Radiation dose in premature neonates undergoing radiography examinations in intensive care units

Pandesh, S.; Jabbari, M.; Zarghani, H.

doi:10.61186/ijrr.22.4.1091

[Home ] [Archive]

International Journal of Radiation Research

Main Menu

Home

IJRR Information

For Authors

For Reviewers

Subscription

News & Events

Web Mail

Search in website

Receive site information

ISSN

Hard Copy 2322-3243

Online 2345-4229

Online Submission

Now you can send your articles to IJRR office using the article submission system.

Volume 22, Issue 4 (10-2024)

Int J Radiat Res 2024, 22(4): 1091-1094

Back to browse issues page

Radiation dose in premature neonates undergoing radiography examinations in intensive care units

S. Pandesh

, M. Jabbari

, H. Zarghani

Department of Radiology Technology, School of Allied Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran , masoudjabari@yahoo.com

Abstract: (323 Views)

Background: Evaluation of X-ray exposure biological effects in neonates are more important due to high radiosensitivity. This study aimed to evaluate the radiation doses of neonates undergoing x- ray radiography using portal machine in intensive care units (NICUs). Materials and Methods: We analyzed dose area product (DAP) values among 105 neonates with a gestational age less than 37 weeks admitted at our hospitals between 2021 and 2022. The number of radiographs was 154. DAP values were measured by DAP meter and compared in three category of weight (extremely low weight, low weight and normal weight) in two commonly radiographies (chest and abdomen). Results: DAP values ranged from 3.21 ± 0.1 to 5.65 ± 2.11 mGy.cm² and from 2.11 ± 1.98 to 4.38 ± 0.75 mGy.cm2 for patient weight from 920 to 2200 gr in chest and abdomen radiography respectively. These values were higher than the international criteria, standards in some cases. High significantly correlation was shown between technical settings of radiography (KV, CTP, field size) and DAP (P < 0.05 for all). Conclusions: It is recommended to use the proper collimation, kilovoltage and current time product during radiography of premature neonates to optimize patient protection.

Keywords: Dose area product, pediatrics, diagnostic radiology.

Full-Text [PDF 527 kb] (121 Downloads)

Type of Study: Short Report | Subject: Radiation Biology

References

1. Bouaoun A, Ben-Omrane L, Hammou A (2015 (Radiation doses and risks to neonates undergoing radiographic examinations in intensive care units in Tunisia. Int J Cancer Ther Oncol, 3(4): 342-347. [DOI:10.14319/ijcto.34.2]

2. Minkels TJ, Jeukens CR, Andriessen P, et al. )2017 (Dose evaluation for digital X-ray imaging of premature neonates. Radiation Protection Dosimetry, 177(4): 440-449. [DOI:10.1093/rpd/ncx062] [PMID]

3. Smans K, Struelens L, Smet M, Bosmans H, Vanhavere F (2008) Patient dose in neonatal units. Radiation protection dosimetry, 131(1): 143-147. [DOI:10.1093/rpd/ncn237] [PMID]

4. Hall EJ )2009) Radiation biology for pediatric radiologists. Pediatric Radiology, 39: 57-64. [DOI:10.1007/s00247-008-1027-2] [PMID]

5. Sanchez R, Khong PL, Ringertz H )2013) Radiologic protection in pediatric radiology: ICRP recommendations. Pediatric Radiology, 43: 920-921. [DOI:10.1007/s00247-013-2703-4] [PMID]

6. Olgar T, Onal E, Bor D, Okumus N, Atalay Y, Turkyilmaz C, Ergenekon E, Koc E )2008 (Radiation exposure to premature infants in a neonatal intensive care unit in Turkey. Korean Journal of Radiology, 9(5): 416-419. [DOI:10.3348/kjr.2008.9.5.416] [PMID] []

7. Gislason-Lee AJ )2021 (Patient X-ray exposure and ALARA in the neonatal intensive care unit: global patterns. Pediatrics & Neonatology, 62(1): 3-10. [DOI:10.1016/j.pedneo.2020.10.009] [PMID]

8. Ono K, Akahane K, Aota T, Hada M, Takano Y, Kai M, Kusama T )2003) Neonatal doses from X ray examinations by birth weight in a neonatal intensive care unit. Radiation protection dosimetry, 103(2): 155-162. [DOI:10.1093/oxfordjournals.rpd.a006127] [PMID]

9. Hart Hart D, Hillier MC. Doses to patients from radiographic and fluoroscopic X-ray imaging procedures in the UK-2005 review. Health Protection Agency, Radiation Protection Division; 2007.

10. Hart D, Wall BF, Shrimpton PC, Dance DR (2000) The establishment of reference doses in paediatric radiology as a function of patient size. Radiation protection dosimetry, 90(1-2): 235-238. [DOI:10.1093/oxfordjournals.rpd.a033127]

11. Hart Hart, D. W. B. F., Wall, B., & Shrimpton, P. (2000). Reference doses and patient size in paediatric radiology (No. NRPB-R--318). National Radiological Protection Board.

12. European :union:. European Commission. Directorate-General XII-Science, Research and Development. European guidelines on quality criteria for diagnostic radiographic images in paediatrics. Office for Official Publications of the European Communities; 1996. UK.

13. Alzen G, Benz-Bohm G (2011) Radiation protection in pediatric radiology. Deutsches Ärzteblatt International, 108(24): 407. [DOI:10.3238/arztebl.2011.0407] [PMID] []

14. Ono K, Akahane K, Aota T, Hada M, Takano Y, Kai M, Kusama T (2003) Neonatal doses from X ray examinations by birth weight in a neonatal intensive care unit. Radiation protection dosimetry, 103(2): 155-162. [DOI:10.1093/oxfordjournals.rpd.a006127] [PMID]

15. Donadieu J, Zeghnoun A, Roudier C, Maccia C, Pirard P, André C, Adamsbaum C, Kalifa G, Legmann P, Jarreau PH (2006) Cumulative effective doses delivered by radiographs to preterm infants in a neonatal intensive care unit. Pediatrics, 117(3): 882-888. [DOI:10.1542/peds.2005-0817] [PMID]

16. Bader D, Datz H, Bartal G, Juster AA, Marks K, Smolkin T, Zangen S, Kugelman A, Hoffmann C, Shani G, Ben-Shlomo A (2007) Unintentional exposure of neonates to conventional radiography in the neonatal intensive care units. Journal of Perinatology Sep, 27(9): 579-585. [DOI:10.1038/sj.jp.7211792] [PMID]

17. Puch-Kapst K, Juran R, Stoever B, Wauer RR (2009) Radiation exposure in 212 very low and extremely low birth weight infants. Pediatrics, 124(6): 1556-1164. [DOI:10.1542/peds.2008-1028] [PMID]

18. Scott MV, Fujii AM, Behrman RH, Dillon JE (2014) Diagnostic ionizing radiation exposure in premature patients. Journal of Perinatology, 34(5): 392-395. [DOI:10.1038/jp.2013.141] [PMID]

19. Bahreyni Toossi MT, Malekzadeh M (2010) Diagnostic reference levels in neonatal units. In: International symposium on standards, applications and quality assurance in medical radiation dosimetry (IDOS), Nov 9-12, Austria, Vienna: International Atomic Energy Agency, pp. 175-176.

20. Wraith CM, Martin CJ, Stockdale EJ, McDonald S, Farquhar B (1995) An investigation into techniques for reducing doses from neo-natal radiographic examinations. The British Journal of Radiology, 68(814): 1074-1082. [DOI:10.1259/0007-1285-68-814-1074] [PMID]

21. Donadieu J, Zeghnoun A, Roudier C, Maccia et al. (2006) Cumulative effective doses delivered by radiographs to preterm infants in a neonatal intensive care unit. Pediatrics. 117(3): 882-8. [DOI:10.1542/peds.2005-0817] [PMID]

22. Wraith CM, Martin CJ, Stockdale EJ, McDonald S, Farquhar B. (1995) An investigation into techniques for reducing doses from neo-natal radiographic examinations. The British journal of radiology. 68(814): 1074-82. [DOI:10.1259/0007-1285-68-814-1074] [PMID]

Send email to the article author

Add your comments about this article

‎ 10.61186/ijrr.22.4.1091

Mendeley

Zotero

RefWorks

Pandesh S, Jabbari M, Zarghani H. Radiation dose in premature neonates undergoing radiography examinations in intensive care units. Int J Radiat Res 2024; 22 (4) :1091-1094
URL: http://ijrr.com/article-1-5811-en.html

Rights and permissions
	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Volume 22, Issue 4 (10-2024)

Back to browse issues page

Persian site map - English site map - Created in 0.05 seconds with 50 queries by YEKTAWEB 4700