute care hospitals, extended care facilities, integrated delivery systems. 1. An understanding of the complex variables that play in the management of chronic obstructive pulmonary disease will help the case manager to plan an effective course of care. 2. Case managers need to ensure that patients receive long-term oxygen technology that

Optimal Medical Equipment Maintenance Service Proposal Decision Support System combining Activity Based Costing (ABC) and the Analytic Hierarchy Process (AHP).

Science.gov (United States)

da Rocha, Leticia; Sloane, Elliot; M Bassani, Jose

2005-01-01

This study describes a framework to support the choice of the maintenance service (in-house or third party contract) for each category of medical equipment based on: a) the real medical equipment maintenance management system currently used by the biomedical engineering group of the public health system of the Universidade Estadual de Campinas located in Brazil to control the medical equipment maintenance service, b) the Activity Based Costing (ABC) method, and c) the Analytic Hierarchy Process (AHP) method. Results show the cost and performance related to each type of maintenance service. Decision-makers can use these results to evaluate possible strategies for the categories of equipment.

Assessing the Oldness and Capacity of Radiography and Ultrasound Equipments in Tehran University of Medical Sciences

International Nuclear Information System (INIS)

Salamati, Payman; Ghanaati, Hossein; Ghasemzadeh, Shahram; Jalali, Amir Hossein

2013-01-01

Maintenance of imaging equipment is a very important part of the management of all medical imaging centers. To assess the oldness and capacity of radiography and ultrasound equipment in Tehran University of Medical Sciences. The study was performed in 16 hospitals, 4 faculties and three healthcare centers of Tehran University of Medical Sciences. We evaluated all the X-ray equipment (including the simple plain and dental, panorex, mammography, fluoroscopy and C-arm X-Ray devices) and also simple and Doppler ultrasound machines in terms of the type and usage of the device, production year, quantity of utilization, location, brand and current condition. Among fixed X-ray systems, 15 were currently in use, two were junk, two were damaged, and one was not utilized. The mean (SD) of the usage of these was 2151 (2230) cliché/month, and the mean (SD) of the oldness was 16.9 (13.6) years. The oldness of radiography equipment in our study was more than 20 years in 16, between 11 and 20 in 46, and less than 10 years in 76 devices. The mean (SD) usage (patients/month) of simple and color Doppler devices were 234.1 (365.2) and 597.5 (505.3), respectively. The oldness of ultrasonography equipment in our study was more than 11 years in 12 and less than 10 years in 55 devices. We found that 22 (15.9%) of the radiography systems and two (3%) of the ultrasonography systems had been used for more than 20 years. Radiology equipment in Tehran University of Medical Sciences have potential capacity, but they need repair, and better maintenance and management and application of standards for the imaging system needs organized supervisory mechanisms

An evaluation of radiographer performed and interpreted barium swallows and meals

International Nuclear Information System (INIS)

Judson, E.E.; Nightingale, J.M.

2009-01-01

Aim: To determine whether radiographers are able to perform and interpret barium swallows and meals (BSM) to an acceptable standard. Materials and methods: A retrospective audit was performed of all radiographer-managed BSMs over a 4-year period in an acute hospital. Descriptive statistics were used to analyse patient demographics, radiation doses, referral sources, and imaging findings. Radiographer reports were compared with radiologist reports assumed to be the reference standard, and correlated with patient outcomes via electronic record searches and case note scrutiny. Reporting accuracy, sensitivity, and specificity were calculated. Results: Three radiographers performed a total of 962 BSMs in the 4-year audit period, including a varied and complex case-mix. Only 13 (0.01%) cases were abandoned due to technical reasons, with all other examinations of diagnostic quality. Although radiation dose levels were initially variable, following the installation of modern fluoroscopy equipment they remained comfortably within the national and regional diagnostic reference levels. Consultant radiologists verified the majority of the radiographer reports, with the most experienced radiographer independently reporting 230 cases (24%). Follow-up of patient outcome was possible in 935 cases. The overall radiographer accuracy based on the 935 cases was 98.9%, sensitivity 98%, and specificity 98.9%. Conclusions: Appropriately trained radiographers are able to perform and interpret BSM examinations to a very high standard.

Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment

NARCIS (Netherlands)

Togt, R. van der; Lieshout, E.J. van; Hensbroek, R.; Beinat, E.; Binnekade, J.M.; Bakker, P.J.M.

2008-01-01

Context: Health care applications of autoidentification technologies, such as radio frequency identification (RFID), have been proposed to improve patient safety and also the tracking and tracing of medical equipment. However, electromagnetic interference (EMI) by RFID on medical devices has never

British Standard method for determination of ISO speed and average gradient of direct-exposure medical and dental radiographic film/process combinations

International Nuclear Information System (INIS)

1983-01-01

Under the direction of the Cinematography and Photography Standards Committee, a British Standard method has been prepared for determining ISO speed and average gradient of direct-exposure medical and dental radiographic film/film-process combinations. The method determines the speed and gradient, i.e. contrast, of the X-ray films processed according to their manufacturer's recommendations. (U.K.)

Equipment for x- and gamma ray radiography

International Nuclear Information System (INIS)

Abd Nasir Ibrahim; Azali Muhammad; Ab Razak Hamzah; Abd Aziz Mohamed; Mohammad Pauzi Ismail

2004-01-01

The following topics related to the equipment for x - and gamma ray radiography are discussed in this chapter. The topics are x-ray source for Industrial Radiography: properties of x-ray, generation of x-ray, mechanism of x-ray production, x-ray equipment, power supply, distribution of x-ray intensity along the tube: gamma ray source for Industrial Radiography: properties of gamma rays, gamma ray sources, gamma ray projectors on cameras, source changing. Care of Radiographic Equipments: Merits and Demerits of x and Gamma Rays

Research in medical imaging and the role of the consultant radiographer: A discussion

International Nuclear Information System (INIS)

Reeves, Pauline J.

2008-01-01

This article examines the need for research in radiography as a means to provide the evidence base for radiographic practice. The review examines the role of the consultant radiographer in providing potential research leadership and outlines possible avenues for research. The article uses three main themes to set out its proposals: - The need for patient focus. - The need for a greater mix of research methods and, specifically, more studies which utilise qualitative methods. - The need for consultant leadership in research and some potential studies. The article concludes by arguing the need for a greater academic community in radiography with consultant radiographers stepping up to play their part in that community

Using Survival Analysis to Evaluate Medical Equipment Battery Life.

Science.gov (United States)

Kuhajda, David

2016-01-01

As hospital medical device managers obtain more data, opportunities exist for using the data to improve medical device management, enhance patient safety, and evaluate costs of decisions. As a demonstration of the ability to use data analytics, this article applies survival analysis statistical techniques to assist in making decisions on medical equipment maintenance. The analysis was performed on a large amount of data related to failures of an infusion pump manufacturer's lithium battery and two aftermarket replacement lithium batteries from one hospital facility. The survival analysis resulted in statistical evidence showing that one of the third-party batteries had a lower survival curve than the infusion pump manufacturer's battery. This lower survival curve translates to a shorter expected life before replacement is needed. The data suggested that to limit unexpected failures, replacing batteries at a two-year interval, rather than the current industry recommendation of three years, may be warranted. For less than $5,400 in additional annual cost, the risk of unexpected battery failures can be reduced from an estimated 28% to an estimated 7%.

Radiographic evaluations

International Nuclear Information System (INIS)

Williams, J.L.

1988-01-01

The author describes how to: perform a systematic evaluation of a chest radiograph; state the classic radiographic description of hyaline membrane disease; list the conditions that cause hyperaeration and describe the radiologic feature of hyperaeration; describe the radiograph of a patient with a congenital diaphragmatic hernia; identify optimum placement of an endotracheal tube, gastric feeding tube, and umbilical artery catheter on a radiograph; differentiate between pulmonary interstitial air and hyaline membrane disease; select radiographic features that would indicate the presence of a tension pneumothorax; describe a lateral decubitus projection and state the type of problem it is most often used to identify; explain the procedure used in obtaining a lateral neck radiograph and list two problems that may require this view; and describe the radiograph of a patient with cystic fibrosis

Prototype radiographic system for emergency and intensive care units: Initial experience

International Nuclear Information System (INIS)

Mirvis, S.

1986-01-01

A prototype radiographic system has been developed for use in bedside examinations in multibed trauma or intensive care units and emergency rooms. The system features a single-phase, high-frequency 30-kW ceiling-mounted generator with an x-ray tube extending from a long counterbalanced arm. All movements are servo-assisted for ease of operation. Based on initial experience, the unit allows easier access to the patient around resuscitation and monitoring equipment, occupies less floor space, and yields better quality images than do standard mobile radiographic units

The reliability of tablet computers in depicting maxillofacial radiographic landmarks

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Tadinada, Aditya; Mahdian, Mina; Sheth, Sonam; Chandhoke, Taranpreet K.; Gopalakrishna, Aadarsh; Potluri, Anitha; Yadav, Sumit [University of Connecticut School of Dental Medicine, Farmington (United States)

2015-09-15

This study was performed to evaluate the reliability of the identification of anatomical landmarks in panoramic and lateral cephalometric radiographs on a standard medical grade picture archiving communication system (PACS) monitor and a tablet computer (iPad 5). A total of 1000 radiographs, including 500 panoramic and 500 lateral cephalometric radiographs, were retrieved from the de-identified dataset of the archive of the Section of Oral and Maxillofacial Radiology of the University Of Connecticut School Of Dental Medicine. Major radiographic anatomical landmarks were independently reviewed by two examiners on both displays. The examiners initially reviewed ten panoramic and ten lateral cephalometric radiographs using each imaging system, in order to verify interoperator agreement in landmark identification. The images were scored on a four-point scale reflecting the diagnostic image quality and exposure level of the images. Statistical analysis showed no significant difference between the two displays regarding the visibility and clarity of the landmarks in either the panoramic or cephalometric radiographs. Tablet computers can reliably show anatomical landmarks in panoramic and lateral cephalometric radiographs.

Radiographic inspection on offshore platforms

International Nuclear Information System (INIS)

Soares, Sergio Damasceno; Sperandio, Augusto Gasparoni

1994-01-01

One of the great challenges for non-destructive inspection is on offshore platforms, where safety is a critical issue. Inspection by gammagraphy is practically forbidden on the platform deck due to problems to personnel safety and radiological protection. Ir-192 sources are used and the risk of an accident with loss of radioisotope must be considered. It is unfeasible to use gammagraphy, because in case of an accident the rapid evacuation from the platform would be impossible. This problem does not occur when X-ray equipment is used as the radiation source. The limited practicality and portability of the X-ray equipment have prevented its use as a replacement for the gammagraphy. This paper presents the preliminary tests to see the viable use of radiographic tests with constant potential on offshore platforms. (author). 2 refs., 1 fig., 2 tabs, 3 photos

Reduced medical and occupational exposures by optimizing working procedures in fluoroscopy equipment in the University Hospital of Santa Maria (RS)

International Nuclear Information System (INIS)

Weis, Guilherme L.; Claus, Thiago V.; Baumhardt, Tadeu; Shuch, Luiz A.

2013-01-01

This work seeks to reduce medical (patient) and occupational (workers) exposure by standardizing resources available in fluoroscopy equipment used in interventional procedures. Such procedures use transportable surgical arch type fluoroscopy equipment, with applications in orthopedics, angiography and pacemaker implantation. Improper use of these devices generates excessive radiation doses in both patients and the medical staff. It is observed that the equipment after being connected to the grid, is pre-selected to work in continuous fluoroscopy and no additional filtration, producing higher doses of radiation. For specific applications, changes in protocols should be undertaken according to medical indication. This work used a fluoroscopy equipment Shimadzu Active Opescope two radiation monitoring equipment, brand Radcal, models 9010 and 9015, two ionization chambers, of 60 cc and 180 cc and a low contrast phantom and a catheter, information that simulate the human body. Incidences were performed by changing the conditions of exposure as frame rates (fps - frames per second) and additional filtration. For each composition parameters was generated and filed an image, with the extent of their respective doses. These images were evaluated by radiologists. In more extreme cases we obtained a reduction of a factor 25 in occupational exposure (medical personnel) using the pulsed with the greatest 2 fps additional filter (0.3 mm Cu) compared to continuous system without any additional filtration. In medical exposure (of patients), decreased by a factor 39, the same conditions described above. With these arguments it is justified the optimization and standardization of the equipment used in fluoroscopy, which besides providing a dose reduction the patient and the medical personnel, increases the life of the X-ray tube while maintaining the quality of medical diagnosis. (author)

Questionnaire-based evaluation of mobile phone interference with medical-electrical equipment in Swedish hospitals.

Science.gov (United States)

Wiinberg, Stig; Samuelsson, Göran; Larsson, Stefan; Nilsson, Barbro; Jönsson, Patrik X; Ivarsson, Bodil; Olofsson, Per-Åke

2017-08-09

National recommendations in Sweden recommend a safety distance of 3 meter (m) between mobile phones and medical-electrical (ME) equipment in hospitals. A questionnaire was used to investigate how often mobile phones were reported to interfere with ME products in clinical practice across Sweden. The results confirmed that ME equipment can be affected by mobile phone use but, the risk of the patient's outcome being affected were minimal; no cases were identified which led to injury or death. In conclusion, the results support recommendations for a general safety distance of 0.5 m between mobile phones and ME equipment in care environments.

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)

MINAC, portable high energy radiographic inspection system

International Nuclear Information System (INIS)

Lapides, M.E.; Schonberg, R.

1985-01-01

MINAC, a portable, high energy radiographic source (1) was recognized as a desired inspection device for nuclear generation plants during EPRI-sponsored studies of the late 1970s and rapidly transitioned from proof-of-principle (1978-1980) to field-proven hardware (1981-present date). The equipment has completed its second generation of configuration development (SHRINKAC), that has recently been used in the field for detection of pipe cracks. Important auxiliaries for image data processing and real-time, thick section radiography have been demonstrated in both laboratory and field situations. Finally, a 6 MeV accelerator alternate is in bench test. These significant developments have, and are expected to continue to upgrade the utility of radiographic inspection in power plant practice. This paper describes the development and experience with this modular system during the last three years

Direct magnification radiography of newborn with mobile X-ray equipment

International Nuclear Information System (INIS)

Fukai, Kazuhiko; Kigure, Hatsuo; Hatori, Noboru; Shinohara, Yasuji.

1989-01-01

Small patient size is a major factor of the difficulty in interpreting the newborn infant radiograph. Direct radiographic magnification can be employed to relieve this problem and special positioning devices were made to image the infant, confined to incubator and connected to life-supporting systems. The mobile X-ray equipment with a microfocus (0.2 mm) radiographic tube, a rare-earth high-speed recording system and carbon cassette were combined to obtain a radiograph at magnification of 1.5-2.0. Image quality was superior to that of conventional contact radiographic system, but infant radiation exposure was 26% more than that of conventional study. Although direct radiographic magnification was very useful to recognize subtle or equivocal abnormality which could not be made from conventional image, its application should be restricted to specific disease at this present, considering infant radiation exposures. This technique will have wide clinical application when radiation exposure can be reduced by using other recording system such as computed radiography (CR). (author)

Preventing infection from reusable medical equipment: a systematic review

Directory of Open Access Journals (Sweden)

Hart Tony

2002-03-01

Full Text Available Abstract Background In 2000, the World Health Organization (WHO had eight sets of conflicting recommendations for decontaminating medical equipment. We conducted a systematic review of observational studies to assist WHO in reconciling the various guidelines. This paper summarises the methods developed and illustrates the results for three procedures – alcohol, bleach and povidone iodine. Methods We developed a Medline search strategy and applied inclusion criteria specifying the decontamination procedures of interest and an outcome of microbial destruction for a set of marker organisms. We developed protocols to assess the quality of studies and categorised them according to the reliability of the methods used. Through an iterative process we identified best practice for the decontamination methods and key additional factors required to ensure their effectiveness. We identified 88 published papers for inclusion, describing 135 separate studies of decontamination. Results For disinfection with alcohol, best practice was identified from 23 studies as an exposure to 70–80% ethanol or isopropanol for at least 5 minutes. Bleach was effective for sterilization at a concentration of 5000 ppm for 5 minutes and for disinfection at 1000 ppm for 10 minutes (33 studies. Povidone iodine was only partially effective for disinfection at a concentration of 1% for 15 minutes (15 studies. Conclusions Our findings provide an evidence base for WHO guidelines on decontaminating medical equipment. The results support the recommended use of bleach and show that alcohol could be used more widely than current guidelines suggest, provided best practice is followed. The effectiveness of povidone iodine is uncertain.

Evaluation of different X ray equipment and incubators for pediatric radiographic images implementation;Avaliacao de diferentes equipamentos de raios-X e incubadoras para implementacao de imagens radiograficas pediatricas

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Carbi, E.D.O.; Souza, R.T.F.; Pina, D.R. [UNESP, Botucatu, SP (Brazil). Faculdade de Medicina. Dept. de Doencas Tropicais e Diagnostico por Imagem

2009-07-01

The children frequent/y are exposed to the ionizing radiation and other emotional and physical risks in the attempts repeated to get radiographic images of quality. This study it has as objective to evaluate X ray beam about quality and intensity at three different equipment with single-phase generator of voltage and the absorption factors to 5 different incubators and 3 different cradles in the neonatal UTI of the Clinics Hospital on the Medicine College in Botucatu. The methodology consisted of carrying through measured of half Layer Value and Radiation output for the different X ray equipment with voltage with in between 45 and 100 kVp, applied at the X ray tube. The measures of the absorption factors had been carried through varying the thicknesses of attenuating material (phantom) for the different voltage value with in between 50 and 100kVp. The results had shown the same energy effective for the different X ray equipment and the same absorption factors for the different incubators and evaluated cradles, taking into account, the same thickness of attenuating material and same voltage. (author)

The radiographic anatomy of the normal ovine digit, the metacarpophalangeal and metatarsophalangeal joints.

Science.gov (United States)

Duncan, Jennifer S; Singer, Ellen R; Devaney, Jane; Oultram, Joanne W H; Walby, Anna J; Lester, Bridie R; Williams, Helen J

2013-03-01

The aim of this project was to develop a detailed, accessible set of reference images of the normal radiographic anatomy of the ovine digit up to and including the metacarpo/metatatarsophalangeal joints. The lower front and hind limbs of 5 Lleyn ewes were radiographed using portable radiography equipment, a digital image processer and standard projections. Twenty images, illustrating the normal radiographic anatomy of the limb were selected, labelled and presented along with a detailed description and corresponding images of the bony skeleton. These images are aimed to be of assistance to veterinary surgeons, veterinary students and veterinary researchers by enabling understanding of the normal anatomy of the ovine lower limb, and allowing comparison with the abnormal.

Chesneys' radiographic imaging: revised and edited by John Ball and Tony Price. 5. ed.

International Nuclear Information System (INIS)

Chesney, D.N.

1989-01-01

This book (5th edition) reflects the change in emphasis in radiology from photographic processes towards electronic imaging methods. There is new material on image intensifiers and television imaging, digital imaging and digital subtractions. Analyses of the characteristics of, and defects in, images on radiographs, xeroradiographs and the television on screen are included. Methods, equipment and materials used to record the cathode ray tube image are described and there is new material on the principles of alternative diagnostic imaging techniques such as ultrasound, computed tomography and radionuclide imaging which provide cathode ray tube images. The book is primarily for student radiographers and radiographers studying for postdiplomate qualifications. (author)

Black Lung Benefits Act: standards for chest radiographs. Direct final rule; request for comments.

Science.gov (United States)

2013-06-13

Physicians and adjudicators use chest radiographs (X-rays) as a tool in evaluating whether a coal miner suffers from pneumoconiosis (black lung disease). Accordingly, the Department's regulations implementing the Black Lung Benefits Act allow the submission of radiographs in connection with benefit claims and set out quality standards for their performance. These standards are currently limited to film radiographs. In recent years, many medical facilities have phased out film radiography in favor of digital radiography. This direct final rule updates the existing film-radiograph standards and provides parallel standards for digital radiographs. This rule also updates outdated terminology and removes certain obsolete provisions.

Detectability of T1a lung cancer on digital chest radiographs: an observer-performance comparison among 2-megapixel general-purpose, 2-megapixel medical-purpose, and 3-megapixel medical-purpose liquid-crystal display (LCD) monitors.

Science.gov (United States)

Yabuuchi, Hidetake; Matsuo, Yoshio; Kamitani, Takeshi; Jinnnouchi, Mikako; Yonezawa, Masato; Yamasaki, Yuzo; Nagao, Michinobu; Kawanami, Satoshi; Okamoto, Tatsuro; Sasaki, Masayuki; Honda, Hiroshi

2015-08-01

There has been no comparison of detectability of small lung cancer between general and medical LCD monitors or no comparison of detectability of small lung cancer between solid and part-solid nodules. To compare the detectabilities of T1a lung cancer on chest radiographs on three LCD monitor types: 2-megapixel (MP) for general purpose (General), 2-MP for medical purpose (Medical), and 3-MP-Medical. Radiographs from forty patients with T1aN0M0 primary lung cancer (27 solid nodules, 13 part-solid nodules) and 60 patients with no abnormalities on both chest X-ray and computed tomography (CT) were consecutively collected. Five readers assessed 100 cases for each monitor. The observations were analyzed using receiver operating characteristic (ROC) analysis. A jackknife method was used for statistical analysis. A P value of General, 2-MP-Medical, and 3-MP-Medical LCD monitors were 0.86, 0.89, and 0.89, respectively; there were no significant differences among them. The average AUC for part-solid nodule detection using a 2-MP-General, 2-MP-Medical, and 3-MP-Medical LCD monitors were 0.77, 0.86, and 0.89, respectively. There were significant differences between the 2-MP-General and 2-MP-Medical LCD monitors (P = 0.043) and between the 2-MP-General and 3-MP-Medical LCD monitors (P = 0.027). There was no significant difference between the 2-MP-Medical and 3-MP-Medical LCD monitors. The average AUC for solid nodule detection using a 2-MP-General, 2-MP-Medical, and 3-MP-Medical LCD monitors were 0.90, 0.90, and 0.88, respectively; there were no significant differences among them. The mean AUC values for all and part-solid nodules of the low-experienced readers were significantly lower than those of the high-experienced readers with the 2 M-GP color LCD monitor (P general-purpose LCD monitor was significantly lower than those using medical-purpose LCD monitors. © The Foundation Acta Radiologica 2014.

The changing role of the radiographer under IR(ME)R 2000

International Nuclear Information System (INIS)

Barlow, S.

2001-01-01

This paper deals with the way in which the College of Radiographers has used the new Ionising Radiation (Medical Exposure) Regulations 2000 [IR(ME)R] to promote role development among its 17,000 radiographers in the UK. It aims to show that the resultant role development will have a beneficial effect on the radiation protection of the patient in diagnostic radiography. (author)

General practitioners' willingness to request plain lumbar spine radiographic examinations

International Nuclear Information System (INIS)

Ryynaenen, Olli-Pekka; Lehtovirta, Jukka; Soimakallio, Seppo; Takala, Jorma

2001-01-01

Objectives: To examine general practitioners' attitudes to plain lumbar spine radiographic examinations. Design: A postal questionnaire consisting of questions on background data and doctors' opinions about plain lumbar spine radiographic examinations, as well as eight vignettes (imaginary patient cases) presenting indications for lumbar radiography, and five vignettes focusing on the doctors' willingness to request lumbar radiography on the basis of patients' age and duration of symptoms. The data were analysed according to the doctor's age, sex, workplace and the medical school of graduation. Setting: Finland. Subjects: Six hundred and fifteen randomly selected physicians working in primary health care (64% of original target group). Results: The vignettes revealed that the use of plain lumbar radiographic examination varied between 26 and 88%. Patient's age and radiation protection were the most prominent factors influencing doctors' decisions to request lumbar radiographies. Only slight differences were observed between the attitudes of male and female doctors, as well as between young and older doctors. Doctors' willingness to request lumbar radiographies increased with the patient's age in most vignettes. The duration of patients' symptoms had a dramatic effect on the doctor's decision: in all vignettes, doctors were more likely to request lumbar radiography when patient's symptoms had exceeded 4 weeks. Conclusions: General practitioners commonly use plain lumbar spine radiographic examinations, despite its limited value in the diagnosis of low back pain. Further consensus and medical education is needed to clarify the indications for plain lumbar radiographic examination

Radiographers and trainee radiologists reporting accident radiographs

DEFF Research Database (Denmark)

Buskov, L; Abild, A; Christensen, A

2013-01-01

To compare the diagnostic accuracy and clinical validity of reporting radiographers with that of trainee radiologists whom they have recently joined in reporting emergency room radiographs at Bispebjerg University Hospital....

Fecal impaction: a cause of isolated small bowel dilatation on abdominal radiographs

International Nuclear Information System (INIS)

Torigian, Drew A.; Levine, Marc S.; Rubesin, Stephen E.; Laufer, Igor

2001-01-01

Objective: The purpose of this study was to assess the frequency of isolated small bowel dilatation on abdominal radiographs in patients with colonic fecal impaction and also to elucidate the cause of this finding. Methods: A computerized search of radiology files revealed 515 patients with colonic fecal impaction on abdominal radiographs. The radiologic reports described isolated small bowel dilatation not related to other known causes of ileus or obstruction in 18 (3.5%) of the 515 patients. The films were reviewed to determine the distribution of fecal impaction and the degree and extent of small bowel dilatation. In 16 cases, medical records were reviewed to determine the clinical presentation, treatment, and course. Finally, follow-up radiographs were reviewed in four cases to determine the response to treatment of the impaction. Results: All 16 patients with available medical records had abdominal symptoms. The average diameter of the dilated small bowel on abdominal radiographs was 3.7 cm. Fourteen patients (78%) had a diffuse colonic fecal impaction (nine) or a predominantly right-sided fecal impaction (five) that involved the cecum, and the remaining four (22%) had a left-sided colonic fecal impaction. All 12 patients with clinical follow-up had resolution of symptoms and all four with follow-up radiographs had resolution of small bowel dilatation after treatment of the underlying impaction. Conclusion: Fecal impaction should be considered in the differential diagnosis of small bowel dilatation on abdominal radiographs, as treatment of the underlying impaction usually produces a dramatic clinical response with resolution of the small bowel dilatation on follow-up radiographs

PACS influence the radiographer's work

International Nuclear Information System (INIS)

Fridell, Kent; Aspelin, Peter; Edgren, Lars; Lindskoeld, Lars; Lundberg, Nina

2009-01-01

a new PACS technology and digital workflow. Using PACS technology, together with an adjustment to the new system workflow, the experience among radiographers was that the production of images increased and as a result the stress in work increased as well. Using PACS technology, medical staff had little control over the organization of image production and its workflow, so that radiographers experienced PACS as a more technical deterministic system allowing small human control in the organization of work.

Present situation and necessity of computer programmed X-ray equipment

International Nuclear Information System (INIS)

Shiraishi, Junji; Hatagawa, Masakatsu

1989-01-01

In order to take radiographic photos, it is necessary to know a great deal of information. For example, mA, kV, exposure time, screen, grid, phototimer, etc. In this study, we examined 4 widely-used types computer-programmed X-ray equipment. These computer-assisted processes are designed to look at the data and make programmed individual decisions. The purpose is to reduce the differences in radiographic quality and the risk of retaking caused by the differences in experience among technicians. We concluded that none of them has ideal functions but each can be used as a source supply information, if a little remodeling is done, and we confirm that computer-programmed X-ray equipment is, and will continue to go be, necessary. (author)

Transfer function analysis of radiographic imaging systems

International Nuclear Information System (INIS)

Metz, C.E.; Doi, K.

1979-01-01

The theoretical and experimental aspects of the techniques of transfer function analysis used in radiographic imaging systems are reviewed. The mathematical principles of transfer function analysis are developed for linear, shift-invariant imaging systems, for the relation between object and image and for the image due to a sinusoidal plane wave object. The other basic mathematical principle discussed is 'Fourier analysis' and its application to an input function. Other aspects of transfer function analysis included are alternative expressions for the 'optical transfer function' of imaging systems and expressions are derived for both serial and parallel transfer image sub-systems. The applications of transfer function analysis to radiographic imaging systems are discussed in relation to the linearisation of the radiographic imaging system, the object, the geometrical unsharpness, the screen-film system unsharpness, other unsharpness effects and finally noise analysis. It is concluded that extensive theoretical, computer simulation and experimental studies have demonstrated that the techniques of transfer function analysis provide an accurate and reliable means for predicting and understanding the effects of various radiographic imaging system components in most practical diagnostic medical imaging situations. (U.K.)

Physiological conditions for the effective interpretation of radiographic images

International Nuclear Information System (INIS)

Overington, I.

1989-01-01

A wide range of factors influence the ability of the human observer to perceive detail in images. Most of these factors are of some significance in interpretation of one or more types of radiographic image. Human observer performance may be conveniently categorized in terms of multiparametric threshold surfaces, suprathreshold visibility and observer variance. The general multiparametric trends of human threshold performance are discussed, together with the implications for visibility. The importance and implications of observer variance are then explored, with particular reference to their effects on search processes. Finally, attempts are made to highlight the implications of some of the factors on typical radiographic interpretation tasks and on the adequacy of certain types of phantom image used for equipment calibration. (author)

An evidence based protocol for peer review of radiographer musculoskeletal plain film reporting

International Nuclear Information System (INIS)

Stephenson, Paul; Hannah, April; Jones, Helen; Edwards, Rosemary; Harrington, Kate; Baker, Sally-Anne; Fitzgerald, Nicole; Belfield, Jane

2012-01-01

Aims: Medical image interpretation by non-medically trained staff continues to court controversy. This article aims to show that any potential risks associated with radiographer reporting can be monitored and mitigated if a robust peer review system is introduced. A search of the evidence base illustrates a paucity of guidance on how reporting radiographers should be audited or how a peer review process should be implemented. A practical framework for designing a reporting radiographer peer review process is provided. Methods: Following a literature review, key issues faced when designing a peer review protocol were identified. The following questions are answered: How frequent should peer review take place? How many reports should be reviewed? How are reports selected for review? Who should peer review the radiographer reports? How should radiographer's reporting performance be measured? What standard of reporting is acceptable? Results: Details are provided of the process that has been used for over three years at a busy inner-city teaching hospital for auditing musculoskeletal plain film radiographer reporting. The peer review method presented is not intended to produce robust statistical data; it is a practical method of locally assessing the reporting competency. As such, our protocol should be viewed as part of a larger programme for continuing professional development. Conclusion: It is hoped that this practical protocol will encourage radiology departments to engage in a programme of peer review for reporting radiographers.

Quality of radiograph

International Nuclear Information System (INIS)

Abdul Nassir Ibrahim; Azali Muhammad; Ab. Razak Hamzah; Abd. Aziz Mohamed; Mohamad Pauzi Ismail

2008-01-01

This chapter discussed on how to get a good radiograph. There are several factors that can make good radiograph such as density of radiograph, the contrast of radiograph, definition of radiograph, the present of artifact and backscattering. All of this factor will discuss detailed on each unit of chapter with some figure, picture to make the reader understand more when read this book. And at the end, the reader will introduce with penetrameter, one of device to determine the level of quality of the radiograph. There are two type of penetrameter like wire type or holes type. This standard must be followed by all the radiographer around the world to produce the good result that is standard and more reliable.

Post-graduate training in imaging diagnostics, nuclear medicine and radiotherapy for radiographers

International Nuclear Information System (INIS)

Petkova, E.; Velkova, K.; Shangova, M.; Karidova, S.

2006-01-01

Full text: The application of new technologies in imaging diagnostics, as well as the use of digital processing and storing of information, has increased the quality and scope of imaging diagnostics. The potentials of therapeutic methods connected with imaging diagnostics and nuclear medicine, interventional therapeutic procedures (dilatation, embolism, stent, etc.), basins with radio-pharmaceuticals, etc., are constantly increasing. The constant training of radiographers in working with the new, advanced image-diagnostic equipment has become an established international practice in the process of training the human resources of the imaging-diagnostic departments and centers. Objectives: 1. Investigating the potentials of post-graduate training for monitoring the dynamics in the development of the principles, methods and techniques in imaging diagnostics; 2. The attitude of radiographers towards post-graduate training. Systematic approach and critical analysis of published data and mathematical-statistical methods with regard to the need of post-graduate training. The processed data of the survey on the necessity for post-graduate training conducted among 3rd year students in the last 3 years - 75 % consider post-graduate training mandatory, 11% deem it necessary, and 14% have no opinion on the issue; and among the working radiographers in the last 3 years the results are as follows: mandatory - 91%, necessary - 7%, no opinion - 2%. The improvement and advances in imaging diagnostic equipment and apparatuses have considerably outstripped the professional training of radiographers. The key word in the race for knowledge is constant learning and training, which can successfully be achieved within the framework of post-graduate training

Managing medical equipment used by technology-dependent children: evaluation of an instructional tool for pediatric residents and medical students.

Science.gov (United States)

Jackson, Jennifer M; Radulovic, Andrea; Nageswaran, Savithri

2012-08-01

To evaluate the effectiveness of a workshop on managing medical devices used in technology-dependent children. Study participants included residents and medical students rotating in the pediatrics department at the time of the study. A workshop was conducted consisting of learning stations for common medical devices, including brief presentations and opportunities for hands-on practice with each device. Participants completed surveys before and after the workshop assessing their perceived ability to manage medical equipment before and after the workshop and their ongoing learning needs. All participants indicated a substantial need for training on how to manage medical devices used by technology-dependent patients. Scores for perceived ability to manage the devices improved significantly after workshop participation for nearly all devices taught. Medical trainees have significant learning needs for managing devices used by technology-dependent patients. Hands-on, small-group training can be an effective instructional tool for improving confidence in these skills.

The development and evaluation of a medical imaging training immersive environment

International Nuclear Information System (INIS)

Bridge, Pete; Gunn, Therese; Kastanis, Lazaros; Pack, Darren; Rowntree, Pamela; Starkey, Debbie; Mahoney, Gaynor; Berry, Clare; Braithwaite, Vicki; Wilson-Stewart, Kelly

2014-01-01

A novel realistic 3D virtual reality (VR) application has been developed to allow medical imaging students at Queensland University of Technology to practice radiographic techniques independently outside the usual radiography laboratory. A flexible agile development methodology was used to create the software rapidly and effectively. A 3D gaming environment and realistic models were used to engender presence in the software while tutor-determined gold standards enabled students to compare their performance and learn in a problem-based learning pedagogy. Students reported high levels of satisfaction and perceived value and the software enabled up to 40 concurrent users to prepare for clinical practice. Student feedback also indicated that they found 3D to be of limited value in the desktop version compared to the usual 2D approach. A randomised comparison between groups receiving software-based and traditional practice measured performance in a formative role play with real equipment. The results of this work indicated superior performance with the equipment for the VR trained students (P = 0.0366) and confirmed the value of VR for enhancing 3D equipment-based problem-solving skills. Students practising projection techniques virtually performed better at role play assessments than students practising in a traditional radiography laboratory only. The application particularly helped with 3D equipment configuration, suggesting that teaching 3D problem solving is an ideal use of such medical equipment simulators. Ongoing development work aims to establish the role of VR software in preparing students for clinical practice with a range of medical imaging equipment

The development and evaluation of a medical imaging training immersive environment

Energy Technology Data Exchange (ETDEWEB)

Bridge, Pete, E-mail: pete.bridge@qut.edu.au; Gunn, Therese [School of Clinical Sciences, Queensland University of Technology, Brisbane (Australia); Kastanis, Lazaros; Pack, Darren [End-to-End Visuals, Brisbane (Australia); Rowntree, Pamela; Starkey, Debbie; Mahoney, Gaynor; Berry, Clare; Braithwaite, Vicki; Wilson-Stewart, Kelly [School of Clinical Sciences, Queensland University of Technology, Brisbane (Australia)

2014-09-15

A novel realistic 3D virtual reality (VR) application has been developed to allow medical imaging students at Queensland University of Technology to practice radiographic techniques independently outside the usual radiography laboratory. A flexible agile development methodology was used to create the software rapidly and effectively. A 3D gaming environment and realistic models were used to engender presence in the software while tutor-determined gold standards enabled students to compare their performance and learn in a problem-based learning pedagogy. Students reported high levels of satisfaction and perceived value and the software enabled up to 40 concurrent users to prepare for clinical practice. Student feedback also indicated that they found 3D to be of limited value in the desktop version compared to the usual 2D approach. A randomised comparison between groups receiving software-based and traditional practice measured performance in a formative role play with real equipment. The results of this work indicated superior performance with the equipment for the VR trained students (P = 0.0366) and confirmed the value of VR for enhancing 3D equipment-based problem-solving skills. Students practising projection techniques virtually performed better at role play assessments than students practising in a traditional radiography laboratory only. The application particularly helped with 3D equipment configuration, suggesting that teaching 3D problem solving is an ideal use of such medical equipment simulators. Ongoing development work aims to establish the role of VR software in preparing students for clinical practice with a range of medical imaging equipment.

Reflections on the role of consultant radiographers in the UK: What is a consultant radiographer?

International Nuclear Information System (INIS)

Booth, L.; Henwood, S.; Miller, P.

2016-01-01

Context: This paper is the second paper from a two year in depth case study, exploring the role of consultant radiographers in the UK. Methods: A longitudinal case study approach was used to determine the role of consultant radiographers. Interviews were used to explore experiences of being a consultant, which were analysed using thematic analysis. Eight consultant radiographers participated (Note, two of the consultants withdrew after the first interview due to workload). Therefore two consultants were interviewed only once. The remaining six consultants were interviewed twice over a 12 month period. Findings: The data presented in this paper explores the nature of the role, differences between roles, the four domains of practice, and how the role fits into local organisational structures. The study shows wide variation in the types of roles undertaken, reflecting that the creation of these roles were in response to local clinical need and often related to an individual practitioner's skills. The broad scope of the role was shown across all the consultants, with evidence of roles developing into new areas of service delivery. Conclusions: The paper offers insight into the role(s) of consultant radiographers in the UK. The range and scope of their practice is extensive, with much variation. It is evident that the clinical aspect of the role dominates, with research being the least supported domain of practice. There remains a lack of clarity around the role, with concerns about remuneration and other limitations that may restrict the role developing further. - Highlights: • This paper shows the variation in roles between consultant radiographers. • The commonality with medical roles is highlighted. • Problem solving is identified as a core skill in consultant radiography. • Consultants offered evidence of the roles developing service provision. • While all four domains of practice are covered, research is the least well supported.

Radiographer involvement in mammography image interpretation: A survey of United Kingdom practice

International Nuclear Information System (INIS)

Culpan, A.M.

2016-01-01

Breast cancer is most often diagnosed using x-ray mammography. Traditionally mammography images have been interpreted and reported by medically qualified practitioners – radiologists. Due to radiologist workforce shortages in recent years some non-medical practitioners, radiographers, now interpret and report mammography images. The aims of this survey were to describe the characteristics and practices of radiographers who interpret and report mammography images in NHS hospitals in the UK, and in particular to establish the extent of their practice beyond low-risk asymptomatic screening cases. This service evaluation demonstrated that UK radiographers are interpreting and reporting images across the full spectrum of clinical indications for mammography including: low-risk population screening, symptomatic, annual surveillance, family history and biopsy/surgical cases. The survey revealed that radiographers are involved in a diverse range of single and double reading practices where responsibility for diagnostic decision making is shared or transferred between radiologists and/or other radiographers. Comparative analysis of sub-group data suggested that there might be differences in the characteristics and practices of radiographers who interpret only low-risk screening mammograms and those who interpret and report a wider range of cases. The findings of this survey provide a platform for further research to investigate how and why the roles and responsibilities of radiographers who interpret and report mammograms vary between organisations, between practitioners and across different examinations. Further research is also needed to explore the implications of variation in practice for patients, practitioners and service providers. - Highlights: • UK radiographers interpret mammograms across the full spectrum of clinical indications. • UK radiographers are involved in a wide range of single/double mammography reading practices. • Characteristics required for

Performance of X-ray equipment used for conventional radiographic examinations of children

International Nuclear Information System (INIS)

Lacerda, Marco A.S.; Silva, Teogenes A. da; Khoury, Helen J.

2009-01-01

The performance of X-ray equipment that are used for conventional X-ray examinations of children in four hospitals of Belo Horizonte, Brazil, was evaluated. The methodology proposed by the Brazilian authority for radiation protection in diagnostic radiology was adopted. The performance tests were carried out in six X-ray machines and they consisted of measurements and determination of the X-ray tube output, linearity and constancy of radiation output, accuracy and reproducibility of the exposure time and tube potential, half-value layer (HVL), light field / X-ray field alignment and accuracy of the X-ray field indicator. It was observed that only one hospital had the suitable equipment for X-ray examinations of children. Results showed that all six equipment of the four hospitals presented unsatisfactory performance in some quality control tests. Only for some combinations of the exposure parameters, generally employed in pediatric X-ray examinations, some equipment complied with the authority requirements. (author)

Incidence of Radiographic Cystic Lesions Associated With Unerupted Teeth in Dogs.

Science.gov (United States)

Babbitt, Sam G; Krakowski Volker, Mary; Luskin, Ira R

2016-12-01

Medical records and radiographs were retrospectively reviewed over a 3-year period (2012-2015) from dogs presented to a private dental referral practice. Medical records were evaluated for the diagnosis of impacted or embedded teeth. The identified dogs' radiographs were reviewed for the presence of radiographically significant cystic lesions that were associated with the impacted or embedded teeth. Radiographic criteria were established by the authors for the purposes of identifying cystic lesions in dogs of different breeds and sizes, using established indices from human dental pathology as a basis. When histopathology results were available, they were reviewed and reported. In this study, 136 dogs ranging in age from 3 months to 17 years were diagnosed with 213 unerupted teeth during the study period. There were 62 (29.1%) of the 213 radiographically apparent cystic lesions identified based on the criteria proposed in this study. In this study, 146 (68.5%) of the 213 unerupted teeth were identified as mandibular first premolar teeth. Histopathology was obtained on 28 (45.1%) of the 62 diagnosed cystic lesions. Dentigerous cysts accounted for 20 (71.4%) of the 28 cystic lesions. Brachycephalic breeds were overrepresented in this study. Boxer, pug, Shih Tzu, and Boston terrier dogs were most likely to present with cystic lesions associated with unerupted teeth. Seventeen (85%) of the 20 cases with a histopathologic diagnosis of dentigerous cyst were found within these 4 brachycephalic breeds.

The role of a consultant breast radiographer: A description and a reflection

International Nuclear Information System (INIS)

Kelly, Judith; Hogg, Peter; Henwood, Suzanne

2008-01-01

Consultant radiographers are a relatively new concept within the British healthcare system, with them being first established in 2003. Consultant radiographer job roles are broad and include advanced clinical activities (often being similar in nature to those delivered by medical practitioners, e.g. radiologists), professional leadership, teaching and education and service improvement. Given their relative novelty almost no literature exists to describe in detail specific roles of consultant breast radiographers. Consequently, in this article we use a case study approach to describe and reflect critically upon the role of one consultant breast radiographer. The article commences with a general introduction about consultant radiographers; it then progresses to outline the context in which the case study of the breast consultant radiographer sits. Through description and reflective commentary we take the reader through the role of the consultant breast radiographer to highlight where the role has had perceived value and also to highlight where the role has been particularly challenging for the post holder. As a consequence of the case study approach taken, the article is written partly in the first person (taken from interview comments made by the consultant breast radiographer) and partly in the third person. The final element of the article is a reflective commentary given by the consultant radiographer regarding her feelings about her first few years as a consultant breast radiographer

Para-acetabular peritendinitis calcarea; its radiographic manifestations

International Nuclear Information System (INIS)

Kawashima, Akira; Murayama, Sadayuki; Ohuchida, Toshiyuki; Russell, W.J.

1987-02-01

Peritendinitis calcarea and os acetabuli have long been confused during interpretations of hip-joint radiographs. Such confusion is reflected in the medical literature. The present study differentiated these two entities according to their interval radiographic progression and regression. There were 137 instances of para-acetabular calcifications among 110 subjects (59 men and 51 women), whose mean age was 46.8 years at the time of their initial detection. Twenty-six of the subjects had lumbago, which was probably unrelated. Other abnormalities including narrowed intervertebral spaces, scoliosis, and spondylolysis were observed in 21 of the subjects. These could have been responsible for any symptoms they had had, but none of the subjects complained of local hip-joint pain when the radiographs in question were made. Ninety-three of these instances of calcification were reviewed by means of serial radiographs. Interval changes in the sizes and shapes of the calcifications occurred among 90 of them, indicative of the latent type of peritendinitis calcarea. No interval changes were noted in the remaining three cases, indicating they were secondary ossification centers; namely, os acetabuli. This study showed that in asymptomatic adults, most para-acetabular calcifications were really not os acetabuli, but actually peritendinitis calcarea. (author)

The influence of a continuing education program on the image interpretation accuracy of rural radiographers.

Science.gov (United States)

Smith, Tony N; Traise, Peter; Cook, Aiden

2009-01-01

In regional, rural and remote clinical practice, radiographers work closely with medical members of the acute care team in the interpretation of radiographic images, particularly when no radiologist is available. However, the misreading of radiographs by non-radiologist physicians has been shown to be the most common type of clinical error in the emergency department. Further, in Australia few rural radiographers are specifically trained to interpret and report on images. This study aimed to evaluate the accuracy of a group of rural radiographers in interpreting musculoskeletal plain radiographs, and to assess the effectiveness of continuing education (CE) in improving their accuracy within a short time frame. Following ethics approval, 16 rural radiographers were recruited to the study. At inception a purpose-designed 'test-object' of 25 cases compiled by a radiologist was used to assess image interpretation accuracy. The cases were categorised into three grades of complexity. The radiographers entered their answers on a structured radiographer opinion form (ROF) that had three levels of response - 'general opinion', 'observations' and 'open comment'. Subsequent to base-line testing, the radiographers participated in a CE program aimed at improving their image interpretation skills. After a 4 month period they were re-tested using the same methodology. The ROFs were scored by the radiologist and the pooled results analysed for statistically significant changes at all ROF levels and grades of complexity. While for the small number of less complex grade 1 cases there was no change in image interpretation accuracy, for the more numerous and more complex grade 2 and grade 3 cases there was a statistically significant improvement at the 'general opinion' and 'observation' levels (paired t-test, p radiologist. However, radiographers' ability to use radiological vocabulary needs improvement. The complementary role that exists between radiographers and other members of

Radiographer interpretation of trauma radiographs: Issues for radiography education providers

International Nuclear Information System (INIS)

Hardy, Maryann; Snaith, Beverly

2009-01-01

Background: The role of radiographers with respect to image interpretation within clinical practice is well recognised. It is the expectation of the professional, regulatory and academic bodies that upon qualification, radiographers will possess image interpretation skills. Additionally, The College of Radiographers has asserted that its aspiration is for all radiographers to be able to provide an immediate written interpretation on skeletal trauma radiographs by 2010. This paper explores the readiness of radiography education programmes in the UK to deliver this expectation. Method: A postal questionnaire was distributed to 25 Higher Education Institutions in the UK (including Northern Ireland) that provided pre-registration radiography education as identified from the Society and College of Radiographers register. Information was sought relating to the type of image interpretation education delivered at pre- and post-registration levels; the anatomical range of image interpretation education; and education delivery styles. Results: A total of 19 responses (n = 19/25; 76.0%) were received. Image interpretation education was included as part of all radiographer pre-registration programmes and offered at post-registration level at 12 academic centres (n = 12/19; 63.2%). The anatomical areas and educational delivery methods varied across institutions. Conclusion: Radiography education providers have embraced the need for image interpretation education within both pre- and post-registration radiography programmes. As a result, UK education programmes are able to meet the 2010 College of Radiographers aspiration.

Possible radiation dose reduction by using digital X-ray equipment

International Nuclear Information System (INIS)

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

2001-01-01

The radiation load of population all over the world from medical examinations clearly demonstrates the importance of the introduction of the quality assurance and quality control programmes into the activities of radiology departments. The basic aim of quality assurance program is to ensure that the radiation dose is kept as low as reasonably practicable while still providing an 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 process, the 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 patients exposure, cost reduction by reduction of the 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 show , that 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, two digital and two analogue. Our material consisted of 169 randomly selected patients, 115 of them were examined with digital equipment and 54 patients with the analogue equipment. The obtained results have confirmed the dose reduction and increase of diagnostic accuracy when using the digital equipment, with the added benefit of a good image quality. (authors)

Automated Quality Assurance of Medical Digital X-Ray Equipment

International Nuclear Information System (INIS)

Zelikman, Mikhail; Kruchinin, Sergey

2013-06-01

Quality assurance of the x-ray equipment includes a set of various tests among which are installation and periodic exams performed by qualified engineers as well as daily routine tests carried out by the medical staff of the Radiology Department. As a rule, the decision concerning the applicability of the x-ray equipment for using in clinical studies is made on the basis of the routine tests results. The presented method is based on the detector's output signals, Signal-to-Noise Ratio and Modulation Transfer Function evaluation in automated way using the simple test-object's digital image registered with given geometry and x-ray exposure parameters settings. Rectangular 20 mm thick aluminum plate with fixed 1 mm thick well-finished steel edge (for general x-ray radiography/fluoroscopy systems) or 2 mm thick aluminum plate with fixed 1 mm thick aluminum well-finished edge (for digital x-ray mammography systems) can be used as a test equipment. Relevant to the decision concerning the x-ray device operation status are the parameters: deviations from the reference levels of the tube voltage and mAs as well as internal detector's noise variance and detector's gain deviations. Everyday testing procedure includes the following steps. On the first step the roentgenographer places the test-object at the center of the detector's surface, makes an exposure with specified parameters setting and geometry and after this, test results are displayed on the work station monitor or console screen in automatic way. In order to provide an automated regime of the presenting algorithm, the software must be integrated with the program module intended for the x-ray device control. The use of the presented method in clinical practice provides the reliable daily monitoring of the x-ray equipment operation status prior to its utilizing for patient diagnostic process. As a rule, it will take not more than 3-5 minutes for the roentgenographer to complete the routine

Are children's dental panoramic tomographs and lateral cephalometric radiographs sufficiently optimized?

Science.gov (United States)

Pakbaznejad Esmaeili, Elmira; Ekholm, Marja; Haukka, Jari; Evälahti, Marjut; Waltimo-Sirén, Janna

2016-02-01

Children are especially vulnerable to harmful effects of ionizing radiation. Cutting down the dimensions of the X-ray beam is the most effective way to reduce the patient dose. We evaluated the appropriateness of field-size in the most frequent radiographs, dental panoramic tomographs (DPTs) and lateral cephalometric radiographs (LCRs) among 7- to 12-year-olds. The image field-size of 241 DPTs and 118 LCRs was analysed. The image field was considered appropriate when it did not include anatomic structures beyond the area of clinical interest. The image field was compared with factors such as the age of the patient, the radiographic equipment used and the programme selected. Moreover, we assessed the use of thyroid shield in LCR. The field-size was too large in 70% of the DPTs horizontally and in 96% vertically. None of the DPTs were segmented. Every LCR showed appropriate limitation anteriorly, but the image field was too large in 54% posteriorly, in 86% superiorly, and in 76% inferiorly. A thyroid shield had been used in only 71% of cases. Most DPTs and LCRs had been performed sub-optimally. An abundancy of DPTs had been taken using an adult programme, and the field-size had not been sufficiently adjusted in LCRs, possibly for technical reasons. To facilitate adherence to radiological best practice the equipment used for DPTs and LCRs should facilitate the adjustment of field-size in both the vertical and horizontal planes. In addition, those involved in taking radiographs should maintain their skills through regular update courses. © The Author 2015. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

General-purpose radiographic and fluoroscopic table

International Nuclear Information System (INIS)

Ishizaki, Noritaka

1982-01-01

A new series of diagnostic tables, Model DT-KEL, was developed for general-purpose radiographic and fluoroscopic systems. Through several investigations, the table was so constructed that the basic techniques be general radiography and GI examination, and other techniques be optionally added. The diagnostic tables involve the full series of the type for various purposes and are systematized with the surrounding equipment. A retractable mechanism of grids was adopted first for general use. The fine grids with a density of 57 lines per cm, which was adopted in KEL-2, reduced the X-ray doses by 16 percent. (author)

Methods of silver recovery from radiographs - comparative study

Science.gov (United States)

Canda, L. R.; Ardelean, E.; Hepuţ, T.

2018-01-01

Management and recovery of waste are activities with multiple impacts: technologically (by using waste on current production flows, thus replacing poor raw materials), economically (can substantially reduce manufacturing costs by recycling waste), social (by creating new jobs where it is necessary to process the waste in a form more suited to technological flows) and ecologically (by removing waste that is currently produced or already stored - but poses a threat to the health of the population and / or to the environment). This is also the case for medical waste, for example radiographs, which are currently produced in large quantities, for which replacement solutions are sought, but are currently stored by archiving in hospital units. The paper presents two methods used for this kind of waste management, the result being the recovery of silver, material with applications and with increasing price, but also the proper disposal of the polymeric support. This analysis aims at developing a more efficient recycling technology for medical radiographs.

Trampoline related injuries in children: risk factors and radiographic findings.

Science.gov (United States)

Klimek, Peter Michael; Juen, David; Stranzinger, Enno; Wolf, Rainer; Slongo, Theddy

2013-05-01

Backyard trampolines are immensely popular among children, but are associated with an increase of trampoline-related injuries. The aim of this study was to evaluate radiographs of children with trampoline related injuries and to determine the risk factors. Between 2003 and 2009, 286 children under the age of 16 with backyard trampoline injuries were included in the study. The number of injuries increased from 13 patients in 2003 to 86 in 2009. The median age of the 286 patients was 7 years (range: 1-15 years). Totally 140 (49%) patients were males, and 146 (51%) females. Medical records and all available diagnostic imaging were reviewed. A questionnaire was sent to the parents to evaluate the circumstances of each injury, the type of trampoline, the protection equipment and the experience of the children using the trampoline. The study was approved by the Institutional Ethics Committee of the University Hospital of Bern. The questionnaires and radiographs of the 104 patients were available for evaluation. A fracture was sustained in 51 of the 104 patients. More than 75% of all patients sustaining injuries and in 90% of patients with fractures were jumping on the trampoline with other children at the time of the accident. The most common fractures were supracondylar humeral fractures (29%) and forearm fractures (25%). Fractures of the proximal tibia occurred especially in younger children between 2-5 years of age. Children younger than 5 years old are at risk for specific proximal tibia fractures ("Trampoline Fracture"). A child jumping simultaneously with other children has a higher risk of suffering from a fracture.

A novel approach to collaborative product development in the medical-equipment industry

OpenAIRE

Tseng, Kevin C; Chien-Lung, Hsu

2013-01-01

In this study, we summarise the requirements for collaborative product development based on our investigation of the differences in the resources and tools that are needed for the various stages of collaborative product development and the needs of system users during these various stages. We proposed a user-oriented approach of collaborative product development for medical equipment and designed a collaborative product development system with the required functionalities to satisfy different...

Evaluation of X-Ray Protective Measurements in Intraoral Radiography Equipped Centers in Yazd

Directory of Open Access Journals (Sweden)

D.Goodarzi Pour

2005-02-01

Full Text Available Statement of Problem: A few decades have past from using radiographic technology as an accurate paraclinical method and always protective measurements is applicated against ionizing radiation. As dentalradiography is a routine procedure in dentistry the importance of protective strategies is clear.Propose: The aim of this descriptive study is to evaluate the protection principles in centers which haveintraoral radiographic devices in Yazd.Material and Methods: We have considered all three aspects of practitioner, environment and patientprotection using questionnaire and visiting those centers.Results: 33/7% of dental offices ,10 clinics ,3 institution and faculty of dentistry had intraoral radiographicequipments. Stablishment of protection principles for radiographer was favorable. 7.7% of centers had x-ray room with leaded walls, 23.1% had curtain , in 69/2% of centers radiographers stood in correct position anddistance while taking radiograph. Regarding to protection of environment, beams leakage control in 23.1% dental offices, 70% of clinics, all institution and faculty of dentistry have done.Conclusion: Non of the centers used rectangular localizator, thyroid shield, film holder and just some centers used leaded apron in specific circumstances. We have concluded that patient protection constitute less consideration. Generally lack of protective consideration is related to deficient knowledge of operators. Lackof information about protection equipments causes decrease of demanding of these tools and ultimately lack of these equipments in the market.

Evaluation of the composition of filters additional of equipment radiological intraoral by energy dispersive x-ray fluorescence (EDXRF)

International Nuclear Information System (INIS)

Franca, Alana Caroline; Torres, Catarina A.M.P.; Rocha, Ana S.S.; Deniak, Valeriy; Lara, Alessandro L.; Paschuk, Sergei A.; Fernandes, Angela; Westphalen, Fernando Henrique

2013-01-01

The need for high quality standards for radiographic images in order to make a diagnosis assertive, and being the additional filtration required in the intraoral X-ray equipment show the need of evaluating these filters. This study aims to examine the influence of the elemental composition of the filters of X-ray of dental intraoral equipment in the radiographic images quality. The filters analysis were performed by using the energy dispersive X-ray fluorescence method (EDXRF). Ten conventional filters were analysed. In this study, 33 radiographic exposures were performed using films: twenty radiographs in the incisor region and ten in the molar region, three exposures were also made in the same regions with same conditions without using filter. After radiographs development, optical density was measure and all radiographs were submitted to subjective evaluation by dental radiologists. Data obtained were correlated to effects evaluation of the elemental composition of all filters in the quality of the radiographic images. The elements found were: aluminum, cobalt, copper, sulfur, iron, manganese, titanium, zinc, and zirconium. The images obtained were identified in groups: Molars to 0.3 s; Incisors to 0.2 s; Incisors to 0.3 s, and for the group without filters. From the results obtained it was concluded that both unclear radiographs and ideal radiographs were produced by using filters of elementary common. Therefore, conventional filters evaluated were an acceptable option to produce quality images in dental radiology, despite differences in the composition of the alloys. (author)

Evaluation of the composition of filters additional of equipment radiological intraoral by energy dispersive x-ray fluorescence (EDXRF)

Energy Technology Data Exchange (ETDEWEB)

Franca, Alana Caroline; Torres, Catarina A.M.P.; Rocha, Ana S.S.; Deniak, Valeriy; Lara, Alessandro L.; Paschuk, Sergei A., E-mail: alanacarolinef@gmail.com, E-mail: sergei@utfpr.edu.br [Universidade Tecnologica Federal do Parana (CPGEI/UTFPR), Curitiba, PR (Brazil). Programa de Pos-Graduacao em Engenharia Eletrica e Informatica Industrial; Fernandes, Angela; Westphalen, Fernando Henrique, E-mail: angelafernandes@ufpr.br [Universidade Federal do Parana (UFPR), Curitiba, PR (Brazil). Setor de Ciencias da Saude

2013-07-01

The need for high quality standards for radiographic images in order to make a diagnosis assertive, and being the additional filtration required in the intraoral X-ray equipment show the need of evaluating these filters. This study aims to examine the influence of the elemental composition of the filters of X-ray of dental intraoral equipment in the radiographic images quality. The filters analysis were performed by using the energy dispersive X-ray fluorescence method (EDXRF). Ten conventional filters were analysed. In this study, 33 radiographic exposures were performed using films: twenty radiographs in the incisor region and ten in the molar region, three exposures were also made in the same regions with same conditions without using filter. After radiographs development, optical density was measure and all radiographs were submitted to subjective evaluation by dental radiologists. Data obtained were correlated to effects evaluation of the elemental composition of all filters in the quality of the radiographic images. The elements found were: aluminum, cobalt, copper, sulfur, iron, manganese, titanium, zinc, and zirconium. The images obtained were identified in groups: Molars to 0.3 s; Incisors to 0.2 s; Incisors to 0.3 s, and for the group without filters. From the results obtained it was concluded that both unclear radiographs and ideal radiographs were produced by using filters of elementary common. Therefore, conventional filters evaluated were an acceptable option to produce quality images in dental radiology, despite differences in the composition of the alloys. (author)

Prior use of durable medical equipment as a risk adjuster for health-based capitation

NARCIS (Netherlands)

R.C. van Kleef (Richard); R.C.J.A. van Vliet (René)

2010-01-01

textabstractThis paper examines a new risk adjuster for capitation payments to Dutch health plans, based on the prior use of durable medical equipment (DME). The essence is to classify users of DME in a previous year into clinically homogeneous classes and to apply the resulting classification as a

Effects of electromagnetic interference on the functional usage of medical equipment by 2G/3G/4G cellular phones: A revie

Directory of Open Access Journals (Sweden)

Periyasamy M. Mariappan

2016-09-01

Full Text Available There has been an increase in the potential use of wireless devices in healthcare domain for a variety of reasons. The most commonly used device is the cellular phone, which emits strong electromagnetic energy affecting thereby the functionality of the vital medical equipment such as ventilators, ECG monitors, cardiac monitors, and defibrillators. This prompted the healthcare concerns to restrict the use of these phones in the proximity of critical and non-critical care medical equipment. Due to the developments made in the design of medical equipment to comply with the EMC standards, the restriction had been slowly laid off. Still, the researchers are concerned about the electromagnetic interference with medical devices by cellular phones in the healthcare domain and recommend for conducting continuous research to study their interaction with medical equipment. This paper overviews the certain investigations carried out in the recent years to study the electromagnetic interference between medical devices and 2G/3G/4G LTE cellular phones. During the initial development of cellular phones, the 2G cellular phones had caused more interference that affects the function and operation of some medical devices. The possibility of interference from 3G cellular phones with medical devices was considerably lower than the 2G phones, but still exists. Furthermore, almost all of the 4G phones have little to no interference with the medical devices. Currently, with the development of the medical devices industry, the current medical devices are designed to operate safely under any conditions of usage. Finally, a careful analysis would require statistics on the frequency of adverse events across the healthcare system, which apparently do not exist.

General practitioners' willingness to request plain lumbar spine radiographic examinations

Energy Technology Data Exchange (ETDEWEB)

Ryynaenen, Olli-Pekka E-mail: ollipekka.ryynanen@uku.fi; Lehtovirta, Jukka; Soimakallio, Seppo; Takala, Jorma

2001-01-01

Objectives: To examine general practitioners' attitudes to plain lumbar spine radiographic examinations. Design: A postal questionnaire consisting of questions on background data and doctors' opinions about plain lumbar spine radiographic examinations, as well as eight vignettes (imaginary patient cases) presenting indications for lumbar radiography, and five vignettes focusing on the doctors' willingness to request lumbar radiography on the basis of patients' age and duration of symptoms. The data were analysed according to the doctor's age, sex, workplace and the medical school of graduation. Setting: Finland. Subjects: Six hundred and fifteen randomly selected physicians working in primary health care (64% of original target group). Results: The vignettes revealed that the use of plain lumbar radiographic examination varied between 26 and 88%. Patient's age and radiation protection were the most prominent factors influencing doctors' decisions to request lumbar radiographies. Only slight differences were observed between the attitudes of male and female doctors, as well as between young and older doctors. Doctors' willingness to request lumbar radiographies increased with the patient's age in most vignettes. The duration of patients' symptoms had a dramatic effect on the doctor's decision: in all vignettes, doctors were more likely to request lumbar radiography when patient's symptoms had exceeded 4 weeks. Conclusions: General practitioners commonly use plain lumbar spine radiographic examinations, despite its limited value in the diagnosis of low back pain. Further consensus and medical education is needed to clarify the indications for plain lumbar radiographic examination.

A study on developpement of guideline on writing technical document for electrical medical devices: Dental x-ray equipment

Energy Technology Data Exchange (ETDEWEB)

Lee, Seung Youl; Kim, Jae Ryang; Lee, Jun Ho; Park, Chang Won [Division of Medical Device Research, National Institute of Food and Drug Safety Evaluation, Mnistry of Food and Drug Safety (Korea, Republic of)

2016-12-15

Due to recent population aging, the number of check-up for senior citizens has increased steadily. According to this trend, the market size of dental X-ray equipment and the number of approval and review for these devices have simultaneously increased. The technical document of medical device is required for approval and review for medical device, and medical device companies needs to have work comprehension and expertise, as the document needs to include the overall contents such as performances, test criteria, etc.. Yet, since most of domestic manufacturers or importers of medical devices are small businesses, it is difficult for them to recruit professional manpower for approval of medical devices, and submission of inaccurate technical documents has increased. These problems lead to delay of the approval process and to difficulties in quick entering into the market. Especially, the Ministry of Food and Drug safety (MFDS) standards of a dental extra-oral X-ray equipment, a dental intra-oral X-ray equipment, an arm-type computed tomography, and a portable X-ray system have been recently enacted or not. this guideline of dental X-ray equipment adjusting revised standards was developed to help relative companies and reviewers. For this study, first, the methods to write technical document have been reviewed with revised international and domestic regulations and system. Second, the domestic and foreign market status of each item has been surveyed and analyzed. Third, the contents of technical documents already approved by MFDS have been analyzed to select the correct example, test items, criteria, and methods. Finally, the guideline has been developed based on international and domestic regulation, through close review of a consultative body composed of academic, industrial, research institute and government experts.

A study on developpement of guideline on writing technical document for electrical medical devices: Dental x-ray equipment

International Nuclear Information System (INIS)

Lee, Seung Youl; Kim, Jae Ryang; Lee, Jun Ho; Park, Chang Won

2016-01-01

Due to recent population aging, the number of check-up for senior citizens has increased steadily. According to this trend, the market size of dental X-ray equipment and the number of approval and review for these devices have simultaneously increased. The technical document of medical device is required for approval and review for medical device, and medical device companies needs to have work comprehension and expertise, as the document needs to include the overall contents such as performances, test criteria, etc.. Yet, since most of domestic manufacturers or importers of medical devices are small businesses, it is difficult for them to recruit professional manpower for approval of medical devices, and submission of inaccurate technical documents has increased. These problems lead to delay of the approval process and to difficulties in quick entering into the market. Especially, the Ministry of Food and Drug safety (MFDS) standards of a dental extra-oral X-ray equipment, a dental intra-oral X-ray equipment, an arm-type computed tomography, and a portable X-ray system have been recently enacted or not. this guideline of dental X-ray equipment adjusting revised standards was developed to help relative companies and reviewers. For this study, first, the methods to write technical document have been reviewed with revised international and domestic regulations and system. Second, the domestic and foreign market status of each item has been surveyed and analyzed. Third, the contents of technical documents already approved by MFDS have been analyzed to select the correct example, test items, criteria, and methods. Finally, the guideline has been developed based on international and domestic regulation, through close review of a consultative body composed of academic, industrial, research institute and government experts

Automated Risk Control in Medical Imaging Equipment Management Using Cloud Application

Directory of Open Access Journals (Sweden)

Sally M. Ghanem

2018-01-01

Full Text Available Medical imaging equipment (MIE is the baseline of providing patient diagnosis in healthcare facilities. However, that type of equipment poses high risk for patients, operators, and environment in terms of technology and application. Considering risk management in MIE management is rarely covered in literature. The study proposes a methodology that controls risks associated with MIE management. The methodology is based on proposing a set of key performance indicators (KPIs that lead to identify a set of undesired events (UDEs, and through a risk matrix, a risk level is evaluated. By using cloud computing software, risks could be controlled to be manageable. The methodology was verified by using a data set of 204 pieces of MIE along 104 hospitals, which belong to Egyptian Ministry of Health. Results point to appropriateness of proposed KPIs and UDEs in risk evaluation and control. Thus, the study reveals that optimizing risks taking into account the costs has an impact on risk control of MIE management.

Improving the Quality of Radiographs in Neonatal Intensive Care Unit Utilizing Educational Interventions.

Science.gov (United States)

Gupta, Ashish O; Rorke, Jeanne; Abubakar, Kabir

2015-08-01

We aimed to develop an educational tool to improve the radiograph quality, sustain this improvement overtime, and reduce the number of repeat radiographs. A three phase quality control study was conducted at a tertiary care NICU. A retrospective data collection (phase1) revealed suboptimal radiograph quality and led to an educational intervention and development of X-ray preparation checklist (primary intervention), followed by a prospective data collection for 4 months (phase 2). At the end of phase 2, interim analysis revealed a gradual decline in radiograph quality, which prompted a more comprehensive educational session with constructive feedback to the NICU staff (secondary intervention), followed by another data collection for 6 months (phase 3). There was a significant improvement in the quality of radiographs obtained after primary educational intervention (phase 2) compared with phase 1 (p quality declined but still remained significantly better than phase 1. Secondary intervention resulted in significant improvement in radiograph quality to > 95% in all domains of image quality. No radiographs were repeated in phase 3, compared with 5.8% (16/277) in phase 1. A structured, collaborated educational intervention successfully improves the radiograph quality and decreases the need for repeat radiographs and radiation exposure in the neonates. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The radiographic acromiohumeral interval is affected by arm and radiographic beam position

Energy Technology Data Exchange (ETDEWEB)

Fehringer, Edward V.; Rosipal, Charles E.; Rhodes, David A.; Lauder, Anthony J.; Feschuk, Connie A.; Mormino, Matthew A.; Hartigan, David E. [University of Nebraska Medical Center, Department of Orthopaedic Surgery and Rehabilitation, Omaha, NE (United States); Puumala, Susan E. [Nebraska Medical Center, Department of Preventive and Societal Medicine, Omaha, NE (United States)

2008-06-15

The objective was to determine whether arm and radiographic beam positional changes affect the acromiohumeral interval (AHI) in radiographs of healthy shoulders. Controlling for participant's height and position as well as radiographic beam height and angle, from 30 right shoulders of right-handed males without shoulder problems four antero-posterior (AP) radiographic views each were obtained in defined positions. Three independent, blinded physicians measured the AHI to the nearest millimeter in 120 randomized radiographs. Mean differences between measurements were calculated, along with a 95% confidence interval. Controlling for observer effect, there was a significant difference between AHI measurements on different views (p<0.01). All pair-wise differences were statistically significant after adjusting for multiple comparisons (all p values <0.01). Even in healthy shoulders, small changes in arm position and radiographic beam orientation affect the AHI in radiographs. (orig.)

FY 2000 Research and development of technology for medical and welfare equipment. Report on the comprehensive survey on welfare equipment; 2000 nendo iryo fukushi kiki gijutsu kenkyu kaihatsu chosa hokokusho. Fukushi kiki sogo chosa

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

The survey is conducted on the advanced basic and application technologies for medical and welfare equipment, e.g., biotechnology and drug delivery systems, to promote development of these technologies. For development of the gene-aided diagnostic system equipment for clinical purposes, surveys are conducted on current medical equipment and related technologies, and the results are summarized and pigeonholed for each equipment type. Also summarized are the small- to medium-sized enterprises which are considered to have techniques needed for development of sensors for heart disease treatment systems. For usability of welfare-related equipment products, investigations are made viewed from the designs oriented to human adaptability, human adaptable designs in the aging societies, and welfare-related problems in the aging societies and usability. The latest information on leading organizations and researchers is collected, for continuation and development of the usability programs for welfare-related equipment products, and also for inviting the current related technologies and researchers on life supporting for the aged in Japan to the programs. (NEDO)

Construction of a homogeneous phantom for radiographic image standardization; Construcao de um fantoma homogeneo para padronizacao de imagens radiograficas

Energy Technology Data Exchange (ETDEWEB)

Pina, Diana Rodrigues de

1996-12-31

The principle of radiodiagnosis consists in the fact the X-ray beam is attenuated at different degrees by distinct tissues. For this reason, the anatomical structures have distinct radiological opacities, that produce the radiographic image. The progresses in radiology are related to the development if new radiographic image formation systems that enable an amplification in the quality, with low dose and/or risk to the patient. The objective of this work is the sensitometric valuation of a screen-film combination, that is still the most used, for the standardization, of radiographic images. Thinking about this, were constructed homogeneous phantoms of the chest, skull and pelvis, for the calibration of X-ray beams, with the purpose of obtaining radiographic images of good quality, basing in the routine of a radiodiagnosis service and in the scientific knowledge. Questions were approached about the choice of the suitable equipment, that allow the obtention of k Vp and m As combinations, to produce radiographic images of good quality, and the reproduction of these combinations to any conventional equipment of diagnostic X-rays. Also presented are the comparison of the doses imparted by these combinations and those used in routine of the Hospital das Clinicas da Faculdade de Medicina de Ribeirao Preto`s radiodiagnosis service. (author) 24 refs., 27 figs., 12 tabs.

78 FR 35575 - Black Lung Benefits Act: Standards for Chest Radiographs

Science.gov (United States)

2013-06-13

... toll-free number). Only comments of ten or fewer pages, including a Fax cover sheet and attachments, if... have different fee structures for film and digital radiographs. Instead, standard medical coding...

Review of the regulation on the installation and use of X-ray equipment for medical diagnosis

International Nuclear Information System (INIS)

Alvarez Garcia, C.; Arguelles Sanchez, R.; Franco Artero, P.; Gil Gahete, M.; Rodriguez Marti, M.; Rueda Guerrero, M. D.; Villarroel Gonzalez-Eipe, R.

2009-01-01

The first regulation on the installation and use of X-ray equipment for the purposes of medical diagnosis was approved in 1991. This allowed the control of the safety of such equipment to be significantly improved. Royal Decree 1891/1991 has now been subjected to a review to update its contents and include the regulatory changes that have been incorporated in later standards, this having materialised with the Royal Decree 1085/2009, of July 3rd. (Author)

Investments for medical equipment in a mother and child health hospital: correlation with level of services/departments.

Science.gov (United States)

Trevisanuto, Daniele; Raggi, Roberto; Bavuusuren, Bayasgalantai; Tudevdorj, Erkhembaatar; Doglioni, Nicoletta; Zanardo, Vincenzo

2011-02-01

To assess whether investments for medical equipments assigned by a team of experts to a mother and child health hospital located in Mongolia were correlated with structural, organizational, and educational level of its services/departments. A score was used for evaluating the level of each service/department. It was based on a 'structural area' and an 'organizational and educational area'. Destination of funds was determined by a team of experts in collaboration with the head of the service/department. Thirty-three of 36 services/departments (91.6%) were evaluated. A total sum of 4,432,140 Euros to invest in medical equipment was estimated. Assigned investments were inversely correlated with the total (structural plus organizational and educational area) score (n = 33; r =  -0.59; p = 0.0002), and the specific scores for structural area (n = 33; r = -0.46; p = 0.005) and organizational and educational area (n = 33; r =  -0.56; p = 0.0006). A large part of the funds for medical equipment was destined to services/departments with low organizational and educational conditions, limiting the potential effect of the aid meanwhile supporting the most in need departments. Educational efforts and monitoring of specific long-term indicators are mandatory.

Decision theory on the quality evaluation of medical images

International Nuclear Information System (INIS)

Lessa, Patricia Silva

2001-10-01

The problem of quality has been a constant issue in every organization.One is always seeking to produce more, to do it at a lower cost, and to do it with better quality. However, in this country, there is no radiographic film quality control system for radiographic services. The tittle that actually gets done is essentially ad hoc and superficial. The implications of this gap, along with some other shortcomings that exist in process as a whole (the state of the x-ray equipment, the adequate to use in order to obtain a radiography, the quality of the film, the processing of the film, the brightness and homogeneity of the viewing boxes, the ability of the radiologist), have a very negative impact on the quality of the medical image, and, as result, to the quality of the medical diagnosis and therapy. It frequently happens that many radiographs have to be repeated, which leads to an increase of the patient's exposure to radiation, as well as of the cost of the procedure for the patient. Low quality radiographs that are not repeated greatly increase the probability of a wrong diagnosis, and consequently, of inadequate therapeutical procedures, thus producing increased incidence of bad outcomes and higher costs. The paradigm proposed in order to establish a system for the measurement of the image's quality is Decision Theory. The problem of the assessment of the image is studied by proposing a Decision Theory approach. The review of the literature reveals a great concern with the quality of the image, along with an absence of an adequate paradigm and several essentially empirical procedures. Image parameters are developed in order to formalize the problem in terms of Decision Theory, and various aspects of image digitalisation are exposed. Finally, a solution is presented, including a protocol for quality control. (author)

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

Radiographic testing methods for welds of thin titanium plates and thin wall tubes

International Nuclear Information System (INIS)

1984-01-01

This standard stipulates the testing method by X-ray radiography for the welded parts of titanium plates and titanium tubes with thickness not exceeding 8 mm. The other items than those stipulated here shall be in accordance with JIS Z 3107-1973 ''Testing method by radiography for the welded part of titanium and method of grade classification of radiographs''. As the photographing method of radiographs, the performance of the equipment and materials for testing, the direction of X-ray irradiation, the thickness of parent materials and welds, the use of penetrameters, the arrangement for photographing, the requirement for radiographs and the observation of radiographs are specified. The X-ray apparatuses, photo-sensitive materials and the tools for photographing and observation must be such that the radiographs clearly showing the defects in the welds being tested can be taken or observed. The JIS Z 3107 is insufficient for the test of thin materials like titanium, therefore, this standard was set down. As the thickness of welds, the thickness of parent materials was taken. In this standard, the titanium penetrameters were adopted because they can be made and they conform to practical state. If magnified photographing is carried out with microfocus X-ray apparatuses, precise photographing can be made. (Kako, I.)

Evaluation of the procedures in medical applications of X-rays using fuzzy logic

International Nuclear Information System (INIS)

Silva, Luiz A.C.; Teixeira, Marcello G.; Ferreira, Nadya M.P.D.

2005-01-01

A project is being developed in a large hospital III, located in the city of Rio de Janeiro, with the objective of implementing coordinated actions and procedures, in order to optimize the images obtained in conventional radiology equipment,taking into account the lower risk to the patient and images with information for a safe diagnosis. In this paper Fuzzy Logic was used for modeling the problem of image evaluation of chest radiographs. The evaluation system was modeled as a diffuse network of three layers. The first, formed by the input variables of the system, that were considered relevant to the decision-making processes of the radiographic image quality, and are related to questions observed by radiologists during the report of examination of the chest. The second formed by the outputs of two inferences that evaluate the sharpness and visibility, and a third, consisting of an final inference that groups the two inferences of second layer, providing the final evaluation of radiography. The comparison of the results obtained with the evaluation of chest radiographs by medical experts shows that are consistent using this modeling

10 CFR 34.31 - Inspection and maintenance of radiographic exposure devices, transport and storage containers...

Science.gov (United States)

2010-01-01

.... 34.31 Section 34.31 Energy NUCLEAR REGULATORY COMMISSION LICENSES FOR INDUSTRIAL RADIOGRAPHY AND RADIATION SAFETY REQUIREMENTS FOR INDUSTRIAL RADIOGRAPHIC OPERATIONS Equipment § 34.31 Inspection and... maintenance program must include procedures to assure that Type B packages are shipped and maintained in...

Australian rural radiographers' perspectives on disclosure of their radiographic opinion to patients

International Nuclear Information System (INIS)

Squibb, Kathryn; Bull, Rosalind M.; Smith, Anthony; Dalton, Lisa

2015-01-01

The role of Australian rural radiographers in radiographic interpretation, communication and disclosure of their radiographic opinion with a specific focus on plain film radiography was examined in a two phase, exploratory interpretive study. Data were collected using questionnaires and interviews and analysed thematically. This reports one of the key themes identified in the thematic data analysis. ‘Disclosure of Radiographic Opinion to Patients’ comprises the three interrelated sub-themes Acting Ethically, Selective Disclosure and Filtered Truth. It is wholly concerned with the ways in which rural radiographers choose to disclose their radiographic opinion to patients. Without a clear picture of where they stand medico-legally, rural radiographers draw on experience and a strong ethical framework as the basis for these complex decisions. Rural radiographers frame their disclosures to patients in a manner that is governed by the diagnostic, therapeutic and emotional impact the information disclosed may have on the patient. Disclosure to patients was found to be selective, often diagnostically vague and ethically filtered

The radiographic examination of the colon

International Nuclear Information System (INIS)

Hendrix, T.R.; Saba, G.P. II.

1980-01-01

To provide medical and scientific background on certain selected technologies generally considered to be of particular significance, the National Center for Health Care Technology commissioned a series of overview papers, one of which is entitled 'The Radiographic Examination of the Colon.' These overviews are likely to be of most immediate interest to clinicians and biomedical scientists; they also may provide valuable background for assessments undertaken by the Center and for exploring the broad societal implications of health care technologies. Barium enema is the most available and widely used technique for examining the colon. It is often a routine part of the gastrointestinal work-up regardless of the suspected basis, anatomical or functional, of the patient's symptoms. Indeed, common practice is not to entertain a diagnosis of functional disorder before excluding all reasonable possibility of an anatomical abnormality. Barium enema is one of the most frequently ordered radiographic examinations

A radiographic study of mental foramen in intraoral radiographs

International Nuclear Information System (INIS)

Sohn, Jeong Ick; Choi, Karp Shik

1995-01-01

The purpose of this study was to evaluate the position and shape of mental foramen in periapical radiographs. For this study, periapical radiographs of premolar areas were obtained from the 200 adults. Accordingly, the positional and shape changes of mental foramen were evaluated. The authors obtained radiographs according to changes in radiation beam direction in periapical radiographs of premolar areas, and then evaluated the positional and shape changes of mental foramen. The following results were obtained: 1. Shapes of mental foramen were observed elliptical (34.3%), round or oval (28.0%), unidentified (25.5%) and diffuse (12.2%) type in descending order of frequency. 2, Horizontal positions of mental foramen were most frequently observed at the 2nd premolar area (55.3%), the area between the 1st premolar and 2nd premolar (39.6%), the area between the 2nd premolar and 1st molar (3.4%), the 1st premolar area (1.0%), the area between the canine and 1st premolar (0.7%) in descending order of frequency. 3. Vertical positions of mental foramen were most frequently observed at the inferior to apex (67.1%), and at apex (24.8%), overlap with apex (6.4%), superior to apex (1.7%) in descending order of frequency. 4. Shapes of mental foramen were more obviously observed at the upward 10 degree positioned periapical radiographs. And according to the changes of horizontal and vertical position, they were observed similar to normally positioned periapical radiographs.

International Society of Radiographers and Radiological Technologists and radiation protection

International Nuclear Information System (INIS)

Yule, A.

2001-01-01

The ISRRT was formed in 1962 with 15 national societies and by the year 2000 has grown to comprise more than 70 member societies. The main objects of the organization are to: Improve the education of radiographers; Support the development of medical radiation technology worldwide; Promote a better understanding and implementation of radiation protection standards. The ISRRT has been a non-governmental organization in official relations with the World Health Organization (WHO) since 1967. It is the only international radiographic organization that represents radiation medicine technology and has more than 200 000 members within its 70 member countries. Representatives of the ISRRT have addressed a number of assemblies of WHO regional committees on matters relating to radiation protection and radiation medicine technology. In this way, the expertise of radiographers worldwide contributes to the establishment of international standards in vital areas, such as: Quality control; Legislation for radiation protection; Good practice in radiographic procedures; Basic radiological services. The ISRRT believes that good and consistent standards of practice throughout the world are essential

Use of Ionizing Radiation by the students of the Faculty of Odontology of the Universidad de San Carlos de Guatemala. Radiographic Techniques evaluation

International Nuclear Information System (INIS)

Ramirez Montenegro, E.S. del

2000-01-01

In the present thesis an evaluation of the radiographic techniques was made by the students in the clinics of the Faculty of Odontology in the Universidad de San Carlos. The sample was 56 students of fourth and fifth year, an survey form was designed including information about radiographic technique, pacient, film seting up, cone alineation, furthermore exposure repetitions and its cause. It was conclude that paralelism technique is used by 46% of the students, 41% bicectriz technique, 13% both techniques, 100 % aleta mordible. Regarding to equipment set up previous to exposure 88% of the students sets the equipment in acceptable way, 88% used XCP accesory to hold the film without desinfection procedures and it was not set up properly. A 92% of the evaluated student had to repeat the exposures due to wrong application of radiographic techniques

Radiographers and radiologists reporting plain radiograph requests from accident and emergency and general practice

International Nuclear Information System (INIS)

Brealey, S.D.; King, D.G.; Hahn, S.; Crowe, M.; Williams, P.; Rutter, P.; Crane, S.

2005-01-01

AIM: To assess selectively trained radiographers and consultant radiologists reporting plain radiographs for the Accident and Emergency Department (A and E) and general practitioners (GPs) within a typical hospital setting. METHODS: Two radiographers, a group of eight consultant radiologists, and a reference standard radiologist independently reported under controlled conditions a retrospectively selected, random, stratified sample of 400 A and E and 400 GP plain radiographs. An independent consultant radiologist judged whether the radiographer and radiologist reports agreed with the reference standard report. Clinicians then assessed whether radiographer and radiologist incorrect reports affected confidence in their diagnosis and treatment plans, and patient outcome. RESULTS: For A and E and GP plain radiographs, respectively, there was a 1% (95% confidence interval (CI) -2 to 5) and 4% (95% CI -1 to 8) difference in reporting accuracy between the two professional groups. For both A and E and GP cases there was an 8% difference in the clinicians' confidence in their diagnosis based on radiographer or radiologist incorrect reports. For A and E and GP cases, respectively, there was a 2% and 8% difference in the clinicians' confidence in their management plans based on radiographer or radiologist incorrect reports. For A and E and GP cases, respectively, there was a 1% and 11% difference in effect on patient outcome of radiographer or radiologist incorrect reports. CONCLUSION: There is the potential to extend the reporting role of selectively trained radiographers to include plain radiographs for all A and E and GP patients. Further research conducted during clinical practice at a number of sites is recommended

FY 2000 Report on the survey results. Survey on international cooperation for medical treatment/welfare equipment; 2000 nendo iryo fukushi kiki kokusai kyodo kenkyu jigyo chosa hokokusho

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

The NEDO's representatives visited Europe and China with the objectives of, e.g., international cooperation and information exchanges for medical treatment/welfare equipment. For the welfare equipment technologies, they visited the research institutes and facilities in UK and Germany, among others, to find that the European countries place more emphasis on researches to meet the needs than on advancing the equipment itself. For the medical treatment equipment, they visited the bio-research institutes in Europe for exchanging information on post-genome and tissue engineering. The European countries are behind USA in research fund and manpower for bio-technology and bio-medical, although making great efforts with much expectation on these areas. The China's medical treatment/welfare technologies seem to be clearly still in the stage of needing aids rather than rendering cooperation. However, China has been producing a number of new products in the areas where her traditional arts of medicine are combined with advanced techniques of the West, e.g., those for examination, as felt from a number of the equipment types presented to the China Medical Treatment Equipment Exhibition. (NEDO)

An audit of 3859 preadmission chest radiographs of apparently ...

African Journals Online (AJOL)

Background: Chest radiographs are routinely requested as part of the medical screening process prior to admission to institutions. Literature on the yield of such an exercise is sparse especially in the Nigerian setting. This study was therefore carried out to assess the usefulness of routine chest radiography for students at ...

Human-centered design of the human-system interfaces of medical equipment: thyroid uptake system

International Nuclear Information System (INIS)

Monteiro, Jonathan K.R.; Farias, Marcos S.; Santos, Isaac J.A. Luquetti; Monteiro, Beany G.

2013-01-01

Technology plays an important role in modern medical centers, making healthcare increasingly complex, relying on complex technical equipment. This technical complexity is particularly noticeable in the nuclear medicine. Poorly design human-system interfaces can increase the risks for human error. The human-centered approach emphasizes the development of the equipment with a deep understanding of the users activities, current work practices, needs and abilities of the users. An important concept of human-centered design is that the ease-of-use of the equipment can be ensured only if users are actively incorporated in all phases of the life cycle of design process. Representative groups of users are exposed to the equipment at various stages in development, in a variety of testing, evaluation and interviewing situations. The users feedback obtained is then used to refine the design, with the result serving as input to the next interaction of design process. The limits of the approach are that the users cannot address any particular future needs without prior experience or knowledge about the equipment operation. The aim of this paper is to present a methodological framework that contributes to the design of the human-system interfaces, through an approach related to the users and their activities. A case study is described in which the methodological framework is being applied in development of new human-system interfaces of the thyroid uptake system. (author)

75 FR 26196 - Publication of OIG Updated Special Fraud Alert on Telemarketing by Durable Medical Equipment...

Science.gov (United States)

2010-05-11

... DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of Inspector General Publication of OIG Updated Special Fraud Alert on Telemarketing by Durable Medical Equipment Suppliers AGENCY: Office of Inspector...) 205-0007. SUPPLEMENTARY INFORMATION: In our publication of the OIG Updated Special Fraud Alert on...

Preliminary analysis of doses to evaluate the image quality in radiographic examinations in veterinary radiology;Analise preliminar das doses para avaliacao da qualidade da imagem em exames radiograficos na radiologia veterinaria

Energy Technology Data Exchange (ETDEWEB)

Pinto, Ana Carolina B.C.F.; Dias, Mayara T.P.; Santos, Andrea C. [Universidade de Sao Paulo (USP), SP (Brazil). Faculdade de Medicina Veterinaria e Zootecnia; Melo, Camila S.; Furquim, Tania A.C. [Universidade de Sao Paulo (IEE/USP), SP (Brazil). Inst. de Eletrotecnica e Energia

2009-07-01

This work has as objective to promote the analysis of the radiological doses and quality of the image of the technical letter used for the accomplishment of thorax and coxal radiographic examination of animals of canine and feline species. The study was accomplished in the service of Diagnosis for Image in Veterinarian Hospital of Veterinary Medicine and Zootecnia College of University of Sao Paulo, in two conventional equipment. Initially, physical features of the animals and the technique used were collected for each one of the 188 radiographic examinations of thorax and 52 examinations of coxal. The animals were placed in different groups, according to their body weight. For each group, the averages for each feature were calculated: thickness of the radiographed region, tension, electric current, time of exhibition, current product electric-time, size of the used film, presence or absence of bucky and feature of focus (narrow or thick). On the basis of the averages of group M (of lesser weights that 5kg for cats and between 10,1kg and 20kg for dogs), was executed a physical analysis of the current technical letter, using the equipment: ionization chamber (to determinate the value of kerma in air), simulator objects (representative of the thickness of the animal) and three dispositive standards of test that evaluate space resolution, resolution in low contrast and contrast-detail. The obtained images were analyzed and compared for a physicist and a radiologist medical veterinary. The results had shown that the examinations supply dose considered high for techniques used mainly for coxal. The equipment A, although to supply higher doses, presents the better images for the majority of the projections. However, the study indicates that there are not exactly reference levels, but these examinations must pass for improvement of quality of image (author)

Development Of A Dynamic Radiographic Capability Using High-Speed Video

Science.gov (United States)

Bryant, Lawrence E.

1985-02-01

High-speed video equipment can be used to optically image up to 2,000 full frames per second or 12,000 partial frames per second. X-ray image intensifiers have historically been used to image radiographic images at 30 frames per second. By combining these two types of equipment, it is possible to perform dynamic x-ray imaging of up to 2,000 full frames per second. The technique has been demonstrated using conventional, industrial x-ray sources such as 150 Kv and 300 Kv constant potential x-ray generators, 2.5 MeV Van de Graaffs, and linear accelerators. A crude form of this high-speed radiographic imaging has been shown to be possible with a cobalt 60 source. Use of a maximum aperture lens makes best use of the available light output from the image intensifier. The x-ray image intensifier input and output fluors decay rapidly enough to allow the high frame rate imaging. Data are presented on the maximum possible video frame rates versus x-ray penetration of various thicknesses of aluminum and steel. Photographs illustrate typical radiographic setups using the high speed imaging method. Video recordings show several demonstrations of this technique with the played-back x-ray images slowed down up to 100 times as compared to the actual event speed. Typical applications include boiling type action of liquids in metal containers, compressor operation with visualization of crankshaft, connecting rod and piston movement and thermal battery operation. An interesting aspect of this technique combines both the optical and x-ray capabilities to observe an object or event with both external and internal details with one camera in a visual mode and the other camera in an x-ray mode. This allows both kinds of video images to appear side by side in a synchronized presentation.

Development of a dynamic radiographic capability using high-speed video

International Nuclear Information System (INIS)

Bryant, L.E. Jr.

1984-01-01

High-speed video equipment can be used to optically image up to 2000 full frames per second or 12,000 partial frames per second. X-ray image intensifiers have historically been used to image radiographic images at 30 frames per second. By combining these two types of equipment, it is possible to perform dynamic x-ray imaging of up to 2,000 full frames per second. The technique has been demonstrated using conventional, industrial x-ray sources such as 150 kV and 300 kV constant potential x-ray generators, 2.5 MeV Van de Graaffs, and linear accelerators. A crude form of this high-speed radiographic imaging has been shown to be possible with a cobalt 60 source. Use of a maximum aperture lens makes best use of the available light output from the image intensifier. The x-ray image intensifier input and output fluors decay rapidly enough to allow the high frame rate imaging. Data are presented on the maximum possible video frame rates versus x-ray penetration of various thicknesses of aluminum and steel. Photographs illustrate typical radiographic setups using the high speed imaging method. Video recordings show several demonstrations of this technique with the played-back x-ray images slowed down up to 100 times as compared to the actual event speed. Typical applications include boiling type action of liquids in metal containers, compressor operation with visualization of crankshaft, connecting rod and piston movement and thermal battery operation. An interesting aspect of this technique combines both the optical and x-ray capabilities to observe an object or event with both external and internal details with one camera in a visual mode and the other camera in an x-ray mode. This allows both kinds of video images to appear side by side in a synchronized presentation

21 CFR 866.4540 - Immunonephelometer equipment.

Science.gov (United States)

2010-04-01

...) MEDICAL DEVICES IMMUNOLOGY AND MICROBIOLOGY DEVICES Immunology Laboratory Equipment and Reagents § 866.4540 Immunonephelometer equipment. (a) Identification. Immunonephelometer equipment for clinical use...

Prevalence of dental developmental anomalies: a radiographic study.

Science.gov (United States)

Ezoddini, Ardakani F; Sheikhha, M H; Ahmadi, H

2007-09-01

To determine the prevalence of developmental dental anomalies in patients attending the Dental Faculty of Medical University of Yazd, Iran and the gender differences of these anomalies. A retrospective study based on the panoramic radiographs of 480 patients. Patients referred for panoramic radiographs were clinically examined, a detailed family history of any dental anomalies in their first and second degree relatives was obtained and finally their radiographs were studied in detail for the presence of dental anomalies. 40.8% of the patients had dental anomalies. The more common anomalies were dilaceration (15%), impacted teeth (8.3%) and taurodontism (7.5%) and supernumerary teeth (3.5%). Macrodontia and fusion were detected in a few radiographs (0.2%). 49.1% of male patients had dental anomalies compared to 33.8% of females. Dilaceration, taurodontism and supernumerary teeth were found to be more prevalent in men than women, whereas impacted teeth, microdontia and gemination were more frequent in women. Family history of dental anomalies was positive in 34% of the cases.. Taurodontism, gemination, dens in dente and talon cusp were specifically limited to the patients under 20 year's old, while the prevalence of other anomalies was almost the same in all groups. Dilaceration, impaction and taurodontism were relatively common in the studied populaton. A family history of dental anomalies was positive in a third of cases.

Radiographic evaluation of degenerative joint disease in horses: interpretive principles

International Nuclear Information System (INIS)

Widmer, W.R.; Blevins, W.E.

1994-01-01

Degenerative joint disease in horses is characterized by the progressive deterioration of articular cartilage of synovial joints. The morbidity associated with degenerative joint disease, particularly the loss of function in pleasure and performance horses, costs horse owners millions of dollars each year. Although new drugs, such as polysulfated glycosaminoglycans and hyaluronic acid, are available for the treatment of patients with degenerative joint disease, the success of therapy depends on early diagnosis. Diagnostic imaging strategies, therefore, should focus on accurate and timely diagnosis of degenerative joint disease to provide prompt therapy. Early identification of degenerative joint disease is also beneficial because the use and/or training methods of affected patients may be altered, possibly limiting the progression of the disease. The pathogenesis of degenerative joint disease is complex and multifactorial. Current evidence suggests that initiating factors lead to a final common pathway-breakdown of articular cartilage. There are many diagnostic tests that aid practitioners in detecting degenerative joint disease; however, the most important imaging technique is radiography. During the early stages of the disease, radiographic changes may be slight; therefore, it is essential that practitioners have adequate equipment to obtain high-quality radiographs. Thinning of the joint space, osteophytosis, enthesopathy, changes in subchondral bone, and increased synovium and synovia provide radiographic evidence of degenerative joint disease. By understanding the pathophysiology of the disease and how technical alterations affect the subtle radiographic changes, practitioners can more accurately diagnose degenerative joint disease during its early stages and institute proper therapy

21 CFR 866.4520 - Immunofluorometer equipment.

Science.gov (United States)

2010-04-01

...) MEDICAL DEVICES IMMUNOLOGY AND MICROBIOLOGY DEVICES Immunology Laboratory Equipment and Reagents § 866.4520 Immunofluorometer equipment. (a) Identification. Immunofluorometer equipment for clinical use with...

The radiographic image: A cultural artefact?

International Nuclear Information System (INIS)

Strudwick, Ruth M.

2014-01-01

This article looks at the role of the radiographic images produced by diagnostic radiographers. An ethnographic study of the workplace culture in one diagnostic imaging department was undertaken using participant observation for four months and semi-structured interviews with ten key informants. One of the key themes; that of the radiographic image as a cultural artefact, is explored in this article. The radiographic image is a cultural artefact which radiographers are protective of and take ownership of. Radiographers are conscious of the quality of their images and the images are an important aspect of their work. Radiographers take criticism of their images personally. The radiographic image is a record of the interaction that occurs between the radiographer and the patient. The way in which radiographic images are viewed, used and judged is an important aspect of the role of diagnostic radiographer

Initial image interpretation of appendicular skeletal radiographs: A comparison between nurses and radiographers

International Nuclear Information System (INIS)

Piper, Keith J.; Paterson, Audrey

2009-01-01

Purpose: To examine the effect of a short training programme on nurses and radiographers, exploring differences between their performance before and after training. Method: Twenty-two nurses and 18 radiographers interpreted 20 trauma radiographs of the appendicular skeleton before and after training. Normal and abnormal cases of a discriminatory nature were included. Total score, sensitivity and specificity values were calculated for each participant by comparison with an agreed expected answer. The area under the curve (AUC) was analysed using alternate free-response receiver operating characteristic (AFROC) methodology. Results: Significant differences were demonstrated between the total scores achieved by the two groups (pre-training: p = 0.007, post-training: p = 0.04). After training, the mean score increased significantly for both groups (p < 0.001). No significant difference was found between the radiographers mean pre-training scores and the nurses mean post-training scores (p = 0.66). Sensitivity for both groups increased following training, significantly so for the nurses (nurses: p < 0.001, radiographers: p = 0.06). Specificity reduced significantly after training for the nurses (p < 0.001), and increased for the radiographers but not significantly (p = 0.085). After training, there was no significant difference between the two groups in terms of sensitivity (p = 0.09) but specificity was significantly higher for the radiographers (p < 0.001). The radiographers achieved higher pre-training AUC values than the nurses (p = 0.04), although a difference remained after training this did not achieve statistical significance (p = 0.15). The AUC values increased significantly after training for both groups (nurses: p = 0.012, radiographers: p = 0.004) and again there was no significant difference between the radiographers pre-training performance and the nurses post-training performance (p = 0.62). Conclusion: Improvement after training was seen in both groups

Radiographers and trainee radiologists reporting accident radiographs: A comparative plain film-reading performance study

International Nuclear Information System (INIS)

Buskov, L.; Abild, A.; Christensen, A.; Holm, O.; Hansen, C.; Christensen, H.

2013-01-01

Aim: To compare the diagnostic accuracy and clinical validity of reporting radiographers with that of trainee radiologists whom they have recently joined in reporting emergency room radiographs at Bispebjerg University Hospital. Materials and methods: Plain radiographs of the appendicular skeleton from 1000 consecutive emergency room patients were included in the study: 500 primarily reported by radiographers and 500 by trainee radiologists. The final reporting was subsequently undertaken by a consultant radiologist in consensus with an orthopaedic surgeon. Two observers classified reports as either true positive/negative or false positive/negative based on the final report, which was considered the reference standard. To evaluate the severity of incorrect primary reports, errors were graded into three categories concerning clinical impact and erroneous reports graded as the most severe category were subsequently analysed. Mann–Whitney and Chi-squared tests were used to compare differences and associations between radiographers versus trainee radiologists regarding film reporting. Results: The sensitivity for correct diagnosis was 99% for reporting radiographers and 94% for trainee radiologists. The specificity was found to be 97% for reporting radiographers and 99% for trainee radiologists. Radiographers missed significantly fewer fractures (n = 2) than trainee radiologists (n = 14; p = 0.006) but had a higher, but not significant, degree of overcalling. No significant difference was found between groups regarding clinical impact of incorrect reporting. Conclusion: Trained radiographers report accident radiographs of the extremities with high accuracy and constitute a qualified resource to help meet increasing workload and demands in quality standards.

Radiographic constant exposure technique

DEFF Research Database (Denmark)

Domanus, Joseph Czeslaw

1985-01-01

The constant exposure technique has been applied to assess various industrial radiographic systems. Different X-ray films and radiographic papers of two producers were compared. Special attention was given to fast film and paper used with fluorometallic screens. Radiographic image quality...... was tested by the use of ISO wire IQI's and ASTM penetrameters used on Al and Fe test plates. Relative speed and reduction of kilovoltage obtained with the constant exposure technique were calculated. The advantages of fast radiographic systems are pointed out...

Design and Implementation of a Portal for the Medical Equipment Market: MEDICOM

Science.gov (United States)

Kalivas, Dimitris; Panou-Diamandi, Ourania; Zeelenberg, Cees; van Nimwegen, Chris

2001-01-01

Background The MEDICOM (Medical Products Electronic Commerce) Portal provides the electronic means for medical-equipment manufacturers to communicate online with their customers while supporting the Purchasing Process and Post Market Surveillance. The Portal offers a powerful Internet-based search tool for finding medical products and manufacturers. Its main advantage is the fast, reliable and up-to-date retrieval of information while eliminating all unrelated content that a general-purpose search engine would retrieve. The Universal Medical Device Nomenclature System (UMDNS) registers all products. The Portal accepts end-user requests and generates a list of results containing text descriptions of devices, UMDNS attribute values, and links to manufacturer Web pages and online catalogues for access to more-detailed information. Device short descriptions are provided by the corresponding manufacturer. The Portal offers technical support for integration of the manufacturers' Web sites with itself. The network of the Portal and the connected manufacturers' sites is called the MEDICOM system. Objective To establish an environment hosting all the interactions of consumers (health care organizations and professionals) and providers (manufacturers, distributors, and resellers of medical devices). Methods The Portal provides the end-user interface, implements system management, and supports database compatibility. The Portal hosts information about the whole MEDICOM system (Common Database) and summarized descriptions of medical devices (Short Description Database); the manufacturers' servers present extended descriptions. The Portal provides end-user profiling and registration, an efficient product-searching mechanism, bulletin boards, links to on-line libraries and standards, on-line information for the MEDICOM system, and special messages or advertisements from manufacturers. Platform independence and interoperability characterize the system design. Relational Database

Design and implementation of a portal for the medical equipment market: MEDICOM.

Science.gov (United States)

Palamas, S; Kalivas, D; Panou-Diamandi, O; Zeelenberg, C; van Nimwegen, C

2001-01-01

The MEDICOM (Medical Products Electronic Commerce) Portal provides the electronic means for medical-equipment manufacturers to communicate online with their customers while supporting the Purchasing Process and Post Market Surveillance. The Portal offers a powerful Internet-based search tool for finding medical products and manufacturers. Its main advantage is the fast, reliable and up-to-date retrieval of information while eliminating all unrelated content that a general-purpose search engine would retrieve. The Universal Medical Device Nomenclature System (UMDNS) registers all products. The Portal accepts end-user requests and generates a list of results containing text descriptions of devices, UMDNS attribute values, and links to manufacturer Web pages and online catalogues for access to more-detailed information. Device short descriptions are provided by the corresponding manufacturer. The Portal offers technical support for integration of the manufacturers Web sites with itself. The network of the Portal and the connected manufacturers sites is called the MEDICOM system. To establish an environment hosting all the interactions of consumers (health care organizations and professionals) and providers (manufacturers, distributors, and resellers of medical devices). The Portal provides the end-user interface, implements system management, and supports database compatibility. The Portal hosts information about the whole MEDICOM system (Common Database) and summarized descriptions of medical devices (Short Description Database); the manufacturers servers present extended descriptions. The Portal provides end-user profiling and registration, an efficient product-searching mechanism, bulletin boards, links to on-line libraries and standards, on-line information for the MEDICOM system, and special messages or advertisements from manufacturers. Platform independence and interoperability characterize the system design. Relational Database Management Systems are used for

Management of radiodiagnostic equipment: Implementation of self-maintenance project of the conventional x-ray equipment of Hospital Universitario Clementino Fraga Filho - HUCFF-UFRJ

International Nuclear Information System (INIS)

Couto, N.F. do; Azevedo, A.C.P.; Koch, H.A.

2001-01-01

The project aims the implantation of a management program, for the maintenance of the conventional X-ray equipment at HUCFF. It has been implemented through the training of the electronic technicians who work at the Hospital. Essential courses were organized such as: Basics of Radioprotection, Radiographs Techniques, and Maintenance of equipment of X-Rays. Equipment: a library with the schemes of the equipment is being assembled in collaboration with UNICAMP. In order to manage the process, a software was created using the tools of the total quality for control of the maintenance. Preliminary tests: the equipment and their working conditions were evaluated, as well as the level of the employees' satisfaction with their use. The creation of a new routine for maintenance seeks to assist the demands of the new legislation in Brazil 5, and also reduce the costs to improve the quality of the images in the Radiodiagnostic Service. (author)

Visual simulation of radiographs

International Nuclear Information System (INIS)

Laguna, G.

1985-01-01

A method for computer simulation of radiographs has been added to the LLNL version of the solid modeler TIPS-1 (Technical Information Processing System-1). This new tool will enable an engineer to compare an actual radiograph of a solid to its computer-generated counterpart. The appearance of discrepancies between the two can be an indication of flaws in the solid object. Simulated radiographs can also be used to preview the placement of x-ray sources to focus on areas of concern before actual radiographs are made

Radiographic examination of the equine foot

International Nuclear Information System (INIS)

Park, R.D.

1989-01-01

A complete radiographic examination of the equine foot consists of properly exposed, processed, and positioned radiographs. For radiographic interpretation, in addition to knowing radiographic signs of disease, a knowledge of normal radiographic anatomy and possible insignificant anatomic variations is necessary

Radiographic testing

International Nuclear Information System (INIS)

Kuster, J.

1978-01-01

In view of great differencies in X-ray transmission it is more difficult to get optimum radiographs of plastics and especially of reinforced plastics than for example of metals. A procedure will be reported how to get with little effort optimum radiographs especially also in the range of long wave-length radiation corresponding 10 to 25 kV.P. (orig.) [de

Specification for high voltage cable plug and socket connections for medical X-ray equipment

International Nuclear Information System (INIS)

1980-01-01

Under the direction of the Light Engineering Standards Committee, a British Standard Specification has been prepared for three-conductor and four-conductor high-voltage cable plug and socket connections for medical X-ray equipment. The standard deals with the essential dimensions to ensure mechanical interchangeability, the recommended dimensions, the wiring connections to contacts of plug and socket and the marking of contacts of plug and socket. (U.K.)

Compliance testing of medical diagnostic x-ray equipment: three years experience of a public hospital in western Australia

International Nuclear Information System (INIS)

Tuchyna, T.; Jacob, C.S.

2000-01-01

Full text: A formal compliance testing program which began on 1 January 1997 called for all medical and diagnostic x-ray equipment to be tested according to protocols established by the Western Australian Radiological Council. This work describes the impact of the legislation three years post implementation on a major teaching Hospital with 45 x-ray tubes located throughout 37 rooms. Testing is performed prior to scheduled service by licensed compliance testers according to test methods specified in the Western Australian Compliance Testing Workbook, 1997. A dedicated non-invasive x-ray beam analyser is instrumental in accurately determining radiation output parameters of the generator and x-ray tube. Assessment of compliance is determined by a Qualified Expert. Repair and re-testing of non-compliant items is coordinated with service personnel. Notices of non-compliance were received for approximately 60% of the equipment in the Hospital following the equipment' first annual test. Reasons and seriousness of failure varied according to equipment category, test category, equipment use and age. The majority of non-compliance issues were resolved within 90 days. At the end of the third year of testing, approximately 75% of the x-ray units tested met the compliance criteria. The main reasons for non-compliance were found to be design limitations associated with old technology and the current radiation legislation that makes it difficult for older equipment to meet the stringent criteria. The number and categories of failure did not significantly decrease in the second or third years of testing. Exemptions from compliance criteria have been sought for two units on the basis of age and design. Units unable to meet the criteria following several repair attempts or where the cost of repair was deemed not justified, were decommissioned. Formal testing of medical x-ray equipment has demonstrated various non-compliance issues that did not significantly improve during the

Frequency of abnormal hand and wrist radiographs at time of diagnosis of polyarticular juvenile rheumatoid arthritis.

Science.gov (United States)

Mason, Tom; Reed, Ann M; Nelson, Audrey M; Thomas, Kristen B; Patton, Alice; Hoffman, Alan D; Achenbach, Sara; O'Fallon, William M

2002-10-01

To determine the frequency of radiographic abnormalities in hand/wrist radiographs of children with newly diagnosed polyarticular juvenile rheumatoid arthritis (polyJRA) because radiographs of small joints are an important tool in assessing outcomes in RA and there are clinical similarities between RA and polyJRA. A medical record review was performed to identify cases of polyJRA seen at Mayo Clinic from January 1, 1994, to December 31, 2001. Hand/wrist radiographs, obtained at the time of diagnosis, were reviewed by 3 radiologists with attention to periarticular osteopenia, joint space narrowing (JSN), or erosion. At least 2 radiologists had to independently identify abnormal findings on the same radiograph. The relative carpal length (RCL), judged by Poznanski's method, was also determined. From the review of 159 medical records, 60 cases of newly diagnosed polyJRA were identified. Twenty-five of these had hand/wrist radiographs at diagnosis; 18 sets were available for this study. Of those, 2/3 were female, 6% (1/18) had subcutaneous nodules, 7% (1/14) had elevated levels of serum rheumatoid factor, and 44% (7/16) had elevated serum levels of antinuclear antibodies. Median age at diagnosis was 10.2 years, median duration of hand/wrist symptoms at diagnosis was 10 months, and median number of joints with either swelling, pain on range of motion (ROM), or limited ROM was 14.5. Sixty-one percent of radiographs taken at the time of diagnosis of polyJRA were abnormal. While 44% had periarticular osteopenia, 28% had either erosions or JSN. Six (33%) had RCL > 2 SD below the mean for age. Five (83%) of those with RCL, > 2 SD below the mean for age, had periarticular osteopenia, JSN, or erosion. We conclude the frequency of abnormal hand/wrist radiographs is very high very early in the course of polyJRA. More studies are needed to determine to what extent these radiographic abnormalities correlate with clinical outcomes.

Assessment of Radiographic Image Quality by Visual Examination of Neutron Radiographs of the Calibration Fuel Pin

DEFF Research Database (Denmark)

Domanus, Joseph Czeslaw

1986-01-01

Up till now no reliable radiographic image quality standards exist for neutron radiography of nuclear reactor fuel. Under the Euratoro Neutron Radiography Working Group (NRWG) Test Program neutron radiographs were produced at different neutron radiography facilities within the European Community...... of a calibration fuel pin. The radiographs were made by the direct, transfer and tracketch methods using different film recording materials. These neutron radiographs of the calibration fuel pin were used for the assessement of radiographic image quality. This was done by visual examination of the radiographs...

Medical equipment archives management based on internet%基于互联网的医疗器械档案管理

Institute of Scientific and Technical Information of China (English)

杨琼

2017-01-01

目的:有效管理医疗器械档案,实现档案信息资源的共享.方法:通过互联网管理平台与内网相结合的多途径、多渠道管理模式,根据医疗设备和医用耗材档案管理的不同需求进行分类管理.结果:销售公司作为用户参与到医院管理工作中来,充分发挥了他们的主观能动性,有效减轻了设备科的工作压力;工作人员可以随时随地登录网站查阅、录入信息,为工作提供方便,实现了医疗器械电子档案精确动态管理.结论:医疗器械档案管理网络化是档案收集及充分发挥档案作用的一个有效途径.%Objective To effectively manage the archives of medical equipment and realize the sharing of archives information resources.Methods Multi-way management mode integrating internet management platform and intranet was involved in classification management according to the requirements of medical equipment and consumables archives management.Results Distribution company was involved in hospital management as the user,and the workload of the equipment department was relieved effectively.The staff could inquire and input information by logging in the website,and precision and dynamic management of medical equipment electronic archives was realized.Conclusion Network-based medical equipment archives management contributes to the collection and application of the archives.

Transmission of hazardous diseases via nanobacterial contamination of medical and dental equipment

Directory of Open Access Journals (Sweden)

Jafar Kolahi

2013-01-01

Full Text Available Introduction: Nanobacteria (calcifying nanoparticles, nanobes are one of the most controversial issues in contemporary biology. Studies show accumulating evidence on association of nanobacteria with pathologic calcifications such as kidney stone, arterial plaque, calcification of coronary arteries, and cardiac valves calculus. The Hypothesis: Nanobacteria can tolerate harsh conditions extremely well. The apatite mineral layer around the organism and slow metabolism is likely to be the reason for the resistance of nanobacteria. They showed a wide resistance to the several disinfecting and sterilizating chemicals as well as autoclaving, ultraviolet light, microwaves, heating and drying treatments. Hence, it seems logic to postulate that hazardous diseases can be easily transmitted via nanobacterial contamination of medical and dental equipment. Evaluation of the Hypothesis: It is not enough to claim an agent not living according to the standard view on living creatures, as irrelevant to biological safety of cell cultures, or to human and animal health. Although the nature of prions is still under debate and prions are classified as nonliving, they exist and cause diseases, and thus form a serious risk for animal and human health. The risk was recognized only after enormous economical losses. It appears that nanobacteria situation is rather similar, except the fact that nanobacteria appear to cause or contribute to common hazardous diseases of the mankind. Hence, world-widely well-known organizations such as the Centers for Disease Control and Prevention, the Occupational Safety and Health Administration, and the World Health Organization should pay more attention to transmission of hazardous diseases via nanobacterial contamination of medical and dental equipment.

COMPARATIVE ANALYSIS OF MEDICAL EQUIPMENT USED IN DIAGNOSTIC IMAGING IN BULGARIA AND COUNTRIES WORLDWIDE AND OPTIMIZATION AIMED AT IMPROVING THE HEALTH CARE SYSTEM MANAGEMENT

Directory of Open Access Journals (Sweden)

Svetoslav Garov

2016-07-01

Full Text Available Purpose: to reveal the current condition of medical equipment in Bulgaria related to those major groups of socially significant diseases and to make an attempt to define guidelines for its optimization in view of improving the functioning and management of the healthcare system in this field. Material and methods: The following research methods have been applied: 1. Document review method – research, processing and analysis of medical statistical information taken from data from WHO and annual reports of NRA. The study includes data from 2009 - 2015. 2. Graphical method – summarizing data in relevant tables and diagram presentations. Results: The article analyzes the condition of medical equipment in the field of oncologic and cardiologic medical aid in Bulgaria based on data taken from WHO (World Health Organization and annual reports of NRA (Nuclear Regulatory Agency. Six types of diagnostic imaging and radiation therapy devices have been studied: Magnetic Resonance Imaging units (MRI; Computed Tomography Scanners (CT, Positron Emission Tomography Scanners, Mammographs, Linear accelerators and Telecobalt units (Cobalt-60. The condition of medical equipment since 2009 has been analyzed, results have been reported and trends - studied. Conclusion: The oncologic and cardiologic medical equipment in Bulgaria has been gradually improving in the last seven years, but quantitative indicators regarding the devices studied are still far away from the figures recommended by WHO with one single exception, i.e. Computed Tomography Scanners.

Radiographic Test

Energy Technology Data Exchange (ETDEWEB)

Lee, H.J; Yang, S.H. [Korea Electric Power Research Institute, Taejon (Korea)

2002-07-01

This report contains theory, procedure technique and interpretation of radiographic examination and written for whom preparing radiographic test Level II. To determine this baseline of technical competence in the examination, the individual must demonstrate a knowledge of radiography physics, radiation safety, technique development, radiation detection and measurement, facility design, and the characteristics of radiation-producing devices and their principles of operation. (author) 98 figs., 23 tabs.

Online Kidney Position Verification Using Non-Contrast Radiographs on a Linear Accelerator with on Board KV X-Ray Imaging Capability

International Nuclear Information System (INIS)

Willis, David J.; Kron, Tomas; Hubbard, Patricia; Haworth, Annette; Wheeler, Greg; Duchesne, Gillian M.

2009-01-01

The kidneys are dose-limiting organs in abdominal radiotherapy. Kilovoltage (kV) radiographs can be acquired using on-board imager (OBI)-equipped linear accelerators with better soft tissue contrast and lower radiation doses than conventional portal imaging. A feasibility study was conducted to test the suitability of anterior-posterior (AP) non-contrast kV radiographs acquired at treatment time for online kidney position verification. Anthropomorphic phantoms were used to evaluate image quality and radiation dose. Institutional Review Board approval was given for a pilot study that enrolled 5 adults and 5 children. Customized digitally reconstructed radiographs (DRRs) were generated to provide a priori information on kidney shape and position. Radiotherapy treatment staff performed online evaluation of kidney visibility on OBI radiographs. Kidney dose measured in a pediatric anthropomorphic phantom was 0.1 cGy for kV imaging and 1.7 cGy for MV imaging. Kidneys were rated as well visualized in 60% of patients (90% confidence interval, 34-81%). The likelihood of visualization appears to be influenced by the relative AP separation of the abdomen and kidneys, the axial profile of the kidneys, and their relative contrast with surrounding structures. Online verification of kidney position using AP non-contrast kV radiographs on an OBI-equipped linear accelerator appears feasible for patients with suitable abdominal anatomy. Kidney position information provided is limited to 2-dimensional 'snapshots,' but this is adequate in some clinical situations and potentially advantageous in respiratory-correlated treatments. Successful clinical implementation requires customized partial DRRs, appropriate imaging parameters, and credentialing of treatment staff.

Are We Using Abdominal Radiographs Appropriately in the Management of Pediatric Constipation?

Science.gov (United States)

Beinvogl, Beate; Sabharwal, Sabina; McSweeney, Maireade; Nurko, Samuel

2017-12-01

To identify the reasons why pediatric gastroenterologists obtain abdominal radiographs in the management of pediatric constipation. This was a prospective study surveying providers regarding their rationale, interpretation, resultant change, and confidence in their management before and after obtaining KUBs in patients seen for suspected constipation. Demographics and clinical findings were obtained from medical records. A total of 24 providers were surveyed after 72 patient encounters. Reasons for obtaining an abdominal radiograph included evaluation of stool burden (70%), need for a clean out (35%), fecal impaction (27%), cause of abdominal pain (24%), demonstration of stool burden to families (14%), assessment of response to therapy (13%), or encopresis (10%). The plan was changed in 47.6% of cases based on radiographic findings. In cases in which a plan was outlined before obtaining the radiograph (69%), the initial plan was implemented on average in 52.5%. In cases with no plans before obtaining the radiograph, previously unconsidered plans were implemented in 8.7%. Provider confidence in the management plan increased from 2.4 ± 2.7 to 4.1 ± 1.8 (P abdominal radiograph. Abdominal radiographs commonly are obtained by pediatric gastroenterologists in the evaluation and management of constipation. The majority used it to make a diagnosis, and nearly one-half changed their management based on the imaging findings. Overall, they reported an improved confidence in their management plan, despite evidence that radiographic findings poorly correlate with clinical severity. This study highlights the need for further provider education regarding the recommendations delineated in existing constipation guidelines. Copyright © 2017 Elsevier Inc. All rights reserved.

Effect of negative air ions on the potential for bacterial contamination of plastic medical equipment.

Science.gov (United States)

Shepherd, Simon J; Beggs, Clive B; Smith, Caroline F; Kerr, Kevin G; Noakes, Catherine J; Sleigh, P Andrew

2010-04-12

In recent years there has been renewed interest in the use of air ionizers to control the spread of infection in hospitals and a number of researchers have investigated the biocidal action of ions in both air and nitrogen. By comparison, the physical action of air ions on bacterial dissemination and deposition has largely been ignored. However, there is clinical evidence that air ions might play an important role in preventing the transmission of Acinetobacter infection. Although the reasons for this are unclear, it is hypothesized that a physical effect may be responsible: the production of air ions may negatively charge items of plastic medical equipment so that they repel, rather than attract, airborne bacteria. By negatively charging both particles in the air and items of plastic equipment, the ionizers minimize electrostatic deposition on these items. In so doing they may help to interrupt the transmission of Acinetobacter infection in certain healthcare settings such as intensive care units. A study was undertaken in a mechanically ventilated room under ambient conditions to accurately measure changes in surface potential exhibited by items of plastic medical equipment in the presence of negative air ions. Plastic items were suspended on nylon threads, either in free space or in contact with a table surface, and exposed to negative ions produced by an air ionizer. The charge build-up on the specimens was measured using an electric field mill while the ion concentration in the room air was recorded using a portable ion counter. The results of the study demonstrated that common items of equipment such as ventilator tubes rapidly developed a large negative charge (i.e. generally >-100V) in the presence of a negative air ionizer. While most items of equipment tested behaved in a similar manner to this, one item, a box from a urological collection and monitoring system (the only item made from styrene acrylonitrile), did however develop a positive charge in the

Effect of negative air ions on the potential for bacterial contamination of plastic medical equipment

Directory of Open Access Journals (Sweden)

Kerr Kevin G

2010-04-01

Full Text Available Abstract Background In recent years there has been renewed interest in the use of air ionizers to control the spread of infection in hospitals and a number of researchers have investigated the biocidal action of ions in both air and nitrogen. By comparison, the physical action of air ions on bacterial dissemination and deposition has largely been ignored. However, there is clinical evidence that air ions might play an important role in preventing the transmission of Acinetobacter infection. Although the reasons for this are unclear, it is hypothesized that a physical effect may be responsible: the production of air ions may negatively charge items of plastic medical equipment so that they repel, rather than attract, airborne bacteria. By negatively charging both particles in the air and items of plastic equipment, the ionizers minimize electrostatic deposition on these items. In so doing they may help to interrupt the transmission of Acinetobacter infection in certain healthcare settings such as intensive care units. Methods A study was undertaken in a mechanically ventilated room under ambient conditions to accurately measure changes in surface potential exhibited by items of plastic medical equipment in the presence of negative air ions. Plastic items were suspended on nylon threads, either in free space or in contact with a table surface, and exposed to negative ions produced by an air ionizer. The charge build-up on the specimens was measured using an electric field mill while the ion concentration in the room air was recorded using a portable ion counter. Results The results of the study demonstrated that common items of equipment such as ventilator tubes rapidly developed a large negative charge (i.e. generally >-100V in the presence of a negative air ionizer. While most items of equipment tested behaved in a similar manner to this, one item, a box from a urological collection and monitoring system (the only item made from styrene

Attitudes of radiographers to radiographer-led discharge: A survey

International Nuclear Information System (INIS)

Lumsden, Laura; Cosson, Philip

2015-01-01

Background: The traditional role of the Diagnostic Radiographer in image acquisition has gradually been extended through skill-mix, particularly to include abnormality detection. Aims: This research focused on the attitudes of Radiographers to Radiographer-led Discharge (RLD), where Radiographers discharge patients with minor injuries and perform tasks previously undertaken by Accident and Emergency staff. The effects of job role, hospital type, experience and whether RLD was used in the participant's trust were examined. Method: A multiple-indicator online questionnaire assessed attitudes to RLD. Snowball sampling was used with advertisement via emails, posters and cards, containing Quick Response (QR) codes. Statement responses were coded, with reverse coding for negative statements and total scores were calculated. A higher score represented a more positive attitude. Results: 101 questionnaires were completed (an estimated 30% response rate) and the mean total score was 84/115. 95% of participants supported radiographer involvement in abnormality detection, with 46.5% selecting RLD as the preferred system for minor injuries patients vs 48.5% preferring commenting alone. Discussion: Participants were positive about extending their role through RLD and felt confident in their image interpretation abilities, though expressed concern for the legal consequences of the role and adequate pay. Generalization of the results is limited due to the possible low response rate. Conclusion: Overall, participants demonstrated positive attitudes towards RLD but they also indicate the need for appropriate payment for any additional responsibility. These findings are promising for successful implementation of RLD, though larger-scale research including radiologists, business managers, A and E staff and patients would be beneficial. - Highlights: • 101 questionnaires were completed (an estimated 30% response rate). • 95% of participants supported radiographer involvement

An engineering development of fluoroscopic X-ray medical equipment based-on fluorescent screen

International Nuclear Information System (INIS)

Ferry Suyatno; I Putu Susila; Djoko Sukmono

2011-01-01

Fluoroscopic x-ray medical equipment uses fluorescent screen to capture structural image of organs. Unlike conventional x-ray equipment which uses film, in the fluoroscopic x-ray, the resulting image is visualized on the fluorescent screen and directly observed by physicians in the patients' rooms. In this study, we developed an image capture system that transforms the image on the fluorescent screen into digital data, which is then transferred to computer for visualization and further processing. By using this system, the observation of the resulting image can be done on a computer that is placed in the control room. The image can also be stored easily and at low cost compared to conventional film. The experiment shows that the system could be used to capture image of the object. However, its quality needs to be improved. In the future, the system will be modified and tested with different types of cameras to obtain better results. (author)

Digital image analysis of NDT radiographs

International Nuclear Information System (INIS)

Graeme, W.A. Jr.; Eizember, A.C.; Douglass, J.

1989-01-01

Prior to the introduction of Charge Coupled Device (CCD) detectors the majority of image analysis performed on NDT radiographic images was done visually in the analog domain. While some film digitization was being performed, the process was often unable to capture all the usable information on the radiograph or was too time consuming. CCD technology now provides a method to digitize radiographic film images without losing the useful information captured in the original radiograph in a timely process. Incorporating that technology into a complete digital radiographic workstation allows analog radiographic information to be processed, providing additional information to the radiographer. Once in the digital domain, that data can be stored, and fused with radioscopic and other forms of digital data. The result is more productive analysis and management of radiographic inspection data. The principal function of the NDT Scan IV digital radiography system is the digitization, enhancement and storage of radiographic images

Development of a handmade device for collimation and central ray alignment tests in medical X-ray equipment

International Nuclear Information System (INIS)

Cruz, B.L. da; Brito, E.B.; Gomes, A.S.

2017-01-01

Ordinance 453/98 of the Ministry of Health establishes that medical X-ray equipment should be monitored by tests that prove its efficiency. This practice is called quality control (QC), and two important tests jointly evaluate the operation of the collimation and alignment systems of the central axis of the X-ray beam. The low supply and the high cost generate allegations of difficulties in the periodic realization of the tests. The aim of this work is to design, make and evaluate the performance of a handmade device for the mentioned tests, using low cost materials. Once built, the device had its performance evaluated and compared with the traditionally marketed device. The handmade device proved to be fit in its functions. It is possible to make a device that tests X-ray medical equipment, using the radiology technologist himself as the test runner. Radiation protection is promoted and legislation with no real financial burden

Pocket atlas of radiographic anatomy

International Nuclear Information System (INIS)

Moeller, T.B.; Reif, E.; Stark, P.

1993-01-01

The 'Pocket Atlas of Radiographic Anatomy' presents 170 radiographs of the various body regions of adults, showing only the normal radiographic anatomy. Each radiograph is supplemented on the opposite page by a drawing of the particular body region. There is no commenting text, but the drawings are provided with captions in English. The atlas is a useful guide for interpreting radiographs. The pictures are arranged in chapters entitled as follows: Skeletal Imaging (skull, spine, upper extremity), lower extremity; Miscellaneous Plain Films (chest, mammogram, trachea, lung tomograms); Contrast Examinations (gastrointestinal tract, intravenous contrast examinations, arthrography, angiography); Special Examinations (myelograms, lymphangiograms, bronchograms, sialograms). (UWA). 348 figs [de

Radiographic reference limits for cardiac width in peregrine falcons (Falco peregrinus)

NARCIS (Netherlands)

Lumeij, J.T.; Shaik, S.; Ali, M.

2011-01-01

Abstract Journal of the American Veterinary Medical Association June 1, 2011, Vol. 238, No. 11, Pages 1459-1463 doi: 10.2460/javma.238.11.1459 Radiographic reference limits for cardiac width in peregrine falcons (Falco peregrinus) Johannes T. Lumeij, DVM, PhD; Muneer A. S. Shaik, BVSc, AH; Mohammed

Radiation Protection in the Medical Practice: Myth and Reality the French Radiographers point of view

International Nuclear Information System (INIS)

Gerson, P.; Fraboulet, P.; Menechal, P.

2002-01-01

The use of the ionising radiation in the medical practice has evolved since its beginnings. Their benefit for the patient is considerable in term of comfort, diagnostic and therapeutic effectiveness. The users can be brought to think that the radiological risk is completely controlled and that the problems of radiation protection for the workers is now of the past. Indeed, the evolutions and the technical, material and scientific revolutions tend to decrease the doses delivered to the patients, and also to the professionals. In addition, the regulation associated with the use of the ionising radiation is strict and constraining, and one can estimate that radiation protection is a model of management of occupational hazards through its mode of declaration, authorization, controls, management and traceability. However, the daily practice and the experience on the hospital ground shows that the radiological exposures remain alarming and that any risk cannot be isolated, generally dependent on unsuited human behaviours. The participation of the radiographers to this reflection is essential. In fact, he is or should be the permanent link between the emission of radiation and the patient. For this reason, he is the last barrier regarding protection for the patient or the staff. He is thus the essential link beside the experts for a quality control in radiation protection. After a detailed and concrete description of the encountered problems, we will submit some non exhaustive but essential proposals for an improvement so that a real policy ALARA is applied and developed in the medical practice. (Author)

Radiographic Detectability of Retained Neuropatties in a Cadaver Model.

Science.gov (United States)

Luo, Wangjian Thomas; Almack, Robert; Mawson, John B; Cochrane, David Douglas

2015-08-01

Counts are the commonest method used to ensure that all sponges and neuropatties are removed from a surgical site before closure. When the count is not reconciled, plain radiographs of the operative site are taken to determine whether the missing patty has been left in the wound. The purpose of this study was to describe the detectability of commonly used neuropatties in the clinical setting using digital technologies. Neuropatties were implanted into the anterior and posterior cranial fossae and the thoracolumbar extradural space of a mature male cadaver. Four neuropatty sizes were used: 3 × 1 in, 2 × ½ in, ½ × ½ in, and ¼ × ¼ in. Neuropatties, with size and location chosen at random, were placed in the surgical sites and anteroposterior/posterior-anterior and lateral radiographs were taken using standard portable digital radiographic equipment. Six clinicians reviewed the digital images for the presence or absence of neuropatties. The readers were not aware of the number and size of the patties that were included in each image. The detectability of neuropatties is dependent on the size of the neuropatty's radiopaque marker and the operative site. Neuropatties measuring 2 × ½ in and 3 × 1 in were detected reliably regardless of the operative site. ¼ × ¼ in neuropatties were poorly detected by neurosurgeons and radiologists in all three operative sites. Readers of various experience and background were similar in their ability to detect neuropatties under these conditions. Under simulated operating room conditions and using currently available neuropatties and plain radiograph imaging technology, small ¼-in and ½-in neuropatties are poorly visible/detectable on digital images. Copyright © 2015 Elsevier Inc. All rights reserved.

Radiographic examination of the equine head

International Nuclear Information System (INIS)

Park, R.D.

1993-01-01

Radiographic examinations of the equine head can be performed with portable x-ray machines. The views comprising the examination depend on the area of the head being examined. With a knowledge of radiographic anatomy and radiographic signs of disease, valuable diagnostic information can be obtained from the radiographic examination. In addition, the radiographic information can also be used to develop a prognosis and determine the most appropriate therapy

Rapidly processable radiographic material

International Nuclear Information System (INIS)

Brabandere, L.A. de; Borginon, H.A.; Pattyn, H.A.; Pollet, R.J.

1981-01-01

A new rapidly processable radiographic silver halide material is described for use in mammography and non-destructive testing of industrial materials. The radiographic material is used for direct exposure to penetrating radiation without the use of fluorescent-intensifying screens. It consists of a transparent support with a layer of hydrophilic colloid silver halide emulsion on one or both sides. Examples of the preparation of three different silver halide emulsions are given including the use of different chemical sensitizers. These new radiographic materials have good resistance to the formation of pressure marks in rapid processing apparatus and they have improved sensitivity for direct exposure to penetrating radiation compared to conventional radiographic emulsions. (U.K.)

Sensitometric curve of radiographic films by X-ray fluorescence

Energy Technology Data Exchange (ETDEWEB)

Gonçalves, E.A.S., E-mail: elicardo.goncalves@ifrj.edu.br [Instituto Federal do Rio de Janeiro (IFRJ), RJ (Brazil); Oliveira, D.F.; Anjos, M.J. dos; Oliveira, L.F. de [Universidade do Estado do Rio de Janeiro (UERJ), RJ (Brazil); Lopes, R.T. [Coordenacao de Pos-Graduacao e Pesquisa de Engenharia (COPPE/UFRJ), Rio de Janeiro, RJ (Brazil)

2017-07-01

Radiographic film exposure is traditionally measured by the transmittance of a beam of light through the film. There are many mathematical and computational models to characterize the curve behavior and its properties, but almost none of them considers the limitations caused by the equipment used. As long as exposure in film increases, light intensity measured after the film decreases in a way that from a certain exposure, light could not be distinguished from any kind of noise. This work aims to propose x-ray fluorescence as a solution for better measure high exposed films and show how it could be modeled mathematically. (author)

Ionising radiation risk disclosure: When should radiographers assume a duty to inform?

Science.gov (United States)

Younger, C W E; Douglas, C; Warren-Forward, H

2018-05-01

Autonomy is a fundamental patient right for ethical practice, and informed consent is the mechanism by which health care professionals ensure this right has been respected. The ethical notion of informed consent has evolved alongside legal developments. Under Australian law, a provider who fails to disclose risk may be found to be in breach of a duty of disclosure, potentially facing legal consequences if the patient experiences harm that is attributable to an undisclosed risk. These consequences may include the common law tort of negligence. Ionising radiation, in the form of a medical imaging examination, has the potential to cause harm. However, stochastic effects cannot be attributable to a specific ionising radiation event. What then is the role of the Australian medical imaging service provider in disclosing ionising radiation risk? The ethical and legal principles of informed consent, and the duty of information provision to the patient are investigated. These general principles are then applied to the specific and unusual case of ionising radiation, and what responsibilities apply to the medical imaging provider. Finally, the legal, professional and ethical duties of the radiographer to disclose information to their patients are investigated. Australian law is unclear as to whether a radiographer has a common law responsibility to disclose radiation risk. There is ambiguity as to whether stochastic ionising radiation risk could be considered a legal disclosure responsibility. While it is unlikely that not disclosing risk will have medicolegal consequences, doing so represents sound ethical practice. Copyright © 2017 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.

An evaluation of musculoskeletal discomfort experience by radiographers performing mammography

Energy Technology Data Exchange (ETDEWEB)

Gale, A.G.; May, J

1997-10-01

The aim of this study was to establish whether breast screening radiographers experience any problems of musculoskeletal discomfort, and if so the nature and extent of these problems. The study was then further extended to investigate and determine possible occupational, causal or contributory factors, and to suggest recommendations to help alleviate any discomfort. To investigate this problem five main approaches were undertaken. These consisted of; a national survey, an observational study, the comparison of the physical measurements of the mammography units with anthropometric data, a detailed task analysis, and a body mapping study. The national survey set out to determine if the nature and frequency of such problems were higher in mammography than in other areas of radiography or in the general population. Additionally, comparisons were made with non-radiographic staff working at the same breast screening centres. Video recordings of radiographers performing breast screening were also made and posture analysis performed on these data. A detailed task analysis was conducted to identify interaction points and possible problems between the radiographer and the equipment which she is required to use. Physical measurements of the mammography units were made and compared with anthropometric measurements and guidelines. The body mapping study measured the build up of discomfort throughout the working day on several different mammography units. The results from the survey questionnaire indicated that some breast screening radiographers do experience musculoskeletal problems, and that these are different in nature and prevalence from the musculoskeletal discomfort reported by the two control groups. The prevalence of back pain reported by radiographers undertaking mammography was higher than that present in the normal population. No comparison could be made with other body areas as data regarding other types of musculoskeletal discomfort in the general population are

Should the lateral chest radiograph be routinely performed?

International Nuclear Information System (INIS)

Osman, Fatuma; Williams, Imelda

2014-01-01

Background: The chest x-ray is one of the most common plain film radiographic examinations performed. Inclusion of the lateral chest radiograph varies internationally and nationally across radiology departments and states in Australia. Search strategy: A search strategy of the databases Cochrane Library, Ovid Medline/Medline, PubMed, Scopus and Science Direct was conducted. The results were restricted to those published between 1985 and 2013 and those published in English. The following search terms were used: ‘lateral chest’, ‘radiograph’, ‘digital radiography’, ‘chest x-ray’, ‘plain film radiography’, ‘ionising radiation’. The results were restricted to publications with these terms in the title, abstract and/or keywords. Main findings: There are few national or international guidelines pertaining to the inclusion of the lateral chest x-ray as routine. Primary concerns are the increased radiation dose associated with the additional chest view and reduction of medical imaging services cost. Modern digital imaging systems result in a lower radiation dose. The diagnostic yield of the lateral chest x-ray is highly dependent on the clinical indications of the patient. Further research into the routine inclusion of the lateral chest x-ray is recommended. Conclusion: Review of the literature suggests that the lateral chest radiograph should not be performed routinely unless clinically indicated

Three-dimensional hindfoot alignment measurements based on biplanar radiographs: comparison with standard radiographic measurements

International Nuclear Information System (INIS)

Sutter, Reto; Pfirrmann, Christian W.A.; Buck, Florian M.; Espinosa, Norman

2013-01-01

To establish a hindfoot alignment measurement technique based on low-dose biplanar radiographs and compare with hindfoot alignment measurements on long axial view radiographs, which is the current reference standard. Long axial view radiographs and low-dose biplanar radiographs of a phantom consisting of a human foot skeleton embedded in acrylic glass (phantom A) and a plastic model of a human foot in three different hindfoot positions (phantoms B1-B3) were imaged in different foot positions (20 internal to 20 external rotation). Two independent readers measured hindfoot alignment on long axial view radiographs and performed 3D hindfoot alignment measurements based on biplanar radiographs on two different occasions. Time for three-dimensional (3D) measurements was determined. Intraclass correlation coefficients (ICC) were calculated. Hindfoot alignment measurements on long axial view radiographs were characterized by a large positional variation, with a range of 14 /13 valgus to 22 /27 varus (reader 1/2 for phantom A), whereas the range of 3D hindfoot alignment measurements was 7.3 /6.0 to 9.0 /10.5 varus (reader 1/2 for phantom A), with a mean and standard deviation of 8.1 ± 0.6/8.7 ± 1.4 respectively. Interobserver agreement was high (ICC = 0.926 for phantom A, and ICC = 0.886 for phantoms B1-B3), and agreement between different readouts was high (ICC = 0.895-0.995 for reader 1, and ICC = 0.987-0.994 for reader 2) for 3D measurements. Mean duration of 3D measurements was 84 ± 15/113 ± 15 s for reader 1/2. Three-dimensional hindfoot alignment measurements based on biplanar radiographs were independent of foot positioning during image acquisition and reader independent. In this phantom study, the 3D measurements were substantially more precise than the standard radiographic measurements. (orig.)

Dental radiographic study on the dilantin induced osteomalacia

Energy Technology Data Exchange (ETDEWEB)

Kim, Yung Gul; You, Dong So [Department of radiology, College of Dentistry, Seoul Nation University, Seoul (Korea, Republic of)

1983-11-15

Radiographic measurements on the which of mandibular cortical plate and the lamina dura and on the root length were done in 42 patients who were in long-term Dilantin medication. Osteoporosis and root abnormalities were also investigated. The obtained results were as follows: 1. The number of male patients was greater than that of female patients. 2. The width of mandibular cortical plate was thinner in patient group than in control group. 3. There was no significant change in the width of lamina dura between the patient group and control group. 4. The root length of patient group was generally shorter than that of control group. 5. There were evidence of generalized mandibular osteoporosis and alteration in mandibular canal wall in 8 patients. (19%) 6. In Dilantin induced osteomalacia, the radiographic changes of mandibular canal wall and mandibular cortical plate were prominent, but that of lamina dura was not significant.

Dental radiographic study on the dilantin induced osteomalacia

International Nuclear Information System (INIS)

Kim, Yung Gul; You, Dong So

1983-01-01

Radiographic measurements on the which of mandibular cortical plate and the lamina dura and on the root length were done in 42 patients who were in long-term Dilantin medication. Osteoporosis and root abnormalities were also investigated. The obtained results were as follows: 1. The number of male patients was greater than that of female patients. 2. The width of mandibular cortical plate was thinner in patient group than in control group. 3. There was no significant change in the width of lamina dura between the patient group and control group. 4. The root length of patient group was generally shorter than that of control group. 5. There were evidence of generalized mandibular osteoporosis and alteration in mandibular canal wall in 8 patients. (19%) 6. In Dilantin induced osteomalacia, the radiographic changes of mandibular canal wall and mandibular cortical plate were prominent, but that of lamina dura was not significant.

Characterization of the Ljubljana TRIGA thermal column neutron radiographic facility

International Nuclear Information System (INIS)

Nemec, T.; Rant, J.; Kristof, E.; Glumac, B.

1995-01-01

An extensive characterization of the neutron beam of the existing neutron radiographic facility in the thermal column of the Ljubljana Triga Mark II research reactor is in progress. Neutron beam characteristics are needed to determine the effect of various neutron and gamma radiation on the neutron radiographic image. Commercially available medical scintillator converter screens based on Gd dioxy sulphite as well as Gd metal neutron converters are used to record neutron radiographic image. Thermal, epithermal and fast neutron fluxes were measured using Au and In activation detectors and cadmium ratio is determined. Neutron beam flux profiles are measured by film densitometry and by Au activation detector wires. By exposing films shielded by boral or lead plates individual contributions of thermal, epithermal neutrons and gamma radiation are estimated by densitometric measurements. By recording images of neutron image quality indicators BPI (Beam Purity Indicator) and SI (Sensitivity Indicator) produced by Riso, standard neutron radiography image characteristic are established. In gamma dosimetric measurements thermoluminescent detectors (CaF 2 Mn) are used. (author)

Diagnostic x-ray equipment compliance and facility survey. Recommended procedures for equipment and facility testing

International Nuclear Information System (INIS)

1994-01-01

The Radiation Protection Bureau has set out guidelines for the testing of diagnostic x-ray equipment and facilities. This guide provides information for the x-ray inspector, test engineer, technologist, medical physicist and any other person responsible for verifying the regulatory compliance or safety of diagnostic x-ray equipment and facilities. Diagnostic x-radiation is an essential part of present day medical practice. The largest contributor of irradiation to the general population comes from diagnostic x-radiation. Although individual irradiations are usually small, there is a concern of possible excess cancer risk when large populations are irradiated. Unnecessary irradiations to patients from radiological procedures can be significantly reduced with little or no decrease in the value of medical diagnostic information. This can be achieved by using well designed x-ray equipment which is installed, used and maintained by trained personnel, and by the adoption of standardized procedures. In general, when patient surface dose is reduced, there is a corresponding decrease in dose to x-ray equipment operators and other health care personnel. 2 tabs., 4 figs

Diagnostic x-ray equipment compliance and facility survey. Recommended procedures for equipment and facility testing

Energy Technology Data Exchange (ETDEWEB)

NONE

1994-12-31

The Radiation Protection Bureau has set out guidelines for the testing of diagnostic x-ray equipment and facilities. This guide provides information for the x-ray inspector, test engineer, technologist, medical physicist and any other person responsible for verifying the regulatory compliance or safety of diagnostic x-ray equipment and facilities. Diagnostic x-radiation is an essential part of present day medical practice. The largest contributor of irradiation to the general population comes from diagnostic x-radiation. Although individual irradiations are usually small, there is a concern of possible excess cancer risk when large populations are irradiated. Unnecessary irradiations to patients from radiological procedures can be significantly reduced with little or no decrease in the value of medical diagnostic information. This can be achieved by using well designed x-ray equipment which is installed, used and maintained by trained personnel, and by the adoption of standardized procedures. In general, when patient surface dose is reduced, there is a corresponding decrease in dose to x-ray equipment operators and other health care personnel. 2 tabs., 4 figs.

CNEN-NN 6.04 standard adaptation in Brazil for industrial radiographic work in occupied areas or public roads

International Nuclear Information System (INIS)

Teixeira, P.B.; Aquino, J.O. de; Souza, L.A. de

1996-01-01

The industrial radiographic work that uses mobile equipment in Brazil must be in compliance with the National Commission of Nuclear Energy (CNEN) Regulation CNEN-NN 6.04. It states that every works that employs radiographic equipment in occupied areas or public roads requires a specific radiation protection procedure. This procedure must be approved by the CNEN at least fifteen days before starting the job. It is not always possible to the users to get their licensing work at time, because the industrial radiography jobs need immediate actions. Furthermore, the CNEN-NN 6.04 Regulation does not specify what type of information the procedures should involve, so that some important information had been often missed, causing a delaying in the licensing procedures. The corrective and preventive actions taken by the CNEN to optimize this kind of jobs and to overcome bureaucratic difficulties are described. A standard radiation protection procedure is also presented. (authors). 2 refs., 2 tabs

Radiographic positioning

International Nuclear Information System (INIS)

Eisenberg, R.L.; Dennis, C.A.; May, C.

1989-01-01

This book concentrates on the routine radiographic examinations commonly performed. It details the wide variety of examinations possible and their place in initial learning and in the radiology department as references for those occasions when an unusual examination is requested. This book provides information ranging from basic terminology to skeletal positioning to special procedures. Positions are discussed and supplemented with a picture of a patient, the resulting radiograph, and a labeled diagram. Immobilization and proper shielding of the patient are also shown

Comparison between the implementation of quality criteria of radiographic image in conventional and digital mammography equipments

International Nuclear Information System (INIS)

Alcantara, M.C.; Sordi, G.M.A.A.; Caldas, L.V.E.; Furquim, T.A.C.

2008-01-01

The mammographic examination needs a strict quality control. A publication of the European Commission provides guidelines on quality criteria for the images of the breast, quantifying the quality obtained in the image. Following the recommendations of the European Commission, two kinds of mammographic equipments, at a same institution, were evaluated to compare the quality of the conventional and digital images. Besides of that, the Average Glandular Dose (AGD) and the Entrance Surface Dose (ESD) were measured by using an ionization chamber (Radcal, 6M) in the radiation beams of each equipment. The digital equipment fulfills more quality criteria than the conventional equipment, provided ESD values, AGD values and a rejection index lower than the conventional equipment. Therefore, the digital mammography can be considered more adequate than the conventional one, both for criteria analyses and for dose optimization. (author)

A radiographic study of the position and shape of mental foramen in panoramic radiographs

International Nuclear Information System (INIS)

Choi, Karp Shik; Kim, Dong Youn; Sohn, Jeong Ick; Bae, Yong Chul

1997-01-01

The purpose of this study was to evaluate the position and shape of mental foramen in panoramic radiographs. For this study, panoramic radiographs were obtained from the 200 adults and evaluated the position and shape of mental foramen. According to various positional changes in panoramic radiographs of the patients, the author also obtained panoramic radiographs from the 100 adults and then evaluated the positional and shape changes of mental foramen. The following results were obtained : 1. Shapes of mental foramen were observed elliptical (43.3%), round or oval (42.5%), unidentified (7.5%) and diffuse (6.7%) type in descending order of frequency. 2. Horizontal position of mental foramen were most frequently observed at the 2nd premolar area (54.2%), and area between the 1st premolar and 2nd premolar (43.1%), area between the 2nd premolar and 1st molar (2.7%), and at apex (9.7%), overlap with apex (1.9%), superior of apex (0.2%) in descending order of frequency. 4. According to various positional changes in panoramic radiographs of the patients, shape changes of mental foramen were more obviously observed at the forward 10 mm and chin down 10 degree positioned panoramic radiographs, And changes of horizontal and vertical position were observed in similar to compared with normal positioned panoramic radiographs.

Preoperative thoracic radiographic findings in dogs presenting for gastric dilatation-volvulus (2000-2010): 101 cases.

Science.gov (United States)

Green, Jaime L; Cimino Brown, Dorothy; Agnello, Kimberly A

2012-10-01

To identify the incidence of clinically significant findings on preoperative thoracic radiographs in dogs with gastric dilatation-volvulus (GDV) and to determine if those findings are associated with survival. Retrospective study from 2000 to 2010. Urban university small animal teaching hospital. One hundred and one dogs diagnosed with GDV that had thoracic radiographs obtained preoperatively, and medical records available with the following information available: signalment, time of presentation, respiratory status, plasma lactate, presence of cardiac arrhythmias, reason for thoracic radiographs, radiographic findings, and outcome. None. Findings on preoperative thoracic radiographs included small vena cava (40%), esophageal dilation (39%), microcardia (34%), aspiration pneumonia (14%), cardiomegaly (5%), pulmonary nodule (4%), pulmonary edema (2%), sternal lymphadenopathy (1%), and pulmonary bullae (1%). Eighty-four percent of dogs (85 out of 101) survived to discharge. Dogs without cardiomegaly on presenting thoracic radiographs had a 10.2 greater odds of surviving to discharge. The most common findings on preoperative thoracic radiographs include esophageal dilation, microcardia, and a small vena cava while the incidence of pulmonary nodules was low. A negative association between survival and presence of cardiomegaly on preoperative thoracic radiographs in dogs with GDV supports the need to obtain these images for prognostic information in spite of the emergency surgical nature of the GDV. The main limitations of this study include the possibilities of type I and type II errors, the retrospective nature of the study, and the lack of well-defined criteria for obtaining thoracic radiographs. © Veterinary Emergency and Critical Care Society 2012.

Doses from Medical Radiation Sources

Science.gov (United States)

... Medical Radiation Sources Michael G. Stabin, PhD, CHP Introduction Radiation exposures from diagnostic medical examinations are generally ... of exposure annually to natural background radiation. Plain Film X Rays Single Radiographs Effective Dose, mSv Skull ( ...

Evaluating the fundamental qualities of a nuclear medicine radiographer for the provision of an optimal clinical service

International Nuclear Information System (INIS)

Griffiths, Marc; King, Simon; Stewart, Rob; Dawson, Gary

2010-01-01

The developing nature of nuclear medicine practice highlights the need for an evaluation of the fundamental qualities of a Radiographer working within this discipline. Existing guidelines appear to be in place for clinical technologists working within nuclear medicine. However, limited guidance has been provided for Radiographers practicing within this discipline. This article aims to discuss the fundamental qualities that are considered essential for optimal service delivery, following consultation with various stakeholders. Areas such as technical expertise and knowledge, appropriate use of imaging equipment and current models of safe working practice will be discussed. Patient care and ethical considerations will also be evaluated, along with some core recommendations for future advanced practice.

Effect of display type and room illuminance in chest radiographs

International Nuclear Information System (INIS)

Liukkonen, Esa; Jartti, Airi; Haapea, Marianne; Oikarinen, Heljae; Ahvenjaervi, Lauri; Mattila, Seija; Nevala, Terhi; Palosaari, Kari; Perhomaa, Marja; Nieminen, Miika T.

2016-01-01

To compare diagnostic accuracy in the detection of subtle chest lesions on digital chest radiographs using medical-grade displays, consumer-grade displays, and tablet devices under bright and dim ambient light. Five experienced radiologists independently assessed 50 chest radiographs (32 with subtle pulmonary findings and 18 without apparent findings) under bright (510 lx) and dim (16 lx) ambient lighting. Computed tomography was used as the reference standard for interstitial and nodular lesions and follow-up chest radiograph for pneumothorax. Diagnostic accuracy and sensitivity were calculated for assessments carried out in all displays and compared using the McNemar test. The level of significance was set to p < 0.05. Significant differences in sensitivity between the assessments under bright and dim lighting were found among consumer-grade displays in interstitial opacities with, and in pneumothorax without, Digital Imaging and Communication in Medicine-Grayscale Standard Display Function (DICOM-GSDF) calibration. Compared to 6 megapixel (MP) display under bright lighting, sensitivity in pneumothorax was lower in the tablet device and the consumer-grade display. Sensitivity in interstitial opacities was lower in the DICOM-GSDF calibrated consumer-grade display. A consumer-grade display with or without DICOM-GSDF calibration or a tablet device is not suitable for reading digital chest radiographs in bright lighting. No significant differences were observed between five displays in dim light. (orig.)

Simulation of dental intensifying screen for intraoral radiographic using MCNP5 code

International Nuclear Information System (INIS)

Ferreira, Vanessa M.; Oliveira, Renato C.M.; Barros, Graiciany P.; Oliveira, Arno H.; Veloso, M. Auxiliadora F.

2011-01-01

One of basic principles for radiological protection is the optimization of techniques for obtain radiographic images, in way that the dose in the patient is kept as low as reasonably achievable (ALARA). Intensifying screens are used in medical radiology, which reduce considerably the dose rates in the production of radiographic images, maintaining the quality of these, while in dental radiology, there is no a intensifying screen available for intraoral examinations. From this technological requirement, this paper evaluates a computational modeling of an intensifying screen for use in intraoral radiography. For this, it was used the Monte Carlo code MCNP5 that allows the radiography simulation through the transport of electrons and photons in the different materials present in this examination. The goal of an intensifying screen is the conversion of X-ray photons to photons in the visible spectrum, knowing that radiographic films are more sensitive to light photons than to X-ray photons. So the screen should be composed of an efficient material for converting x-rays photons in light photons, therefore was made simulations using different materials, thicknesses and positions possible for placing screen in radiographic film in order to find the way more technically feasible. (author)

Esophageal Lichen Planus: Clinical and Radiographic Findings in Eight Patients.

Science.gov (United States)

Rauschecker, Andreas M; Levine, Marc S; Whitson, Matthew J; Tondon, Rashmi; Rubesin, Stephen E; Furth, Emma E; Metz, David C

2017-01-01

The purpose of this study is to present the clinical and radiographic findings of esophageal lichen planus. A search of computerized medical records identified 15 patients with pathologic findings of esophageal lichen planus on endoscopic biopsy specimens. Three other patients had presumed esophageal lichen planus, although no biopsy specimens were obtained. Twelve of these 18 patients (67%) had double-contrast esophagography performed at our institution; for eight of the 12 patients (67%), the studies revealed abnormalities in the esophagus. These eight patients constituted our study group. The barium esophagrams and medical records of these eight patients were reviewed to determine the clinical, radiographic, and endoscopic findings of esophageal lichen planus as well as the treatment and patient outcome. All eight patients were women (median age, 66.5 years), and all eight presented with dysphagia (mean duration, 3.2 years). Four patients had previous lichen planus that involved the skin (n = 1), the oral cavity (n = 2), or both (n = 1), and one patient later had lichen planus that involved the vagina. Five patients had a small-caliber esophagus with diffuse esophageal narrowing. The remaining three patients had segmental strictures in the cervical (n = 1), upper thoracic (n = 1), and distal thoracic (n = 1) esophagus. Esophageal lichen planus typically occurs in older women with longstanding dysphagia and often develops in the absence of extraesophageal disease. Barium esophagrams may reveal a small-caliber esophagus or, less commonly, segmental esophageal strictures. Greater awareness of the radiographic findings of esophageal lichen planus hopefully will lead to earlier diagnosis and better management of this condition.

Comparison of different radiographic methods for the detection of the mandibular canal

International Nuclear Information System (INIS)

Kim, Eun Kyung

2003-01-01

To compare the visibility of the mandibular canal at the different radiographic methods such as conventional panoramic radiographs, Vimplant multiplanar reformatting (MPR)-CT panoramic images, Vimplant MPR-CT paraxial images and film-based DentaScan MPR-CT images. Data of 11 mandibular dental implant patients, who had been planned treatment utilizing both panoramic and MPR-CT examination with DentaScan software (GE Medical systems, Milwaukee, USA), were used in this study. The archived axial CT data stored on CD-R discs were transferred to a personal computer with 17' LCD monitor. Paraxial and panoramic images were reconstructed using Vimplant software (CyberMed Inc., Seoul, Korea). Conventional panoramic radiographs, monitor-based Vimplant MPR-CT panoramic images, monitor-based Vimplant MPR-CT paraxial images, and film-based DentaScan MPR-CT images were evaluated for visibility of the mandibular canal at the mental foramen, 1 cm, 2 cm, and 3 cm posterior to mental foramen using the 4-point grading score. Vimplant MPR-CT panoramic, paraxial, and DentaScan MPR-CT images revealed significantly clearer images than conventional panoramic radiographs. Particularly at the region 1 cm posterior to mental foramen, conventional panoramic radiographs showed a markedly lower percentage of 'excellent' mandibular canal images than images produced by other modalities. Vimplant MPR-CT and DentaScan MPR-CT images did not show significant difference in visibility of the mandibular canal. The study results shoe that Vimplant and DentaScan MPR-CT imaging systems offer significantly better images of the mandibular canal than conventional panoramic radiograph.

An evaluation of musculoskeletal discomfort experience by radiographers performing mammography

International Nuclear Information System (INIS)

Gale, A.G.; May, J.

1997-01-01

The aim of this study was to establish whether breast screening radiographers experience any problems of musculoskeletal discomfort, and if so the nature and extent of these problems. The study was then further extended to investigate and determine possible occupational, causal or contributory factors, and to suggest recommendations to help alleviate any discomfort. To investigate this problem five main approaches were undertaken. These consisted of; a national survey, an observational study, the comparison of the physical measurements of the mammography units with anthropometric data, a detailed task analysis, and a body mapping study. The national survey set out to determine if the nature and frequency of such problems were higher in mammography than in other areas of radiography or in the general population. Additionally, comparisons were made with non-radiographic staff working at the same breast screening centres. Video recordings of radiographers performing breast screening were also made and posture analysis performed on these data. A detailed task analysis was conducted to identify interaction points and possible problems between the radiographer and the equipment which she is required to use. Physical measurements of the mammography units were made and compared with anthropometric measurements and guidelines. The body mapping study measured the build up of discomfort throughout the working day on several different mammography units. The results from the survey questionnaire indicated that some breast screening radiographers do experience musculoskeletal problems, and that these are different in nature and prevalence from the musculoskeletal discomfort reported by the two control groups. The prevalence of back pain reported by radiographers undertaking mammography was higher than that present in the normal population. No comparison could be made with other body areas as data regarding other types of musculoskeletal discomfort in the general population are

Artificial intelligence for analyzing orthopedic trauma radiographs.

Science.gov (United States)

Olczak, Jakub; Fahlberg, Niklas; Maki, Atsuto; Razavian, Ali Sharif; Jilert, Anthony; Stark, André; Sköldenberg, Olof; Gordon, Max

2017-12-01

Background and purpose - Recent advances in artificial intelligence (deep learning) have shown remarkable performance in classifying non-medical images, and the technology is believed to be the next technological revolution. So far it has never been applied in an orthopedic setting, and in this study we sought to determine the feasibility of using deep learning for skeletal radiographs. Methods - We extracted 256,000 wrist, hand, and ankle radiographs from Danderyd's Hospital and identified 4 classes: fracture, laterality, body part, and exam view. We then selected 5 openly available deep learning networks that were adapted for these images. The most accurate network was benchmarked against a gold standard for fractures. We furthermore compared the network's performance with 2 senior orthopedic surgeons who reviewed images at the same resolution as the network. Results - All networks exhibited an accuracy of at least 90% when identifying laterality, body part, and exam view. The final accuracy for fractures was estimated at 83% for the best performing network. The network performed similarly to senior orthopedic surgeons when presented with images at the same resolution as the network. The 2 reviewer Cohen's kappa under these conditions was 0.76. Interpretation - This study supports the use for orthopedic radiographs of artificial intelligence, which can perform at a human level. While current implementation lacks important features that surgeons require, e.g. risk of dislocation, classifications, measurements, and combining multiple exam views, these problems have technical solutions that are waiting to be implemented for orthopedics.

A clinical and radiographic study of coir workers.

Science.gov (United States)

Uragoda, C G

1975-02-01

Processing of coir, which is the fibre obtained from the husk of the coconut, is a dusty procedure; 779 workers in two coir processing factories in Sri Lanka were examined clincally and radiographically for evidence of respiratory disease. Respiratory symptoms were present in 20 (2-6%) of them, which is no higher than in the general population. Respiratory disease such as asthma, chronic bronchitis, byssinosis, and pulmonary tuberculosis which may occur from occupational exposures were considered, but there was no evidence to suggest a definite association between these conditions and coir dust. Twenty-two workers had abnormal chest radiographs, but when compared with a control group of 591 workers from an engineering firm where lesions were found in 20 cases, there was no significant difference. In the opinion of the medical officer, management and workers of the large factory investigated, coir dust does not produce any respiratory disability. The chemical composition of coir dust is similar to that of sisal which is also relatively inert.

Radiosterilization and other sterilization methods of medical equipment on Kilmer's conference, Brussels, 12-16 June 1993

International Nuclear Information System (INIS)

Zagorski, Z.P.

1993-01-01

The Johnson and Johnson Co. organized the scientific conference devoted to different aspects and methods of sterilization of medical equipment and materials. A condensed review of the main problems discussed during the conference has been done. Attention has been paid especially on: actual problems with primary infections control, problems of sterilization in pharmacy, hazards problems, investigations and control methods and radiation sterilization. 2 figs

Radiographic localization of unerupted mandibular anterior teeth.

Science.gov (United States)

Jacobs, S G

2000-10-01

The parallax method and the use of 2 radiographs taken at right angles to each other are the 2 methods generally used to accurately localize teeth. For the parallax method, the combination of a rotational panoramic radiograph with an occlusal radiograph is recommended. This combination involves a vertical x-ray tube shift. Three case reports are presented that illustrate: (1) how this combination can accurately localize unerupted mandibular anterior teeth, (2) how a deceptive appearance of the labiolingual position of the unerupted tooth can be produced in an occlusal radiograph, (3) how increasing the vertical angle of the tube for the occlusal radiograph makes the tube shift easier to discern, (4) why occlusal radiographs are preferable to periapical radiographs for tube shifts, and (5) how localization can also be carried out with 2 radiographs at right angles to each other, one of which is an occlusal radiograph taken with the x-ray tube directed along the long axis of the reference tooth.

Radiographic progession of rheumatoid arthritis

International Nuclear Information System (INIS)

Siozos, C.D.

1981-01-01

The radiographic progression of rheumatoid arthritis can be graded on a 0-IV scala. For this purpose five objective criteria are used: a) destruction, b) osteoporosis, c) narrowing of joint space, d) luxation and e) ankylosis. The grading of the radiographic progression is defined by the extent and the number of the measured alterations. The radiographic progression can be registered yearly. (orig.) [de

171 ROYAL DECREE 1891/1991 of 30 December 1991 on the installation and use of X-ray equipment for the purposes of medical diagnosis

International Nuclear Information System (INIS)

1992-01-01

The Decree lays down the rules enabling government authorities to monitor the proper functioning of such appliances. It takes account of the Council of European Communities' Directive 80/836/Euratom amended by Directive 84/466/Euratom on basic safety standards for the health protection of the general public and workers against the dangers of ionization and Directive 84/467/Euratom laying down basic measures for the radiation protection of persons undergoing medical examination or treatment. The Decree provides for a register of firms authorised to sell and maintain medical X-ray equipment, and a register of the equipment installed. It also sets out requirements relating to third party liability insurance, and to the qualifications and training of personnel operating the equipment. (NEA)

EXPERIENCE IN DEVELOPMENT MEDICAL KITS FOR MEDICAL SERVICES OF THE RUSSIAN FEDERATION ARMED FORCES

Directory of Open Access Journals (Sweden)

E. O. Rodionov

2016-01-01

Full Text Available Introduction. The development of modern, complete-standard issue equipment for the Armed Forces Medical Service is an urgent organizational and management task. First aid kits, medical bags, sets of medical equipment, medical kits and packing existed until recently; no longer meet modern requirements for a number of objective reasons. The aim of the study was the formation of programs of development of modern samples of complete-standard-issue equipment. Materials and methods. The study was conducted based on the analysis of scientific literature and guidelines which regulate different aspects of the Armed Forces Medical Service complete-standard issue equipment. The study used methods like: retrospective, content analysis, comparison and description, logical, structural and functional analysis, expert assessments, decision-making, as well as the methods of the theory of constraints and other systems. Results and discussion. rmation of the range of medical property in modern conditions for inclusion into complete-standard issue equipment is connected with the need to make timely decisions on choosing the most efficient models, taking into account market conditions and economic opportunities. There are requirements established for the complete-samples standard issue equipment for their use outside a medical organization. Development program structure of complete-standard-issue equipment is shown, as well as examples of the formation of the content of medical equipment kits. On the basis of the offered program a new complete-standard issue equipment of the Armed Forces Medical Service was created. In accordance with the principles of the theory of constraints a strategy to optimize the composition of sets of medical equipment was developed. It included comprehensive solutions aimed at stabilizing the activity of the pharmaceutical industry in the interest of the Armed Forces Medical Service. Conclusions. An offered program has allowed developing

Radiographic interpretation of the appendicular skeleton: A comparison between casualty officers, nurse practitioners and radiographers

International Nuclear Information System (INIS)

Coleman, Liz; Piper, Keith

2009-01-01

Aim: To assess how accurately and confidently casualty officers, nurse practitioners and radiographers, practicing within the emergency department (ED), recognize and describe radiographic trauma within an image test bank of 20 appendicular radiographs. Method: The participants consisted of 7 casualty officers, 13 nurse practitioners and 18 radiographers. All 20 radiographic examinations selected for the image test bank had been acquired following trauma and included some subtle, yet clinically significant abnormalities. The test bank score (maximum 40 marks), sensitivity and specificity percentages were calculated against an agreed radiological diagnosis (reference standard). Alternative Free-response Receiver Operating Characteristic (AFROC) analysis was used to assess the overall performance of the diagnostic accuracy of these professional groups. The variation in performance between each group was measured using the analysis of variance (ANOVA) test, to identify any statistical significant differences in the performance in interpretation between these groups. The relationship between the participants' perceived image interpretation accuracy during clinical practice and the actual accuracy of their image test bank score was examined using Pearson's Correlation Coefficient (r). Results: The results revealed that the radiographers gained the highest mean test bank score (28.5/40; 71%). This score was statistically higher than the mean test bank scores attained by the participating nurse practitioners (21/40; 53%) and casualty officers (21.5/40; 54%), with p < 0.01 and p = 0.02, respectively. When compared with each other, the scores from these latter groups showed no significant difference (p = 0.91). The mean 'area under the curve' (AUC) value achieved by the radiographers was also significantly higher (p < 0.01) in comparison to the AUC values demonstrated by the nurse practitioners and casualty officers, whose results, when compared, showed no significant

The radiographer's role in child protection: Comparison of radiographers perceptions by use of focus groups

International Nuclear Information System (INIS)

Davis, Michaela; Reeves, Pauline

2006-01-01

The research presented in this paper is taken from a larger study whose aims were to devise a holistic picture of how diagnostic radiographers approach child protection issues and to explore how radiographers and other professionals see the role of radiographers in the chain of evidence in relation to child protection as this applies to children who present at the Imaging Department with suspected non-accidental injuries (NAI). A focus group methodology was used with focus groups being conducted in the United Kingdom and Republic of Ireland. The results indicated that both United Kingdom and Republic of Ireland radiographers agreed that they had a role in child protection; however, they identified a wide interpretation as to the extent of that role. Although radiographers in the United Kingdom and Republic of Ireland work within different legal systems there were themes identified which were common to both countries. Although radiographers referred to a duty to the child as to all patients, no radiographer specifically mentioned the system and child care law under which it is assumed they operate. This research revealed an area which would benefit from more detailed research using a wider audience. However, the study revealed a need for training in relation to possible NAI indicators and the correct procedure for documenting their suspicions and initiating an NAI referral

Clinical and Radiographic Study of Benign Odontogenic Tumors in the Jaws

Energy Technology Data Exchange (ETDEWEB)

Kim, Gyung Yae; Park, Chang Seo [Dept. of Oral Radiology, College of Dentistry, Yonsei University, Seoul (Korea, Republic of)

1989-11-15

The author observed and analyzed the age, sex, chief complaint and radiographic finding of sixty-one cases of benign odontogenic tumors seen in Yonsei Medical Center, for the period of Jan. 1979 to Aug. 1989. The results were as follows: 1. Benign odontogenic tumors of 61 cases included 52 cases (85.3%) of ameloblastoma and odontoma, and 9 cases of other lesions. Radiographically, the border of the lesions were well-defined. 2. Ameloblastoma constituting twenty-seven cases (44.3%) occurred the average age of 31.1 years and had a 3:1 male predominance. The most common complaint was swelling (20 cases, 74.0%) and followed by pain (13 cases, 48.2%). Radiographically, the most common site was mandibular body area (74.0%) and the lesions were mainly multiocular radiolucency; in 17 cases (63.0%) and unilocular radiolucent lesion were seen in 10 cases (37.0%). 16 cases (59.3%) showed the resorption of roots of adjacent teeth. 3. Odontoma constituting twenty-five cases (41.0%) discovered at the average age of 16.9 years and had a 3:2 male predominance. The most common complaint was delayed eruption of tooth (8 cases, 31.0%) and 7 cases (27.0%) detected on a routine radiograph of the area. Radiographically, 17 cases (68.0%) were of compound type and 8 were of complex variety and compound odontomas were common in the anterior maxilla, whereas complex odontomas occurred more frequently in the posterior mandible. 19 cases (76.0%) showed the impaction of adjacent teeth.

Reliability of linear distance measurement for dental implant length with standardized periapical radiographs

International Nuclear Information System (INIS)

Wakoh, Mamoru; Harada, Takuya; Otonari, Takamichi

2006-01-01

The purpose of this study was to investigate the accuracy of distance measurements of implant length based on periapical radiographs compared with that of other modalities. We carried out an experimental trial to compare precision in distance measurement. Dental implant fixtures were buried in the canine and first molar regions. These were then subjected to periapical (PE) radiography, panoramic (PA) radiography conventional (CV) and medical computed (CT) tomography. The length of the implant fixture on each film was measured by nine observers and degree of precision was statistically analyzed. The precision of both PE radiographs and CT tomograms was closest at the highest level. Standardized PE radiography, in particular, was superior to CT tomography in the first molar region. This suggests that standardized PE radiographs should be utilized as a reliable modality for longitudinal and linear distance measurement, depending on implant length at local implantation site. (author)

Interpreting radiographs. 4. The carpus

International Nuclear Information System (INIS)

Burguez, P.N.

1984-01-01

The complexity of the carpus which has three major joints, seven or eight carpal bones and five adjacent bones, each of which articulates with one or more of the carpal elements, necessitates good quality radiographs for definitive radiographic interpretation may be extremely difficult because of the disparity between radiographic changes and obvious clinical signs and, therefore, must be discussed in the light of a thorough clinical assessment

A complex method of equipment replacement planning. An advanced plan for the replacement of medical equipment.

Science.gov (United States)

Dondelinger, Robert M

2004-01-01

This complex method of equipment replacement planning is a methodology; it is a means to an end, a process that focuses on equipment most in need of replacement, rather than the end itself. It uses data available from the maintenance management database, and attempts to quantify those subjective items important [figure: see text] in making equipment replacement decisions. Like the simple method of the last issue, it is a starting point--albeit an advanced starting point--which the user can modify to fit their particular organization, but the complex method leaves room for expansion. It is based on sound logic, documented facts, and is fully defensible during the decision-making process and will serve your organization well as provide a structure for your equipment replacement planning decisions.

Total elbow arthroplasty: a radiographic outcome study

Energy Technology Data Exchange (ETDEWEB)

Bai, Xue Susan [University of Washington, Department of Radiology, Box 357115, Seattle, WA (United States); Petscavage-Thomas, Jonelle M. [Penn State Hershey Medical Center, Department of Radiology, Hershey, PA (United States); Ha, Alice S. [University of Washington, Department of Radiology, Box 354755, Seattle, WA (United States)

2016-06-15

Total elbow arthroplasty (TEA) is becoming a popular alternative to arthrodesis for patients with end-stage elbow arthrosis and comminuted distal humeral fractures. Prior outcome studies have primarily focused on surgical findings. Our purpose is to determine the radiographic outcome of TEA and to correlate with clinical symptoms such as pain. This is an IRB-approved retrospective review from 2005 to 2015 of all patients with semiconstrained TEA. All available elbow radiographs and clinical data were reviewed. Data analysis included descriptive statistics and Kaplan-Meier survival curves for radiographic and clinical survival. A total of 104 total elbow arthroplasties in 102 patients were reviewed; 75 % were in women and the mean patient age was 63.1 years. Mean radiographic follow-up was 826 days with average of four radiographs per patient. Seventy TEAs (67 %) developed radiographic complications, including heterotopic ossification (48 %), perihardware lucency (27 %), periprosthetic fracture (23 %), hardware subluxation/dislocation (7 %), polyethylene wear (3 %), and hardware fracture/dislodgement (3 %); 56 patients (55 %) developed symptoms of elbow pain or instability and 30 patients (30 %) underwent at least one reoperation. In patients with radiographic complications, 66 % developed elbow pain, compared to 19 % of patients with no radiologic complications (p = 0.001). Of the patients with radiographic complications, 39 % had at least one additional surgery compared to 0 % of patients without radiographic complications (p = 0.056). Radiographic complications are common in patients after total elbow arthroplasty. There is a strong positive association between post-operative radiographic findings and clinical outcome. Knowledge of common postoperative radiographic findings is important for the practicing radiologist. (orig.)

Performance evaluation of real time radiographic systems

International Nuclear Information System (INIS)

Venkatraman, B.; Saravanan, S.; Jayakumar, T.; Kalyanasundaram, P.; Baldev Raj

1996-01-01

The Real Time Radiography (RTR) system can be studied completely by knowing the modulation transfer function (MTF) of the whole system. The MTF curve is a special form of contrast/detail-size diagram in which the image contrast is plotted against the spatial frequency of a test object measured in line-pairs per millimetre (lp/mm). MTF curves are widely used to measure the characteristics of optical equipment, particularly for assessing the contribution of individual items in a complex imaging transfer system. Codes of practice indicate that the image intensifier systems should be checked periodically to assess its performance through the use of MTF curves and step wedges for contrast ratio. Authors, instead, suggest the use of performance curves which are simple to obtain and can be easily interpreted by radiographers. (author)

Radiographer commenting of trauma radiographs: a survey of the benefits, barriers and enablers to participation in an Australian healthcare setting

International Nuclear Information System (INIS)

Neep, Michael J.; Steffens, Tom; Owen, Rebecca; McPhail, Steven M.

2014-01-01

Radiographer abnormality detection systems that highlight abnormalities on trauma radiographs ('red dot' system) have been operating for more than 30 years. Recently, a number of pitfalls have been identified. These limitations initiated the evolution of a radiographer commenting system, whereby a radiographer provides a brief description of abnormalities identified in emergency healthcare settings. This study investigated radiographers' participation in abnormality detection systems, their perceptions of benefits, barriers and enablers to radiographer commenting, and perceptions of potential radiographer image interpretation services for emergency settings. A cross-sectional survey was implemented. Participants included radiographers from four metropolitan hospitals in Queensland, Australia. Conventional descriptive statistics, histograms and thematic analysis were undertaken. Seventy-three surveys were completed and included in the analysis (68% response rate); 30 (41%) of respondents reported participating in abnormality detection in 20% or less of examinations, and 26(36%) reported participating in 80% or more of examinations. Five overarching perceived benefits of radiographer commenting were identified: assisting multidisciplinary teams, patient care, radiographer ability, professional benefits and quality of imaging. Frequently reported perceived barriers included 'difficulty accessing image interpretation education', 'lack of time' and 'low confidence in interpreting radiographs'. Perceived enablers included 'access to image interpretation education' and 'support from radiologist colleagues'. A range of factors are likely to contribute to the successful implementation of radiographer commenting in addition to abnormality detection in emergency settings. Effective image interpretation education amenable to completion by radiographers would likely prove valuable in preparing radiographers for participation in abnormality detection and commenting systems in

Interpretation and digestion of radiograph

International Nuclear Information System (INIS)

Abdul Nassir Ibrahim; Azali Muhammad; Ab. Razak Hamzah; Abd. Aziz Mohamed; Mohamad Pauzi Ismail

2008-01-01

Radiography digestion is final test for the radiography to make sure that radiograph produced will inspect their quality of the image before its interpreted. This level is critical level where if there is a mistake, all of the radiography work done before will be unaccepted. So as mention earlier, it can waste time, cost and more worst it can make the production must shut down. So, this step, level two radiographers or interpreter must evaluate the radiograph carefully. For this purpose, digestion room and densitometer must used. Of course all the procedure must follow the specification that mentioned in document. There are several needs must fill before we can say the radiograph is corrected or not like the location of penetrameter, number of penetrameter that showed, the degree of density of film, and usually there is no problem in this step and the radiograph can go to interpretation and evaluation step as will mentioned in next chapter.

Acute chest syndrome of sickle cell disease: radiographic and clinical analysis of 70 cases

International Nuclear Information System (INIS)

Martin, L.; Buonomo, C.

1997-01-01

Background. Acute chest syndrome (ACS) is a pulmonary illness with fever, chest pain, leukocytosis and new pulmonary opacity in a patient with sickle cell disease. It is a common reason for hospitalization in sickle cell patients, and a significant cause of mortality. The etiology of ACS is unclear. Lung or bone infarction and infection, among other possible causes, have been proposed. Objective. We reviewed the chest radiographs and medical records of 41 patients with 70 episodes of ACS and correlated the clinical and radiographic courses in an attempt to better characterize and understand the syndrome. Results. In 87 % of episodes, no identifiable etiology of ACS was found. This group of patients had a median age of 14 years and showed dramatic clinical and radiographic improvement within 24 h of therapy. In the remainder of episodes (13 %), an identifiable etiology was found, usually bacterial pneumonia. These patients were younger than the group without an identifiable etiology (median age 2 years) and had a prolonged radiographic course of illness. Conclusion. The chest radiographs of children with ACS without an identifiable etiology have an extremely typical appearance and evolution. Only in cases which do not have this typical pattern should infection be suspected as the underlying cause. (orig.). With 3 figs

Pediatric interventional radiography equipment: safety considerations

International Nuclear Information System (INIS)

Strauss, Keith J.

2006-01-01

This paper discusses pediatric image quality and radiation dose considerations in state-of-the-art fluoroscopic imaging equipment. Although most fluoroscopes are capable of automatically providing good image quality on infants, toddlers, and small children, excessive radiation dose levels can result from design deficiencies of the imaging device or inappropriate configuration of the equipment's capabilities when imaging small body parts. Important design features and setup choices at installation and during the clinical use of the imaging device can improve image quality and reduce radiation exposure levels in pediatric patients. Pediatric radiologists and cardiologists, with the help of medical physicists, need to understand the issues involved in creating good image quality at reasonable pediatric patient doses. The control of radiographic technique factors by the generator of the imaging device must provide a large dynamic range of mAs values per exposure pulse during both fluoroscopy and image recording as a function of patient girth, which is the thickness of the patient in the posterior-anterior projection at the umbilicus (less than 10 cm to greater than 30 cm). The range of pulse widths must be limited to less than 10 ms in children to properly freeze patient motion. Variable rate pulsed fluoroscopy can be leveraged to reduce radiation dose to the patient and improve image quality. Three focal spots with nominal sizes of 0.3 mm to 1 mm are necessary on the pediatric unit. A second, lateral imaging plane might be necessary because of the child's limited tolerance of contrast medium. Spectral and spatial beam shaping can improve image quality while reducing the radiation dose. Finally, the level of entrance exposure to the image receptor of the fluoroscope as a function of operator choices, of added filter thickness, of selected pulse rate, of the selected field-of-view and of the patient girth all must be addressed at installation. (orig.)

Image quality control of mammography equipment -Mammography System MX-300- of the Teachers Hospital of UNSA and dose measurement in breasts with radiographic films

International Nuclear Information System (INIS)

Quispe F, L. K.; Vega R, J.

2015-10-01

This work is part of medical imaging for the evaluation of quality. Will have an accredited breast phantom Rmi-156 that allows evaluating the image quality of mammography equipment and through a series of techniques and processes that will submit to mammography films we obtain characteristic curves, which allows to evaluate different parameters that will serve for our study. Images were acquired with different k Vp and m As of the equipment, also with different thicknesses of the breast phantom. Also we want to use the lowest possible dose for obtaining our images. In this paper we develop a simple protocol that aims to unify the conditions under which are acquired the images for later evaluation. By obtaining these characteristic curves demonstrate that the Kodak film is the most suitable for our study because it requires lower dose for obtaining our images. (Author)

Radiographic markers for measuring tibial rotation based on CT-reconstructed radiographs. An accuracy and feasibility study

International Nuclear Information System (INIS)

Hakimian, David; Khoury, Amal; Mosheiff, Rami; Liebergall, Meir; Weil, Yoram A.

2018-01-01

Malreduction in the axial plane (malrotation) following tibial fracture surgery is often undiagnosed. A few clinical and radiographic methods have been proposed for measuring tibial rotation intraoperatively, yet have failed to match the accuracy of computed tomography (CT). The aim of this study was to develop radiographic tools for future intraoperative assessment of the tibial shaft rotation profile. The setting was a laboratory computerized analysis. Twenty lower limb CT scans were used to construct a three-dimensional (3D) model using AMIRA copyright software. A virtual 3D cylinder was implanted in the posterior condylar line and in the transmalleolar axis. The 3D models were used to simulate four standard knee and ankle plain radiographs. On each radiograph, four landmarks were depicted by two observers and their relation with the cylinder was measured and analyzed for accuracy and reproducibility. A cadaveric lower leg was implanted with two Kirschner wires. A CT scan was performed in addition to 2D fluoroscopy. The simulated radiographs and the fluoroscopy were compared for accuracy. Measurement of the landmarks showed reliability in most of the knee anteroposterior and ankle mortise radiographs (coefficients of variation < 0.01 and = 0.01) respectively. Cadaveric measurement of the landmarks using real fluoroscopy and simulated radiographs were similar. To date, no reliable and common methods have been reported for the evaluation of tibial axial rotation. We propose a model in which simple radiographic landmarks can be used to calculate a 3D coordinate system that accurately assesses the axial rotation angle of the tibial shaft. (orig.)

Radiographic markers for measuring tibial rotation based on CT-reconstructed radiographs. An accuracy and feasibility study

Energy Technology Data Exchange (ETDEWEB)

Hakimian, David; Khoury, Amal; Mosheiff, Rami; Liebergall, Meir; Weil, Yoram A. [Hadassah Hebrew University Hospital, Department of Orthopaedics, Jerusalem (Israel)

2018-04-15

Malreduction in the axial plane (malrotation) following tibial fracture surgery is often undiagnosed. A few clinical and radiographic methods have been proposed for measuring tibial rotation intraoperatively, yet have failed to match the accuracy of computed tomography (CT). The aim of this study was to develop radiographic tools for future intraoperative assessment of the tibial shaft rotation profile. The setting was a laboratory computerized analysis. Twenty lower limb CT scans were used to construct a three-dimensional (3D) model using AMIRA copyright software. A virtual 3D cylinder was implanted in the posterior condylar line and in the transmalleolar axis. The 3D models were used to simulate four standard knee and ankle plain radiographs. On each radiograph, four landmarks were depicted by two observers and their relation with the cylinder was measured and analyzed for accuracy and reproducibility. A cadaveric lower leg was implanted with two Kirschner wires. A CT scan was performed in addition to 2D fluoroscopy. The simulated radiographs and the fluoroscopy were compared for accuracy. Measurement of the landmarks showed reliability in most of the knee anteroposterior and ankle mortise radiographs (coefficients of variation < 0.01 and = 0.01) respectively. Cadaveric measurement of the landmarks using real fluoroscopy and simulated radiographs were similar. To date, no reliable and common methods have been reported for the evaluation of tibial axial rotation. We propose a model in which simple radiographic landmarks can be used to calculate a 3D coordinate system that accurately assesses the axial rotation angle of the tibial shaft. (orig.)

Radiographic cup anteversion measurement corrected from pelvic tilt.

Science.gov (United States)

Wang, Liao; Thoreson, Andrew R; Trousdale, Robert T; Morrey, Bernard F; Dai, Kerong; An, Kai-Nan

2017-11-01

The purpose of this study was to develop a novel technique to improve the accuracy of radiographic cup anteversion measurement by correcting the influence of pelvic tilt. Ninety virtual total hip arthroplasties were simulated from computed tomography data of 6 patients with 15 predetermined cup orientations. For each simulated implantation, anteroposterior (AP) virtual pelvic radiographs were generated for 11 predetermined pelvic tilts. A linear regression model was created to capture the relationship between radiographic cup anteversion angle error measured on AP pelvic radiographs and pelvic tilt. Overall, nine hundred and ninety virtual AP pelvic radiographs were measured, and 90 linear regression models were created. Pearson's correlation analyses confirmed a strong correlation between the errors of conventional radiographic cup anteversion angle measured on AP pelvic radiographs and the magnitude of pelvic tilt (P cup anteversion angle from the influence of pelvic tilt. The current method proposes to measure the pelvic tilt on a lateral radiograph, and to use it as a correction for the radiographic cup anteversion measurement on an AP pelvic radiograph. Thus, both AP and lateral pelvic radiographs are required for the measurement of pelvic posture-integrated cup anteversion. Compared with conventional radiographic cup anteversion, the errors of pelvic posture-integrated radiographic cup anteversion were reduced from 10.03 (SD = 5.13) degrees to 2.53 (SD = 1.33) degrees. Pelvic posture-integrated cup anteversion measurement improves the accuracy of radiographic cup anteversion measurement, which shows the potential of further clarifying the etiology of postoperative instability based on planar radiographs. Copyright © 2017 IPEM. Published by Elsevier Ltd. All rights reserved.

The prevalence and antecedents of occupational stress among radiographers in Zimbabwe: Interplay of economics and culture

Directory of Open Access Journals (Sweden)

Chingarande George R, Ndlovu Bekezela

2013-04-01

Full Text Available The purpose and objectives of this study were to find out the incidence of Occupational Stress amongst radiographers and also to find out the main stressors that they are exposed to. A cross sectional survey using both qualitative and quantitative methodologies and a questionnaire as a research tool was conducted. The questionnaire was given to all radiographers working in the general radiology department of the six departments/centres that participated in the study. The results revealed that there is a high incidence of occupational stress among medical radiographers working in general radiology. The results also showed that the most frequently encountered stressors in the general radiology department are pressure to complete tasks/overwork, inadequate salaries and inadequate holiday/vacation time. There were no significant differences in the incidences of occupational stress between male and female radiographers. However, there were differences in the perceptions of the two genders on the causes of stress. This was attributed to the cultural gender role expectations.

Implementation of quality assurance program of the radiographic image at public hospitals of Aracaju-SE, Brazil

International Nuclear Information System (INIS)

Ferreira, C.C.; Souza, S.O.

2007-01-01

The initial conditions of the darkroom and X rays films processing of two public hospitals, called A and B hospitals, at Aracaju-SE city had been evaluated. This evaluation was performed to define the actions for an Quality Assurance Program (QAP) aiming to improve the radiographic images quality and costs reduction for both hospitals. The evaluation of the initial conditions of the hospital B showed that a large reduction in the film rejection index and in its radiographic image artifacts can be obtained after the QAP deeds be accomplished. In the A hospital, the actions that have been deployed by the AQP resulted in a reduction of about 50% of the costs associated to chemical products consumption and improved the radiographic image quality. It was demonstrated by a decrease in the radiographs rejection index of 7 % to 5%. The results also revealed that the presence of a medical physicist able to follow the QAP is essential, because, without him, the program, in general, is neglected. (author)

Radiographic examination for successful dental implant

International Nuclear Information System (INIS)

Lee, Sam Sun; Choi, Soon Chul

2005-01-01

Recently implant has become an important field in dental clinic. Radiographic examination of pre- and post-operation is essential for successful treatment. Clinicians should have knowledge about the purpose of the radiographic examination, suitable imaging modality for the cases, anatomic landmarks of tooth and jaw bone, advantage and limitation of panoramic radiographic examination for implant, principle and interpretation of cross-sectional imaging, bone mineral density, post-operative radiographic examination. This paper will be helpful to get above information for dentists who want to do dental implant successfully.

SU-E-E-06: Teaching Medical Physics in a Radiology Museum

Energy Technology Data Exchange (ETDEWEB)

Bednarek, D; Rudin, S [University at Buffalo, Buffalo, NY (United States)

2014-06-01

Purpose: To enhance the learning process in the teaching of medical physics by providing a venue to experience the historical equipment and devices of radiology. Methods: We have created a museum by assembling a large collection of equipment and artifacts related to radiology and medical physics. As part of a learning-in-context educational approach, classes for a survey course in medical physics are held in the museum so that students are able to visually and tangibly experience the implements of radiology, while related topics are discussed. The students learn how x-ray equipment and techniques evolved throughout the years and they learn to appreciate the differences and similarities between current x-ray technology and that of the early days. The collection contains items dating from the era of the discovery of x-rays up to recent times and includes gas x-ray tubes, hand-held fluoroscopes, generators, spark-gap kV meters, stereoscopes, glass-plate radiographs, a photofluorographic unit, wood-interspaced grid, flat-panel detector, linear-accelerator klystron, and brachytherapy radium applicators, as well as an extensive library containing some of the seminal literature of the field so that students can delve deeper into the technology. In addition to the classes, guided tours are provided for radiologic-technology, bioengineering, physics and medical students, as well as group and individual tours for the general public. Results: Student course assessments have consistently included positive expressions of their experience in the museum. Numerous students have volunteered to assist with display preparation and have learned by researching the content. Many individuals have been attracted on a walk-in basis and have expressed a deep curiosity in the technology, with positive feedback. Conclusion: The museum and its artifacts have been invaluable in stimulating interest in the history and technology of medical physics. Students and visitors alike obtain a deeper

SU-E-E-06: Teaching Medical Physics in a Radiology Museum

International Nuclear Information System (INIS)

Bednarek, D; Rudin, S

2014-01-01

Purpose: To enhance the learning process in the teaching of medical physics by providing a venue to experience the historical equipment and devices of radiology. Methods: We have created a museum by assembling a large collection of equipment and artifacts related to radiology and medical physics. As part of a learning-in-context educational approach, classes for a survey course in medical physics are held in the museum so that students are able to visually and tangibly experience the implements of radiology, while related topics are discussed. The students learn how x-ray equipment and techniques evolved throughout the years and they learn to appreciate the differences and similarities between current x-ray technology and that of the early days. The collection contains items dating from the era of the discovery of x-rays up to recent times and includes gas x-ray tubes, hand-held fluoroscopes, generators, spark-gap kV meters, stereoscopes, glass-plate radiographs, a photofluorographic unit, wood-interspaced grid, flat-panel detector, linear-accelerator klystron, and brachytherapy radium applicators, as well as an extensive library containing some of the seminal literature of the field so that students can delve deeper into the technology. In addition to the classes, guided tours are provided for radiologic-technology, bioengineering, physics and medical students, as well as group and individual tours for the general public. Results: Student course assessments have consistently included positive expressions of their experience in the museum. Numerous students have volunteered to assist with display preparation and have learned by researching the content. Many individuals have been attracted on a walk-in basis and have expressed a deep curiosity in the technology, with positive feedback. Conclusion: The museum and its artifacts have been invaluable in stimulating interest in the history and technology of medical physics. Students and visitors alike obtain a deeper

Validity of radiographic assessment of ankylosis

International Nuclear Information System (INIS)

Stenvik, A.; Beyer-Olsen, E.; Aabyholm, F.; Haanaes, H.R.; Gerner, N.W.

1990-01-01

The accuracy and sensitivity of radiographic assessments of reactive processes in dental tissues were evaluated by comparison of radiographs and histologic sections. Experimental lesions inflicted on the roots of 10 monkey incisors had been observed by means of serially obtained radiographs over a period of 315 to 370 days. The material was used for evaluation of radiographic assessment of ankylosis. For comparative purposes, assessment of the experimental lesion penetrating to the pulp and periapical radiolucency was added. True and falsely positive or negative recordings formed the basis for calculation of the accuracy and sensitivity of the radiographic assessment. The sensitivity, or the obsevers ability to detect the actual changes, was high for pulp penetration, intermediate for inflammation, and low for ankylosis. 6 refs., 3 figs., 2 tabs

Examination of the constancy of the medium optical density of conventional chest radiographs

International Nuclear Information System (INIS)

Stieve, F.E.; Rupp, N.; Niederhofer, F.; Gfirtner, H.

2002-01-01

Purpose: To determine whether the medium optical density of conventional chest radiographs is constant. Materials and Methods: 47 PA chest radiographs were digitized to measure the optical density and its dynamic range of normal and pathologically altered lungs. Results: For constant exposure factors and a correctly positioned region of interest, the medium optical density deviates only minimal despite differences in AP chest diameter, entry dose and dynamic range, and is largely independent of the pathologic pulmonary findings. Conclusion: Digitization of the radiograph enables the determination of the physical parameters used to operate the imaging system, such as medium optical density, image contrast, image latitude and density distribution, in accordance to the guidelines of the German Medical Association. If the region of interest encompasses the clinically relevant region of the lung, the measured value of the optical density corresponds with only minor variation to the average value of the entire lung region. (orig.) [de

Texture analysis of trabecular bone using conventional radiographs: medical imaging and osteoporosis

International Nuclear Information System (INIS)

Karunanithi, R.; Panicker, T.M.R.; Paul Korath, M.; Jagadeesan, K.; Ganesan, S.

2008-01-01

Osteoporosis is characterized by reduced bone mass, microstructural deterioration with advancing age, and an increase in fracture risk. The accurate clinical assessment of bone strength and fracture risk is important for management of bone loss diseases such as osteoporosis risk. From a clinical point of view, microarchitecture is an interesting aspect to study and define patterns of bone alterations with aging and pathology. Microarchitecture seems to be a determinant of bone fragility independent of bone density. Moreover, bone microarchitecture seems to be important to understand the mechanisms of bone fragility independent of bone density. Moreover bone microarchitecture seems to be important to understand the mechanisms of bone fragility as well as the action of the drugs used to prevent osteoporotic fractures. In the case of osteoporosis the bone texture of the trabecular network as it appears on the plain radiographs can be quantified by applying image processing tools. Among the factors conditioning bone strength and osteoporotic fractures, bone mineral density is the most important and the best studied. Though, other factors also play a role: macroarchitecture of bones, cortical thickness, quality of bone crystal and of collagen network and trabecular microarchitecture. The microarchitecture plays a major role, and is an aspect of the definition of osteoporosis. Therefore, it would be very helpful if these alterations could be measured in addition to bone mineral density with noninvasive techniques, such as radiographs, and to assess the status of the bone by texture analysis

Study on evaluation method for image quality of radiograph by step plate, (2)

International Nuclear Information System (INIS)

Terada, Yukihiro; Hirayama, Kazuo; Katoh, Mitsuaki.

1992-01-01

Recently, penetrameter sensitivity is used not only for the evaluation of radiographic image quality but also as a control method for examination conditions. However, it is necessary to take the parametric data for radiation quality in order to use it for the second purpose. The quantitative factor of radiation quality is determined by the absorption coefficient and the ratio of scattered radiation to transmitted radiation reaching the X-ray film. When the X-ray equipment changes in conducting the radiographic examination, these data must be measured in each case. This is a demerit in controlling examination conditions based on parametric data. As shown theoretically in the first report, the image quality value of a step plate which is defined by the density difference divided by film contrast and step plate thickness is useful to obtain the value of the radiation quality factor. This report deal with experimental investigation to measure it with the step plate. The result is showing that the value of the radiation quality factor calculated by the parametric data corresponded well with the image quality value measured by the step plate. Therefore, the convenient method to measure the value of the radiation quality factor has been established in order to control examination conditions in radiographic examination. (author)

Radiographic testing - optimum radiographs of plastics and composite materials with dosimeter control

International Nuclear Information System (INIS)

Kuster, J.

1978-01-01

In view of great differencies in X-ray transmission it is more difficult to get optimum radiographs of plastics and especially of reinforced plastics than for example of metals. A procedure will be reported how to get with little effort optimum radiographs especially also in the range of long wavelength radiation corresponding 10 to 25 kV.P. (orig.) [de

21 CFR 892.1840 - Radiographic film.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Radiographic film. 892.1840 Section 892.1840 Food... DEVICES RADIOLOGY DEVICES Diagnostic Devices § 892.1840 Radiographic film. (a) Identification. Radiographic film is a device that consists of a thin sheet of radiotransparent material coated on one or both...

Radiographic bone loss in a Scottish non-smoking Type 1 Diabetes mellitus population; a Bitewing Radiographic Study.

Science.gov (United States)

Plessas, Anastasios; Robertson, Douglas P; Hodge, Penny J

2018-05-15

The dental complications of uncontrolled diabetes include reduced salivary flow rate, candidiasis and periodontal manifestations. A recent meta-analysis concluded that diabetes patients have a significantly higher severity, but not extent, of destructive periodontal disease than non-diabetes people. The authors reported that most type-1 diabetes studies using dental radiographic data have not controlled for confounding factors such as smoking. The aim of this cross-sectional study was to compare radiographic alveolar bone loss between type 1 diabetes (T1DM) and non-diabetes (NDM) participants in a Scottish non-smoking population. Digital bitewing radiographs for 174 Scottish adult never or ex-smoker (> 5 years) participants (108 T1DM, 66 NDS), recruited from outpatient clinics throughout Greater Glasgow and Clyde, were included in the analysis. A single blinded, trained and calibrated examiner recorded the radiographic bone loss seen on bitewing radiographs using the digital screen caliper. The bone loss was measured as the distance between the cemento-enamel junction (CEJ) and the deepest radiographic alveolar bone margin interproximally of each tooth. T1DM participants had more radiographic alveolar bone loss throughout the all teeth measured (median:1.27 mm vs 1.06 mm, P diabetes subjects. Patients suffering from type 1 diabetes are at higher risk of periodontitis even when controlling for multiple possible confounding factors and this difference can be detected on routine dental radiographs at an early stage. These data confirm radiographically the previously reported association between T1DM and periodontal bone loss. This article is protected by copyright. All rights reserved. © 2018 American Academy of Periodontology.

Reproductive health of male radiographers

International Nuclear Information System (INIS)

Shakhatreh, Farouk M.

2001-01-01

To compare certain reproductive health problems reported in 2 groups of males, one of which was exposed to x-ray radiation (radiographers) and the other group that was not exposed to x-ray radiation. The reproductive health problems were miscarriage, congenital anomalies, still births and infertility. Two groups of men were selected (90 in each group). The first group consisted of radiographers and the other groups consisted of men not exposed to x-ray radiation. The 2 groups were matched for age and source. Relative risk, attributable risk percentage and level of significance were calculated. Incidence rate of reproductive health problems was increasing with the increase in duration of exposure to x-ray radiation ranging between 17% (for those exposed for 1-5 years) to 91% (for those exposed for more than 15 years). There were significant associations between exposure to radiation and miscarriage (relative risk = 1.67, attributable risk percentage = 40%), congenital anomalies (relative risk = 10, attributable risk percentage 90%), still birth (relative risk = 7, attributable risk percentage = 86%), and infertility (relative risk = 4.5, attributable risk = 78%). The incidence rates of reproductive health problems reported by male radiographers were significantly higher than that reported by the non exposed group and higher than the incidence rates reported in community-based studies in Jordan. The incidence rates of fetal death (miscarriage and stillbirth together) and infertility reported by our radiographers were higher than had been reported by the British radiographers. An immediate plan of action is needed to protect our radiographers. Further studies are needed in this field taking into account all extraneous variables that may affect the reproductive health of radiographers. (author)

Interpreting radiographs. 3. Radiology of the stifle joint of the horse

International Nuclear Information System (INIS)

Jeffcott, L.B.

1984-01-01

There are definite advantages in performing stifle radiography under general anaesthesia, including better standardisation of exposure factors, reduction in movement unsharpness, a greater range of possible projections and much improved radiation safety. In practice these factors have to be balanced against the inconvenience and potential hazards of anaesthesia. A piece of equipment that can be used with both the standing and recumbent animal to improve radiographic quality is the Dodger-T aluminium filter (Saab-Scania, Linkoping, Sweden). This attenuates the primary beam through the soft tissue and thinner structures and also reduces the amount of scattered radiation

Digital radiographic scanning installation with multiwire proportional chamber

International Nuclear Information System (INIS)

Babichev, E.A.; Baru, S.E.; Khabakhpashev, A.G.; Kolachev, G.M.; Savinov, G.A.; Shekhtman, L.I.; Sidorov, V.A.; Volobuev, A.I.

1991-01-01

A digital radiographic installation for medical diagnostics is described. Distribution of X-ray intensity in horizontal direction is measured by a one-coordinate MWPC with a 1.2 mm channel. A two-dimensional image is produced by mechanical scanning with 1 mm channel width in vertical direction. The number of pixels in the image is 320x256. The MWPC works in count mode with quantum efficiency 25% (50 keV) and count rate capability 600 kHz/channel. Results of testing a prototype with 64 channels 0.6 mm width are also presented. (orig.)

Methods for medical device and equipment procurement and prioritization within low- and middle-income countries: findings of a systematic literature review.

Science.gov (United States)

Diaconu, Karin; Chen, Yen-Fu; Cummins, Carole; Jimenez Moyao, Gabriela; Manaseki-Holland, Semira; Lilford, Richard

2017-08-18

Forty to 70 % of medical devices and equipment in low- and middle-income countries are broken, unused or unfit for purpose; this impairs service delivery to patients and results in lost resources. Undiscerning procurement processes are at the heart of this issue. We conducted a systematic review of the literature to August 2013 with no time or language restrictions to identify what product selection or prioritization methods are recommended or used for medical device and equipment procurement planning within low- and middle-income countries. We explore the factors/evidence-base proposed for consideration within such methods and identify prioritization criteria. We included 217 documents (corresponding to 250 texts) in the narrative synthesis. Of these 111 featured in the meta-summary. We identify experience and needs-based methods used to reach procurement decisions. Equipment costs (including maintenance) and health needs are the dominant issues considered. Extracted data suggest that procurement officials should prioritize devices with low- and middle-income country appropriate technical specifications - i.e. devices and equipment that can be used given available human resources, infrastructure and maintenance capacity. Suboptimal device use is directly linked to incomplete costing and inadequate consideration of maintenance services and user training during procurement planning. Accurate estimation of life-cycle costing and careful consideration of device servicing are of crucial importance.

Accuracy of radiographer reporting of paediatric brain CT

International Nuclear Information System (INIS)

Brandt, Andrew; Louw, Brand; Dekker, Gerrit; Andronikou, Savvas; Wieselthaler, Nicki; Kilborn, Tracy; Bertelsman, Jessica; Dreyer, Catherine

2007-01-01

Radiographer reporting has been studied for plain films and for ultrasonography, but not in paediatric brain CT in the emergency setting. To study the accuracy of radiographer reporting in paediatric brain CT. We prospectively collected 100 paediatric brain CT examinations. Films were read from hard copies using a prescribed tick sheet. Radiographers with 12 years' and 3 years' experience, respectively, were blinded to the history and were not trained in diagnostic film interpretation. The radiographers' results were compared with those of a consultant radiologist. Three categories were defined: abnormal scans, significant abnormalities and insignificant abnormalities. Both radiographers had an accuracy of 89.5% in reading a scan correctly as abnormal, and radiographer 1 had a sensitivity of 87.8% and radiographer 2 a sensitivity of 96%. Radiographer 1 had an accuracy in detecting a significant abnormality of 75% and radiographer 2 an accuracy of 48.6%, and the sensitivities for this category were 61.6% and 52.9%, respectively. Results for detecting the insignificant abnormalities were poorer. Selected radiographers could play an effective screening role, but lacking the sensitivity required for detecting significant abnormality, they could not be the final diagnostician. We recommend that the study be repeated after both radiographers have received formal training in interpretation of paediatric brain CT. (orig.)

An exploratory study of radiographer's perceptions of radiographer commenting on musculo-skeletal trauma images in rural community based hospitals

International Nuclear Information System (INIS)

Howard, Morag L.

2013-01-01

Aim: This study sought to explore the perceptions of community hospital based radiographers in North East Scotland regarding the practice of radiographer commenting on musculo-skeletal trauma images. Method: A purposive sample of radiographers (n = 8) were recruited from community hospitals throughout the North-east of Scotland. A qualitative, exploratory study was conducted employing semi-structured interviews consisting of one focus group and two individual interviews. The interviews were audio recorded and transcribed in full to allow thematic analysis of the data using a framework adapted from Pope and Mays (2006). Main findings: This study revealed that the practice of radiographer commenting in the community provides a valuable front line opinion on musculo-skeletal trauma image appearances to enhance diagnostic outcomes for patients and streamline their care pathway. The appreciation shown from inter-professional colleagues for this practice induced feelings of professional pride and job satisfaction in the sample group. All participants expressed a desire to undertake additional training to allow progression from radiographer commenting to radiographer reporting of musculo-skeletal trauma images. Perceived barriers to the practice of radiographer commenting were time constraints and a lack of support with regards to continuing professional development (CPD) opportunities and mentorship from radiology colleagues. Conclusion: The practice of radiographer commenting in the community setting should be supported by ongoing training, and radiologist involvement in mentoring could provide radiographers with a valuable support mechanism. The voice of all radiographers regarding this extended role must be heard by professional leaders to ensure that the skills and education required for radiographer commenting are provided and subsequent patient care is not compromised

浅谈医疗设备管理中的预防性维护%On advantages and disadvantages of preventive maintenance for medical equipments

Institute of Scientific and Technical Information of China (English)

张宜江; 焦明阳

2012-01-01

目的:医疗设备是医院现代化建设的物质基础,加强医疗设备管理,使医疗设备预防性维护(PM)成为医院现代化管理的一项重要措施.方法:在医院建设中,人才是基础,医疗器械是条件,管理是关键.加强医疗设备管理是医院重点工作之一,在医疗设备管理中维修与保养则是重中之重.结果:做好医疗设备的维护保养对延长仪器寿命、提高诊断准确率起到重要作用.结论:预防性维护是指周期性地对仪器进行一系列科学的维护工作,以确保仪器安全地处于最佳工作状态.%Objective: Hospital medical equipment is the material basis of hospital modernization, and also an important symbol of the modernization. Methods: In hospital construction, talent is the foundation, medical equipment is the condition, management is the key. Strengthen the management of medical equipment is a focal point of the work of the hospital. In the management of medical equipment, repair and maintenance is very important. Results: The maintenance plays an important role in extending equipment life and improving the accuracy of diagnosis. Conclusion: Preventive maintenance is a series of scientific maintenance work for equipments, to ensure that the apparatus securely in the best working condition. This series of maintenance work mainly includes the operating performance test and adjustment, electrical safety testing, cleaning, lubricating, and replacing consumable components.

Reduction of adult fingers visualized on pediatric intensive care unit (PICU) chest radiographs after radiation technologist and PICU staff radiation safety education

International Nuclear Information System (INIS)

Tynan, J.R.; Duncan, M.D.; Burbridge, B.E.

2009-01-01

A recent publication from our centre revealed a disturbing finding of a significant incidence of adult fingers seen on the pediatric intensive care unit (PICU) chest radiographs. This is inappropriate occupational exposure to diagnostic radiation. We hypothesized that the incidence of adult fingers on PICU chest radiographs would decline after radiation safety educational seminars were given to the medical radiation technologists and PICU staff. The present study's objectives were addressed by using a pretest-posttest design. Two cross-sectional PICU chest radiograph samples, taken before and after the administration of radiation safety education for our medical radiation technologists and PICU staff, were compared by using a χ 2 test. There was a 61.2% and 76.9% reduction in extraneous adult fingers, directly exposed to the x-ray beam and those seen in the coned regions of the film, respectively, on PICU chest radiographs (66.7% reduction overall). This reduction was statistically significant (χ2 = 20.613, P < .001). Limiting unnecessary occupational radiation exposure is a critical issue in radiology. There was a statistically and clinically significant association between radiation safety education and the decreased number of adult fingers seen on PICU chest radiographs. This study provides preliminary evidence in favour of the benefit of radiation safety seminars. (author)

Radiograph identifying means

International Nuclear Information System (INIS)

Sheldon, A.D.

1983-01-01

A flexible character-indentable plastics embossing tape is backed by and bonded to a lead strip, not more than 0.025 inches thick, to form a tape suitable for identifying radiographs. The lead strip is itself backed by a relatively thin and flimsy plastics or fabric strip which, when removed, allows the lead plastic tape to be pressure-bonded to the surface to be radiographed. A conventional tape-embossing gun is used to indent the desired characters in succession into the lead-backed tape, without necessarily severing the lead; and then the backing strip is peeled away to expose the layer of adhesive which pressure-bonds the indented tape to the object to be radiographed. X-rays incident on the embossed tape will cause the raised characters to show up dark on the subsequently-developed film, whilst the raised side areas will show up white. Each character will thus stand out on the developed film. (author)

Atlas of Radiographic Features of Osteoarthritis of the Ankle and Hindfoot

Science.gov (United States)

Kraus, Virginia Byers; Kilfoil, Terrence M; Hash, Thomas W.; McDaniel, Gary; Renner, Jordan B; Carrino, John A.; Adams, Samuel

2015-01-01

Objective To develop a radiographic atlas of osteoarthritis (OA) for use as a template and guide for standardized scoring of radiographic features of OA of the ankle and hindfoot joints. Method Under Institutional Review Board approval, ankle and hindfoot images were selected from a cohort study and from among cases that underwent ankle radiography during a 6-month period at Duke University Medical Center. Missing OA pathology was obtained through supplementation of cases with the assistance of a foot and ankle specialist in Orthopaedic surgery and a musculoskeletal radiologist. Images were obtained and reviewed without patient identifying information. Images went through multiple rounds of review and final images were selected by consensus of the study team. For intra-rater and inter-rater reliability, the kappa statistic was calculated for two readings by 3 musculoskeletal radiologists, a minimum of two weeks apart, of ankle and hindfoot radiographs from 30 anonymized subjects. Results The atlas demonstrates individual radiographic features (osteophyte and joint space narrowing) and Kellgren Lawrence grade for all aspects of the talocrural (ankle joint proper) and talocalcaneal (subtalar) joints. Reliability of scoring based on the atlas was quite good to excellent for most features indicated. Additional examples of ankle joint findings are illustrated including sclerosis, os trigonum, subchondral cysts and talar tilt. Conclusions It is anticipated that this atlas will assist with standardization of scoring of ankle and hindfoot OA by basic and clinical OA researchers. PMID:26318654

Atlas of radiographic features of osteoarthritis of the ankle and hindfoot.

Science.gov (United States)

Kraus, V B; Kilfoil, T M; Hash, T W; McDaniel, G; Renner, J B; Carrino, J A; Adams, S

2015-12-01

To develop a radiographic atlas of osteoarthritis (OA) for use as a template and guide for standardized scoring of radiographic features of OA of the ankle and hindfoot joints. Under Institutional Review Board approval, ankle and hindfoot images were selected from a cohort study and from among cases that underwent ankle radiography during a 6-month period at Duke University Medical Center. Missing OA pathology was obtained through supplementation of cases with the assistance of a foot and ankle specialist in Orthopaedic surgery and a musculoskeletal radiologist. Images were obtained and reviewed without patient identifying information. Images went through multiple rounds of review and final images were selected by consensus of the study team. For intra-rater and inter-rater reliability, the kappa statistic was calculated for two readings by three musculoskeletal radiologists, a minimum of two weeks apart, of ankle and hindfoot radiographs from 30 anonymized subjects. The atlas demonstrates individual radiographic features (osteophyte and joint space narrowing (JSN)) and Kellgren-Lawrence grade for all aspects of the talocrural (ankle joint proper) and talocalcaneal (subtalar) joints. Reliability of scoring based on the atlas was quite good to excellent for most features indicated. Additional examples of ankle joint findings are illustrated including sclerosis, os trigonum, subchondral cysts and talar tilt. It is anticipated that this atlas will assist with standardization of scoring of ankle and hindfoot OA by basic and clinical OA researchers. Copyright © 2015 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

Basic concepts and issues: a primer on distribution and sales representative agreements in the medical device and durable medical equipment industries.

Science.gov (United States)

Burow, Heiko E; Kolls, Raymond C

2006-01-01

Counsel for a manufacturer of medical devices or durable medical equipment must have working knowledge of various legal disciplines to draft contracts with intermediaries (sales representatives and distributors) for the marketing and sale of the manufacturer's products. If the manufacturer wishes to sell its products abroad, counsel must become familiar with the laws and business practices of the target country, and methods of gaining access to the foreign market. This Article gives readers an overview of the applicable legal principles, under U.S. and foreign laws, in the areas of agency, contracts, healthcare regulation, consumer protection, intellectual property protection, and dealer protection. To aid counsel in drafting intermediary agreements, specific contractual terms and issues are explored in depth, including: appointment clauses, performance provisions, provisions concerning pricing and payment, protective clauses (shielding the manufacturer from liability), term and termination provisions, independent contractor clauses, export control clauses, recordkeeping and audit provisions, choice of law clauses, and dispute resolution clauses.

Practical measurement of radiation dose in pediatric radiology: use of the dose-area product on digital fluoroscopy and neonatal chest radiographs

International Nuclear Information System (INIS)

Chateil, J.F.; Rouby, C.; Brun, M.; Labessan, C.; Diard, F.

2004-01-01

Purpose. Control of radiation dose in pediatric radiology requires knowledge of the reference levels for all examinations. These data are useful for daily quality assessment, but are not perfectly known for some radiographic examinations. The purpose of our study was to evaluate the dose related to voiding cysto-urethrograms (VCUG), upper GI (UGI) and intravenous urography (IVU). Neonatal chest radiographs in the intensive care unit were also evaluated. Material and methods. For examinations with contrast material (478VCUG, 220UGI, 80IVU), the children were divided in groups based on their weight, from 5 to 30 Kg. Measurements were performed using an ionization chamber and expressed with the-dose-area product (DAP). For chest radiographs, a direct measurement of the entrance-skin dose was performed, with secondary calculation of the DAP. Results. For-VCUGs, the DAP ranged between 42.89 cGy.cm 2 and 125.41 cGy.cm 2 . The range was between 76.43, and 150.62 cGy.cm 2 for UGIs and between 49.06 and 83.33 cGy.cm 2 for IVUs. For neonate chest radiographs, DAP calculations were between 0.29 and 0.99 cGy.cm 2 . Conclusion. These values represent our reference doses. They allow continuous monitoring of our radiographic technical parameters and radiographic equipment and help to correct and improve them if necessary. (author)

Image formation in diagnostic X-ray equipment

International Nuclear Information System (INIS)

Boer, J.A. den.

1983-01-01

This thesis deals with a physical description of the image formation in static radiographic shadow image X-ray equipment and an analysis of the optimization of such systems. For the latter criteria have been developed that take into account all relevant physical phenomena that relate to properties of the image and the radiation exposure of the patient. The discussion of image formation results in a number of relations between the X-ray system parameters on the one hand and properties of the X-ray image on the other. The three principal aspects considered are energy transfer, modulation transfer and noise. (Auth./C.F.)

Medical Issues: Orthopedics

Science.gov (United States)

... Information Packets Equipment Pool Living With SMA Medical Issues Palliative Breathing Orthopedics Nutrition Equipment Daily Life At ... curesma.org > support & care > living with sma > medical issues > orthopedics Orthopedics In SMA, muscle weakness can cause ...

Medical Issues: Breathing

Science.gov (United States)

... Information Packets Equipment Pool Living With SMA Medical Issues Palliative Breathing Orthopedics Nutrition Equipment Daily Life At ... curesma.org > support & care > living with sma > medical issues > breathing Breathing Breathing problems are the most common ...

Importance of radiographic monitoring of endoscopic sphincterotomy

International Nuclear Information System (INIS)

Greenberg, H.M.; Goldberg, H.I.; Shapiro, H.A.

1981-01-01

The radiographic features of endoscopic sphincterotomies performed in 44 patients were evaluated. Radiographic landmarks aided in proper sphincterotome placement and also disclosed conditions and anatomic variations that made catheter placement difficult. Fluoroscopic and radiographic monitoring not only assisted the performance of endoscopic sphincterotomy, but also confirmed successful results and revealed reasons for failure. Radiographic changes in the biliary tract after sphincterotomy, as well as potential complications of sphincterotomy, are discussed and illustrated

Assessment of technical equipment supply in healthcare institutions: example of Almaty

Directory of Open Access Journals (Sweden)

Kuralbai K Kurakbayev

2014-01-01

Full Text Available Background: The share of healthcare-related expenditure in the Gross Domestic Product of Kazakhstan is relatively small, and it is strategically important to restructure budgetary expenses in favor of healthcare with simultaneous redistribution of resources in accordance with changing demands and prioritization of high-quality medical care. The aim of this study was to analyze resource provision to healthcare organizations in Kazakhstan and its structure and level assessment. Materials and Methods: The study is based on a comparative assessment of technical and technological equipment of medical institutions in Almaty, Kazakhstan. We analyzed the scope and structure of the financial component of the resource base in Almaty. We carried out information processing and analysis methods, content analysis, mathematical treatment, as well as conducted case studies. Also, we held opinion poll among medical staff (specialists, managerial staff (n = 300 P for trend < 0.001 and patients (n = 210 P for trend < 0.001. Results: About 18.8% of patients do not receive medical care because of defects of the equipment, whereas 19.9% of patients claim that the reason of refusal of the provision of medical services is an equipment overload. Conclusion: Most of the respondents referred to on poor technical equipment, mismatch with the world standards of performance and competitiveness. Lack of advanced medical technology, inadequate financing, insufficient supply of domestic medical equipment, and inadequate procurement by tender were also noted. The obtained data point to the need for optimization and upgrading medical equipment at various levels of healthcare.

Radiation protection - radiographer's role and responsibilities

International Nuclear Information System (INIS)

Popli, P.K.

2002-01-01

Ever since discovery of x-rays, radiographers has been the prime user of radiation. With the passage of time, the harmful effects of radiation were detected. Some of radiographers, radiologists and public were affected by radiation, but today with enough knowledge of radiation, the prime responsibility of radiation protection lies with the radiographers only. The radiologist and physicist are also associated with radiation protection to some extent

Analysis of licensed South African diagnostic imaging equipment ...

African Journals Online (AJOL)

Analysis of licensed South African diagnostic imaging equipment. ... Pan African Medical Journal ... Introduction: Objective: To conduct an analysis of all registered South Africa (SA) diagnostic radiology equipment, assess the number of equipment units per capita by imaging modality, and compare SA figures with published ...

Intra-observer reproducibility and interobserver reliability of the radiographic parameters in the Spinal Deformity Study Group's AIS Radiographic Measurement Manual.

Science.gov (United States)

Dang, Natasha Radhika; Moreau, Marc J; Hill, Douglas L; Mahood, James K; Raso, James

2005-05-01

Retrospective cross-sectional assessment of the reproducibility and reliability of radiographic parameters. To measure the intra-examiner and interexaminer reproducibility and reliability of salient radiographic features. The management and treatment of adolescent idiopathic scoliosis (AIS) depends on accurate and reproducible radiographic measurements of the deformity. Ten sets of radiographs were randomly selected from a sample of patients with AIS, with initial curves between 20 degrees and 45 degrees. Fourteen measures of the deformity were measured from posteroanterior and lateral radiographs by 2 examiners, and were repeated 5 times at intervals of 3-5 days. Intra-examiner and interexaminer differences were examined. The parameters include measures of curve size, spinal imbalance, sagittal kyphosis and alignment, maximum apical vertebral rotation, T1 tilt, spondylolysis/spondylolisthesis, and skeletal age. Intra-examiner reproducibility was generally excellent for parameters measured from the posteroanterior radiographs but only fair to good for parameters from the lateral radiographs, in which some landmarks were not clearly visible. Of the 13 parameters observed, 7 had excellent interobserver reliability. The measurements from the lateral radiograph were less reproducible and reliable and, thus, may not add value to the assessment of AIS. Taking additional measures encourages a systematic and comprehensive assessment of spinal radiographs.

[Medical equipment product lines in basic pharmacies].

Science.gov (United States)

Macesková, B; Lipská, J

2003-07-01

Medical appliances dispensed in basic type pharmacies for cash or vouchers for medical or orthopedic appliances require expertise of pharmacists and laboratory assistants concerning the assortment, payment, construction of prices, conditions for prescription, ordering, properties, and functions of individual appliances. Using the method of frequency analysis, the analysis of data from five pharmacies within a period of three months (more than 17,000 records) revealed how individual subgroups of medical appliances and their concrete items are represented in both types of dispensation. The method of the semistructured questionnaire (10 respondents) was used to find what problems are encountered in dispensation, and which medical appliances and their subgroups are the sources of the problems. The respondents regard the contemporary level of knowledge concerning medical appliances gained in pregradual studies as insufficient.

Patient obesity and the practical experience of the plain radiography professional: On everyday ethics, patient positioning and infelicitous equipment

International Nuclear Information System (INIS)

Woods, A.L.; Miller, P.K.; Sloane, C.

2016-01-01

Patient obesity is increasingly placing significant and multifaceted strain upon medical imaging departments, and professionals, in (particularly Western) healthcare systems. The majority of obesity-related studies in radiology are, however, primarily focused only upon the technical business of collecting diagnostically-efficacious images. This study, using Interpretative Phenomenological Analysis (IPA), qualitatively explores the everyday clinical experiences of eight expert UK diagnosticians working in plain radiography. Focus herein falls particularly upon (a) problems with patient positioning during examination, and (b) challenges arising around available equipment. In line with extant research, participants reported that difficulties with positioning obese patients could have negative impacts on image quality, and that insufficient table weight limits and widths, and inadequate detector sizes, can adversely affect examination. They also raised some more novel issues, such as how the impact of available gown sizes upon a patient's sense of dignity can cause practical and ethical dilemmas for a clinician in situ. The issue of how one might ‘train’ experience in positioning patients without bony landmarks as a reference point was also made salient, with strong implications for undergraduate radiography curricula. It is finally highlighted how the participating radiographers themselves seldom conceptualised any given problem as a purely ‘technical’ one, instead recurrently recognising the interlinking of material, socio-economic and moral matters in real healthcare contexts. By better understanding such nuance and complexity as lived by real radiographers, it is contended, a more context-sensitive and flexible path to effective training and guideline-production can be mapped. - Highlights: • Difficulties with positioning obese patients can have negative impacts on image quality. • Positioning patients without bony landmarks as a reference point is

Improvement of early detection of breast cancer through collaborative multi-country efforts: Medical physics component.

Science.gov (United States)

Mora, Patricia; Faulkner, Keith; Mahmoud, Ahmed M; Gershan, Vesna; Kausik, Aruna; Zdesar, Urban; Brandan, María-Ester; Kurt, Serap; Davidović, Jasna; Salama, Dina H; Aribal, Erkin; Odio, Clara; Chaturvedi, Arvind K; Sabih, Zahida; Vujnović, Saša; Paez, Diana; Delis, Harry

2018-04-01

The International Atomic Energy Agency (IAEA) through a Coordinated Research Project on "Enhancing Capacity for Early Detection and Diagnosis of Breast Cancer through Imaging", brought together a group of mammography radiologists, medical physicists and radiographers; to investigate current practices and improve procedures for the early detection of breast cancer by strengthening both the clinical and medical physics components. This paper addresses the medical physics component. The countries that participated in the CRP were Bosnia and Herzegovina, Costa Rica, Egypt, India, Kenya, the Frmr. Yug. Rep. of Macedonia, Mexico, Nigeria, Pakistan, Philippines, Slovenia, Turkey, Uganda, United Kingdom and Zambia. Ten institutions participated using IAEA quality control protocols in 9 digital and 3 analogue mammography equipment. A spreadsheet for data collection was generated and distributed. Evaluation of image quality was done using TOR MAX and DMAM2 Gold phantoms. QC results for analogue equipment showed satisfactory results. QC tests performed on digital systems showed that improvements needed to be implemented, especially in thickness accuracy, signal difference to noise ratio (SDNR) values for achievable levels, uniformity and modulation transfer function (MTF). Mean glandular dose (MGD) was below international recommended levels for patient radiation protection. Evaluation of image quality by phantoms also indicated the need for improvement. Common activities facilitated improvement in mammography practice, including training of medical physicists in QC programs and infrastructure was improved and strengthened; networking among medical physicists and radiologists took place and was maintained over time. IAEA QC protocols provided a uniformed approach to QC measurements. Copyright © 2018 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

Emergency removal of football equipment: a cadaveric cervical spine injury model.

Science.gov (United States)

Gastel, J A; Palumbo, M A; Hulstyn, M J; Fadale, P D; Lucas, P

1998-10-01

To determine the influence of football helmet and shoulder pads, alone or in combination, on alignment of the unstable cervical spine. The alignment of the intact cervical spine in 8 cadavers was assessed radiographically under 4 different football equipment conditions: (1) no equipment, (2) helmet only, (3) helmet and shoulder pads, and (4) shoulder pads only. Each specimen was then surgically destabilized at C5-C6 to simulate a flexion-distraction injury. Repeat radiographs were obtained under the same 4 equipment conditions, and alignment of the unstable segment was analyzed. Before the destabilization, neutral alignment was maintained when both helmet and shoulder pads were in place. The "helmet only" condition caused a significant decrease in lordosis (mean, 9.6 +/- 4.7 degrees), whereas the "shoulder pads only" condition caused increased lordosis (13.6 +/- 6.3 degrees). After destabilization, the "helmet-only" condition demonstrated significant mean increases in C5-C6 forward angulation (16.5 +/- 8.6 degrees), posterior disc space height (3.8 +/- 2.3 mm), and dorsal element distraction (8.3 +/- 5.4 mm). Our flexion-distraction model demonstrated that immobilization of the neck-injured football player with only the helmet in place violates the principle of splinting the cervical spine in neutral alignment. By extrapolation to an extension-type injury, immobilization with only the shoulder pads left in place similarly violates this principle. In order to maintain a neutral position and minimize secondary injury to the cervical neural elements, the helmet and shoulder pads should be either both left on or both removed in the emergency setting.

47 CFR 18.203 - Equipment authorization.

Science.gov (United States)

2010-10-01

... information already on file with the Commission. (2) A technical report pursuant to §§ 18.207 and 18.311. (b... 47 Telecommunication 1 2010-10-01 2010-10-01 false Equipment authorization. 18.203 Section 18.203 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL INDUSTRIAL, SCIENTIFIC, AND MEDICAL EQUIPMENT...

EXPERIENCE IN DEVELOPMENT MEDICAL KITS FOR MEDICAL SERVICES OF THE RUSSIAN FEDERATION ARMED FORCES

OpenAIRE

E. O. Rodionov; Yu. V. Miroshnichenko; V. N. Kononov; A. V. Tikhonov; I. V. Klochkova

2016-01-01

Introduction. The development of modern, complete-standard issue equipment for the Armed Forces Medical Service is an urgent organizational and management task. First aid kits, medical bags, sets of medical equipment, medical kits and packing existed until recently; no longer meet modern requirements for a number of objective reasons. The aim of the study was the formation of programs of development of modern samples of complete-standard-issue equipment. Materials and methods. The study was c...

Calibration of diagnostic x-ray machines using radiation exposure and radiographic parameters

International Nuclear Information System (INIS)

Agba, E.H.; Uloko, P. I.; Tyovenda, A. A.

2011-01-01

Calibration of diagnostic x-ray machines using radiation exposure and radiographic parameters of the x-ray machines has been carried out. Three phase diagnostic x-ray machines situated at Federal Medical Centre, Makurdi, General Hospital, Otukpo and Christian Hospital, Mkar were used for the calibration work. The radiation meter was used to measure x-ray radiation exposure. The result of this work demonstrates mR/mAs=C(KV p ) that there exist a power law relation of the form between the radiation exposure and the radiographic parameters of diagnostic x-ray machines, which can be used to estimate patient exposure during routine x-ray diagnostic examinations for wide range of operating parameters. The values of the power exponent n, constant c and total filtrations of the diagnostic x-ray machines have been estimated. These values for the diagnostic x-ray machines at the Federal Medical Centre, Makurdi are: 2.14, 0.88 and 2.77 respectively, for the one at the General Hospital, Otukpo are: 2.07, 0.76 and 2.68 respectively and that of the Christian Hospital, Mkar are: 2.01,0.69 and 2.61 respectively.

Radiographic, high detail radiographic, microangiographic and histological findings of the distal portion of the tarsus in weanling young and adult horses

International Nuclear Information System (INIS)

Laverty, S.; Stover, S.M.; Bélanger, D.; O'Brien, T.R.; Pool, R.R.; Pascoe, J.R.; Taylor, K.; Harrington, T.

1991-01-01

Clinical radiographic (LM and D35L-P1MO reviews), high detail radiographic, microangiographic and histological findings of distal portion of the tarsus of 16 horses (five weanling, four young and six adult), without known clinical histories, were evaluated to determine the sensitivity of clinical radiographs for the detection of abnormalities in the distal tarsus and the prevalence of abnormalities in this population. Clinical radiographic and high detail radiographic abnormalities were observed in at least 30 per cent of the tarsi examined. Statistical agreement between observations from clinical radiographs and corresponding post mortem high detail radiographs was not good for subchondral bone plate irregularities and joint margin changes. Three patterns of sclerosis of the medullary spongiosa were visualized on high detail radiographs; thickening of the subchondral bone plate was seen commonly in the weaning group,, whereas arching and bridging patterns were more prevalent in the young and adult groups. Bone production on the dorsal cortex of the central and third tarsal bones did not increase with age. Abnormalities in vascular perfusion and articular cartilage histology were observed in association with subchondral bone plate irregularities and focal regions of osteopenia observed on high detail radiographs

A compliance testing program for diagnostic X-ray equipment

International Nuclear Information System (INIS)

Hutchinson, D.E.; Cobb, B.J.; Jacob, C.S.

1999-01-01

Compliance testing is nominally that part of a quality assurance program dealing with those aspects of X-ray equipment performance that are subject to radiation control legislation. Quality assurance programs for medical X-ray equipment should be an integral part of the quality culture in health care. However while major hospitals and individual medical centers may implement such programs with some diligence, much X-ray equipment can remain unappraised unless there is a comprehensive regulatory inspection program or some form of compulsion on the equipment owner to implement a testing program. Since the late 1950s all X-ray equipment in the State of Western Australia has been inspected by authorized officers acting on behalf of the Radiological Council, the regulatory authority responsible for administration of the State's Radiation Safety Act. However, economic constraints, coupled with increasing X-ray equipment numbers and a geographically large State have significantly affected the inspection rate. Data available from inspections demonstrate that regular compliance and performance checks are essential in order to ensure proper performance and to minimize unnecessary patient and operator dose. To ensure that diagnostic X-ray equipment complies with accepted standards and performance criteria, the regulatory authority introduced a compulsory compliance testing program for all medical, dental and chiropractic diagnostic X-ray equipment effective from 1 January 1997

Advanced radiographic practice - the legal aspects

International Nuclear Information System (INIS)

Alderson, C.J.; Hogg, P.

2003-01-01

Allied health and nursing professionals are continuing to expand their responsibilities into clinical areas outside their traditional spheres of interest; typically, many of these new responsibilities are found within the medical (doctor) domain. Such responsibilities are often at an advanced clinical level and consequently higher demands are placed upon the professionals, not least in terms of clinical updating, competence to practice and also legal liability. This article explores the legal implications of practising at an advanced clinical level with particular reference to legal claims. The first part of the article commences with an outline of pertinent law in England and Wales. The latter part of the article explores actual cases from which allied health professionals (eg radiographers) can gain valuable information. Throughout the article suggestions for good practice are indicated. Examples of good practice include: the need to base your practice on evidence and peer practice; the need to keep detailed records (protocols) of such practice; the need to know when you are at the limit of your ability; and as such when to ask for advice from a medical practitioner/radiologist

Guide to nuclear medicine. A textbook for radiographers' examination and practice

International Nuclear Information System (INIS)

Elser, H.

1999-01-01

The guide to clinical applications of nuclear medicine presents a comprehensive survey of the subject field, encompassing in addition to all medical aspects information on the fundamental physics and radiochemistry involved, examination protocols, case reports, and diagnostic findings. Legal provisions and requirements as well as procedures for quality control are explained and discussed. The material of the textbook has been compiled and arranged in line with the training programme and examination requirements for radiographers, but due to the systematic design and approach and the many pictures and tables it may also be of use as a source of reference for medical students of radiology courses, or specializing doctors. (orig./CB)

Simulated radiographic bone and joint modeling from 3D ankle MRI: feasibility and comparison with radiographs and 2D MRI

Energy Technology Data Exchange (ETDEWEB)

Nordeck, Shaun M. [University of Texas Southwestern Medical College, Dallas, TX (United States); University of Texas Southwestern Medical Center, Musculoskeletal Radiology, Dallas, TX (United States); Koerper, Conrad E.; Adler, Aaron [University of Texas Southwestern Medical College, Dallas, TX (United States); Malhotra, Vidur; Xi, Yin [University of Texas Southwestern Medical Center, Musculoskeletal Radiology, Dallas, TX (United States); Liu, George T. [University of Texas Southwestern Medical Center, Orthopaedic Surgery, Dallas, TX (United States); Chhabra, Avneesh [University of Texas Southwestern Medical Center, Musculoskeletal Radiology, Dallas, TX (United States); University of Texas Southwestern Medical Center, Orthopaedic Surgery, Dallas, TX (United States)

2017-05-15

The purpose of this work is to simulate radiographs from isotropic 3D MRI data, compare relationship of angle and joint space measurements on simulated radiographs with corresponding 2D MRIs and real radiographs (XR), and compare measurement times among the three modalities. Twenty-four consecutive ankles were included, eight males and 16 females, with a mean age of 46 years. Segmented joint models simulating radiographs were created from 3D MRI data sets. Three readers independently performed blinded angle and joint space measurements on the models, corresponding 2D MRIs, and XRs at two time points. Linear mixed models and the intraclass correlation coefficient (ICC) was ascertained, with p values less than 0.05 considered significant. Simulated radiograph models were successfully created in all cases. Good agreement (ICC > 0.65) was noted among all readers across all modalities and among most measurements. Absolute measurement values differed between modalities. Measurement time was significantly greater (p < 0.05) on 2D versus simulated radiographs for most measurements and on XR versus simulated radiographs (p < 0.05) for nearly half the measurements. Simulated radiographs can be successfully generated from 3D MRI data; however, measurements differ. Good inter-reader and moderate-to-good intra-reader reliability was observed and measurements obtained on simulated radiograph models took significantly less time compared to measurements with 2D and generally less time than XR. (orig.)

Radiation protection education and training of radiographers

International Nuclear Information System (INIS)

Elsakkers, P.

1995-01-01

The International Society of Radiographers and Radiological Technicians (ISRRT) is an international non-governmental organisation in official relationship with the World Health Organization. Over 50 countries are members of the ISRRT. The ISRRT encourages and facilitates communication between radiographers throughout the world. The ISRRT has produced several documents, e.g. ''The Role of the Radiographer in Europe''. The ISRRT has also done research and developed initiatives to analyse the quality of training of radiographers in the different member states of the EC. Research was done in the member states to analyse the efforts in the field of quality control. An extended study was performed on the current level of education in radiation protection in the European member states. The ICRP recommends in its publications the need of good training and continuing education for all radiographers. An important part of the basic training of radiographers should focus on the performance of radiation protection and quality control tests. Good daily practice can decrease patient dose in many ways. (Author)

Decision theory on the quality evaluation of medical images; A teoria da decisao na avaliacao da qualidade da imagem medica

Energy Technology Data Exchange (ETDEWEB)

Lessa, Patricia Silva

2001-10-01

The problem of quality has been a constant issue in every organization.One is always seeking to produce more, to do it at a lower cost, and to do it with better quality. However, in this country, there is no radiographic film quality control system for radiographic services. The tittle that actually gets done is essentially ad hoc and superficial. The implications of this gap, along with some other shortcomings that exist in process as a whole (the state of the x-ray equipment, the adequate to use in order to obtain a radiography, the quality of the film, the processing of the film, the brightness and homogeneity of the viewing boxes, the ability of the radiologist), have a very negative impact on the quality of the medical image, and, as result, to the quality of the medical diagnosis and therapy. It frequently happens that many radiographs have to be repeated, which leads to an increase of the patient's exposure to radiation, as well as of the cost of the procedure for the patient. Low quality radiographs that are not repeated greatly increase the probability of a wrong diagnosis, and consequently, of inadequate therapeutical procedures, thus producing increased incidence of bad outcomes and higher costs. The paradigm proposed in order to establish a system for the measurement of the image's quality is Decision Theory. The problem of the assessment of the image is studied by proposing a Decision Theory approach. The review of the literature reveals a great concern with the quality of the image, along with an absence of an adequate paradigm and several essentially empirical procedures. Image parameters are developed in order to formalize the problem in terms of Decision Theory, and various aspects of image digitalisation are exposed. Finally, a solution is presented, including a protocol for quality control. (author)

Predicting lower third molar eruption on panoramic radiographs after cephalometric comparison of profile and panoramic radiographs

DEFF Research Database (Denmark)

Begtrup, Anders; Grønastøð, Halldis Á; Christensen, Ib Jarle

2012-01-01

and to find a simple and reliable method for predicting the eruption of the mandibular third molar by measurements on panoramic radiographs. The material consisted of profile and panoramic radiographs, taken before orthodontic treatment, of 30 males and 23 females (median age 22, range 18-48 years......Previous studies have suggested methods for predicting third molar tooth eruption radiographically. Still, this prediction is associated with uncertainty. The aim of the present study was to elucidate the association between cephalometric measurements on profile and panoramic radiographs...... the length from the ramus to the incisors (olr-id) showed a statistically significant correlation. By combining this length with the mesiodistal width of the lower second molar, the prediction of eruption of the lower third molar was strengthened. A new formula for calculating the probability of eruption...

Computer-assisted instruction and diagnosis of radiographic findings.

Science.gov (United States)

Harper, D; Butler, C; Hodder, R; Allman, R; Woods, J; Riordan, D

1984-04-01

Recent advances in computer technology, including high bit-density storage, digital imaging, and the ability to interface microprocessors with videodisk, create enormous opportunities in the field of medical education. This program, utilizing a personal computer, videodisk, BASIC language, a linked textfile system, and a triangulation approach to the interpretation of radiographs developed by Dr. W. L. Thompson, can enable the user to engage in a user-friendly, dynamic teaching program in radiology, applicable to various levels of expertise. Advantages include a relatively more compact and inexpensive system with rapid access and ease of revision which requires little instruction to the user.

Use of digitally reconstructed radiographs in radiotherapy treatment planning and verification

International Nuclear Information System (INIS)

Yang, C.; Guiney, M.; Hughes, P.; Leung, S.; Liew, K.H.; Matar, J.; Quong, G.

2000-01-01

The authors present 3 years of experience of using digitally reconstructed radiographs (DRR) for radiotherapy planning and verification. Comparison is made with simulation film (SF) to illustrate the advantages of DRR over SF. Emphasis is placed on using the appropriate equipment and applying the correct technique. A brief discourse on the principle of CT imaging is presented to illustrate the operation of CT software and optimization of image display for axial slices and DRR. Emphasis placed on the application of clinical knowledge to enhance the usefulness as well as the technical quality of the DRR. Illustrative examples are given. Copyright (1999) Blackwell Science Pty Ltd

Ergonomic strategies to improve radiographers' posture during mammography activities.

Science.gov (United States)

Cernean, Nicolai; Serranheira, Florentino; Gonçalves, Pedro; Sá Dos Reis, Cláudia

2017-08-01

To identify alternatives for radiographers' postures while performing mammography that can contribute to reduce the risk of work-related musculoskeletal disorders (WRMSDs). Radiographers' postures to positioning craniocaudal (CC) and mediolateral oblique (MLO) views were simulated without any intervention for three scenarios: radiographer/patient with similar statures, radiographer smaller than patient and radiographer taller than patient. Actions were taken to modify the postures: seated radiographer; patient on a step; seated patient; radiographer on a step. All the postures were analysed using kinovea 0.8.15 software and the angles were measured twice and classified according to European standard EN1005-4: 2005. The non-acceptable angles were measured mainly during MLO positioning when radiographer was taller than the patient: 139° and 120° for arm-flexion and abduction, 72° for trunk and -24° for head/neck-flexion. The introduction of alternative postures (radiographer seated), allowed improvements in posture (60° and 99° for arm flexion and abduction, 14° for trunk and 0° for head/neck flexion), being classified as acceptable. The alternative postures simulated have the potential to reduce the risk of developing WRMSDs when radiographers and patients have different statures. • Radiographers' postures in mammography can contribute to work-related musculoskeletal disorders • Non-acceptable posture was identified for MLO breast positioning (radiographer taller than patient) • Adapting posture to patient biotype reduces the WRMSD risk for radiographers.

Radiographic markers - A reservoir for bacteria?

International Nuclear Information System (INIS)

Tugwell, Jenna; Maddison, Adele

2011-01-01

Introduction: Amongst the most frequently handled objects in the radiology department are radiographic markers. They are personal accessories used with every patient, and are kept in the radiographers pockets when not utilised. Upon enquiry it was discovered that many radiographers disregarded the potential of these accessories to become a vector for cross-contamination thus never or rarely clean them. The aims of this study were therefore to identify if radiographic markers are a reservoir for bacteria and to establish an effective cleaning method for decontaminating them. Methodology: 25 radiographers/student radiographers were selected for this study. Swabbing of their markers prior and post cleaning took place. The microbiology laboratory subsequently analyzed the results by quantifying and identifying the bacteria present. The participants also completed a closed questionnaire regarding their markers (e.g. frequency of cleaning and type of marker) to help specify the results gained from the swabbing procedure. Results: From the sample swabbed, 92% were contaminated with various organisms including Staphylococcus and Bacillus species, the amount of bacteria present ranged from 0 to >50 CFU. There were no significant differences between disinfectant wipes and alcohol gel in decontaminating the markers. Both successfully reduced their bacterial load, with 80% of the markers post cleaning having 0 CFU. Conclusion: The results indicated that radiographic markers can become highly contaminated with various organisms thus serve as a reservoir for bacteria. In addition, the markers need to be cleaned on a regular basis, with either disinfectant wipes or alcohol gel to reduce their bacterial load.

Radiation protection calculations for diagnostic medical equipment

International Nuclear Information System (INIS)

Klueter, R.

1992-01-01

The standards DIN 6812 and DIN 6844 define the radiation protection requirements to be met by biomedical radiography equipment or systems for nuclear medicine. The paper explains the use of a specific computer program for radiation protection calculations. The program offers menu-controlled calculation, with free choice of the relevant nuclides. (DG) [de

21 CFR 866.4830 - Rocket immunoelectro-phoresis equipment.

Science.gov (United States)

2010-04-01

... (CONTINUED) MEDICAL DEVICES IMMUNOLOGY AND MICROBIOLOGY DEVICES Immunology Laboratory Equipment and Reagents... equipment for clinical use is a device used to perform a specific test on proteins by using a procedure...

Reference Neutron Radiographs of Nuclear Reactor Fuel

DEFF Research Database (Denmark)

Domanus, Joseph Czeslaw

1986-01-01

Reference neutron radiographs of nuclear reactor fuel were produced by the Euraton Neutron Radiography Working Group and published in 1984 by the Reidel Publishing Company. In this collection a classification is given of the various neutron radiographic findings, that can occur in different parts...... of pelletized, annular and vibro-conpacted nuclear fuel pins. Those parts of the pins are shown where changes of appearance differ from those for the parts as fabricated. Also radiographs of those as fabricated parts are included. The collection contains 158 neutron radiographs, reproduced on photographic paper...

Radiographic enhancement and analysis system

International Nuclear Information System (INIS)

Schlosser, M.S.

1981-01-01

Radiographic image enhancement and analysis techniques are discussed as they apply to nondestructive inspection. A system is described which has been developed to enhance and quantitatively evaluate radiographic images using digital computer techniques. Some examples of typical applications are also presented as an introduction to this new inspection technique. (author)

Agreement between radiographic and photographic trabecular patterns

Energy Technology Data Exchange (ETDEWEB)

Korstjens, C.M.; Geraets, W.G.M.; Stelt, P.F. van der [Dept. of Oral Radiology, Academic Centre for Dentistry, Amsterdam (Netherlands); Spruijt, R.J. [Div. of Psychosocial Research and Epidemiology, Netherlands Cancer Inst., Amsterdam (Netherlands); Mosekilde, L. [Dept. of Cell Biology, Univ. of Aarhus (Denmark)

1998-11-01

Purpose: It has been hypothesized that photographs can facilitate the interpretation of the radiographic characteristics of trabecular bone. The reliability of these photographic and radiographic approaches has been determined, as have various agreements between the two approaches and their correlations with biomechanical characteristics. Material and Methods: Fourteen vertebral bodies were obtained at autopsy from 6 women and 8 men aged 22-76 years. Photographs (n=28) and radiographs (n=28) were taken of midsagittal slices from the third lumbar vertebra. The radiographs and photographs were digitized and the geometric properties of the trabecular architecture were then determined with a digital images analysis technique. Information on the compressive strength and ash density of the vertebral body was also available. Results: The geometric properties of both radiographs and photographs could be measured with a high degree of reliability (Cronbach`s {alpha}>0.85). Agreement between the radiographic and photographic approaches was mediocre as only the radiographic measurements showed insignificant correlations (p<0.05) with the biomechanical characteristics. We suggest that optical phenomena may result in the significant correlations between the photographs and the biomechanical characteristics. Conclusion: For digital image processing, radiography offers a superior description of the architecture of trabecular bone to that offered by photography. (orig.)

Agreement between radiographic and photographic trabecular patterns

International Nuclear Information System (INIS)

Korstjens, C.M.; Geraets, W.G.M.; Stelt, P.F. van der; Spruijt, R.J.; Mosekilde, L.

1998-01-01

Purpose: It has been hypothesized that photographs can facilitate the interpretation of the radiographic characteristics of trabecular bone. The reliability of these photographic and radiographic approaches has been determined, as have various agreements between the two approaches and their correlations with biomechanical characteristics. Material and Methods: Fourteen vertebral bodies were obtained at autopsy from 6 women and 8 men aged 22-76 years. Photographs (n=28) and radiographs (n=28) were taken of midsagittal slices from the third lumbar vertebra. The radiographs and photographs were digitized and the geometric properties of the trabecular architecture were then determined with a digital images analysis technique. Information on the compressive strength and ash density of the vertebral body was also available. Results: The geometric properties of both radiographs and photographs could be measured with a high degree of reliability (Cronbach's α>0.85). Agreement between the radiographic and photographic approaches was mediocre as only the radiographic measurements showed insignificant correlations (p<0.05) with the biomechanical characteristics. We suggest that optical phenomena may result in the significant correlations between the photographs and the biomechanical characteristics. Conclusion: For digital image processing, radiography offers a superior description of the architecture of trabecular bone to that offered by photography. (orig.)

The clinical value of daily routine chest radiographs in a mixed medical-surgical intensive care unit is low.

Science.gov (United States)

Graat, Marleen E; Choi, Goda; Wolthuis, Esther K; Korevaar, Johanna C; Spronk, Peter E; Stoker, Jaap; Vroom, Margreeth B; Schultz, Marcus J

2006-02-01

The clinical value of daily routine chest radiographs (CXRs) in critically ill patients is unknown. We conducted this study to evaluate how frequently unexpected predefined major abnormalities are identified with daily routine CXRs, and how often these findings lead to a change in care for intensive care unit (ICU) patients. This was a prospective observational study conducted in a 28-bed, mixed medical-surgical ICU of a university hospital. Over a 5-month period, 2,457 daily routine CXRs were done in 754 consecutive ICU patients. The majority of these CXRs did not reveal any new predefined major finding. In only 5.8% of daily routine CXRs (14.3% of patients) was one or more new and unexpected abnormality encountered, including large atelectases (24 times in 20 patients), large infiltrates (23 in 22), severe pulmonary congestion (29 in 25), severe pleural effusion (13 in 13), pneumothorax/pneumomediastinum (14 in 13), and malposition of the orotracheal tube (32 in 26). Fewer than half of the CXRs with a new and unexpected finding were ultimately clinically relevant; in only 2.2% of all daily routine CXRs (6.4% of patients) did these radiologic abnormalities result in a change to therapy. Subgroup analysis revealed no differences between medical and surgical patients with regard to the incidence of new and unexpected findings on daily routine CXRs and the effect of new and unexpected CXR findings on daily care. In the ICU, daily routine CXRs seldom reveal unexpected, clinically relevant abnormalities, and they rarely prompt action. We propose that this diagnostic examination be abandoned in ICU patients.

Radiographical measurements for distal intra-articular fractures of the radius using plain radiographs and cone beam computed tomography images

Energy Technology Data Exchange (ETDEWEB)

Suojaervi, Nora; Lindfors, N. [Helsinki University Central Hospital, Department of Hand Surgery, Helsinki (Finland); Sillat, T.; Koskinen, S.K. [HUS Helsinki Medical Imaging Center, Helsinki University Central Hospital, Department of Radiology, Helsinki (Finland)

2015-12-15

Operative treatment of an intra-articular distal radius fracture is one of the most common procedures in orthopedic and hand surgery. The intra- and interobserver agreement of common radiographical measurements of these fractures using cone beam computed tomography (CBCT) and plain radiographs were evaluated. Thirty-seven patients undergoing open reduction and volar fixation for a distal radius fracture were studied. Two radiologists analyzed the preoperative radiographs and CBCT images. Agreement of the measurements was subjected to intra-class correlation coefficient and the Bland-Altman analyses. Plain radiographs provided a slightly poorer level of agreement. For fracture diastasis, excellent intraobserver agreement was achieved for radiographs and good or excellent agreement for CBCT, compared to poor interobserver agreement (ICC 0.334) for radiographs and good interobserver agreement (ICC 0.621) for CBCT images. The Bland-Altman analyses indicated a small mean difference between the measurements but rather large variation using both imaging methods, especially in angular measurements. For most of the measurements, radiographs do well, and may be used in clinical practice. Two different measurements by the same reader or by two different readers can lead to different decisions, and therefore a standardization of the measurements is imperative. More detailed analysis of articular surface needs cross-sectional imaging modalities. (orig.)

Radiographical measurements for distal intra-articular fractures of the radius using plain radiographs and cone beam computed tomography images.

Science.gov (United States)

Suojärvi, Nora; Sillat, T; Lindfors, N; Koskinen, S K

2015-12-01

Operative treatment of an intra-articular distal radius fracture is one of the most common procedures in orthopedic and hand surgery. The intra- and interobserver agreement of common radiographical measurements of these fractures using cone beam computed tomography (CBCT) and plain radiographs were evaluated. Thirty-seven patients undergoing open reduction and volar fixation for a distal radius fracture were studied. Two radiologists analyzed the preoperative radiographs and CBCT images. Agreement of the measurements was subjected to intra-class correlation coefficient and the Bland-Altman analyses. Plain radiographs provided a slightly poorer level of agreement. For fracture diastasis, excellent intraobserver agreement was achieved for radiographs and good or excellent agreement for CBCT, compared to poor interobserver agreement (ICC 0.334) for radiographs and good interobserver agreement (ICC 0.621) for CBCT images. The Bland-Altman analyses indicated a small mean difference between the measurements but rather large variation using both imaging methods, especially in angular measurements. For most of the measurements, radiographs do well, and may be used in clinical practice. Two different measurements by the same reader or by two different readers can lead to different decisions, and therefore a standardization of the measurements is imperative. More detailed analysis of articular surface needs cross-sectional imaging modalities.

Training and Validating a Deep Convolutional Neural Network for Computer-Aided Detection and Classification of Abnormalities on Frontal Chest Radiographs.

Science.gov (United States)

Cicero, Mark; Bilbily, Alexander; Colak, Errol; Dowdell, Tim; Gray, Bruce; Perampaladas, Kuhan; Barfett, Joseph

2017-05-01

Convolutional neural networks (CNNs) are a subtype of artificial neural network that have shown strong performance in computer vision tasks including image classification. To date, there has been limited application of CNNs to chest radiographs, the most frequently performed medical imaging study. We hypothesize CNNs can learn to classify frontal chest radiographs according to common findings from a sufficiently large data set. Our institution's research ethics board approved a single-center retrospective review of 35,038 adult posterior-anterior chest radiographs and final reports performed between 2005 and 2015 (56% men, average age of 56, patient type: 24% inpatient, 39% outpatient, 37% emergency department) with a waiver for informed consent. The GoogLeNet CNN was trained using 3 graphics processing units to automatically classify radiographs as normal (n = 11,702) or into 1 or more of cardiomegaly (n = 9240), consolidation (n = 6788), pleural effusion (n = 7786), pulmonary edema (n = 1286), or pneumothorax (n = 1299). The network's performance was evaluated using receiver operating curve analysis on a test set of 2443 radiographs with the criterion standard being board-certified radiologist interpretation. Using 256 × 256-pixel images as input, the network achieved an overall sensitivity and specificity of 91% with an area under the curve of 0.964 for classifying a study as normal (n = 1203). For the abnormal categories, the sensitivity, specificity, and area under the curve, respectively, were 91%, 91%, and 0.962 for pleural effusion (n = 782), 82%, 82%, and 0.868 for pulmonary edema (n = 356), 74%, 75%, and 0.850 for consolidation (n = 214), 81%, 80%, and 0.875 for cardiomegaly (n = 482), and 78%, 78%, and 0.861 for pneumothorax (n = 167). Current deep CNN architectures can be trained with modest-sized medical data sets to achieve clinically useful performance at detecting and excluding common pathology on chest radiographs.

H1N1 influenza infection in children: Frequency, pattern, and outcome of chest radiographic abnormalities

International Nuclear Information System (INIS)

Yoo, S.-Y.; Kim, J.H.; Eo, H.; Jeon, T.Y.; Shin, K.E.; Shin, W.S.; Jung, H.N.; Kim, Y.-J.

2011-01-01

Aim: To describe the frequency, pattern, and outcome of chest radiographic abnormalities in children with H1N1 influenza infection. Materials and methods: Three hundred and fourteen paediatric patients with confirmed H1N1 influenza infection who underwent chest radiography at presentation at a single institution during the outbreak in 2009 were retrospectively reviewed. Abnormal chest radiographic findings related to acute infection were analysed in terms of frequency, pattern, and distribution. Medical records and follow-up radiographs were also reviewed to assess clinical features and outcomes. Results: Chest lesions suggesting acute infection were identified in 49 (16%) patients (mean age 8.2 years, range approximately 1.8-18.5 years). The most common finding was prominent peribronchial marking (71%), followed by air-space opacity (51%) with or without volume decrease, generalized hyperinflation (24%), and pleural effusion (20%). Other minor findings included pneumomediastinum (n = 2) and a nodule (n = 1). Distributions were bilateral (55%) or unilateral (45%) with frequent involvement of lower (78%), and middle (59%) lung zones. Thirty-nine patients (80%) were hospitalized and six (12%) required mechanical ventilation, followed by recovery. Thirty-one out of the 33 patients that underwent follow-up radiography showed marked resolution of all radiographic abnormalities. Conclusion: The frequency of a chest radiographic abnormality was found to be low in children with H1N1 influenza infection. Although typical radiographic findings of a viral lower respiratory infection were more common, unilateral involvement and air-space opacity were common, often with pleural effusion. Furthermore, pulmonary lesions showed near complete resolution on follow-up radiographs in the majority of patients.

H1N1 influenza infection in children: Frequency, pattern, and outcome of chest radiographic abnormalities

Energy Technology Data Exchange (ETDEWEB)

Yoo, S.-Y. [Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of); Kim, J.H., E-mail: jhkate@skku.ed [Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of); Eo, H.; Jeon, T.Y.; Shin, K.E.; Shin, W.S.; Jung, H.N. [Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of); Kim, Y.-J. [Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

2011-04-15

Aim: To describe the frequency, pattern, and outcome of chest radiographic abnormalities in children with H1N1 influenza infection. Materials and methods: Three hundred and fourteen paediatric patients with confirmed H1N1 influenza infection who underwent chest radiography at presentation at a single institution during the outbreak in 2009 were retrospectively reviewed. Abnormal chest radiographic findings related to acute infection were analysed in terms of frequency, pattern, and distribution. Medical records and follow-up radiographs were also reviewed to assess clinical features and outcomes. Results: Chest lesions suggesting acute infection were identified in 49 (16%) patients (mean age 8.2 years, range approximately 1.8-18.5 years). The most common finding was prominent peribronchial marking (71%), followed by air-space opacity (51%) with or without volume decrease, generalized hyperinflation (24%), and pleural effusion (20%). Other minor findings included pneumomediastinum (n = 2) and a nodule (n = 1). Distributions were bilateral (55%) or unilateral (45%) with frequent involvement of lower (78%), and middle (59%) lung zones. Thirty-nine patients (80%) were hospitalized and six (12%) required mechanical ventilation, followed by recovery. Thirty-one out of the 33 patients that underwent follow-up radiography showed marked resolution of all radiographic abnormalities. Conclusion: The frequency of a chest radiographic abnormality was found to be low in children with H1N1 influenza infection. Although typical radiographic findings of a viral lower respiratory infection were more common, unilateral involvement and air-space opacity were common, often with pleural effusion. Furthermore, pulmonary lesions showed near complete resolution on follow-up radiographs in the majority of patients.

Comparison of radiographic and radionuclide hip arthrography in determination of femoral component loosening of hip arthroplasties

International Nuclear Information System (INIS)

Capello, W.N.; Uri, B.G.; Wellman, H.N.; Robb, J.A.; Stiver, P.L.

1985-01-01

Radiographic examination of a patient experiencing pain following total hip arthroplasty is an important step in the systematic approach to evaluating component loosening, even though the information yielded is often equivocal and nondiagnostic in assessing component loosening. The radiographic criteria for loosening are especially difficult to assess following revision surgery, for radiolucent lines frequently exist at the bone-cement interface immediately following implantation. The advent of noncemented hip prostheses poses another problem: the routinely noted disruption of bone-cement of prosthesis-cement interfaces is not present with uncemented prostheses. As the criteria for loosening of the noncemented prostheses are still evolving, plain radiographic examination is frequently nondiagnostic. Femoral component loosening is difficult to detect with standard contrast arthrography because the bone, metal, surrounding radiopaque cement and contrast agents have similar or identical radiographic appearances. In contrast arthrography, if the prosthesis is loose the injected agent opacifies the radiolucent zone encircling the prosthesis or cement mangle. Because of the similarity in the appearances of these agents and the surrounding structures on x-ray films, interpretation is difficult. The inclusion of subtraction techniques in routine contrast arthrography has improved its accuracy; however, these techniques require special equipment and demand precise patient positioning. The purpose of this study is to introduce a new form of hip arthrography using a radionuclide agent in place of the contrast agent. A comparison of the results using these two techniques is presented

Digital interactive learning of oral radiographic anatomy.

Science.gov (United States)

Vuchkova, J; Maybury, T; Farah, C S

2012-02-01

Studies reporting high number of diagnostic errors made from radiographs suggest the need to improve the learning of radiographic interpretation in the dental curriculum. Given studies that show student preference for computer-assisted or digital technologies, the purpose of this study was to develop an interactive digital tool and to determine whether it was more successful than a conventional radiology textbook in assisting dental students with the learning of radiographic anatomy. Eighty-eight dental students underwent a learning phase of radiographic anatomy using an interactive digital tool alongside a conventional radiology textbook. The success of the digital tool, when compared to the textbook, was assessed by quantitative means using a radiographic interpretation test and by qualitative means using a structured Likert scale survey, asking students to evaluate their own learning outcomes from the digital tool. Student evaluations of the digital tool showed that almost all participants (95%) indicated that the tool positively enhanced their learning of radiographic anatomy and interpretation. The success of the digital tool in assisting the learning of radiographic interpretation is discussed in the broader context of learning and teaching curricula, and preference (by students) for the use of this digital form when compared to the conventional literate form of the textbook. Whilst traditional textbooks are still valued in the dental curriculum, it is evident that the preference for computer-assisted learning of oral radiographic anatomy enhances the learning experience by enabling students to interact and better engage with the course material. © 2011 John Wiley & Sons A/S.

Radiographic manifestations of hypochondroplasia

Energy Technology Data Exchange (ETDEWEB)

Heselson, N G; Cremin, B J [Groote Schuur Hospital, Cape Town (South Africa); Beighton, P

1979-01-01

Hypochrondroplasia is an inherited skeletal dysplasia that resembles achondroplasia in mild degree. Radiographic manifestations encountered in 12 affected individuals in South Africa include slight shortening of all segments of the tubular bones, moderate caudal diminution of the lumbar interpedicular distances, increased lumbar lordosis with cacral tilt and distal prolongation of the fibular. Hypochondroplasia can be distinguished from other osteochondrodystrophies such as achondroplasia, pseudo-achondroplasia and metaphyseal chondroplasia by the recognition of it clinical and radiographic manifestations.

Absorbed doses received by infants subjected to panoramic dental and cephalic radiographs

International Nuclear Information System (INIS)

Carrizales, L.; Carreno, S.

1998-01-01

The IAEA Report No. 115 recommends that each country or region can establish levels of absorbed doses for each radiographic technique employed in diagnostic. assuming the extended and expensive of this purpose, we have been to begin in a first step with the dentistry area, in order to estimate the dose levels received at crystalline and thyroid level in infants that go to an important public institution in our country to realize panoramic and cephalic radiographs. This work will serve to justify and impel a quality assurance program in Venezuela on the dentistry area which includes aspects such as training for the medical lap referring the justification of the radiological practice, optimization of X-ray units to produce an adequate image quality that delivers to patient an absorbed dose as much lower as reasonably it can be reached without diagnostic detriment. (Author)

Improving visual observation skills through the arts to aid radiographic interpretation in veterinary practice: A pilot study.

Science.gov (United States)

Beck, Cathy; Gaunt, Heather; Chiavaroli, Neville

2017-09-01

Radiographic interpretation is a perceptual and cognitive skill. Recently core veterinary radiology textbooks have focused on the cognitive (i.e., the clinical aspects of radiographic interpretation) rather than the features of visual observation that improve identification of abnormalities. As a result, the skill of visual observation is underemphasized and thus often underdeveloped by trainees. The study of the arts in medical education has been used to train and improve visual observation and empathy. The use of the arts to improve visual observation skills in Veterinary Science has not been previously described. Objectives of this pilot study were to adapt the existing Visual Arts in Health Education Program for medical and dental students at the University of Melbourne, Australia to third year Doctor of Veterinary Medicine students and evaluate their perceptions regarding the program's effects on visual observation skills and confidence with respect to radiographic interpretation. This adaptation took the form of a single seminar given to third year Doctor of Veterinary Medicine students. Following the seminar, students reported an improved approach to radiographic interpretation and felt they had gained skills which would assist them throughout their career. In the year following the seminar, written reports of the students who attended the seminar were compared with reports from a matched cohort of students who did not attend the seminar. This demonstrated increased identification of abnormalities and greater description of the abnormalities identified. Findings indicated that explicit training in visual observation may be a valuable adjunct to the radiology training of Doctor of Veterinary Medicine students. © 2017 American College of Veterinary Radiology.

Radiographic technical quality of root canal treatment performed ex vivo by dental students at Valencia University Medical and Dental School, Spain

Science.gov (United States)

Faus-Matoses, Vicente; Alegre-Domingo, Teresa; Faus-Llácer, Vicente J.

2014-01-01

Objectives: To evaluate radiographically the quality of root canal fillings and compare manual and rotary preparation performed on extracted teeth by undergraduate dental students. Study Design: A total of 561 premolars and molars extracted teeth were prepared using nickel-titanium rotary files or manual instrumentation and filled with gutta-percha using a cold lateral condensation technique, by 4th grade undergraduate students. Periapical radiographs were used to assess the technical quality of the root canal filling, evaluating three variables: length, density and taper. These data were recorded, scored and used to study the “technical success rate” and the “overall score”. The length of each root canal filling was classified as acceptable, short and overfilled, based on their relationship with the radiographic apex. Density and taper of filling were evaluated based on the presence of voids and the uniform tapering of the filling, respectively. Statistical analysis was used to evaluate the quality of root canal treatment, considering p rotary instruments (52% against 28% with a manual one, p rotary instrumentation. Key words:Dental education, endodontics, rotary instrumentation, radiographs, root canal treatment, undergraduate students. PMID:24121911

Evaluation of developmental dental anomalies in digital panoramic radiographs in Southeast Iranian Population.

Science.gov (United States)

Saberi, Eshagh Ali; Ebrahimipour, Sediqe

2016-01-01

The objective of this study was to evaluate the prevalence of dental developmental anomalies in digital panoramic radiographs of the patients referred to the Zahedan medical imaging center and to evaluate the frequency of anomalies regarding the disorders in shape, position and number in the Southeast of Iran. A total of 1172 panoramic radiographs from 581 males and 586 females aged over 16 years were obtained from the files of the Zahedan medical imaging center between the years of 2014 and 2015. The selected radiographs were evaluated in terms of the anomalies such as dilacerations, taurodontism, supernumerary teeth, congenitally missing teeth, fusion, gemination, tooth impaction, tooth transposition, dens invagination, and peg lateral. Then, the anomalies were compared to each other regarding the frequency of the anomaly type (morphological, positional and numerical). Data were evaluated using descriptive statistics such as frequency and percent, and statistical tests such as X(2) at 0.05 significant level using the Statistical Package for the Social Sciences version 16.5. The prevalence of dental anomaly was 213 (18.17%), which was higher in females (9.90) than male, (8.28), however, this difference was not statistically significant (P > 0.05). The prevalence of dilacerated teeth was 62 (5.29%), taurodontism 63 (5.38%), supernumerary teeth 6 (0.51%), congenitally missing teeth 13 (1.11%), fusion 1 (0.09%), gemination 1 (0.09%), impaction 40 (3.41%), transposition 2 (0.18%), dens invagination 16 (1.37) and peg lateral was 9 (0.77%). The prevalence of morphological anomaly was 152 (71.36%), malposition 42 (19.72%) and numerous anomaly was 19 (8.92%). Dental anomalies are relatively common; although their occurrence is not symptomatic, they can lead to several clinical problems in patients. Detailed clinical and radiographic assessment and counseling during patient visits is a critical factor in assessing the patient's degree of difficulty to help the dentist for

Consultant radiographers: Profile of the first generation

International Nuclear Information System (INIS)

Forsyth, Lesley J.; Maehle, Valerie

2010-01-01

Aim: The aim of this research is to examine the profile of first generation consultant radiographers: their demographics, educational backgrounds, qualifications and training, career experience and progression, teaching, lecturing and research activities. Method: Participant recruitment was drawn from the Society and College of Radiographers consultant radiographer group. Data collection involved a self-administered paper based and web based questionnaire. Results: Participant response rate of 55% (n = 11). Conclusions: The profile of the first consultant radiographer cohort reflects a diverse and eclectic mix. While some aspects of their development such as educational background, clinical training and skills enhancement are comparable to nurse consultants, clinical experience and employment history show some differences. Commitment to development of expert clinical skills is evident within the profile of the first generation cohort of consultant radiographers however research and leadership training are not strong features.

Consultant radiographers: Profile of the first generation

Energy Technology Data Exchange (ETDEWEB)

Forsyth, Lesley J., E-mail: l.forsyth@rgu.ac.u [School of Health Sciences, Robert Gordon University, Aberdeen, AB10 7QG (United Kingdom); Maehle, Valerie [Faculty of Health and Social Care, Robert Gordon University, Aberdeen, AB10 7QG (United Kingdom)

2010-11-15

Aim: The aim of this research is to examine the profile of first generation consultant radiographers: their demographics, educational backgrounds, qualifications and training, career experience and progression, teaching, lecturing and research activities. Method: Participant recruitment was drawn from the Society and College of Radiographers consultant radiographer group. Data collection involved a self-administered paper based and web based questionnaire. Results: Participant response rate of 55% (n = 11). Conclusions: The profile of the first consultant radiographer cohort reflects a diverse and eclectic mix. While some aspects of their development such as educational background, clinical training and skills enhancement are comparable to nurse consultants, clinical experience and employment history show some differences. Commitment to development of expert clinical skills is evident within the profile of the first generation cohort of consultant radiographers however research and leadership training are not strong features.

Information needs assessment of medical equipment offices based on Critical Success Factors (CSF) and Business System Planning (BSP) methods.

Science.gov (United States)

Khorrami, F; Ahmadi, M; Alizadeh, A; Roozbeh, N; Mohseni, S

2015-01-01

Introduction: Given the ever-increasing importance and value of information, providing the management with a reliable information system, which can facilitate decision-making regarding planning, organization and control, is vitally important. This study aimed to analyze and evaluate the information needs of medical equipment offices. Methods: This descriptive applied cross-sectional study was carried out in 2010. The population of the study included the managers of statistic and medical records at the offices of vice-chancellor for treatment in 39 medical universities in Iran. Data were collected by using structured questioners. With regard to different kinds of designing information systems, sampling was done by two methods, BSP (based on processes of job description) and CSF method (based on critical success factors). The data were analyzed by SPSS-16. Results: Our study showed that 41% of information needs were found to be critical success factors of managers of office. The first priority of managers was "the number of bed and bed occupancy in hospitals". Of 29 identified information needs, 62% were initial information needs of managers (from the viewpoints of managers). Of all, 4% of the information needs were obtained through the form, 14% through both the form and database, 11% through the web site, and 71% had no sources (forms, databases, web site). Conclusion: Since 71% of the information needs of medical equipment offices managers had no information sources, the development of information system in these offices seems to be necessary. Despite the important role of users in designing the information systems (identifying 62% of information needs), other scientific methods is also needed to be utilized in designing the information systems.

Information needs assessment of medical equipment offices based on Critical Success Factors (CSF) and Business System Planning (BSP) methods

Science.gov (United States)

Khorrami, F; Ahmadi, M; Alizadeh, A; Roozbeh, N; Mohseni, S

2015-01-01

Introduction: Given the ever-increasing importance and value of information, providing the management with a reliable information system, which can facilitate decision-making regarding planning, organization and control, is vitally important. This study aimed to analyze and evaluate the information needs of medical equipment offices. Methods: This descriptive applied cross-sectional study was carried out in 2010. The population of the study included the managers of statistic and medical records at the offices of vice-chancellor for treatment in 39 medical universities in Iran. Data were collected by using structured questioners. With regard to different kinds of designing information systems, sampling was done by two methods, BSP (based on processes of job description) and CSF method (based on critical success factors). The data were analyzed by SPSS-16. Results: Our study showed that 41% of information needs were found to be critical success factors of managers of office. The first priority of managers was “the number of bed and bed occupancy in hospitals”. Of 29 identified information needs, 62% were initial information needs of managers (from the viewpoints of managers). Of all, 4% of the information needs were obtained through the form, 14% through both the form and database, 11% through the web site, and 71% had no sources (forms, databases, web site). Conclusion: Since 71% of the information needs of medical equipment offices managers had no information sources, the development of information system in these offices seems to be necessary. Despite the important role of users in designing the information systems (identifying 62% of information needs), other scientific methods is also needed to be utilized in designing the information systems. PMID:28255389

Interpretation and evaluation of radiograph

International Nuclear Information System (INIS)

Abdul Nassir Ibrahim; Azali Muhammad; Ab. Razak Hamzah; Abd. Aziz Mohamed; Mohamad Pauzi Ismail

2008-01-01

After digestion, the interpreter must interpreted and evaluate the image on film, usually many radiograph stuck in this step, if there is good density, so there are no problem. This is a final stage of radiography work and this work must be done by level two or three radiographer. This is a final stages before the radiographer give a result to their customer for further action. The good interpreter must know what kind of artifact, is this artifact are dangerous or not and others. In this chapter, the entire artifact that usually showed will be discussed briefly with the good illustration and picture to make the reader understand and know the type of artifact that exists.

Quality assurance procedures in radiotherapy - IEC specifications for equipment

Energy Technology Data Exchange (ETDEWEB)

Rassow, J; Klieber, E

1986-08-01

The International Electrotechnical Commission (IEC) worked out international standards for requirements and tests of electrical, mechanical and radiation safety as well as for definition and tests of functional performance characteristics of radiotherapy equipments (medical electron accelerators, gamma beam teletherapy and afterloading equipments, simulators and accessories) and for clinical dosimeters and terminology for medical radiology. A survey is given on the actual state of standardization projects. The problems of such standards are shown for the standard for functional performance characteristics of medical electron accelerators as example.

Quality assurance procedures in radiotherapy - IEC specifications for equipment

International Nuclear Information System (INIS)

Rassow, J.; Klieber, E.

1986-01-01

The International Electrotechnical Commission (IEC) worked out international standards for requirements and tests of electrical, mechanical and radiation safety as well as for definition and tests of functional performance characteristics of radiotherapy equipments (medical electron accelerators, gamma beam teletherapy and afterloading equipments, simulators and accessories) and for clinical dosimeters and terminology for medical radiology. A survey is given on the actual state of standardization projects. The problems of such standards are shown for the standard for functional performance characteristics of medical electron accelerators as example. (orig.) [de

Bash bash bash – It almost fits perfectly now. College of Radiographers 39th Welbeck Memorial Lecture

International Nuclear Information System (INIS)

Hogg, Peter

2012-01-01

This paper outlines The College of Radiographers 39th Welbeck Memorial Eponymous Lecture presented at United Kingdom Radiological Congress in 2010. The presentation considered the future of radiography practice and how that future might be influenced. The presentation was structured into 4 sections: approaches to predicting the future; use of imaging techniques and technologies; 2025 - our future; a roadmap to our future. With an emphasis on the business sector the first section considers traditional and creative ways of predicting the future; some examples of predicting the future are taken from radiography. Using specific examples from radiographic practice the second section attempts to determine whether imaging technologies and radiography techniques are optimised and whether clinical decision making is based upon research evidence. In this section consideration is also given to the temporal relationship between the introduction of new equipment, the research that supports its use and the skills required to work with it. The third section is short and it contains general predictions about what 2025 may look like. The final section proposes briefly how the radiographic profession might move forward into the future we would wish to exist.

Animal radiographs

International Nuclear Information System (INIS)

Anon.

1993-01-01

This chapter presents historical x rays of a wide variety of animals taken within 5 years of the discovery of x radiation. Such photos were used as tests or as illustrations for radiographic publications. Numerous historical photographs are included. 10 refs

Radiographic examination takes on an automated image

International Nuclear Information System (INIS)

Aman, J.

1988-01-01

Automation can be effectively applied to nondestructive testing (NDT). Until recently, film radiography used in NDT was largely a manual process, involving the shooting of a series of x-rays, manually positioned and manually processed. In other words, much radiographic work is being done the way it was over 50 years ago. Significant advances in automation have changed the face of manufacturing, and industry has shared in the benefits brought by such progress. The handling of parts, which was once responsible for a large measure of labor costs, is now assigned to robotic equipment. In nondestructive testing processes, some progress has been achieved in automation - for example, in real-time imaging systems. However, only recently have truly automated NDT begun to emerge. There are two major reasons to introduce automation into NDT - reliability and productivity. Any process or technique that can improve the reliability of parts testing could easily justify the capital investments required

[The set of wearable medical equipment for medical and nursing teams].

Science.gov (United States)

Efimenko, N a; Valevskii, V V; Lyutov, V V; Makhnovskii, A I; Sorokin, S I; Blinda, I V

2015-06-01

The kit is designed in accordance with the list of the first medical aid procedures and syndromic standards of emergency medical care providing. The kit contains modern local hemostatic agents, vent tubes, cricothyrotomy, needles to eliminate pneumothorax, portable oxygen machine, sets for intravenous and intraosseous infusion therapy, collapsible plastic tires, anti-shock pelvic girdle, and other medical products and pharmaceuticals. As containers used backpack and trolley bag on wheels camouflage colours. For the convenience and safety of the personnel of the vest is designed discharge to be converted in the body armour.

Catheters, wires, tubes and drains on postoperative radiographs of pediatric cardiac patients: the whys and wherefores

Energy Technology Data Exchange (ETDEWEB)

Teele, Sarah A.; Thiagarajan, Ravi R. [Children' s Hospital Boston, Department of Cardiology, Boston, MA (United States); Harvard Medical School, Department of Pediatrics, Boston, MA (United States); Emani, Sitaram M. [Children' s Hospital Boston, Department of Cardiac Surgery, Boston, MA (United States); Harvard Medical School, Department of Surgery, Boston, MA (United States); Teele, Rita L. [Harvard Medical School, Department of Radiology, Boston, MA (United States); Starship Children' s Hospital, Department of Radiology, Grafton (New Zealand)

2008-10-15

Surgical treatment of congenital heart disease has advanced dramatically since the first intracardiac repairs in the mid-20th century. Previously inoperable lesions have become the focus of routine surgery and patients are managed successfully in intensive care units around the world. As a result, increasing numbers of postoperative images are processed by departments of radiology in children's hospitals. It is important that the radiologist accurately documents and describes the catheters, wires, tubes and drains that are present on the chest radiograph. This article reviews the reasons for the placement and positioning of perioperative equipment in children who have surgical repair of atrial septal defect, ventricular septal defect or transposition of the great arteries. Also included are a brief synopsis of each cardiac anomaly, the surgical procedure for its correction, and an in-depth discussion of the postoperative chest radiograph including illustrations of catheters, wires, tubes and drains. (orig.)

Catheters, wires, tubes and drains on postoperative radiographs of pediatric cardiac patients: the whys and wherefores

International Nuclear Information System (INIS)

Teele, Sarah A.; Thiagarajan, Ravi R.; Emani, Sitaram M.; Teele, Rita L.

2008-01-01

Surgical treatment of congenital heart disease has advanced dramatically since the first intracardiac repairs in the mid-20th century. Previously inoperable lesions have become the focus of routine surgery and patients are managed successfully in intensive care units around the world. As a result, increasing numbers of postoperative images are processed by departments of radiology in children's hospitals. It is important that the radiologist accurately documents and describes the catheters, wires, tubes and drains that are present on the chest radiograph. This article reviews the reasons for the placement and positioning of perioperative equipment in children who have surgical repair of atrial septal defect, ventricular septal defect or transposition of the great arteries. Also included are a brief synopsis of each cardiac anomaly, the surgical procedure for its correction, and an in-depth discussion of the postoperative chest radiograph including illustrations of catheters, wires, tubes and drains. (orig.)

Relative distribution of pertinent findings on portable neonatal abdominal radiographs: can we shield the gonads?

Science.gov (United States)

Winfeld, Matthew; Strubel, Naomi; Pinkney, Lynne; Lala, Shailee; Milla, Sarah; Babb, James; Fefferman, Nancy

2013-10-01

Shielding of the gonads is a dose-saving strategy in pediatric radiography and its use is the law in New York and the majority of other states. However, routine use of gonadal shields is controversial because of concerns that important diagnostic information can be obscured. The purpose of this study was to assess the frequency and spatial distribution of key findings on portable neonatal abdominal radiographs. We reviewed the 2,544 portable neonatal intensive care unit anteroposterior abdominal radiographs performed in 2010 at a university medical center, of which 962 were inadequately shielded. These 962 radiographs were reviewed by pairs of pediatric radiologists for the presence of findings in different regions, including bowel abnormalities, pneumatosis, free air, inguinal hernias, osseous abnormalities, and catheter/tube tips. The fewest pertinent findings were present below the level of the sacrosciatic notches (n = 181, 18.8%). Of the 853 abnormalities below the level of the iliac crests in our cohort, six were isolated to these regions, whereas others had concomitant abnormalities more superiorly. Of 35 radiographs with pneumatosis or suspected pneumatosis in the pelvis, 33 had pneumatosis in more superior regions. Suspected free air was never isolated to the pelvis. Osseous abnormalities were only present in the pelvis below the sacrosciatic notch, and 37.5% of lower extremity catheters terminated below the level of the sacrosciatic notches. Pertinent findings on neonatal intensive care unit abdominal radiographs are rarely isolated to the pelvic regions.

Radiographic heart-volume estimation in normal cats

International Nuclear Information System (INIS)

Ahlberg, N.E.; Hansson, K.; Svensson, L.; Iwarsson, K.

1989-01-01

Heart volume mensuration was evaluated on conventional radiographs from eight normal cats in different body positions using computed tomography (CT). Heart volumes were calculated from orthogonal thoracic radiographs in ventral and dorsal recumbency and from radiographs exposed with a vertical X-ray beam in dorsal and lateral recumbency using the formula for an ellipsoid body. Heart volumes were also estimated with CT in ventral, dorsal, right lateral and left lateral recumbency. No differences between heart volumes from CT in ventral recumbency and those from CT in right and left lateral recumbency were seen. In dorsal recumbency, however, significantly lower heart volumes were obtained. Heart volumes from CT in ventral recumbency were similar to those from radiographs in ventral and dorsal recumbency and dorsal/left lateral recumbency. Close correlation was also demonstrated between heart volumes from radiographs in dorsal/ left lateral recumbency and body weights of the eight cats

Measure by image analysis of industrial radiographs

International Nuclear Information System (INIS)

Brillault, B.

1988-01-01

A digital radiographic picture processing system for non destructive testing intends to provide the expert with computer tool, to precisely quantify radiographic images. The author describes the main problems, from the image formation to its characterization. She also insists on the necessity to define a precise process in order to automatize the system. Some examples illustrate the efficiency of digital processing for radiographic images [fr

Advanced radiographic scanning, enhancement and electronic data storage

International Nuclear Information System (INIS)

Savoie, C.; Rivest, D.

2003-01-01

It is a well-known fact that radiographs deteriorate with time. Substantial cost is attributed to cataloguing and storage. To eliminate deterioration issues and save time retrieving radiographs, laser scanning techniques were developed in conjunction with viewing and enhancement software. This will allow radiographs to be successfully scanned and stored electronically for future reference. Todays radiographic laser scanners are capable Qf capturing images with an optical density of up to 4.1 at 256 grey levels and resolutions up to 4096 pixels per line. An industrial software interface was developed for the nondestructive testing industry so that, certain parameters such as scan resolution, number of scans, file format and location to be saved could be adjusted as needed. Once the radiographs have been scanned, the tiff images are stored, or retrieved into Radiance software (developed by Rivest Technologies Inc.), which will help to properly interpret the radiographs. Radiance was developed to allow the user to quickly view the radiographs correctness or enhance its defects for comparison and future evaluation. Radiance also allows the user to zoom, measure and annotate areas of interest. Physical cost associated with cataloguing, storing and retrieving radiographs can be eliminated. You can now successfully retrieve and view your radiographs from CD media or dedicated hard drive at will. For continuous searches and/or field access, dedicated hard drives controlled by a server would be the media of choice. All scanned radiographs will be archived to CD media (CD-R). Laser scanning with a proper acquisition interface and easy to use viewing software will permit a qualified user to identify areas of interest and share this information with his/her colleagues via e-mail or web data access. (author)

46 CFR 197.454 - First aid and treatment equipment.

Science.gov (United States)

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false First aid and treatment equipment. 197.454 Section 197.454 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) MARINE OCCUPATIONAL SAFETY AND... Equipment § 197.454 First aid and treatment equipment. The diving supervisor shall ensure that medical kits...

Calcified carotid atherosclerotic plaques on digital panoramic radiographs in patients with Type II diabetes mellitus: A case control study

Directory of Open Access Journals (Sweden)

Neha Khambete

2015-01-01

Full Text Available Aim: Diabetes mellitus is associated with accelerated carotid artery atherosclerosis and increased risk of stroke. This study was conducted with the objective of determining the prevalence of calcified atherosclerotic plaques on panoramic radiographs of patients with Type II diabetes mellitus. Materials and Methods: Panoramic radiographs of 100 patients (age range 50-84 years with known history of type II diabetes mellitus, visiting the outpatient department were evaluated for the presence of calcified atherosclerotic plaques. Age- and sex-matched controls were evaluated in the same manner. Statistical comparison of prevalence rates was done. Results: The radiographs of diabetics (mean age: 64.45 years revealed that 26% had atheromatous plaques, whereas those of controls (mean age: 65.36 years revealed that 6% had atheromatous plaques. A statistically significant difference (P = 0.01410 was obtained using Yates′ Chi-square test. Conclusion: People with diabetes mellitus had a greater prevalence of calcified atherosclerotic plaques on panoramic radiographs than non-diabetics. Panoramic radiographs of diabetic patients should be screened for the presence of carotid artery atheromatous plaques for timely medical referral of asymptomatic patients and avoiding any further serious consequences like cerebrovascular accidents.

Radiographic aspects of xeroradiography

International Nuclear Information System (INIS)

Rao, G.U.V.; Fatouros, P.P.

1980-01-01

The quality of a conventional radiographic image can be characterized in terms of five basic parameters; density, contrast, latitude, resolution and noise. Since xeroradiographic images exhibit very limited broad area contrasts, and image formation is predominantly due to edge enhancement, a straightforward description of image quality using the same five parameters is not adequate. A detailed study was made of the radiographic aspects of xeroradiography with special reference to mammography, and a summary of major findings to date with appropriate references to published papers is presented

Radiologist perceptions of radiographer role development in Scotland

Energy Technology Data Exchange (ETDEWEB)

Forsyth, Lesley J. [School of Health Sciences, Robert Gordon University, Faculty of Health and Social Care, Garthdee Road, Garthdee, Aberdeen AB10 7QG (United Kingdom)]. E-mail: l.forsyth@rgu.ac.uk; Robertson, Elizabeth M. [Department of Radiology, Aberdeen Royal Infirmary, Foresterhill, Aberdeen AB25 2ZN (United Kingdom)]. E-mail: e.m.robertson@arh.grampian.scot.nhs.uk

2007-02-15

Aim: To survey the perceptions of the Scottish radiology community in relation to radiographer role development. Methods: A postal questionnaire was sent to all consultant radiologists recorded on the NHS Scotland database of consultants. Results: Response rate was 63%. (i) Respondents considered increased professional standing of radiographers, best use of manpower resources, reduced pressure on the service and improved recruitment and retention, as positive advantages of radiographer development. (ii) The potential impact on radiology specialist registrar training, lack of clear medico-legal responsibilities and radiographers recognising the limitations of their abilities were identified as the main areas of radiologist anxiety. (iii) Fifty-seven percent did not consider current post-registration radiography education and training resources adequate to underpin the requirement of developed roles. (iv) Barriers to radiographer development were identified as lack of radiography and radiology staff, suitable education, financial constraints, traditional views and resistance to change. (v) Eighty-two percent reported support for radiographer role development and willingness to participate actively in developments. Conclusion: Despite reservations Scottish radiologists are supportive of the development of radiography colleagues, however, guidance is required on the medico-legal and accountability aspects of radiographers assuming new roles. Radiologist involvement in education and training for new roles may increase their confidence and trust in radiographers to work within the limitations of their competency and training.

Radiologist perceptions of radiographer role development in Scotland

International Nuclear Information System (INIS)

Forsyth, Lesley J.; Robertson, Elizabeth M.

2007-01-01

Aim: To survey the perceptions of the Scottish radiology community in relation to radiographer role development. Methods: A postal questionnaire was sent to all consultant radiologists recorded on the NHS Scotland database of consultants. Results: Response rate was 63%. (i) Respondents considered increased professional standing of radiographers, best use of manpower resources, reduced pressure on the service and improved recruitment and retention, as positive advantages of radiographer development. (ii) The potential impact on radiology specialist registrar training, lack of clear medico-legal responsibilities and radiographers recognising the limitations of their abilities were identified as the main areas of radiologist anxiety. (iii) Fifty-seven percent did not consider current post-registration radiography education and training resources adequate to underpin the requirement of developed roles. (iv) Barriers to radiographer development were identified as lack of radiography and radiology staff, suitable education, financial constraints, traditional views and resistance to change. (v) Eighty-two percent reported support for radiographer role development and willingness to participate actively in developments. Conclusion: Despite reservations Scottish radiologists are supportive of the development of radiography colleagues, however, guidance is required on the medico-legal and accountability aspects of radiographers assuming new roles. Radiologist involvement in education and training for new roles may increase their confidence and trust in radiographers to work within the limitations of their competency and training

Needs, conditions of intervention and staff in medical physics for medical imagery

International Nuclear Information System (INIS)

Salvat, Cecile; Dieudonne, Arnaud; Guilhem, Marie-Therese; Le Du, Dominique; Pierrat, Noelle; Isambert, Aurelie; Valero, Marc; Blanchard, Vincent

2013-04-01

This guide proposes information on the types and quantification of medical physics tasks to be performed when performing medical imagery using ionizing radiations. It gives recommendations about the commitment of medical physicists (with or without support staff) and the required staff in nuclear medicine and, more generally in imagery (interventional radiology, scanography, conventional radiology). It first gives an overview of the situation in France in 2012 in terms of observations made by the ASN during inspections, and of results of a survey conducted among medical physicists involved in medical imagery. It indicates the current regulatory requirements, and international and national recommendations, and describes the commitment in imagery of medical physicists in three countries (Spain, Belgium and Germany). It analyses and describes the fields of intervention of medical physicists in imagery and identifies associated tasks in France (in equipment purchasing, equipment installation, equipment routine usage, patient care, nuclear medicine or internal vectorized radiotherapy, or staff training). Recommendations of a work-group about sizing criteria are proposed

Chest radiographic findings in acute paraquat poisoning

Energy Technology Data Exchange (ETDEWEB)

Na, Gyeong Gyun; Lee, Mi Sook; Kim, Hee Jun; Sun, In O [Presbyterian Medical Center, Jeonju (Korea, Republic of)

2016-01-15

To describe the chest radiographic findings of acute paraquat poisoning. 691 patients visited the emergency department of our hospital between January 2006 and October 2012 for paraquat poisoning. Of these 691, we identified 56 patients whose initial chest radiographs were normal but who developed radiographic abnormalities within one week. We evaluated their radiographic findings and the differences in imaging features based on mortality. The most common finding was diffuse consolidation (29/56, 52%), followed by consolidation with linear and nodular opacities (18/56, 32%), and combined consolidation and pneumomediastinum (7/56, 13%). Pleural effusion was noted in 17 patients (30%). The two survivors (4%) showed peripheral consolidations, while the 54 patients (96%) who died demonstrated bilateral (42/54, 78%) or unilateral (12/54, 22%) diffuse consolidations. Rapidly progressing diffuse pulmonary consolidation was observed within one week on follow-up radiographs after paraquat ingestion in the deceased, but the survivors demonstrated peripheral consolidation.

Radiographic findings of femoroacetabular impingement in National Football League Combine athletes undergoing radiographs for previous hip or groin pain.

Science.gov (United States)

Nepple, Jeffrey J; Brophy, Robert H; Matava, Matthew J; Wright, Rick W; Clohisy, John C

2012-10-01

The purpose of this study was to investigate the prevalence of radiographic findings of femoroacetabular impingement (FAI) in elite football players with a history of hip pain or groin injury who underwent radiographs. We performed a retrospective review of athletes undergoing hip radiography at the National Football League Combine from 2007 to 2009. Radiographs were obtained in athletes with a history of hip pain or injury. Anteroposterior pelvis and frog-lateral radiographs were obtained in 123 hips (107 players) that met our inclusion criteria. Radiographic indicators of cam-type FAI (alpha angle, head-neck offset ratio) and pincer-type FAI (acetabular retroversion, center-edge angle, acetabular inclination) were recorded. Findings were correlated with clinical factors (previous groin/hip pain, position, race, and body mass index). The most common previous injuries included groin strain (n = 57) and sports hernia/abdominal strain (n = 21). Markers of cam- and/or pincer-type FAI were present in 94.3% of hips (116 of 123). Radiographic evidence of combined cam- and pincer-type FAI was the most common (61.8%, 76 hips), whereas isolated cam-type FAI (9.8%, 12 hips) and pincer-type FAI (22.8%, 28 hips) were less common. The most common deformities included acetabular retroversion (71.5%) and an abnormal alpha angle (61.8%). A body mass index greater than 35 was associated with the presence of global overcoverage (46.2% v 17.3%, P = .025). Radiographic indicators of FAI are very common among athletes evaluated at the National Football League Scouting Combine subjected to radiographic examination for the clinical suspicion of hip disease. Elite football athletes with significant or recurrent pain about the hip should be evaluated clinically and radiographically for FAI, because pain from FAI may be falsely attributed to or may be present in addition to other disorders. Level IV, therapeutic case series. Copyright © 2012 Arthroscopy Association of North America

A radiographic analysis of implant component misfit.

LENUS (Irish Health Repository)

Sharkey, Seamus

2011-07-01

Radiographs are commonly used to assess the fit of implant components, but there is no clear agreement on the amount of misfit that can be detected by this method. This study investigated the effect of gap size and the relative angle at which a radiograph was taken on the detection of component misfit. Different types of implant connections (internal or external) and radiographic modalities (film or digital) were assessed.

The use and abuse of radiographic grids

International Nuclear Information System (INIS)

Brough, P.D.

1981-01-01

It is generally accepted that scattered radiation degrades the quality of the radiographic image. When this problem occurs, a radiographic grid may be applied which necessitates an increase in exposure. Investigations are reported in the following areas: reasons for the introduction of a radiographic grid; the ratio between kilovoltage and grid ratio; techniques resulting in higher contrast and resolution at low patient dose and the abuse of grids

Complications from radiographer-performed double contrast barium enemas

Energy Technology Data Exchange (ETDEWEB)

Vora, P.; Chapman, A. E-mail: anthony.chapman@leedsth.nhs.uk

2004-04-01

AIM: To determine the types and rates of complications encountered by radiographers when performing double contrast barium enemas (DCBE). MATERIALS AND METHODS: Seven hundred and forty-one questionnaires were posted to radiographers who had in the last 5 years attended one of the biannual barium enema training courses. RESULTS: Of 741 questionnaires posted 407 (54.9%) were returned completed. Approximately 348,000 barium enema examinations had been performed. Fifty-nine radiographers reported 89 complications, including 13 intra-peritoneal and 11 extra-peritoneal perforations. There were five deaths (mortality 1 in 70,000). Deaths resulted from two of 24 (10%) perforations, two of 45 (5%) cardiac events and one cerebrovascular accident that occurred during an examination. CONCLUSIONS: Radiographers have been regularly performing DCBEs for almost a decade. The mortality for radiographer-performed DCBE is similar to that previously reported for radiologists, although a slightly higher rate of perforation is noted and so this is an area where radiographer training should be targeted.

Complications from radiographer-performed double contrast barium enemas

International Nuclear Information System (INIS)

Vora, P.; Chapman, A.

2004-01-01

AIM: To determine the types and rates of complications encountered by radiographers when performing double contrast barium enemas (DCBE). MATERIALS AND METHODS: Seven hundred and forty-one questionnaires were posted to radiographers who had in the last 5 years attended one of the biannual barium enema training courses. RESULTS: Of 741 questionnaires posted 407 (54.9%) were returned completed. Approximately 348,000 barium enema examinations had been performed. Fifty-nine radiographers reported 89 complications, including 13 intra-peritoneal and 11 extra-peritoneal perforations. There were five deaths (mortality 1 in 70,000). Deaths resulted from two of 24 (10%) perforations, two of 45 (5%) cardiac events and one cerebrovascular accident that occurred during an examination. CONCLUSIONS: Radiographers have been regularly performing DCBEs for almost a decade. The mortality for radiographer-performed DCBE is similar to that previously reported for radiologists, although a slightly higher rate of perforation is noted and so this is an area where radiographer training should be targeted

Relationship between type of medical institutions according to the equipment list and inspection fee computed tomography

Energy Technology Data Exchange (ETDEWEB)

Kim, Min Cheol; Lim, Cheong Hwan; Joo, Yeong Cheol [Dept. of Dept. of Health Care, Hanseo University, Seosan (Korea, Republic of)

2014-12-15

This study demonstrates holding condition of CT by medical institution classification and by season, and examination fee in Korea currently to quantitatively understand frequency of examination region by change of CT equipment, domestic growing trend and change of distribution and using rate. Recent 10 years of CT holding condition by medical institution classification (Tertiary hospital, General hospital, Hospital, Clinic, Dental hospital, Dental clinic, Hospitalized health center) and by year (2003-2012), and CT examination fee of distribution of medical institution by year is surveyed. The holding ratio of Tertiary hospital level and General hospital level is 32.7% in 2003 and 33.0% in 2012. Whereas, Hospital and Clinic level is 74.2% in 2003 and 66.8% in 2012, which takes approximately 70%. Based on data in 2012, it is 82.2% of total examination fee in Tertiary hospital and General hospital, while 17.5% in hospital and clinic. CT holding rate of Hospital level is increasing, while Clinic level is decreasing. Approximately 80% of CT examination fee is claimed by Tertiary hospital and General hospital. Therefore, there is a significant correlation between CT holding condition of medical institution classification and examination fee. Particularly, correlation between CT holding number of Tertiary hospital and examination fee is significant (p< .001). The more CT holding number, the higher the amount claimed examination fee.

Relationship between type of medical institutions according to the equipment list and inspection fee computed tomography

International Nuclear Information System (INIS)

Kim, Min Cheol; Lim, Cheong Hwan; Joo, Yeong Cheol

2014-01-01

This study demonstrates holding condition of CT by medical institution classification and by season, and examination fee in Korea currently to quantitatively understand frequency of examination region by change of CT equipment, domestic growing trend and change of distribution and using rate. Recent 10 years of CT holding condition by medical institution classification (Tertiary hospital, General hospital, Hospital, Clinic, Dental hospital, Dental clinic, Hospitalized health center) and by year (2003-2012), and CT examination fee of distribution of medical institution by year is surveyed. The holding ratio of Tertiary hospital level and General hospital level is 32.7% in 2003 and 33.0% in 2012. Whereas, Hospital and Clinic level is 74.2% in 2003 and 66.8% in 2012, which takes approximately 70%. Based on data in 2012, it is 82.2% of total examination fee in Tertiary hospital and General hospital, while 17.5% in hospital and clinic. CT holding rate of Hospital level is increasing, while Clinic level is decreasing. Approximately 80% of CT examination fee is claimed by Tertiary hospital and General hospital. Therefore, there is a significant correlation between CT holding condition of medical institution classification and examination fee. Particularly, correlation between CT holding number of Tertiary hospital and examination fee is significant (p< .001). The more CT holding number, the higher the amount claimed examination fee

Modern equipment of radiation intrascopie for inspection of welding

International Nuclear Information System (INIS)

Sosnin, F.R.

1976-01-01

The systems are described of radiation intrascopy of controlled objects studied by x-raying and the effective transformation of the shadow x-ray image into light-shadow one. In order to increase the range of controlled thicknesses and to improve the flaw detector sensitivity of the control, the electron-optical devices and telesivion technology are applied. So it becomes possible, through the amplification of the image, to use the high resolving power of the eye. Four types of modern equipment with amplification of the image have been defined, depending on x-rays and light converters. The main technical characteristics of some devices are given. The motion mechanisms of the controlled objects are considered. All kinds of radiation intrascopy systems developed up to the present time have the sensitivity of control of steel welded objects with thickness 5-50 mm which is 2 to 4 times greater than the sensitivity of the radiographic control method. The x-ray-television control is 2 to 4 times more efficient than radiographic one and is preferable from the safety point of view

Radiographic manifestations of arthritis in AIDS patients

International Nuclear Information System (INIS)

Rosenberg, Z.S.; Norman, A.; Solomon, G.

1988-01-01

The purpose of this study is to familiarize the radiologist with a newly discovered association between arthritis and acquired immunodeficiency syndrome (AIDS). The authors retrospectively reviewed the clinical and radiographic findings in 31 patients with human immunodeficiency virus (HIV) infection referred to their rheumatology clinic with musculoskeletal complaints. The patients carried a wide range of clinical diagnosis including Reiter syndrome, psoriatic arthritis, undifferentiated seronegative arthritis, isolated enthesopathies, rheumatoid arthritis and osteonecrosis. Radiographs were available in 24 of the 31 patients, and in 20 they showed radiographic features of arthritis, which included soft-tissue swelling periarticular osteoporosis, synovial effusions, sacroiliitis, periosteal reaction, joint space narrowing, marginal erosions, and osteonecrosis. Although the radiographic abnormalities were frequently mild, they were significant, given the short duration of disease in many of their patients (weeks to months) at the time radiographs were obtained. The range of radiographic findings in their series was varied and paralleled the wide range of clinical diagnoses. No findings were pathognomonic for HIV-associated arthritis. Nevertheless, HIV infection needs to be considered in any patient belonging to a recognized risk group who presents with musculoskeletal disease. This is particularly important since immunosupressive drugs used for the treatment of arthritis can be detrimental to patients with HIV infection

Radiographers' preconditions for evidence-based radiography

International Nuclear Information System (INIS)

Ahonen, Sanna-Mari; Liikanen, Eeva

2010-01-01

Evidence-based practice (EBP) is essential in today's health care, but its establishment requires several preconditions from individuals and organizations (e.g. knowledge, understanding, attitudes, abilities, self-confidence, support, and resources). Previous studies suggest that radiographers do generate and use evidence in their work, but evidence-based radiography (EBR) is not yet used routinely as established practice, especially in terms of research utilization. This paper aims to describe radiographers' preconditions for EBR, and their participation in research activities. Main focus is on research utilization. Using an electronic questionnaire developed for this study, a survey was conducted: data collected from Finnish radiographers and radiotherapists (N = 438) were analysed both statistically and qualitatively. The final response rate was 39%. The results suggest radiographers' preconditions for EBR to consist of knowledge of research, significance of research activities, research-orientated way of working, and support. In addition, adequate resourcing is essential. Reading scientific journals, participation in research activities, a higher degree of education, and senior post seem to be significant promoters of EBR and research utilization. The results support the notion that EBR, and especially research utilization, are not yet well-established in Finland, and radiographers' viewpoints concerning the role and significance of research evidence and research activities still seem to vary.

Radiographic evaluation of the diabetic foot

International Nuclear Information System (INIS)

Jacobs, A.M.

1989-01-01

Radiographic evaluation of the foot in the patient with diabetes mellitus is discussed in this paper. According to the author, it can only be of value when the soft tissue and bony and joint pathologic conditions, which occur more frequently in the diabetic patient are also considered and understood. Although not pathognomic for diabetes mellitus, neuroarthopathy, osteomyelitis, soft tissue infection, and some rheumatic disorders are present with greater frequency in diabetic populations than in non-diabetic populations. Frequently, edema, erythema, hyperthermia, and tenderness are present as nonspecific clinical findings, in which case radiographic evaluation is called upon to define the specific etiology of a particular patient's pathology. Unfortunately, many radiographic, computerized tomographic, and radionuclide studies demonstrate less than optimal positive and negative predictive values unless interpreted in view of clinical history and examination and integrated with the results of other laboratory data. Radiographic evaluation of the diabetic foot may be utilized to establish the presence of disease, the extent of pedal involvement, and the response to therapy. The establishment of the nature of disease processes from radiographic findings alone, however, may be problematic. The diagnosis of osteomyelitis, for example, rests on the recovery of the offending microorganisms from bone aspiration or culture

Delivering health information about self-medication to older adults: use of touchscreen-equipped notebook computers.

Science.gov (United States)

Neafsey, P J; Strickler, Z; Shellman, J; Padula, A T

2001-11-01

Preventing Drug Interactions in Active Older Adults is an educational intervention to prevent prescription and over-the-counter (OTC) drug and alcohol interactions in active, community-living older adults. The objectives of the program are to increase older adults' knowledge of potential interactions of prescription medications with OTC drugs and alcohol and to increase their confidence (self-efficacy) about how to avoid such interactions. An interactive multimedia computer software program (Personal Education Program or PEP) was designed for the learning styles and psychomotor skills of older adults. Focus groups of older adults evaluated PEP components in a formative manner during development. The program content dealing with antacids, calcium supplements, and acid reducers was pilot tested with 60 older adults recruited from local senior centers. Participants used the PEP on notebook computers equipped with infrared-sensitive touchscreens. Users of PEP had greater knowledge and self-efficacy scores than controls. Participants indicated a high degree of satisfaction with the PEP and reported their intent to make specific changes in self-medication behaviors.

Evaluation of body simulator for chest and abdomen in digital X-ray equipment

International Nuclear Information System (INIS)

Soares, Sidney S.; Cardoso, Gabriela P.; Oliveira, Giovanni Antônio P.; Batista, Adriana S.M.; Pereira, Esther Lorrayne M.

2017-01-01

The use of body simulators to control the quality of X-ray images is a practice that guarantees the control of essential parameters for diagnosis by the technique. The evolution of the equipment, between the analogue, digital computerized radiology (CR) and direct radiography (DR), requires evaluation of the equivalence in grayscale, of simulators, for an adjustment according to the specific technology of obtaining the image. In this sense, the present work presents the evaluation of a body simulator with regard to the representation of mean values of signal, noise and contrast obtained in chest radiographs and panoramic of the abdomen. For the thorax the cardiac region was considered as simulation target and for the abdomen simulation of the liver and small intestine. We used a retrospective study of images obtained with X-ray equipment - CR system, in which the images were studied using the ImageJ program, generating a data catalog. These were subsequently compared with those obtained experimentally using gel filled polymer body simulator. For the validation of the simulator, it was observed the gel equivalence of filling of the polymer box required to reach the image parameters of the cataloged radiographs. The results are discussed as to the physical principles of radiation interaction with biological and equivalent tissues

Inquiry about the uses of special equipment (CT equipment, angiography systems, mammography devices, screens)

International Nuclear Information System (INIS)

Schwager, P.; Stieve, F.E.

1986-01-01

There are at least 1100 special devices in medical establishment in Bavaria which require special inspection and surveillance with regard to quality of equipment and radiation protection. In addition, there are at least 53 tomographs available for operation, and at least 120 installed X-ray screens. These devices need special approval testing and quality control services as they contribute a very significant amount of the medically indicated radiation exposure of the population. Appropriate measures are explained that can be applied in order to reduce the medical radiation exposure to an optimum. (orig.) [de

Radiographic features of periapical cysts and granulomas