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Tschauner, S; Marterer, R; Gübitz, M; Kalmar, PI; Talakic, E; Weissensteiner, S; Sorantin, E.
European Guidelines for AP/PA chest X-rays: routinely satisfiable in a paediatric radiology division?
Eur Radiol. 2016; 26(2):495-505 Doi: 10.1007/s00330-015-3836-7 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Tschauner Sebastian
Co-Autor*innen der Med Uni Graz
Gübitz Michael
Kalmar Peter
Marterer Robert
Sorantin Erich
Talakic Emina

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OBJECTIVES: Accurate collimation helps to reduce unnecessary irradiation and improves radiographic image quality, which is especially important in the radiosensitive paediatric population. For AP/PA chest radiographs in children, a minimal field size (MinFS) from "just above the lung apices" to "T12/L1" with age-dependent tolerance is suggested by the 1996 European Commission (EC) guidelines, which were examined qualitatively and quantitatively at a paediatric radiology division. METHODS: Five hundred ninety-eight unprocessed chest X-rays (45% boys, 55% girls; mean age 3.9 years, range 0-18 years) were analysed with a self-developed tool. Qualitative standards were assessed based on the EC guidelines, as well as the overexposed field size and needlessly irradiated tissue compared to the MinFS. RESULTS: While qualitative guideline recommendations were satisfied, mean overexposure of +45.1 ± 18.9% (range +10.2% to +107.9%) and tissue overexposure of +33.3 ± 13.3% were found. Only 4% (26/598) of the examined X-rays completely fulfilled the EC guidelines. CONCLUSIONS: This study presents a new chest radiography quality control tool which allows assessment of field sizes, distances, overexposures and quality parameters based on the EC guidelines. Utilising this tool, we detected inadequate field sizes, inspiration depths, and patient positioning. Furthermore, some debatable EC guideline aspects were revealed. KEY POINTS: • European Guidelines on X-ray quality recommend exposed field sizes for common examinations. • The major failing in paediatric radiographic imaging techniques is inappropriate field size. • Optimal handling of radiographic units can reduce radiation exposure to paediatric patients. • Constant quality control helps ensure optimal chest radiographic image acquisition in children.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent - administration & dosage
Child - administration & dosage
Child, Preschool - administration & dosage
Europe - administration & dosage
Female - administration & dosage
Humans - administration & dosage
Infant - administration & dosage
Infant, Newborn - administration & dosage
Male - administration & dosage
Pediatrics - standards
Practice Guidelines as Topic - administration & dosage
Quality Control - administration & dosage
Radiography, Thoracic - standards
Reproducibility of Results - administration & dosage

Find related publications in this database (Keywords)
Thoracic radiography
Radiation protection
Radiographic image enhancement
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